Application Frank Shoob to JCRS, 1907 January 18
Application for admittance filled out by hand for Frank Shoob and dated January 18, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed Frank Shoob. The back of the form has sections titled "Report of Medical Examiner," which notes that he is in the 3rd stage of pulmonary tuberculosis, and provides other details on his condition. The middle section of the back has "Application No. 419. Application of Frank Shoob, Address 2709 W. Colfax Ave., Admitted January 18, 1907.
- 1907 January 18
- 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.