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" as a physician, hereby certify, under oath, that on the 20th day of June, 1887, I personally examined H. McA., age, forty-three ; sex, female ; single ; occupation, domestic ; and that the said H. McA. is insane and a proper person for care and treatment,... "
Annual Report - Halaman 232
oleh New York (State). Department of Social Welfare - 1889
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Commentaries on the Lunacy Laws of New York: And on the Judicial Aspects of ...

John Ordronaux - 1878 - 572 halaman
...personally examined of* *[Here insert sex, age, married or single, and occupation.] and that the said is Insane, and a proper person for care and treatment, under the provisions of Chapter 446 of the Laws of 1874. I further certify that I have formed this opinion upon the following grounds, viz. :...
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Annual report of the Department of Public Charities of the City ..., Volume 19

1879 - 328 halaman
.......... examined , of the age of about .... years, .' married, and by occupation a , and that the said '.'is insane, and a proper person for care and treatment under the provisions of chapter 446, of the laws of 1874, of the State of New York. I further certify that I have formed this opinion upon the...
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A Manual of psychological medicine and allied nervous diseases ...

Edward Cox Mann - 1883 - 760 halaman
...personally examined , of , [here insert sex, age, married or single, and occupation,] and that the said is insane, and a proper person for care and treatment, under the provisions of chapter 446 of the Laws of i And I further declare that my qualifications as a medical examiner in lunacy have been duly...
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Buffalo Medical Journal and Monthly Review of Medical and ..., Volume 38

1883 - 584 halaman
...examination of the party named had been made, and following that the opinion that the said party was insane and a proper person for care and treatment under the provisions of the statute. The declaration of insanity is an entirely distinct one from the succeeding statement...
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The Insane in the United States and Canada: By D. Hack Tuke

Daniel Hack Tuke - 1885 - 308 halaman
...personally examined CD, of (here insert age, sex, married or single, and occupation), and that the said CD is insane, and a proper person for care and treatment under the provisions of chapter 446 of the Laws of 1874. " I further certify that I have formed this opinion on the following grounds, viz. (facts)....
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The Insane in the United States and Canada: By D. Hack Tuke

Daniel Hack Tuke - 1885 - 308 halaman
...personally examined CD, of (here insert age, sex, married or single, and occupation), and that the said CD is insane, and a proper person for care and treatment under the provisions of chapter 446 of the Laws of 1874. " I further certify that I have formed this opinion on the following grounds, viz. (facts)....
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Proceedings of the American Medico-Psychological Association ..., Volume 4

American Medico-Psychological Association - 1897 - 410 halaman
...said physicians, after such examination by them personally made, if they find the person so examined insane and a proper person for care and treatment under the provisions of this act shall so certify under oath in writing according to forms hereinafter made and prescribed...
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Encyclopedia of Forms and Precedents for Pleading and Practice, at ..., Volume 8

William Henry Michael, William Mack, Howard Pervear Nash, Thomas Edward O'Brien, James Cockcroft - 1899 - 1084 halaman
...supplied within of fact and in form of execution, for the arrest and confinement of the plaintiff as insane and a proper person for care and treatment under the provisions of chapter 446 of the Laws of 1874; that in neither of said verified certificates, nor in said approval thereof, was it declared...
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Annual report of the State Board of Charities of the state of New ..., Volume 22

1889 - 630 halaman
...aforesaid, being a graduate of College of Physicians and Surgeons, Baltimore, and having ^practiced as a physician, hereby certify, under oath, that on...treatment, under the provisions of chapter 446 of the Laws^of 1874. I further certify that I have formed this opinion upon the following grounds : She believes...
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The Medico-legal Journal, Volume 3

Clark Bell - 1885 - 528 halaman
...person.illy examined , of , (here insert sex, age, married or single. and occupation,) and that the said is insane, and a proper person for care and treatment, under the provisions of section of the laws of I further certify that I have formed this opinion upon the following ground,...
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