Family Emergency Health Card

Fill details below. Click “Print Card” to print a wallet-sized physical emergency backup.

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1. Parents & Children Details

Mother's Name

Mother's Phone

Mother's Blood Group

Father's Name

Father's Phone

Father's Blood Group

Child's Name

Child Date of Birth

Child Blood Group

Child Drug Allergies or Chronic Conditions

2. Medical & Insurance Contacts

Pediatrician / Doctor Name

Doctor / Clinic Phone

Preferred Hospital / NICU

Health Insurance Company

Policy / Member ID

Cashless TPA Helpline

Wallet Card Preview (Prints front & back on one page)Standard 85mm × 54mm card ratio

+Emergency Health Card

Jagruk Family

Child

Child Name

DOB: —

Blood: —

Allergies / Alert

None recorded

Mother (—)

Mother Name

—

Father (—)

Father Name

—

National Emergency: 112 • Ambulance: 108 • In crisis, contact parents immediately

Doctor & Cashless InsuranceBACK

Pediatrician / Hospital

Dr. Name (—)

Preferred Hospital

Cashless Health Insurance

Insurance Company

Policy: —

TPA Helpline: —

Cut along outer border. Laminate or store behind phone cover. Verified via jagrukfamily.com

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