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 Hackney]
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Name & Address of Patient. | Age. | Sex. | Disease. | Circumstances of Urgency. | ||||
---|---|---|---|---|---|---|---|---|
Number of Persons in Family. | Number of rooms occupied by Family. | Number of Persons in House | Number of previous applications. | Other circumstances |