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Table: LEYTON URBAN DISTRICT COUNCIL.Medical Inspection, under Sec. 13 of the Education (Ad. Prov.) Act, 1907.MEDICAL SUMMARY SHEET.
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LEYTON URBAN DISTRICT COUNCIL.
Medical Inspection, under Sec. 13 of the Education (Ad. Prov.) Act, 1907.
MEDICAL SUMMARY SHEET.
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) (T) (M) (W) (C) (S) (D) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20 (21) (22) (23) (21) (25) SUMMARY Boys Examined Average Number of Cases Girls Examined .
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