Reception Order signed by: C. G. Burke, Dated: March 13, 1893
Sex and Age: m 42
Civil State: Widower
Occupation: Engine Driver
Religion: Protestant
First Attack: Yes
Age on first attack: 42
When and where previously under treatment: Claybury Asylum (Crossed out)
Duration of present attack: some months
Supposed cause: Unknown
Epileptic: No
Suicidal: No
Dangerous to others and how: No
Any near relative afflicted with Insanity: No
Union chargeable to: Kensington
Previous Place of Abode: 83 Portland Rd.
Name and Address of Person to whom Notice of Death to be sent: Bro, Geo. Osborne, 49 Sunwell St., Queens Rd., Peckham
Names and Addresses of one or more relatives of the Patient: Son, Walter Osborne, 33 Stronsa Rd., Shepherds Bush, W.
Medical Certificate Signed by: Townsend
Facts indicating insanity observed by myself at the time of examination viz.:
Dr. Webber. He has the delusion that people are constantly following him about in order to take his children away, that strange voices wake him at night or that he is constantly obliged to change his lodgings. He was also much annoyed by strange voices when at work at the Post Office.
Facts communicated by others viz.:
D. Osborne. He has the delusion that he hears voices of strange people at all times & in all places which talk to him & advise him to move his children from the home they are now in & he is compelled to constantly change his rooms to get rid of this annoyance but that he is followed everywhere, that these voices also get talking about his work at the savings Bank.
Transferred from: Claybury
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.