Application from Joseph Braverman to JCRS, 1905 August 5

Item

Identifier: B002.01.0097.0067.00002

Staff Only

Abstract

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.

Dates

1905 August 5

Creator

Jewish Consumptives' Relief Society (U.S.) (Recipient, Organization)

Rights and Usage Statement

This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). http://rightsstatements.org/vocab/InC-EDU/1.0/

Extent

1 Items (application)

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Additional Description

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

General

reformatted digital

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."