Application of Annie Ross to JCRS, 1907 July 20
Application for admittance to JCRS filled out by hand for Annie Ross and dated July 20, 1907. Information on the form includes her age, birth place, occupation, residence, marital status, nearest relatives, and signed Mrs. Annie Ross. The back of the form has a section titled "Report of Medical Examiner" with detailed information: "Date July 20 1907, I have examined applicant and do find him suffering from pulmonary tuberculosis. Stage Remarks Mrs. Annie Ross entered on above date, by ambulance, having had several hemorrhages during the last week she had been recommended for admittance by Dr. Begg. M. R. Smirnow Medical Examiner" and a section titled "Admission and Dismission Committee" that is left blank. The middle section of the back is a form filled out by hand. It reads, "Application No. 540, Case No. 348, Application of, Annie Ross, Address Denver, Colo., Received July 20 1907, Accepted, Rejected, Admitted July 20 1907, Readmitted, Discharged, Left September 1 1907, Died, remarks Emergency."
- 1907 July 20
- 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 31 x 22 centimeters
Title supplied by archivist