6282-14-1 Folio 34

Name: George Peace CHILES,

Aged: 74,

Reg. No. 34,

Admitted: August 16, 1899.

Copy of Statement of Particulars

Reception Order signed by: J. F. Jones, Dated: March 29, 1899

Sex and Age: m 74

Civil State: Single

Occupation: Labourer

Religion: Ch. of Eng.

First Attack: Yes

Age on first attack: 74

When and where previously under treatment: Claybury Asylum (Crossed out)

Duration of present attack: ?

Supposed cause: Not known

Epileptic: No

Suicidal: No

Dangerous to others and how: No

Any near relative afflicted with Insanity: No

Union chargeable to: Hackney

Previous Place of Abode: Hackney Union

Name and Address of Person to whom Notice of Death to be sent: Nephew, Mark Chiles, 10 High St., Deptford, S.E.

Names and Addresses of one or more relatives of the Patient: Friend, E. E. Skerry, 67 Church St., Stoke Newington, N.

Medical Certificate

Medical Certificate Signed by: Gordon

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

He has exalted ideas, says that he is going to get £6000 for a present that he has invented, that he can hear the spirit of God talking to him & that he gets inspirations from heaven.

Facts communicated by others viz.:

Transferred from: Claybury

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.