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. |
48 | Record: "Hugh Brown" baker | 1869 February 1 at 4.30am | M | 27 | Record: "John Brown" baker (Deceased) | chronic bronchitis (12 months) | Record: "John Brown", Brother | 2 Feb 1869, Paisley |