Above information courtesy of contributor
Archie Strole # 47661880
*************************************************
TRANSCRIPT:
------------------------------------------------
Source: Library of Virginia
Western Sate Hospital Collection
Series IV. Patient Records, 1826-1996
Box 79 Folder 10 Volume 251
Title: Admission Register (#5202-9458), 1896-1913
No. & (Line): 8467 (18)
Previous admission #: (blank)
First Name: Jacob R
Last Name: Buracker
Occupation: Farmer
Admission Date: 1910/05/20
Gender: Male
Age: 55
Year of Birth:(Calculated): 1855
Social Relations: Married
Education: Limited
Nativity: Virginia
Residence: Page Co.
No. Attacks: 1
Supposed Cause: Exposure / Manic depressive
Duration: 9 years
Progress: Died
Date of Death: 1920/09/27
Cause of Death: Cardiac decompensation
Remarks: (blank)
Contributed by: VAtraveler #48002292
Contact for JPG image of register page
Above information courtesy of contributor
Archie Strole # 47661880
*************************************************
TRANSCRIPT:
------------------------------------------------
Source: Library of Virginia
Western Sate Hospital Collection
Series IV. Patient Records, 1826-1996
Box 79 Folder 10 Volume 251
Title: Admission Register (#5202-9458), 1896-1913
No. & (Line): 8467 (18)
Previous admission #: (blank)
First Name: Jacob R
Last Name: Buracker
Occupation: Farmer
Admission Date: 1910/05/20
Gender: Male
Age: 55
Year of Birth:(Calculated): 1855
Social Relations: Married
Education: Limited
Nativity: Virginia
Residence: Page Co.
No. Attacks: 1
Supposed Cause: Exposure / Manic depressive
Duration: 9 years
Progress: Died
Date of Death: 1920/09/27
Cause of Death: Cardiac decompensation
Remarks: (blank)
Contributed by: VAtraveler #48002292
Contact for JPG image of register page
Family Members
Sponsored by Ancestry
Advertisement
Advertisement