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Application for William Kohn to JCRS, 1907 April 11

 Item
Identifier: B002.01.0098.0096.00001

Overview

Application for admittance to JCRS filled out by hand for William Kohn and dated April 11, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed William Kohn. The back of the form has sections titled "Report of Medical Examiner" that is [illegible] and "Admission and Dismission Committee," that is blank. The middle section of the back is a form filled out by hand. It reads, "Application No. 452a, Case No., Application of, William Kohn, Received April 11 1907, Accepted, Rejected, Admitted April 10 1907, Readmitted, Discharged, Left, Died April 12 1907, Remarks."

Dates

  • 1907 April 11

Creator

Rights and Usage Statement

Copyright restrictions may apply. User is responsible for all copyright compliance.

Extent

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 31 x 22 centimeters

General

Title supplied by archivist

Repository Details

Part of the Special Collections and Archives Repository

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