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Annual Report of the Medical Officer of Healths-1892 41
FORM B.
On the Termination of the Case of Sickness.
??? Occupier,
or other person in charged of infected premises, is requested to obtain the
nature of the Medical Attendant to the following certificate, and forward it to
Health Department, when the disinfector will attend and disinfect.
To the Medical Officer,
Vestry Hall, Borough Road.
??? ar Sir,
I hereby certify that the Premises, Bedding, &c., at No.
are now ready for final Disinfection.
Signed
Address
Dated this day of
189
FORM C.
Public Health Department.
St. George the Martyr, Southwark,
Vestry Hall, Borough Road.
18 .
I hereby certify that the Premises, Bedding, &c., of
residing at
??? been disinfected.
Medical Officer of Health.