38
NOTE VII-General Statistical Form for all Public and General Hospitals.
TABLE 1,
Training on January 1st of Just Year.
Admitted in Averner Jamaic Jaubsequent Year. during the Year
Number of
Deatha
•
Males...
Females
Total
39
TABLE 2.-Ages in relation to Result.
Relieved.
Died.
Recovered,
Discharged.
Average Stay
of those Dead or Discharged
AGE AT ADMISSION.
1. Cured. 6. Raberest.je. Unimproved. during the Year.
Single.
Married or
Widowed.
Under 20 years
TABLE 2.—Obituary for the Year.
Form, Cause,
Named Number
Date
Condition
Register and Ward. of Adnation.
when admitted.
and Ikaration f Disorder
Date of Death
Cause of Death.
before Admisao.
Post Mortem Kxamination (weight to be Avoirdupois
A longer form is given in Miss Nightingale's "Notes on Ilospitals, 1863," p. 160, but it could hardly be required, or be of use, even if correctly filled up, in the smaller Hospitals (e. g., with much less than 100 beds).
Coloured patients should be distinguished in the manner described in Note VI.
From 20 to 25 years.. 25 to 30
D --
30 to 35 years, .
35 to 40
40 to 45 years..
45 to 50 33
50 to 55 years..
55 to 60 "
60 to 65 years.. 65 to 70
Over 70 yearS
Total
Deduct readmissions..
NOTE VIII-Additional Statistical Form for large Lunatic Asylums.
TABLE 1.-Age in relation to Form.
AGE AT
ADMISSION
Single.
Madie.
Melancholia Dementia.
General
Epilepsy.
Other
Total of
Paralysis.
Fortus.
Each.
Married or
Widowed.
Single.
Married or
Widowed.
Single.
Married or
Widowed.
Single.
Married or Widowed.
Single.
Married or Widowed.
Single.
Married or Widowed.
Single.
Married or
Widowed.
Total of Patients
Mania
Melancholia
Dementia
·
Unchanged.
Tota!.
Single.
Married or Widowed.
Single.
Married or
Widowed.
Single.
Married or
Widowed.
Single.
Married or
TABLE 3.-Form in relation to Probable Causes.
Probable Causes, e.g„
Bodily
Grief. Drink &c. &c.
Tota
Injury.
Under 20 years
From 20 to 25 years
25 to 30 17
30 to 35 years
35 to 40
40 to 45 years
45 to 50
11
50 to 55 years
55 to 60
"
60 to 65 years
65 to 70 11
70 years and upwards
Total
Deduct readmissions.
Total of Patients..;
General Paralysis
Epilepsy
Other forms
Totals
..
Mania ..
Melancholia
Dementia
General Paralysis
Epilepsy
Other forms
Totals
TABLE 4.-Form in relation to Education.
Educated.
Uneducated.
Widowed.
PUBLIC RECORD OFFICE
C.O.885
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