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This paper highlights some of the challenges associated with the current paper-based immunization health card being used in the Punjab province of Pakistan, and further discusses an iterative approach to redesign this card to be more informative for parents in general with a special focus on a low-literate audience. The discussion builds upon user discussion and resulting need analysis for the redesign of the card. The paper details the technical and design aspects of three iterations of the card and their respective feedback. It also highlights some of the challenges associated with designing a solution for multiple stakeholders in a constrained environment.