[Report 1948] / Medical Officer of Health, Bootle County Borough.

  • Bootle (Lancashire, England). County Borough Council.
Date:
1948
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1948] / Medical Officer of Health, Bootle County Borough. Source: Wellcome Collection.

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    ^j.fatal illnesses (Insert Age at Time in Weeks), VV Cousli Measles Pneumonia S. Fever 1 ° i s TORY OF FATAL ILLNESS. Date of onset ft and Symptoms ' was done for Child at onset of Illness and subsequently ? • t of Calling in G.P Name of C T. B of Eemoval to Hospital Name of Hosj) D tion on Removal to Hosp r S of Discharge from Hosp. if prior to Death I'^E CIRCUMSTANCES. I ties for Washing Napkins, etc.,: ’ ance with Housekeeping COMFORTABLE MODERATE POOR ADEQUATE INADEQUATE CLEAN MODERATE DIRTY UNTIDY /TICULARS OF FATHER. ABSTAINER LIGHT DRINKER HEAVY DRINKER VERY HEAVY DRINKER fid, Cause of Death ‘ >atioii Work ; leiiiployed, for how long jirior to Birth? REGULAR AT HOME IRREGULAR AWAY FROM HOME ■iignificiint Hereditary k'actoi's