Medical certificate of Thomas Holding examined and found unfit for sea service due to deafness from abscess in right ear, Jul 1795.  Used to avoid impressment.

Medical certificate of Thomas Holding. | National Museums Liverpool

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https://www.liverpoolmuseums.org.uk/artifact/medical-certificate-of-thomas-holding

http://content.liverpoolmuseums.org.uk/artifact/medical-certificate-of-thomas-holding