Form 10,000 5-11, 8-11, a blank form printed in English for recording individualized milk formulas for infants receiving aid from the New York Milk Committee's Babies' Pure Milk Stations. Ingredients to be used include milk top; whole milk; lime water; milk sugar; boiled water; barley water; and oatmeal water. Space for the prescription of formula and for the establishment of a feeding schedule is also provided.
