| Record ID | 24741 |
| Surname | Clark |
| Given names | Samuel |
| Date of admission | 1843.08.01 |
| Admitted by | |
| Age in years | 42 |
| Age in months | |
| Age in days | |
| Condition | Influenza |
| Date landed | |
| Died or discharged | Transferred |
| Date of death or discharge | 1843.08.08 |
| Nativity | Tyrone |
| Broader place of origin | |
| Parish of residence | Simonds |
| Time in house | |
| Time in province | 18 Yr. |
| Remarks | Transferred to Alms House - Widow With 3 Children - Youngest 8 Yrs - All Out With Friends and Very Comfortable |
| Page | 2 |
| Vessel | |
| Vessle type | |
| Master | |
| Religion | |
| Departure | |
| Landed | |