711797-1867-HONGKONG-ANNO-TRICESIMO-PRIMO-VICTORIE-REGINE-SIR-RICHARD-GRAVES-MACDONNELL-Knight-C-B--Governor-and-Commander-in-Chief-NO-10-OF-1867- — Page 13

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280

THE HONGKONG GOVERNMENT GAZETTE, 27TH JULY, 1867.

(L.)

(Discharge from Hospital.)

"THE CONTAGIOUS DISEASES ORDINANCE, 1867.”

In pursuance of the above mentioned Ordinance, I hereby discharge A.B. of

from this Hospital [add according to the Fact, and certify that she is now free from a Contagious Disease.]

Dated this

Day of

13.

2

at the

Hospital.

(Signed,)

G.H. Visiting Surgeon.

(M.)

(Certificate on Discharge from Imprisonment.)

"THE CONTAGIOUS DISEASES ORDINANCE, 1867."

convicted of the Offence of

was on the and has since been

Whereas under the above mentioned Ordinance A.B. of Day of imprisoned for that Offence in

and is now discharged from Imprisonment therein: Now in pursuance of the said Ordinance I hereby certify that she is now free from a Contagious Disease.

Dated this

Day of

(N.)

18

(Signed,)

R.O., Visiting Surgeon.

To A.B.

(Notice to Woman leaving Hospital.)

"THE CONTAGIOUS DISEASES ORDINANCE, 1867.”

As you are now leaving this Hospital, I hereby, in pursuance of the above mentioned Ordinance, give you Notice that you are still affected with a Contagious Disease.

Dated this

Day of

18

(Signed,)

G.H., Visiting Surgeon.

-

Note. The above mentioned Ordinance provides as follows:- If on any Woman leaving a Hospital a Notice [set out Section of Ordinance.]

(0.)

(Certificate on last foregoing Notice or Copy.)

"THE CONTAGIOUS DISEASES ORDINANCE, 1867.”

In pursuance of the within mentioned Ordinance, I hereby certify that the within named Woman is now free from a Contagious Disease.

Dated this

Day of

(P.)

18

(Signed,)

E.F.,

Visiting Surgeon.

(Application to be relieved from Examinatic.is.)

"THE CONTAGIOUS DISEASES ORDINANCE, 1867.”

To L.M., Esq., Registrar General.

ور

being in pursuance of the above mentioned Ordinance, subject to a periodical Medical Examination on my own Submission [or under your Order, as the Case may be],

do hereby apply to be relieved therefrom.

I, A. B. of

dated the

Day of

Dated this

Witness, G. W.

Day of

18

(Signed,)

A.B.

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