CO129-282 - Acting Governor Major Gen Black - 1898 [3-4] — Page 104

I forward for your information a

copy of a

a co

statement of particulars regarding this case.

I have the honour to be,

Sir

Your Most Obedient Humble Servant,

Black

Enclossi

Alministering the Government.

COPY.

Loft

ENCLOSURE

T

STATIMENT OF PARTICULARS.

0.0.

103

8890

[REG! 10 APR 93

Q. Name of patient with Christian name at length;

A. Richard Gamble,

0. Sex and age; A. Male 26.

Q. Married single or widowed ; A. Single.

Q. Rank profession or previous occupation (if any);

A. Police Constable sailor, butcher.

Q. Religious persuasion; A. Roman Catholic.

Q. Residence at or immediately previous to the date hereof;

A. Shanghai General Hospital and H. M's Consular

Gaol.

Q. Whether first attack; A. not known.

Q. Age on first attack;

DO.

Do.

Q. When and where previously under care and treatment as a

lunatic idiot or person of unsound mind;

a. Duration of existing attack; A. One week.

Q. Supposed cause; A. Unknown.

Q. Whether subject to epilepsy; A. No, so far as is known.

Q. Whether suicidal; A. Yes.

Q. Whether dangerous to others and in what way;

A. Has not shown himself so as yet.

Q. Whether any near relative has been afflicted with insani

ty; A. Not known.

Ith i