London's Pulse: Medical Officer of Health reports 1848-1972

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Finchley 1906

[Report of the Medical Officer of Health for Finchley]

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42
Finchley Urban District Council: Education Committee,
Particulars with regard to School Children.
A
Name of School:
Name of Pupil:
Date of Birth:
Home Address:
Date of filling in the form: School Std.: Age:
Does pupil work before school hours
Does pupil work after school hours
If so, at what occupation?

Teacher's opinion of mental capacity.

DATE.
State of Nutrition Cleanliness of Clothing Cleanliness of Body Weight Height Girth of Chest