Case 9045

St. George's Rd.
Peckham
S.E.
June 17/02

This is to certify that I have today seen & examined G aged 6 1/2 years, of [?] Road, & have answered questions 21-25 (both inclusion)
D
M.R.C.O. (Esq.)
L.R.C.P. (Lond.)