Entry from Admission and discharge register, 1865-1866 (P92/MRY/349, London Metropolitan Archive)
| SCHEDULE C. - FORM 21. |
| Day of the Month. | Day of the week. | Next Meal after Admission. | Name. | Class for Diet.* |
No. affixed to the Pauper's Clothes. | Parish to which Charged. | By whose order Admitted. | Date of the Order of Admission. |
If Born in the House, name of Parent. | Cause of seeking Relief. | Observations on Condition at the time of Admission, and any other General Remarks. |
| 1 | 2 | 3 | 4 | 4a | 5 | 6 | 7 | 8 | 8a | 9 |
|
[1866] June 9 |
Saturday |
O |
Ellis Martha |
|
|
|
|
|
|
1
|
|
|
|
|
|
Newington |
M Gobb |
Jun 9 |
|
Destitution |
| |
* The columns "Class for Diet." are to be filled up by the figure 1. The Classes for Diet are, -1. Able-bodied Men; -2. Old and Infirm Men; -3. Boys from 9 to 13 or 16, according to the |