Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Leyton]
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No. of Card | CHILD'S NAME | Sex | Age (Years and 12ths) | Sunday School or other Classes | OCCUPATION OF PARENT | No. of Children in Family | Tuberculosis in Family | Age at which Child has suffered from | Vaccination Marks | Regularity of Attendance | PHYSICAL. CONDITION. | Absent for Illness | ||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 21 | 25 | No. of Days | Cause | |||||||||||||||||||
Measles | Whooping Cough | Chicken-Pox | Scarlet Fever | Diphtheria | Clothing and Foot Gear | Height | Weight | Nutrition | Cleanliness and Condition of Skin | Teeth | Nose and Throat | External Eye Disease | Vision | Ear Disease | Hearing | Speech | Mental Condition | Heart and Circulation | Lungs | Nervous System | Tuberculosis | Rickets | Deformities, Spinal Disease | Infectious or Contagious Disease | Other Disease or Defect | |||||||||||||||||
Right | Left | Right | Left | |||||||||||||||||||||||||||||||||||||||
(T) | (M) | (W) | (C) | (S) | (D) |