Gabriel Cohen's Application for Admittance to JCRS, 1908 July 13
Application for admittance to JCRS filled out by hand in ink for Gabriel Cohen. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Gabriel Cohen. The back of the form has section entitled "Report of Medical Examiner," which is blank. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 840 Case No. 568, Application of, Gabriel Cohen, Received July 13, 1908, Accepted July 13, 1908, Admitted July 13, 1908, Discharged Oct. 6, 1909" The bottom of the page reads "Admission and Dismission Commitee" which is blank.
- 1908 July 13
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
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1 items (application)
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.
Inscriptions and Marks
On the back middle of the page, in the Remarks section, is a stamp which reads "EMERGENCY" and a note in pencil which reads "Is in Phila, Pa. Nov. 2/08."
Title supplied by archivist.