Case 8587

MEDICAL CERTIFICATE.

1. Child's name

E.

2. Age

8 years

3. Nature of Disease

[Infantile] paralysis - right leg

4. Duration, and whether active or stationary

Stationary. came on when 2 1/2 yrs. old

5. Is the child hopelessly crippled as that is cannot be trained to earn its living

No

6. Has the child any affections of the limbs, joints, skin or eyes which may have the affect of preventing her from entering domestic services?

No

7. Is the child subject to fits or has it ever had one? If so, state its nature. Is the child subject to incontinence of urine?

No. No

8. Is the child at present affected with any infectious or contagious disease, or with scrofula requiring medical treatment?

No

9. Has the child had scarlet fever, or whooping cough or measles, or small pox? If not the latter, has it been vaccinated?

No. Has been vaccinated

10. Is the child's general health good?

Yes

Signature - B.

Qualifications - M.B., F.R.C.P.

Address - [?] Street [?]

Date - Oct. 17/1901