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 St. Giles District]
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SCHEDULE-FORM A.
Ticket, No.
House let in lodgings, or occupied by members of more
than one family.
Street or Place
Registered to accommodate persons, as specified below.
| In Room No. 1. | In Room No. 2. | In Room No. 3. | In Room No. 4. | In Room No. 5. | TOTAL. | |
|---|---|---|---|---|---|---|
Inspector.
Day of 18
Clerk to the Board of Works
for the St. Gilet's District.