6282-14-1 Folio 17

Name: Arthur Wilson WELLS,

Aged: 28,

Reg. No. 17,

Admitted: August 15, 1899.

Copy of Statement of Particulars

Reception Order signed by: Wm. Bird, Dated: August 2, 1897

Sex and Age: m 26

Civil State: Single

Occupation: Labourer

Religion: Protestant

First Attack: No

Age on first attack: 23

When and where previously under treatment: Colney Hatch

Duration of present attack: 2 weeks

Supposed cause: Unknown

Epileptic: No

Suicidal: No

Dangerous to others and how: No

Any near relative afflicted with Insanity: Unknown

Union chargeable to: Hammersmith

Previous Place of Abode: Old Oak Cottage, Hammersmith

Name and Address of Person to whom Notice of Death to be sent:

Names and Addresses of one or more relatives of the Patient: Nil

Medical Certificate

Medical Certificate Signed by: ..nton Alderton

Facts indicating insanity observed by myself at the time of examination viz.:

Patient has delusions says his mother is to be dug up he will do it in a few minutes the reason why to see what is going on in the other place.

Facts communicated by others viz.:

John Bebrougth (Attendant) Fulham Union states the patient has delusions believes his mother is to be dug up. Laughs and cries.

Transferred from: Colney Hatch

Condition on Admission

Mental State:-

As far as possible under such Headings as:
Attention, Comprehension and Re-action, Cognition of self and surroundings, including mistakes of identity and appreciation of time and place, States of Stupor and Catalepsy, Memory for recent and remote events, Association and flow of ideas, Coherence, Reasoning power, Hallucinations, Illusions, Delusions, Exaltation, Fantasies of dress, Excitement, Depression, Impulses—General, Suicidal, Homicidal, Erotic, Destructive, Obsessions, Resistiveness or Hostility, Restlessness, Self-employment, Attention to personal needs, Religiosity, Sense of propriety, Lewdness of conversation and conduct, Regard for relatives.

Has been in asylum ever since he was 14, says that sometimes he gets very depressed and at ----- very noisy. Shows no signs of -------.