| Date | Feb. 17 1903 |
| Date of Admission | Feb 16 |
| Day of the Week | Monday |
| Next Meal after Admission | S[upper] |
| Name | Trowell Thomas |
| From whence Admitted | 26 Clifton Crescent |
| Religious Persuasion | Church England |
| Name of Informant | Man himself |
| Discharged or Dead | Died Feby 21/03 |
Source: Creed Register Constance Road Workhouse, 1902-1903, Camberwell, Southwark
Source: Ancestry.com. London, England, Poor Law Records, 1834-1940