| Day of the Month | 41 [sic] |
| Next Meal after Admission | S[upper] |
| Name | Bain Amelia |
| Calling, if any | Charwoman |
| Religious Persuasion | EC |
| When Born | 1842 |
| Class for Diet | 5 |
| Number affixed to the Pauper's Clothes | |
| Parish from which Admitted | St Georges |
| By whose Order Admitted | Woof? |
Source: London Metropolitan Archives; Reference Number: LaBG/162/2
Source: Ancestry - London, England, Workhouse Admission and Discharge
Records, 1764-1930