| cemetery | Łomża |
| sector | lomza |
| row | l3 |
| number | 19 |
| sex | F |
| surname | Rafałowska |
| first name | |
| hebrew name | Chinka |
| fathers name | Shmuel Yehuda |
| husbands name | Tzvi Halevi |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 9/8/1920 |
| additional info | żyła lat 34 |
