Hidden Lives Revealed. A virtual archive - children in care 1881-1981 * Image of handwritten text

Case 9733

2. Medical certificate 4 April 1903

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1. Child's name

2. Age
16 years

3. Nature of Disease
Inflamation of knee joint operated on

4. Duration, and whether active or stationary

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

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?

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

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?

Signature - P.
Qualifications - [?]
Address - [?] Rd. Fulham
Date - 4th April 1903
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Image of Case 9733 2. Medical certificate  4 April 1903
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