Application of Sam Fisher to JCRS, 1907 February 19
Application for admittance filled out by hand for Sam Fisher and dated February 19, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed in Yiddish. The back of the form has sections titled "Report of Medical Examiner," which is dated February 19, 1907, and contains details of his medical condition. The middle section of the back has " Application of Sam Fisher, Address 112 Columbia Ave, Passaic, NJ, Admitted February 19, 1907. Remarks: Emergency patient.
- 1907 February 19
- 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.
Physical Characteristics and Technical Requirements
Fair 30 x 22 centimeters
Title supplied by archivist.