London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Leyton 1909
[Report of the Medical Officer of Health for Leyton]
- Published
- 1910
- Pages
- 174
- Tables
- 1
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Page 170
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 Measles Whooping Cough Chicken-Pox Scarlet Fever Diphtheria 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 No. of Days Cause. 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)