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Adolph Linn's Application for Admission to JCRS, 1910 August 8-1911 October 14

 Item
Identifier: B002.01.0103.0032.00001

Overview

JCRS Application filled out by hand in ink for Adolph Linn. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by Adolph Linn. At the bottom of the page is a section entitled "Recommendation," which is left blank. The back of the form has a section called "Report of Medical Examiner" which states that the examination took place on August 11, 1910 and found Linn to be suffering from incipient tuberculosis. The report of medical examiner is signed by "Dr. M. Krohn." The middle section of the back is a form filled out by hand in ink. It reads "Application No. 1542, Case No 1093. Application of Adolph Linn, Address 1743 Hooker, Received Aug 8/10, Admitted Sept 27/10, Discharged October 14/11." The bottom of the page reads "Admission and Dismission Committee" which is blank.

Dates

  • 1910 August 8-1911 October 14

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.

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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