APPENDIX G. 



253 



Example B. 



Father's name .... 

 Mother's maiden name . 



Julius Fitzrot. 

 . Amelia Merryweather. 



Initials. 



Kin. 



Principal illnesses and cause of death. 



Age at 

 death. 



R. F. 



l. f.; 



A. G. F. 

 W. F. 



P. M. 

 A. M. 

 N. M. 

 R. B. 

 CM. 

 F. L. 



Father 



Gouty Habit . . Weak Heart and Congest. Liver 



bro. 

 bro. 

 bro. 



Gout and Decay 

 . . . Accident 

 . . . Typhoid 



Mother 



Gall stones 



Internal Malady (?) Cancer 



bro. 

 bro. 

 bro. 

 sis. 

 sis. 

 sis. 



Paralysis 



Paralysis 



Still living. 



Consumption 



Eheum. in Head 



Softening of Brain 



1 died an infant. 



73 



88 

 48 

 16 



55 



86 

 85 



33 



88 

 76 



G. F. 

 H. F. 



S. T. F. 



H. G. 

 H.B.R. 



N. F. 

 E. L. F. 



bro. 



bro. 



bro. 



sis. 

 sis. 

 sis. 

 sis. 



Gout : tendency to mesenteric disease ; eruptive 



disorders . . . Blood poisoning after a cut 



Liver deranged ; bad headaches ; once supposed 



consumptive Gradual Paralysis 



Eruptive disorder ; mesentery disease ; inflam- 

 mation of liver . . Inflammation of Lungs 

 Eruptive disorder ; liver . . . Inflam. of Lungs 

 Delicate ; tend, to mesent. disease . Consumption 



Colds ; liver disorder Consumption 



Mesenteric disease ; grandular swelliugs . Atrophy 

 2 died infants. 



46 



45 



42 

 47 

 29 

 30 

 16 



(Space left for remarks.) 



