Case 9733

MEDICAL CERTIFICATE.

1. Child's name

A.

2. Age

16 years

3. Nature of Disease

Inflamation of knee joint operated on

4. Duration, and whether active or stationary

Stationary.

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?

only the knee joint

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

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?

Scarlet fever vaccinated

10. Is the child's general health good?

Yes

Signature - P.

Qualifications - [?]

Address - [?] Rd. Fulham

Date - 4th April 1903