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Fannie Greenberg's Application for Admittance to JCRS, 1909 March 25

 Item
Identifier: B002.01.0101.0036.00001

Overview

Application for admittance to JCRS filled out by hand in ink for Fannie Greenberg. Information on the form includes her age, place of birth, occupation, residence, marital status, previous hospital stays, nearest relatives, and signed by Fannie Greenberg. At the bottom of the page is a section entitled "Recommendation" which is left blank. The back of the form has section entitled "Report of Medical Examiner," which states that the examination was conducted March 26, 1909 and the results were that the patient suffers from stage three tuberculosis. Report is signed by Emanuel Friedman. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 1061, Case No. 748, Application of Fannie Greenberg, Address 1471 Knox Court, Received Mar 25 1909, Accepted May 4 1909, Admitted May 6 1909, Discharged April 30 1911." The bottom of the page reads "Admission and Dismission Committee" which is blank.

Dates

  • 1909 March 25

Creator

Conditions Governing Use

Copyright restrictions may apply. User is responsible for all copyright compliance.

Extent

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.

Physical Characteristics and Technical Requirements

The bottom of the application is torn and ripped. Small pieces are missing from the bottom.

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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