26:4-40 - Contents of report
               	 		26:4-40.  Contents of report
    The report required by sections 26:4-38 and 26:4-39 of this title shall contain the following information:
    a.  Name, address, color, sex, nationality, and the age as nearly as practicable, of the person so infected with a venereal disease;
    b.  Character of the disease;
     c.  Probable source of infection;  and
     d.  Whether the case has been previously reported or not;  and if it has been reported, when, where, and by whom it was reported.