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Get Tvc Monthly Biological Report

Texas Vaccines for Children Monthly Biological Report Rev. 05/2012 TVFC PIN Contact Person Month Year Clinic Name and Address Phone Fax Use additional forms for additional lot s Vaccine Type A Lot Number Expiration Date B Doses on Hand BEGINNING OF MONTH Doses Received DURING THE C SUBTOTAL A B C D E Administered AGE F G TOTAL DOSES ADMINISTERED Transferred D E F EC-67 H I Doses Ruined Hand END or Expired EC-69 Required C-F-G-H I J K Physical Cou.

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