| cemetery | Warszawa (Okopowa) |
| sector | 36 |
| row | 5 |
| number | 35 |
| sex | F |
| surname | Balsam |
| first name | |
| hebrew name | Rivka |
| fathers name | Menachem Mendel |
| husbands name | Efraim |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 4/22/1923 |
| additional info |
