Reception Order signed by: Charles Mortimer, Dated: October 23, 1893
Sex and Age: m 25
Civil State: Single
Occupation: Coachman
Religion: Ch. of Eng.
First Attack: Yes
Age on first attack: 24
When and where previously under treatment: Colney Hatch Infirmary (crossed out)
Duration of present attack: 12 months
Supposed cause: Not Known
Epileptic: No
Suicidal: No
Dangerous to others and how: No
Any near relative afflicted with Insanity: No
Union chargeable to: Wands & Clapham
Previous Place of Abode: Wands & Clapham Infirmary
Name and Address of Person to whom Notice of Death to be sent: J. Prestidge (mother) 103 Romilly Rd. W. Norwood
Names and Addresses of one or more relatives of the Patient: Sister: Mrs. J. Chapman, 35 Eden Rd. W. Norwood
Medical Certificate Signed by: Edward Neal
Facts indicating insanity observed by myself at the time of examination viz.:
He is controlled by delusions, declares that he has seen the "almighty" Jesus Christ in the person of a Mr. White & also asserts that he has talked with him since his admission here, states that he told him "he should be rich & that the attendant would be his coachman" replies readily to questions but soon becomes rambling & incompetent in his talk.
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.
Excited and has numerous delusions such as that he has a peculiar lump in his throat, has numerous delusions of persecution and says that he has been tremendously jobben. Thinks also that they suck the virtue out of him. Exhibits some dementia & is incoherent at times.