 | 1913 - 1202 halaman
...the origin or probable origin the disease. 6. Name and address of the reporting physician. Prorided, That if the disease is or Is suspected to be smallpox the repc inali, in addition, show whether the disease is of the mild or virulent type a whether the patient... | |
 | 1918 - 466 halaman
...place of employment of patient. 4. Number of adults and of children in the household. 5. Source or probable source of infection or the origin or probable...Provided, That if the disease is, or is suspected to bo, smallpox the report shall, in addition, show whether the disease is of the mild or virulent type... | |
 | 1913 - 998 halaman
...place of employment of patient. 4. Number of adults and of children in the household. 5. Source or probable source of infection or the origin or probable origin of the disease. 8. Name and address of the reporting physician. Provided, That if the disease is or is suspected to... | |
 | Charles Harrington - 1914 - 988 halaman
...place of employment of patient. 4. Number of adults and of children in the household. 5. Source or probable source of infection, or the origin or probable...patient has ever been successfully vaccinated, and, if the patient has been successfully vaccinated, the number of times and dates or approximate dates of... | |
 | Louis Israel Dublin - 1914 - 26 halaman
...place of employment of patient. 4. Number of adults and of children in the household. 5. Source or probable source of infection or the origin or probable...patient has ever been successfully vaccinated, and, if the patient has been successfully vaccinated, the number of times and dates or approximate dates of... | |
 | Kansas State Board of Health - 1914 - 780 halaman
...place of employment of patient. 4. Number of adults and of children in the household. 5. Source or probable source of infection or the origin or probable...patient has ever been successfully vaccinated, and if the patient has been successfully vaccinated, the number of times and dates or approximate dates of... | |
 | United States. Public Health Service - 1914 - 348 halaman
...place of employment of patient. 4. Number of adults and of children in the household. 5. Source or probable source of infection or the origin or probable...shall, in addition, show whether the disease is of me mild or virulent type and whether the patient has ever been successfully vaccinated, and, if the... | |
 | 1914 - 278 halaman
...source of infection or the origin or probable origin of 1 1,.- disease. 6. Name and address of th* reporting physician. Provided, That If the disease...and whether the patient has ever been successfully TSCclnated, and. If the patient has been successfully vaccinated, the number of times and dates or... | |
 | Montana State Board of Health - 1927 - 96 halaman
...household. 5. Source or probable source of infection or origin or probable origin of the disease. 6. The name and address of the reporting physician. Provided,...whether the disease is of the mild or virulent type, and if the disease is, or suspected to be, smallpox or typhoid fever, whether the patient has been successfully... | |
 | Spokane (Wash.) - 1915 - 996 halaman
...place of employment of patient. 4. Number of adults and of children in the household. 5. Source or probable source of infection or the origin or probable...the mild or virulent type, and whether the patient been successfully vaccinated, and, if the patient has been successfully vaccinated, the number of times... | |
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The date when the report Is made. 2. The name of the disease or suspected disease. 3. The name, age, sex, color, occupation, address, and school attended or place of employment of patient. 4. Number of adults and of children in the household. 5. Source... 
