| Consecutive Number | 49 |
|---|---|
| Day of Death | 29 |
| Month of Death | 6 |
| Year of Death | 1919 |
| Place of Death | Infirmary |
| Surname | Haslam |
| Forename | Florence |
| Address | 82 Barnsley Street |
| Township | Wigan |
| Age | 22 |
| Occupation or place of work | Factory Operative |
| Name of Official | House surgeon |
| Cause of Death | Lock jaw |
| Verdict of Case | Tetanus - open |