Its quite clearly written Atilia but there is other writing I think has transferred onto that page.

I have a theory about it, my great great grandmother Charlotte Kilby nee Horton was deaf by all accounts she was born deaf. In fact in later generations of our family some others suffered deafness my mother's brother was deaf in one ear and my mother's suffered hearing impairment too.

I think Charlotte wouldn't have been able to talk very well if at all or pronounce Matilda and he wrote what he thought he heard. Of course I could be totally wrong.