He 117,7.3
Schedules used by Local Boards of Health
Pattenta under uporviolon,.
UALOT DIVITO, ALDPART7
mber under mupervieion,....... dults....Children under 1e....
uboreulnnta uroo
Daly eport of
Dato
now osseo vioitod during nonth.
o. or reforenge viet te made durtne month
owr
T8EST
ADR8
DIPORAL, OP PASTE
on tuberqu1cun.
rt city.
. .
eo taboraalar- oringt. .
oring
Se sore viaita a
Cor esatnstton..
Reterredn a et aeairod ..
Entered Sanatoria
ioepital..
aco
PHOTA
aresneteld.. .
onial "orkers...
Ch114rer' Pree loapt tal....
Telante and lcepitsl.....
roeh ir Pavilien..
equred Cunty Rolief und
.
rivate Reliof...
(ncluded in Ccunty Rolief ala o)
as4onta
ADUOu
Diod....
elta
tntal
Exmenees.-Garfare..
Telophone....
enk.....rd.-ook......4th.-eck
TXPE
aa
antet tharitien
Duys off daty...
ure on duty..
SEantoTeton
Haif dava off duty.....
eteatton
je0
n rforno
ro.
ire. en roperto
Health Denartsent of the it
enk.....rd.-ook......4th.-eck