The Public Health (Tuberculosis) Regulations, 1908 : dated December 18, 1908.

  • Great Britain. Local Government Board.
Date:
[1908]
Catalogue details

Licence: In copyright

Credit: The Public Health (Tuberculosis) Regulations, 1908 : dated December 18, 1908. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    9/12 (page 9)
    Schedule. Form A. Public Health (Tuberculosis) Regulations, 1908. Counterfoil. Notification. No. . Poor Law Institution Name of Poor Person Residence before \ admission j “ Age . No. . To the Medical Officer of Health for the of ; I hereby give you Notice that, in my opinion, the poor person who is now an in- mate of the Poor Law Institution known as the , belonging to the , and in relation to whom particulars are appended, is suffering from Pulmonary Tuberculosis. Sex . Sanitary District ) to which Notifi- > cation is sent J Date when sent (Signed) Medical Officer. Name of Poor Person . Residence of Poor Person prior I to admission to the above- > . named Poor Law Institution ) Age . Sex . Dated this day of , 190 . (Signed) , Medical Officer for the above-named Poor Law Institution. Form B. Public Health (Tuberculosis) Regulations, 1908. Counterfoil. Notification No. Union. Name of Poor Person Residence Age . Sex . Sanitary District ) to which Notifi- l cation is sent J Date when sent (Signed) Medical Officer. No. . Union. To the Medical Officer of Health for the of ; I hereby give you Notice that, in my opinion, the poor person in relation to whom particulars are appended, is suffering from Pulmonary Tuberculosis. Name of Poor Person . Residence . Age Sex . Dated this day of , 190 . (Signed) Medical Officer for the District of the .Union. A 2 9178