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 East Ham]
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Name Date of Birth
(Surname first).
Address Removed to
Removed to Do
Date of leaving School
School
Date of admission ...
Scarlet Fever. Diphtheria. Measles. i Whooping Cough. Chicken Pox. Mumps. Rheumatic Fever.
Date of Illnesses
Year 19 19 19 19 19 19 19 19 19 19
Actual attendances...
Possible attendances
Family History (if exceptional) Directions to Parents or Teachers General Observations.
F.
Occupation: I
M
Total Rooms Families Adults Children
Number
of
Consumption on Father's side ?
Do. on Mother's side ? III
Work before or after Nature
School. Duration
IV