Reception Order signed by: Maurice Davis, Dated: February 23, 1895
Sex and Age: m 39
Civil State: Single
Occupation: Compositor
Religion: Protestant
First Attack: No
Age on first attack: 30
When and where previously under treatment: Colney Hatch (crossed out)
Duration of present attack: few days
Supposed cause: Not known
Epileptic: No
Suicidal: No
Dangerous to others and how: No
Any near relative afflicted with Insanity: Not known
Union chargeable to: St. Pancras
Previous Place of Abode: 95 Euston St. N.W.
Name and Address of Person to whom Notice of Death to be sent: W. F. Spicer, 44 Bedord Rd., Rockferry, Birkenhead
Names and Addresses of one or more relatives of the Patient: G. Deeks, Bro., 59 Chatham Rd., Rockferry, Birkenhead
Medical Certificate Signed by: Smith
Facts indicating insanity observed by myself at the time of examination viz.:
He declared that people point him out to another in the St., as the recipient of a large fortune by them, by a lady named Foster who he says does not know him. He says he obtained the information of his good fortune by a certain mysterious paragraphs in the newspaper.
Facts communicated by others viz.:
Fred Head Inspector of S. Division of police state that Frank Deeks told him a fortune had been left him by a Miss Foster whom he said was dead (Miss F. is still alive). He also produces an incoherent letter written by Deeks to Miss F. residence in which it was stated that the advertisement in the daily papers had been understood.
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.