| Day of the Month | 1911 Oct. 19th. |
| Day of the Week | Thursday |
| Next Meal after Admission | S |
| Name | Wright, Wm. Fredk. |
| Calling, if any | Engineer |
| Religious Persuasion | C of E |
| When Born | 1841 |
| Class for Diet | Men Infirm Diet 2 |
| Classification for Form A | Men Aged & Infirm |
| Parish from which Admitted | St. Georges |
| By whose Order Admitted | J.W. Bowker |
| Date of the Order of Admission | |
| If born in the House, Name of Parent |
Not discharged. Entry annotated "Died Christchurch".
Source: Ancestry London, England, Poor Law Records, 1834-1940