| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Πατζής Γεώργιος |
| Father's Name of Deceased | Ιωάννης |
| Mother's Name of Deceased | Ασημίνα |
| Age of Deceased | 10 |
| Disease | Υδροκέφαλος |
| Date of death | 1876 06 05 04μμ |
| Date Registered | 1876 06 06 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Αγαμος |
| Record Number | 286 |
| Comments | Μάρτυς |
| Fullname Registrar | Ξεντές Γεώργιος |
|---|---|
| Age Registrar | 45 |
| Country Registrar | Χίος |
| Occupation Registrar | Καφεπώλης |
| Relation | Φίλος |