Case 85873. Medical certificate 18 October 1901
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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. commenced 5 1/2 yrs. ago.
- 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 - [?]
- Qualifications - M.R.C.S., L.R.C.P.
- Address - Kensington Gate W.
- Date - Oct. 18.1901
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