Rank:
Private
Service number:
4767
Unit:
12th Field Ambulance
Location:
Mont Saint-Quentin, France
Eyewitness to:
Packet number:
7543
SLSA record number:
SRG 76/1/7543

Alexander Stewart Scougall | Source: https://www.flickr.com/photos/state-records-sa/19709664105/in/album-72157626501163158/
From other sources
National Archives of Australia: