Childrens Names Wher. Legitimate or Illegitimate.
When Admitted or Born in the House
Age when Admitted
Mothers Name Settlemt. & Residence.
Fathers Name Settlemt. Residence & Occupation.
When Placed out to Nurse
Nurse C:& Sir Name If with the Mor. or other Relation to be so Described.
Nurses Residence be Ptlarised.
Weekly Allowance
Bounty
When Paid
When died at Nurse, Wher. Occasioned by the Nurses, Negligence or how.
If Removed, When, where, with whom & how Placed.
Remarks