Application of Lizzie Lippman to JCRS, 1906 July 2

Item

Identifier: B002.01.0097.0175.00001

Staff Only

Abstract

Application for admittance to JCRS filled out by hand for Lizzie Lippman and is dated Jul 2, 1906. Information on the form is sparse due to it being an emergency case and is not signed. The back of the form has sections titled "Report of Medical Advisory Board" and "Report of Executive Committee," both are blank. The middle section of the back is a form filled out by hand. It reads, "No. 264, Case #166 (crossed out) 165, Application of Lizzie Lippman, Date of Admission, Jul 2 1906, Date of Discharge (crossed out) leaving, Jul 12 1906, emergency case (handwritten)."

Dates

1906 July 2

Creator

Jewish Consumptives' Relief Society (U.S.) (Producer, 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)

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

Poor Tear half way through page at crease. 31 x 22 centimeters

General

reformatted digital

title supplied by archivist

Inscription and Marks

Handwritten in pen, at top of page on front side: "264." Stamped in blue ink, at bottom left-hand corner on front side: "Received, Accepted, Admitted Jul 2 1906, Discharged, Left July 12/06, Died." Stamped in blue ink, at top of page on back side: "Emergency."