Application from Joseph Braverman to JCRS, 1905 August 5
Application for admittance to JCRS filled out by hand for Joseph Braverman and dated August 5, 1905. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed Joseph Braverman. The back of the form has sections titled "Report of Medical Advisory Board," blank, and "Report of Executive Committee," blank. The middle section of the back is a form filled out by hand in ink. It reads, "No. 118, Case #59, Application of Joseph Braverman, Aug. 5/05, Date of Admission August 16, 1905, Date of Discharge December 19, 1905.
- 1905 August 5
- Jewish Consumptives' Relief Society (U.S.) (Recipient, Organization)
Rights and Usage Statement
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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.
Physical Characteristics and Technical Requirements
Fair 30 x 22 centimeters
Title supplied by archivist.
Inscription and Marks
Handwritten at the top of the front, "Rec'd 8-5-05, All." Handwritten at the bottom left, "Examined-Cavity in one lung. Bad case 8-5-05." "Admit 8-16-05 A&D."