Application of Mr. Rome to JCRS, 1906 July 25

Item

Identifier: B002.01.0097.0184.00001

Staff Only

Abstract

Application for admittance to JCRS filled out by hand for Mr. Rome and is dated Jul 25, 1906. Information on the form does not include his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and is not signed. The back of the form has sections titled "Report of Medical Advisory Board" and "Report of Executive Committee," both are blank. The middle section of the back is a form filled out by hand. It reads, "No. 277, Case #173, Application of 'emergency' (stamped), Mr. Rome, Date of Admission, Jul 25 1906, Date of Discharge, Aug 24 1906, Emergency Case (handwritten)."

Dates

1906 July 25

Creator

Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)

Rights and Usage Statement

This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). http://rightsstatements.org/vocab/InC-EDU/1.0/

Extent

1 Items (letter) : Fair condition ; 31 x 22 centimeters

Additional Description

Scope and Contents

From the Series:

This series of patient records includes medical reports and histories, statistical data of patients, x-rays, and death certificates. The patient files include applications, correspondence and some may also contain photographs and personal items.