Reception Order signed by: Henry A. Isaacs, Dated: February 15, 1888
Sex and Age: m 37
Civil State: Married
Occupation: Labourer
Religion: Ch. of Eng.
First Attack: No
Age on first attack: 36
When and where previously under treatment: Essex County
Duration of present attack: 2 weeks
Supposed cause: Hereditary
Epileptic: No
Suicidal: No
Dangerous to others and how: No
Any near relative afflicted with Insanity: No
Union chargeable to: Wandsworth
Previous Place of Abode: City of London Infirmary
Name and Address of Person to whom Notice of Death to be sent: As below
Names and Addresses of one or more relatives of the Patient: Miss J. Swadling, 60 Wardley St., Garrett Lane, Wandsworth
Medical Certificate Signed by: ..ncombe
Facts indicating insanity observed by myself at the time of examination viz.:
He is melancholic states that he is miserable & feels tires of his life. That is unable to sleep from listening for people who are about wishing to murder him, He has been an inmate of the Infirmary of the City of London Union since January 31, 1888.
Facts communicated by others viz.:
William Evans (Attendant) states that he is low spirited, restless at night, has delusions that 2 men are waiting for him trying to murder him, says that he does not wish to live any longer.
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.
He is rambling in his statements & has delusions of persecution. Says his enemies follow him about & persecute him. The attendants of the asylums ill-treat him thorugh the keyhole & in many other ways. Says he can hear voices talking to him though the ground.