JCRS Patient #1533.
Found in 1 Collection or Record:
Overview JCRS Application filled out by hand in ink for Joseph Klein. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, previous hospital stays and signed by Joseph Klein. At the bottom of the page is a section entitled "Recommendation," which is left blank except for a note in pen on the left side that reads "Has no friends in city total stranger." The back of the form has a section called "Report of Medical Examiner" which...
Dates: 1910 August 2-1910 October 17