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Application of Samuel Cohen to JCRS, 1907 May 2

 Item
Identifier: B002.01.0098.0100.00001

Overview

Application for admittance to JCRS filled out by hand for Samuel Cohen and dated May 2, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed Sam Cohen. The back of the form has sections titled "Report of Medical Examiner" and "Admission and Dismission Committee," are blank. The middle section of the back is a form filled out by hand. It reads, "Application No. 461, Case No., Application of, Samuel Cohen, Received May 2 1907, Accepted may 2 1907, Rejected, Admitted May 2 1907, Readmitted, Discharged, Left, Died May 5 1907, Remarks emergency (stamped)."

Dates

  • 1907 May 2

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

Contact:
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