Report of Contagious Disease

Front:
REPORT OF CONTAGIOUS DISEASE. PHYSICIANS WILL greatly facilitate the work of this department by filling in one of these cards by the bedside of the patient and dropping it at once in the nearest P. O. Box. The Health Department can also be reached at any hour by Telephone. Sae 0Peaae 2 189 3 pridgeport, Conn., Age Name of Patient Residence Floor Duration of Sickness Disease How Contracted No. of Families in House. BrDay Location of School attended by Children in Family М. D. Residence Telephone, No. 278.

Back:
ONE CENT POSTAL CARD United States America THIS SIDE IS FOR THE ADDRESS ONLY ERSON HEALTH DEPARTMENT United Bank Building, Cor. Bank and Main Streets, BRIDGEPORT, CONN.