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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155
School
Department Class or Standard
Date of Inspection 190
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 . |