| cemetery | Warszawa (Okopowa) |
| sector | 85 |
| row | 18 |
| number | 29 |
| sex | F |
| surname | Balsam |
| first name | |
| hebrew name | Hena |
| fathers name | Pinchas Yechezkiel |
| husbands name | Shlomo Zalman |
| maiden name | Sisberg |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 7/14/1918 |
| additional info |
