Source: Library of Virginia
Western Sate Hospital Collection
Series IV. Patient Records, 1826-1996
Box 79 Folder 10 Volume 252
Title: Admission Register (#5202-9458), 1896-1913
No. & (Line): 7422 (13)
Previous admission #:
First Name: Ada M
Last Name: Burner
Occupation: None
Admission Date: 1906/09/15
Gender: Female
Age: 17
Year of Birth:(Calculated): 1889
Social Relations: Single
Education: Limited
Nativity: Virginia
Residence: Shenandoah
No. Attacks: 1
Supposed Cause: Hededity / Imbecile & manic depressive
Duration: 7 months 15 days
Progress: Died
Date of Death: 1909/09/16
Cause of Death: Tuberculosis
Remarks: Died 6 months ago at home
Contributed by: VAtraveler #48002292
Contact for JPG image of register page
Western Sate Hospital Collection
Series IV. Patient Records, 1826-1996
Box 79 Folder 10 Volume 252
Title: Admission Register (#5202-9458), 1896-1913
No. & (Line): 7422 (13)
Previous admission #:
First Name: Ada M
Last Name: Burner
Occupation: None
Admission Date: 1906/09/15
Gender: Female
Age: 17
Year of Birth:(Calculated): 1889
Social Relations: Single
Education: Limited
Nativity: Virginia
Residence: Shenandoah
No. Attacks: 1
Supposed Cause: Hededity / Imbecile & manic depressive
Duration: 7 months 15 days
Progress: Died
Date of Death: 1909/09/16
Cause of Death: Tuberculosis
Remarks: Died 6 months ago at home
Contributed by: VAtraveler #48002292
Contact for JPG image of register page
Source: Library of Virginia
Western Sate Hospital Collection
Series IV. Patient Records, 1826-1996
Box 79 Folder 10 Volume 252
Title: Admission Register (#5202-9458), 1896-1913
No. & (Line): 7422 (13)
Previous admission #:
First Name: Ada M
Last Name: Burner
Occupation: None
Admission Date: 1906/09/15
Gender: Female
Age: 17
Year of Birth:(Calculated): 1889
Social Relations: Single
Education: Limited
Nativity: Virginia
Residence: Shenandoah
No. Attacks: 1
Supposed Cause: Hededity / Imbecile & manic depressive
Duration: 7 months 15 days
Progress: Died
Date of Death: 1909/09/16
Cause of Death: Tuberculosis
Remarks: Died 6 months ago at home
Contributed by: VAtraveler #48002292
Contact for JPG image of register page
Western Sate Hospital Collection
Series IV. Patient Records, 1826-1996
Box 79 Folder 10 Volume 252
Title: Admission Register (#5202-9458), 1896-1913
No. & (Line): 7422 (13)
Previous admission #:
First Name: Ada M
Last Name: Burner
Occupation: None
Admission Date: 1906/09/15
Gender: Female
Age: 17
Year of Birth:(Calculated): 1889
Social Relations: Single
Education: Limited
Nativity: Virginia
Residence: Shenandoah
No. Attacks: 1
Supposed Cause: Hededity / Imbecile & manic depressive
Duration: 7 months 15 days
Progress: Died
Date of Death: 1909/09/16
Cause of Death: Tuberculosis
Remarks: Died 6 months ago at home
Contributed by: VAtraveler #48002292
Contact for JPG image of register page
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