Anna Kachanick's Application for Admittance to JCRS, between 1904 August 23-1905 September 1
Application for admittance to JCRS filled out by hand for Anna Kachanick and undated. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed "Anna Kachanick." The back of the form has sections titled "Report of Medical Advisory Board," filled out by hand with, "Admitted by Execut Com." and "Report of Executive Committee," blank. The middle section of the back is a form filled out by hand in ink. It reads, "93, No. 93 54 [both crossed out], Case #25, Application of, Anna Kachanick, Aug. 23/04, Date of Admission Jan. 19 1905, Date of Discharge Sep 1 1905."
- between 1904 August 23-1905 September 1
- Jewish Consumptives' Relief Society (U.S.) (Recipient, Organization)
Rights and Usage Statement
Copyright restrictions may apply. User is responsible for all copyright compliance.
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
Fair 30 x 22 centimeter
Title supplied by archivist.
Inscription and Marks
Handwritten in the top right corner of the front page: "Received, Aug 23, 04, dis." Handwritten in the bottom left corner of the front page: "Admitt."