2294, ’05, 10,000 (P) 
Carefully Fill Out This Card and Forward at Once to Dr. J. S. Billings, Jr. 
DEPARTMENT OF HEALTH 
Sixth Ave. and 55th St., New York 
We have to-day referred to the Clinic for Communicable Pul- 
monary Diseases. Date 190 
Name. 
A ddress. 
Name of Institution or 
Person Referring Case 
(over) 
GIVE THIS HALF OF CARD TO PATIENT 
Clinic for Treatment of Communicable Pulmonary Diseases 
DEPARTMENT OF HEALTH 
NEW YORK 
967 Sixth Avenue, near 55th St. 
Name. 
A ddress 
Date 
Referred by 
(OVER) Date. 
Assigned to 
To visit and ascertain why patient has not applied at clinic 
for treatment. 
ist visit_ 
2(1 visit 
Signatur e_ 
(Nurse.) 
BRING THIS CARD WITH YOU 
HOURS—10 a m. and 2 p.m. every week day. 8 p.m. Monday, 
Wednesday and Friday. 
BRINGE DIESE KARTE JEDESMAL MIT 
STUNDEN—io Uhr morgens und 2 Uhr nachmittags, an allen 
Wochentagen ; 8 Uhr abends nur an Montag, 
Mittwoch und Freitag. 
ORE—io a.m. e 2 p.m. ogni giorno (eccetto giorni festivi e 
Dominica). 8 p.m. Lunedi, Mircoledi e Venerdì. 
PORTATE QUESTA CARTA CON VOI 
.ptnxp «n ojjjra 
*imx 2 naix Diyjnxo mix 10 din •v'wya :;j?qk rx p'J'$>p IH 
.Diij/ax imx 8 dim -px jxa'na idix ,jsbj$o