| First Name & Surname | Relationship to head | Age-years | Age-months | Sex | Marriage or Orphanhood | Birth Place | Occupation | Employer | Employer's Address |
|---|---|---|---|---|---|---|---|---|---|
| Jessie Constance White | Patient | 16 | 6 | F | Single | Camberwell | Girl Messenger | Hough Edison Bell Works | Glengal Road, Peckham |