APPENDIX G. 



253 



EXAMPLE B. 



Father's name JULIUS FITZROY. 



Mother's maiden name . . AMELIA MERRYWEATHER. 



Initials. 



Kin. 



Principal illnesses and cause of death. 



Age at 

 death. 



E. F. 



Father 



Gouty Habit . . Weak Heart and Congest, Liver 



73 



L. F.' bro Gout and Decay 88 



A. G. F. bro Accident 48 



W. F. bro Typhoid 16 



Mother Gallstones. . . . Internal Malady (?) Cancer 55 



P. M. bro Paralysis 86 



A. M. bro Paralysis 85 



N. M. bro. Still living. 



R. B. sis. Consumption 33 



C. M. sis Ehcum. in Head 88 



F. L. sis. Softening of Brain 76 



1 died an infant. 



G. F. bro. Gout : tendency to meseuteric disease ; eruptive 



disorders . . . Blood poisoning after a cut 46 

 H. F. bro. Liver deranged ; bad headaches ; once supposed 



consumptive Gradual Paralysis 45 



S. T. F. bro. Eruptive disorder ; mesentery disease ; inflam- 

 mation of liver . . Inflammation of Lungs 42 

 H. G. sis. Eruptive disorder ; liver . . . Inflam. of Lungs 47 

 H. B. R. sis. Delicate ; tend, to mesent. disease . Consumption 29 



". F. sis. Colds ; liver disorder Consumption 30 



E. L. F. sis. Meseuteric disease ; grandular swellings . Atrophy 16 



2 died infants. 



(Space left for remarks.) 



