Application from Mrs. Rosie Sever to JCRS, 1906 December 24
Application for admittance filled out by hand for Mrs. Rosie Sever and dated December 24, 1906. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Rosie Sever. The back of the form has sections titled "Report of Medical Examiner," which is dated December 21. 1906. It notes that Mrs. Sever is in the stage "of excavation," and gives further details on her physical condition. The middle section of the back has "Application No. 384, Case No. 246. Application of Rosie Sever, Address 1445 Hazel Court, Denver, Colorado. Received December 24, 1906, Accepted December 24, 1906, Admitted December 27, 1906, Died June 13, 1907. Remarks: emergency case.
- 1906 December 24
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
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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.
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Fair 30 x 22 centimeters
Title supplied by archivist.