No. | Name and Surname. Rank or Profession and whether Single, Married, or Widowed | When and Where Died. | Sex. | Age. | Name, Surname and Rank or Profession of Father. Name and Maiden Surname of Mother. | Cause of Death, Duration of Disease, and Medical Attendant by whom certified. | Signature and Qualification of Informant and residence. | When and where Registered and Signature of Registrar. |
915 | Agnes Miller McMillan | 1860 May 16 at 10.30am | F | 1 yrs 5 mths | Neil McMillan pattern designer | malignant sore throat, no infection from time I saw her, 5-6 days | Neil McMillan, Father | 21 May 1860 |