| Consecutive Number | 36 |
|---|---|
| Day of Death | |
| Month of Death | |
| Year of Death | |
| Place of Death | |
| Surname | Unknown |
| Forename | Infant |
| Address | |
| Township | |
| Age | |
| Occupation or place of work | Infant |
| Name of Official | Nil |
| Cause of Death | Premature birth, inattention at birth |
| Verdict of Case | Premature birth, inattention at birth |