Application of Joseph Levine to JCRS, 1907 June 4
Application for admittance to JCRS filled out by hand for Joseph Levine and dated June 4, 1907. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed Joseph Levine. The back of the form has sections titled "Report of Medical Examiner" has [illegible] note and "Admission and Dismission Committee," is blank. The middle section of the back is a form filled out by hand. It reads, "Application No. 471, Case No. 327, Application of, Joseph Levine, Received, Accepted, Rejected, Admitted June 4 1907, Readmitted, Discharged, Left, Died, Remarks Emergency."
- 1907 June 4
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
Rights and Usage Statement
Copyright restrictions may apply. User is responsible for all copyright compliance.
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
Title supplied by archivist