To the governors of the London Hospital. Gentlemen, Please to receive as an [blank] patient [blank] of the parish of [blank] who is an object of the charity,

People / Organizations
Imprint
London, 1780?
Publication year
1780
ESTC No.
N45042
Grub Street ID
399805
Description
1 sheet ; 1/4°.
Note
A hospital admittance form to be completed in manuscript, date preprinted: 178[blank].