Reception Order signed by: Henry Matthews, Dated: December 12, 1899
Sex and Age: m 34
Civil State: Single
Occupation: Waterside Labourer
Religion: Protestant
First Attack: Yes
Age on first attack: 34
When and where previously under treatment: Colney Hatch (crossed out)
Duration of present attack: 8 years crossed out with a ?
Supposed cause: Sunstroke and Intemperance
Epileptic:
Suicidal: No
Dangerous to others and how: Yes
Any near relative afflicted with Insanity: Unknown
Union chargeable to: St. Haves
Previous Place of Abode: Holloway Prison
Name and Address of Person to whom Notice of Death to be sent: Bro as below
Names and Addresses of one or more relatives of the Patient: J. Kelly, 1 Gedding St., Bermondsey
Medical Certificate Signed by: Gilbert
Facts indicating insanity observed by myself at the time of examination viz.:
Restless & sleeping badly. Has been very untidy & dirty. He says everyone is against him, that the policeman follows him about & prevents his getting work. Everybody jeers at him. He says he hears voices coming from all directions threatening to injure him at times says food is poisoned.
Facts communicated by others viz.:
Transferred from: Colney Hatch
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 aural hallucinations of the voice of God which has instructed him in everyway. Says that the thoughts from other people's brains are pumped into his, which is altogether transmogrifying affairs. Is to some extent demented and at times incoherent & giggles without cause.