| City | Hermoupolis |
|---|---|
| Year | 1894 |
| Fullname of Deceased | Μικές \ Εκθετο |
| Father's Name of Deceased | Νοσοκομείο |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 01 μ |
| Disease | Ατροφία |
| Date of death | 1894 05 05 10πμ |
| Date Registered | 1894 05 05 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 236 |
| Comments | Νοσοκομείο Εκθ* |
| Fullname Registrar | Κουλμάσης Γεώργιος |
|---|---|
| Age Registrar | 82 |
| Country Registrar | Χίος |
| Occupation Registrar | Υπηρέτης |
| Relation | (not set) |