The Public Health (Tuberculosis) Regulations, 1908 : dated December 18, 1908.

  • Great Britain. Local Government Board
Date:
[1908]
Catalogue details

Licence: In copyright

Credit: The Public Health (Tuberculosis) Regulations, 1908 : dated December 18, 1908. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Form C. Public Health (Tuberculosis) Regulations, Counterfoil. Notification. 1908. No. . Poor Law Institution. Name of Poor Person Age . Date of leaving the Poor Law Institution Actual or intended place of destination. Intended Address at place of destination Sanitary District to which notification is sent Date when sent Superintending Officer. No. To the Medical Officer of Health for the of ; I hereby give you notice that the poor person in relation to whom particulars are appended has, by the Medical Officer for the Poor Law Institution known as the belonging to been notified as suffering from Pulmonarj' Tuberculosis, and that on the, day of the said poor person left that Poor Law Institution, and that the actual or intended place of desti- nation of the poor person and h intended address at that place are those set forth in the said particulars. Name of Poor Person . Age . Sex . Actual or intended place | of destination. j Intended address at place / of destination. f — Dated this day of (Signed). .190 . the Superintending Officer of above-mentioned Poor Law Institution. Form D. Public Health (Tuberculosis) Regulations, 1908. Counterfoil. Notification. No. Union. Name of Poor Person Age . Sex . District of District Medical Officer by whom notification was made. Date of change \ of Residence ) Residence prior \ to above date ) - New Residence __ Sanitary District to which notification is sent Date when sent (Signed) , Relieving Officer. No Union. To the Medical Officer of Health for the of ; I hereby give you Notice that the poor person in relation to whom particulars are appended has, by the District Medical Officer for the District of the Union, been notified as suffering from Pul- monary Tuberculosis, that on the day of 190 , the poor person removed from the residence firstly specified in the said particulars and the changed residence of the poor person will be that secondly specified in those particulars. Name of Poor Person • Age . Sex . Residence prior to the date above-mentioned. New Residence Dated this day of 190—. (Signed) Relieving Officer for the District of the __Union.
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