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Formula or Breastmilk Intake Journal / Chart / Log

It may be necessary to keep track of your infant’s formula and/or breastmilk intake if he or she is drinking too little due to reflux or another health concern.  The following chart allows amounts to be charted per day up to ten different times.  Begin at midnight, and chart the intakes on the same day until 11:59 p.m., and then start a new day.  This will show you and your doctor just how much your infant is consuming in a 24 hour period. 

Date

Intake 1

Intake 2

Intake 3

Intake 4

Intake 5

Intake 6

Intake 7

Intake 8

Intake 9

Intake 10

Total

Example:

3 oz.

4 oz.

3 oz.

6 oz.

2 oz.

4 oz.

---------

---------

---------

---------

22 oz.

                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       

Written by: Maggie, Noah's Mom

Read more about Free Logs, Charts and More:
24 Hour Reflux Journal / Chart / Log (Printer-Friendly), Food Trial Journal / Chart / Log (Printer-Friendly), Doctor Visit Journal / Chart / Log (Printer-Friendly), Medication Journal / Chart / Log (Printer-Friendly), Growth Journal / Chart / Log »View all articles«

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