MEDICAL HISTORY OF AN INVALID
| 1.- Station / Date | Desborough / 9th November 1897 |
| 2.- Regiment or Corps | Northampton Regt |
| 3.- Regimental No, and Rank | 4451 Pte |
| 4.- Name | Clarke, John |
| 5.- Age last Birthday | 21 |
| 6.- Enlisted | 25th Oct 1894 at Northampton |
| 7.- Former Trade or Occupation | Shoe Finisher |
8.- General remarks on his habits and conduct in the
Service, temperance, &c., as ascertained from an inspection of his Defaulter
Sheet. (For this purpose the Company Defaulter Sheet will be obtained
from the man's Commanding Officer.)
Defaulter Sheet not available |
| 9.- Service | 3 Years 16 Days |
| Stations | Home 25.10.94 to present date |
Note.- the answers to the following questions are to be filled in by the
Medical Officer by whom the soldier is brought forward. As the object of these
questions is, in the event of the man being invalided, to put the Commissioners
of Chelsea Hospital in possession of the most reliable information grounded on
the opinion of those best capable of judging, so as to guide them in deciding
upon the man's claim to pension; clear and decisive answers must in all cases be
given. The Medical Officer will carefully discriminate between the man's
unsupported statements on his case, and recorded evidence furnished by his
documents military and medical.
| 10.- Disease or Disability | Tubercle of Lung |
11.- Date of origin, cause, present condition, and
whether the same is the result of service or climate.
Has it been aggravated by intemperance, vice or misconduct? |
Unknown. Bacillus tuberculosis.
present condition: much wasted.
Severe & troublesome cough, variable temperature, night sweats
dullness, [???] [???] over right chest in front & side, fine crepitations[?]
left apex.
Not the result of climate or military service: not aggravated by
intemperance, vice or other misconduct. |
| 12.- In gunshot wounds, or other injuries, state how caused; whether
received in action or on Field Service, and at what place, and whether on or
off duty. If not received in action, was a Court of Inquiry held? |
Contusion of shoulder noted in the M. H. Sheet - accident not on duty at
Colchester: a Court of Inquiry was held - no after effects observable |
| 13.- In the event of the disability being attributed to exposure on
duty, state clearly the nature of such exposure, and whether it was
exceptional or otherwise. | Not attributed to exposure on duty |
| 14.- If aggravated, though no primarily caused by his service as a
soldier, explain how it has been so aggravated | Not aggravated by his
service as a soldier |
| 15.- Is the disability permanent? If not, state its probably duration.
To what extent will it prevent his earning a livelihood? | Yes - will
prevent his earning a livelihood completely |
| 16.- Full particulars of medical treatment of case up to date of
invaliding. | Not known |
| 17.- If previously proposed for discharged on medical grounds, state the
date, the disability for which recommended for discharge, and the cause of
remand to Corps. | Not previously proposed for discharge on Med.
Grounds |
| 18.- State whether proposed for change to England, or for discharge
onaccount of permanent unfitness for service. | Proposed for discharge
on account of permanent unfitness for service |