Front:
REPORT OF CONTAGIOUS DISEASE.
BRIDGEPORT,
327
.1893
Name.
IST Zulek..
Place. 9'8. Catherija M
Name of Disease. Depkethesda
No. of Cases. Ce the Ages'. Seba
Name of Disease.
No. of Families in House......
Condition of Premises..
Probable Cause of Infection.
leclou
.M. D.
Physicians failing to report all cases of contag-
ious diseases and deaths resulting therefrom, are
liable to a fine of $50.00.
Back:
POSTAL
POSTBO RD
NOTHING BUT THE ADDRESS TO BE ON THIS SIDE.
Clerk Board of Health,
Bridgeport,
Conn.
