| cemetery | Warszawa (Okopowa) |
| sector | 59 |
| row | 9 |
| number | 83 |
| sex | F |
| surname | Balsam |
| first name | |
| hebrew name | Chana Perel |
| fathers name | Zeev Volf |
| husbands name | Rafael Eliahu |
| maiden name | Klepfisch |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 7/21/1902 |
| additional info |
