UNHRB-STATAS ARMY 
M E DIC AL DE PA RTMENT. 
F 0 R M S. 
P O S T 0 R C 0 M M A N D. SANITARY REPORTS SPECIAL DIET - STATEMENTS OF HOSPITAL FUND & TOUCHERS DIET TABLE FOR HOSPITALS, 
UNITED STATES ARMY. ' 
FELL DIET 
SUNDAY. 
MONDAY. 
TUESDAY. 
WEDNESDAY. 
THURSDAY. 
FRIDAY. 
SATURDAY. 
BREAKFAST. 
Coffee pt. 1 
Coffee pt. 1 
Coffee pt- 1 
Bread, Wheat or Corn. , oz. 6 
Hominy, with Gravy oz. 1 
Coffee pt. 1 
Bread, Wheat oz. 6 
Coffee pt. 1 
Bread, Wheat or Corn oz. 6 
Bread oz. 6 
Bread, Wheat oz. 6 
! Rice, or Succotash, with 
Gravy oz. 1.60 
Hominy oz. l-£ 
Meat Hash oz. 8 
Rice, or Succotash, with 
Gravy .* oz. 1.60 
DINNER. 
Roast Beef oz. 12 
Bread oz. 4 
Potatoes oz. 10 
Beef or Mutton Stew oz. 12 
Bread oz. 4 
Beef Soup, with Vegetables pt. 1 
Meat oz. 12 
Bread oz. 4 
Pork, ) oz 6 
> Baked, or in soup. 
Beans, j giH -80 
Beef or Mutton (roast) oz. 12 
Bread - oz. 4 
Potatoes oz. 10 
Other Vegetables oz. 4 
Fish oz. 6 
Potatoes oz. 10 
Bread oz. 4 
Beets, or other Vegetables oz. 4 
Pickles oz. 1 
Savory Bread oz. 
Beef or Mutton Stew oz. 12 
Bread oz. 4 
Rice Pudding, or Savory Bread.oz. 
Potatoes oz. 6 j 
Cole Slaw, or Beets (pickled), oz. 4 
SUPPER. 
Tea pt. 1 
Bread oz. 6 
Dried Fruit (stewed) oz. li 
Tea pt. 1 
Bread oz. 6 
Cheese oz. 1 
Tea pt. 1 
Bread oz. 6 
Dried Fruit (stewed) oz. l-£ 
Tea Pt- 1 
Cheese oz- 1 
Tea pt- 1 
Bread oz. 6 
Dried Fruit (stewed) oz. li 
Tea pt. 1 
Smoked Herring oz. 2 j 
Or Cheese oz. 1 
Tea pt. 1 
Bread oz. 6 
Cold Meat oz. 4 
RECIRE8 FOR FUEL DIET FOR TEN MEN. 
Index.—1, Coffee. ' 2, Tea. 3, Hominy. 4, Rice. 5, Succotash. 6, Gravy. 7, Meat Hash. 8, Codfish Hash. 9, Codfish and Mackerel, boiled. 10, Potatoes. 11, Beef Soup. 12, Beef or Mutton Stew. 13, Roast Beef or 
Mutton. 14, Pork and Beans. 15, Cabbage. 16, Turnips. 17, Cole Slaw. 18, Pickled Beets. 19, Rice Pudding. 20, Stewed 1- nut. 21, Savory Bread. 
1. Coffee.—Coffee, roasted, 5 oz.; Sugar, 64 oz.; Milk, 4 pint. 
Directions.—Put the Coffee in 44 quarts of boiling water. Stir well 
until boiling has recommenced. Cover the boiler and continue the 
boiling two minutes. Take the boiler off the fire, pour into it one pint 
of cold water, and replace the cover. I11 ten minutes the Coffee may 
be carefully poured into coffee-pots, and the sugar and milk added. 
2. Tea.—Tea, 4 oz.; Sugar, 5 oz.; Milk, 4 pint. 
Directions.—Put the Tea, closely tied up in a bag of netting, into 
five quarts of boiling water. Let it boil one or two minutes. Take it 
off the fire and let it stand, covered, on the range fifteen minutes to 
draw. Add the milk and sugar. 
3. Hominy.—Hominy, 15 oz.; Salt, 4 oz. 
Directions.—Wash the Hominy thoroughly in warm water. Put the 
salt into the boiler with one quart of water. When boiling stir in the 
Hominy. Let it boil, very gently, twelve hours, filling up with boil- 
ino- water as the water in the boiler wastes, but without stirring. 
Drain off all the water that remains after it is sufficiently cooked. 
Add any beans that may be left from Wednesday’s dinner to Thurs- 
day’s breakfast. 
4. Rice.—Rice, 1 lb.; Salt, 4 oz.; Water, 1 gall. 
Directions. Put the salt and water into a boiler, and when boiling 
add the Rice, previously well washed. Boil three-quarters of an hour, 
or until the grains are' soft. Drain off the water; let it stand a few 
minutes beside the fire. 
5. Succotash. —Beans, 4 lb.; Hominy, 4 lb.; Gravy, 4 pt.; Salt, 
4 oz.; Pepper, A>- oz. 
Directions.—Wash the beans and hominy thoroughly in three waters 
to cleanse them. Then put them to soak in a sufficient quantity of 
water to cover them for five hours, after which pour off the water, 
beiim careful to drain them quite dry. Then put them in a boiler or 
vessel previously prepared with 4 pint of boiling water and boil over 
a slow fire six hours; then add 4 pint of gravy, 4 ounce of salt, A 
ounce of pepper, and simmer over the fire one hour, after which it is 
ready for use. Frequent stirring is necessary to keep it from 
scorching. 
G. Gravy.—Beef drippings, 4 pt.; Water, 4 pt.; Flour, 24 <>z. 
Directions.—Heat the beef drippings. Mix the flour into a smooth 
paste with f pint of cold water. Stir the paste into 4 pint of boiling 
water and let it boil 8 minutes. Add to it the hot beef drippings and 
let the whole heat together for a few minutes. The gravy will require 
neither pepper nor salt, if the beef from which the drippings are taken 
has been sufficiently seasoned while roasting. 
7. Meat Hash.—Meat, 24 lbs.; Bread, 10 oz.; Potatoes, 15 oz ; 
Pepper, oz.; Salt, 4 oz. 
Directions.— Chop the meat (previously boiled with the bones) fine; 
boil and mash the potatoes; mix both together with the bread, crum- 
bled fine, and the pepper and salt, moistening with the broth in which 
the meat and bones were boiled, without adding water. Simmer for 
half an hour, stirring constantly. 
8. Codfish Hash.—Codfish,* 44 lbs.; Potatoes, 8 lbs.; Pork 
drippings, | lb. 
Directions.—Put the Codfish to soak over night, fleshy side down- 
ward ; drain off, and renew the water twice, if possible. In the 
morning, put it into a boiler and simmer it until it is tender. Chop it 
fine. Have the potatoes boiled and mashed; mix them well with the 
Codfish. Put the whole over the fire; stir in the pork drippings, and 
let it heat thoroughly. 
1). Codfish, Boiled.—Codfish, 44 lbs. 
Directions. — Soak the Codfish over night, as for codfish hash; put 
it into a boiler with water enough to cover it entirely. Let it simmer 
gently half an hour, or until tender. 
Mackerel, boiled.— Proceed as with codfish, except that it is to he 
boiled only a quarter of an hour. 
10. Potatoes.—Potatoes, 64 lbs.; Salt, 4 oz. 
Directions. —Wash the Potatoes thoroughly; put them into boiling 
water, enough to cover them. Let them boil twenty minutes or half 
an hour, anil drain off the water. Let them remain at the fire a few 
minutes. 
11. Beef Soup.—Beef, 74 lbs.: Flour, 4 H».; Turnips, 13 oz.; 
Onions, 4 lb.; Cabbage, lfl oz.: Pepper, oz.; Salt, 24 oz.; 
Water, 64 qts.; Rice, 24 oz. 
Directions.—Cut the meat in pieces of 3 pounds each: crack the 
bones, so as to expose the marrow, without splintering them in hue 
pieces. Put all the ingredients, except the rice and pepper, into a 
boiler with 64 quarts of cold water and heat till it boils. Boil very 
gently for two and a half hours Take out all the meat; cut it from 
The large bones, and return the bones to the boiler. _ When boiling 
recommences, put in the rice and continue to boil briskly one and a 
quarter hours. Add the pepper. Have the Hour mixed into a smooth 
paste with cold water; stir it in carefully. Let it boil a quarter of an 
hour, stirring all the time. 
12. Beef (or Mutton) stew.—Beef or Mutton, 34 lbs.; 
Flour. 4 lb.; Rice, 64 oz.; Potatoes. 1 lb.; Pepper, A oz.; 
Mixed Vegetables, 2 oz ; Salt, ,r lb.: W ater, 1 gal and 1 f>t. 
Directions.—Cut the meat in pieces of 6 ounces each. Put it into 
boiling water with the salt. Let it Boil one and a half hours. Add 
the rice, which must first he thoroughly washed. Boil three-quarters 
of an hour. Cut the potatoes and mixed vegetables into small slices 
and add them to the meat and rice. Let the whole boil half an hour 
longer. Put in the pepper. Mix the Hour into a smooth paste with 
cold water and stir it in the stew. Let the whole boil ten minutes, 
stirring constantly. 
13. Boast Beef or Mutton.—Roast Beef or Mutton, 34 lbs.; 
Pepper, 4 oz.; Salt, 4 lb.; M ater, 4 gtd- 
Directions.—Cut the meat from the bones in as large pieces as prac- 
ticable; roll and tie them. Bake the meat in pans with the salt and 
water. Put into the oven and bake three hours, or longer if necessary. 
Add the pepper ten minutes before it is done. '1 lie quantity of meat 
above namea is three-quarters of that issued for dinner and the next 
day’s breakfast; the other quarter is to he thrown with the bones, 
which must he cracked, into a boiler, with water enough to cover them, 
the whole to simmer until the meat can he easily separated from the 
bones. The meat with the broth is to be set aside for hash 
14. Pork and Beans.—Pork, 44 lbs.; Beans, 1 quart; 
Pepper, iV oz. 
Directions.—Soak the Beans over night in plenty of water. Boil 
the Pork and Beans separately for two hours. Put about one-seventh 
of the whole quantity of the Pork in pans, surrounded and covered 
with the Beans. Add the pepper. Bake one hour over a moderate 
fire. Bake the remainder of the Pork for the same length of time. 
Any Beans left from dinner will be mixed with the hominy on Thurs- 
day’s breakfast. 
1*5. Cabbage.—Cabbage, 24 lbs.; Salt, j? oz. 
Directions.—Put the Cabbage and salt in boiling water. Boil half 
an hour. Drain off the water. 
10. Turnips.—Turnips, 24 lbs.; Salt, $ oz. 
Directions.—Wash the Turnips thoroughly and pare them. Put 
them with the salt into boiling water Let them boil one hour. 
17. Cole Slaw.—Cabbage, 24 lbs.: Vinegar, pint. 
Directions.—Slice the Cabbage fine. Pour over the vinegar and 
mix well. 
IS. Pickled Beets.—Beets, 24 lbs.; Vinegar, nftj pint. 
Directions.—Boil the Beets two hours. Pare and slice them. Pour 
the vinegar over them. 
11). Bice Ptlddiug.—Rice, 10 oz.; Sugar, 34 oz.: Flour, 
oz.: Salt, 4 oz.; Cinnamon, 4 oz.; Water, 34 qts. 
Directions.—Wash the Rice carefully. Put it into the water when 
boiling, with the sugar and salt. Boil gently three-quarters of an 
hour Add the flour, previously mixed into a smooth paste with cold 
water, and the cinnamon. Stir it on the Are carefully for flve or ten 
minutes. Put it into pans and hake for two hours. 
tiO. Stewed Emit.—Dried Fruit, 15 oz.; Sugar. 2 oz.; Water, 
24 quarts. 
Directions.—Soak the Dried Fruit for three hours in three gallons 
of water. Drain and add the sugar. Boil gently two hours, or until 
quite soft. 
21. Savory Bread.—Bread, 24 lbs.; Onions,-!1,, lb.; Beef drip- 
pings, 4 lb.; Pepper, At oz.; Salt, $ oz. 
Directions.—Crumble the Bread Hue. Chop the onions. Mix 
together, with the beef drippings, salt, and pepper. Bake until nicely 
brown. 
S F E! C I _A_ E, DIET. 
BREAKFAST. 
DINNER. 
SUPPER. 
Bread 0i' 
Butter “ 1 
Toast, Dry'.' * 
Toast, Milk 1 
Eggs, Poached no. 1 
Milk. oz. 12 
Beefsteak oz. (5 
Milk Porridge — pt. 1 
Ham oz. 4 
Beef Essence oz. 2 
Bread oz. 4 
Chicken, Stewed oz. 6 
Chicken Broth pt. 1 
Mutton Chop oz. G 
Mutton Broth pt. 1 
Milk oz. 12 
Oysters, Stewed gill 1 
Beef Tea oz. 12 
Rice, Boiled °z. 1 
Farina Pudding o*. 4 
Corn Starch oz. 4 
Milk Porridge pt- 1 
Beefsteak oz. G 
Potatoes, Mashed oz. G 
Beef Essence 02• 2 
Tea pt. 1 
Butter oz. 4 
Bread <rz. 4 
Toast, Dry oz. 4 
Milk oz. 12 
Milk Porridge pt. 1 
Beef Essence oz. 2 
RECIPES EOR SPECIAL DIET FOR TEN MEN. 
T- - , rvflb. 9 Tea. 3 Milk Toast. 4, Boiled Eggs. 5, Poached Eggs. 6,Beefsteak. 7, Milk Porridge. 8, Farina Pudding. 9, Beef Essence. 10, Stewed Chicken. 11, Chicken Broth. 12, Mutton Chop. 13,Mutton 
Index' ’ ' ’ Broth. 14, Beef Tea. 15, Stewed Oysters. 16, Boiled Rice. 17, Corn Starch. 18, Mashed Potatoes. 19, Broiled Ham. 
1. Coffee.—Coffee, 4.80 oz.; Milk, 10 oz.; Sugar, 6.40 oz. 
.. „ pnt the Coffee into 84 pints of boiling water. Stir 
boiling has recommenced. Cover and continue the boiling 
well until boil g boiler from the fire. Pour into it 24 pints 
two minutf- i ,.enlace the cover In ten minutes the Coffee may 
f °0STcoffee-pots, ami the .agar and milk added. 
The milt lould be boiled and hot. 
2. Tea.—Tea, 1 oz-; Milk, 6.40 oz.; Sugar, 4.80 oz. 
Put the Tea, tied up closely in a bag of netting, into 
water. Let it boil one or two minutes. Take it 
te» P,nt*r . 'l let it stand, covered, on the range fifteen minutes to 
tow Sfir In til. milk and ettgar. 
‘3 Milk Toast.—Bread, 34 lbs.; Butter, 24 oz.; Milk, 24 pints. 
Ttml the milk. Add the butter. Toast the bread. 
Directions. ami butter. Let it remain until thoroughly 
Drop it into the noi 
saturated. 
4. Boiled Eggs. 
P„t them into boiling water and let them boil three 
Directions.—1 nt meiu 
minutes. 
5. Poached Eggs. 
• ttreak them into boiling water, with a little salt. Let 
Directions- 1 ■ four minute8. Hake them up with a skimmer, 
them boil three prinkle over them a little pepper, 
draining them wen. i 
6. Beefsteak.-34 lbs. s 
Warm the gridiron. Cut the Steak an inch thick. If 
Directions.-- j p before putting it on the gridiron. Broil 
the meat be toueu, p 
it on hot coals ten or twelve minutes. Turn it four or five times, and 
when done add salt and pepper. 
7. Milk Porridge.—Milk, 7+ pts.; Flour, 10 oz.; Water, 3 pts. 
Directions.—The Hour to be used for Milk Porridge should be pre- 
viously prepared by being tied up closely in a bag and boiled four or 
five hours It can then be grated to powder, which should be mixed 
into a smooth paste with cold water. Add to the milk the prescribed 
quantity of water, and stir in the Hour, with a little salt. Let it boil 
ten minutes, stirring all the time. 
8. Farina Pudding.—Farina, 4 lb.; Milk, 2 pints; Water, 1 
pint; Sugar, 24 oz.; Eggs, 4 oz.; Nutmeg, 4 oz. 
Directions.—Put the water into a stewpan with a little salt.. A\ hen 
it boils, stir in the Farina. Let it boil twenty minutes. Stir in the 
milk, which must be hot. Beat the eggs until they are very light: 
mix the sugar with them. Stir in the eggs and sugar with the 1' arina. 
Add the spice. Put it into a moderate oven and bake a half or three- 
quarters of an hour. 
1). Beef Essence.—Beef, 64 lbs. 
Directions.—The Beef should be lean and juicy, and without bone. 
Cut it into small pieces of about an inch square. Put it into a closely- 
covered can, and place the can in a boiler so that it shall be surrounded 
with water, which must boil for seven or eight hours, at least. 
10. Stewed Chicken.—Chicken, 3| lbs.; Flour, 3 oz.; Salt 
Pork, 4 oz. 
Directions.—Divide the Chicken into pieces of six ounces each. 
Put them into a stewpan with the salt and pork. Cover them with 
cold water and simmer till tender, keeping them always covered with 
water. Make a paste of the flour with cold water. Stir it smoothly 
into the gravy. Replace the pieces of Chicken, and let them stew 
eight or ten minutes. 
11. Cllicken Brotll.—Chicken, 84 lbs.; Salt, 2oz.; Flour, 2 oz. 
Directions.— Cut the Chicken into pieces. Put it with the salt into 
the kettle with 12 pints of cold water. Let it simmer gently two or 
three hours, carefully and frequently skimming off the grease. Make 
a paste of the Hour with some cold water; stir it in and boil ten min- 
utes longer. It should measure ten pints when done. 
12. Mutton Chop.—Mutton Chop, :ij lbs. 
Directions.—Beat the Chops lightly. Put them on the gridiron, 
previously warmed. Sprinkle with a little salt, and turn four or live 
times while broiling. They will require ten minutes over a good fire. 
If when a Chop is pressed with a knife it feels firm, it is done. 
13. Mutton Broth.—Mutton. 31 lbs.; Salt, 2 oz.; Barley, or 
Rice, 2 oz. 
Directions.—Break tin* bones without separating tin* meat. Put it 
into 12 pints of cold water, with the salt and rice, or barley. Boil 
gentlv two hours and a half, carefully removing all the scum and fat 
If the broth should boil away too much, add the requisite quantity of 
boiling water to make ten pints, and let it boil fifteen minutes longer. 
11. Beef Tea.—Beef, 74 lbs.; Salt, 1 oz 
Directions.—The Beef should be lean and juicy, .and cut into small 
pieces. Put it into one and a half gallons of cold water, with the 
salt. Let it boil gently three hours. If it should boil away too fast, 
add the requisite quantity of boiling water and let it boil fifteen min- 
utes longer. When done it should measure 7+ pints. Set it aside to 
cool. Remove every particle of grease, and heat when required. 
I !i. Stewed Oysters.—Oysters, 24 pts.; Milk, 1£ pts. 
Directions.—Strain off tlie juice anil put it into a saucepan. When 
icar boiling, put in the Oysters, and sprinkle in a little salt. Let the 
)ysters get thoroughly heated. Add the milk, which must be boiling, 
aid a little pepper. 
16. Boiled Rice.—Rice, 10 oz.; Salt, oz.; Water, 24 pts. 
Directions.—Put the salt and water into a stew pan. When boiling, 
(Id the Rice, previously thoroughly washed. Boil for ten minutes, 
ir until each grain becomes soft. Drain it on a colander. Slightly 
Tease the stew pan with clarified drippings or lard. Put back the 
{ice. Let it swell slowly near the fire, or in a slow oven, for about 
wenty minutes, until the grains are well separated. 
I 7. Corn Stlircll.—Corn Starch, 5oz.; Milk. 21 pts.; Water, lOoz. 
Directions—Mix the Corn Starch into a smooth paste with cold 
vater. The milk and water must be boiling, to which add a little 
alt. Stir in the Corn Starch. Let it boil three or five minutes. 
18. Mashed Potatoes.—Potatoes, 34 lbs.; Salt, f oz. 
Directions.—Wash the Potatoes thoroughly. Put them into enough 
oiling water to cover them. Let them boil twenty minutes or half 
n hour. Drain off the water, and let them remain at the fire a few 
ninutes. Peel and mash them well, adding a little milk, if possible, 
bout 10 ounces. 
19. Broiled Ham.—Ham, 24 lbs. 
Directions.—Warm the gridiron. Cut the Ham into slices of about 
»ur ounces each. Broil them very quickly over a hot fire. 
J. K. BARNES, 
Surgeon General. U. S. Army. 
WAR DEPARTMENT, 
SURGEON GENERAL’S OFFICE, 
Washington, D. C., February 7, 187'!. r—r* - f* m.. Wf tur i\ -jcrtCHPJj tMt» FIT A T75T, U 111 I ETf »'1' A 1 JEW A K M X 
« 
» 
EXTRA ARTICLES 
FOR REGULAR AND 
ARTICLES COMPOSING- THE DIFFERENT DIETS FOR A DAY—AVOIRDu 1 <>IS WEIGH I. 
SPECIAI 
, DIETS. 
- 
TO BE FURNISHED BY MEDICAL 
TO BE PURCHASED W1 
J-ULL DIEI'. 
HALF DIE'I’. 
LOW DIET. 
PURVEYORS. 
HOSPITAL FUND. 
Articlc-s. 
Sun. 
M>>n. 
Tues. 
Wed. 
Tliurs. 
Fri. 
Sat. 
Fresh Beef 
oz. 
8 
Meat 
oz. 
8 i 
Barley. 
Ale, draught. 
Bread 
- oz. 
16 
Bread 
oz. 
gill. 
14 
0.16 
Brandy. 
Beef, Extract. 
Beef Steak. 
Butter. 
Potatoes 
oz. 
8 
Salt - 
Fresh Beef or Mutton 
- oz. 
16 
0 
16 
0 
16 
0 
16 
Other Vegetables .... 
oz 
4 
Tea - 
- - 
oz. 
0.21 
Cinnamon. 
Cider. 
B icon, or— ) - 
oz. 
0 
8 
0 
0 
0 
0 
0 
Rice, Hominy, or Indian Meal 
oz. 
i.oo 
Sugar 
oz. 
2.20 
Chocolate. 
Corn Meal. 
Beef, recently corned ) - 
oz. 
0 
16 
' 0 
0 
0 
0 
0 
Salt 
- - gill. 
0. 16 
Mdk - - - 
oz. 
6 
Cocoa. 
Crackers. 
Pork- - 
0 
0 
0 
8 
0 
0 
0 
Coffee 
0 80 
Butler - 
oz. 
1 
Corn Starch. 
Eggs. 
Pi<h 
0 
0 
0 
0 
0 
12 
0 
'Pea 
0.12 
Rice, Farina, 
Corn Starch, or Bread, 
in 
Farina. 
Fish. 
Bread 
Beans 
Potatoes 
<)t lier Vegetables 
Rice, Hominy, or Indian Meal - 
16 
16 
16 
' 16 
16 
16 
16 
Suyar 
2 20 
Pudding - 
2 
Gelatine. 
Fruit, fresh. 
• - S'll. 
- oz. 
0 
8 
4 
1.60 
0 
10 
4 
1 60 
0 
8 
4 
1.60 
0.64 
10 
4 
1.60 
0 
8 
4 
1.60 
0 
10 
4 
1.60 
0 
10 
4 
1 60 
Milk 
Butter 
Flour 
oz. 
o-ill 
0 
Ginger. 
N utmegs. 
Pepper. 
Porter, bottled. 
Do. dried. 
1 
0.25 
0.32 
> MILK DIET. 
Ham. 
Ice. 
Lemons. 
oz. 
Molasses 
gill. 
Sugar, white. 
Tapioca. 
Milk. 
Mustard. 
Coffee 
Tea 
Sugar 
Milk 
oz 
0 16 
0.80 
0.16 
0.80 
0.16 
0 80 
0.16 
0.80 
0.16 
0.80 
0.16 
0.80 
0.16 
0.80 
Vinegar 
- - gill. 
0.16 
Bread - 
oz. 
16 
oz. 
0.12 
0.12 
0 12 
0.12 
0.12 
0.12 
0.12 
Friday. 
Rice - 
oz. 
Tea. extra quality. 
Mutton. 
- oz. 
- - oz. 
2.20 
6 
2.20 
6 
2.20 
6 
2.20 
6 
2.20 
6 
1 
0.25 
2.20 
6 
1 
0 25 
2.20 
6 
0 
0 25 
Cod-fish (in lieu of Fresh Beef) 
oz. 
6 
Milk- 
Sugar 
]>t. 
oz. 
3 
1 
Whisky. 
Wine, Sherry. 
Mutton Chop. 
Oat Meal. 
Butter 
Flour 
- - oz. 
1 
0.25 
0 
0.25 
1 
0.25 
0 
0.25 
CHICKEN DIET. 
BEEF-TEA DIET. 
i 
Oranges. 
Pepper. 
Pickles. 
Porter, draught. 
Poultry. * 
Sugar, white. 
Vegetables. 
Molasses 
- - gill. 
0.32 
0.32 
0.32 
0.32 
0.32 
0 32 
0.32 
> 
1 
Vinegar 
Dried Fruit 
Pickies 
- - gill. 
oz. 
- oz. 
0.16 
0 
0 
0.16 
0 
1 
0.16 
3 
0 
0.16 
0 
0 
0.16 
0 
o 
0.16 
3 
1 
0.16 
0 
0 
Fowl 
Bread 
Salt 
Tea 
- - oz. 
- - gill. 
12 
16 
0 16 
0.24 
Beef, lean anc 
Bread - 
S.lt - - - 
Tea - 
without bone - 
oz. 
oz. 
gill. 
oz. 
8 
12 
0.32 
0.24 
( 
( 
I 
1 
Sugar - - 
- - oz. 
2.00 
Sugar 
oz. 
2 
Milk 
- - oz. 
6 
Milk - . - - 
oz. 
6 
. 
Butter 
1 
FELL DIET. 
SUNDAY. 
MONDAY. 
TUESDAY. 
WEDNESDAY. 
THURSDAY. 
FRIDAY. 
SATURDAY. 
i\ 
Coffee - - - - 
Bread - 
Butter - - - - 
Hominy, boiled - 
Molasses - 
- pt. 
oz. 
1 
Coffee pt. 
1 
Coffee 
pt. 
1 
Coffee pt- 
1 
! Coffee 
pt. 
1 
Coffee - 
. 
pt. 
1 
Coffee - - - - 
- pt. 
1 
G 
Bread oz. 
G 
Bread 
oz 
G 
Bread oz. 
G 
Bread - - - - 
oz. 
G 
1 
Bread 
- 
oz. 
G 
Bread - - - - 
- oz. 
G 
s 
< i 
* i 
i 
oz. 
1 
Meat Hash, with Vege- 
tables - oz. 
Butter 
oz. 
1 
Meat Hash, with Vege- 
| Butter 
oz. 
Butter - 
- 
oz. 
1 
Meat Hash, with Vege- 
oz. 
- g»U- 
2 
0.32 
8 
Rice, boiled 
Molasses .... 
oz. 
gill. 
2 
0.32 
tables oz. 
8 : 
Indian Meal, boiled - 
Molasses .... 
oz. 
gill. 
2 
0.32 
4 isli, Iresh or salt 
oz. 
6 
tables 
- oz 
8 
P 
f 
Beef Soup - - 
Meat - 
Bread - - - 
Potatoes - 
Other Vegetables 
Ilice Pudding. 
- 
oz. 
1 
12 
Beef, recently corned, oz. 
Or B icon, boiled - - oz 
1G 
8 
Beef Soup - 
Beef Soup Meat - 
pt. 
oz. 
1 
12 
Pork, 1 baked or - oz 
Beans, ) in soup - - gill. 
G 1 
0.G4 i 
Semi-stewed Beef, or 
Mutton - - - 
OZ. 
12 
1 
4 
8 | 
4 
Cod-fish Hash, 
Potatoes 
with 
oz. 
1G 
Semi-stewed Beef, 
Mutton - - 
or 
- oz. 
12 
r. 1 
> 1 
- 1 
a i 
l 
- oz. 
- oz. 
- oz. 
4 
8 
4 
Bread - - - . - oz. 
Potatoes .... oz. 
Cabbage, or other 
Vegetables oz. 
Pickles oz. 
4 
h 
4 
1 
Bread 
Potatoes .... 
Other Vegetables 
oz. 
oz. 
oz. 
4 
8 
4 
Bread oz. 
Potatoes - - - - nZ* 
Other Vegetables - oz. 
Indian Pudding. 
4 ! 
8 
4 
Do. do. Soup 
Bread 
Potatoes .... 
Other Vegetables 
pt. 
oz. 
oz. 
oz. 
lire ad 
Beets, or other Vege- 
tables - 
Pickles 
Bread Pudding. 
oz. 
oz. 
oz. 
4 ! 
4 
1 
Do. do. Soup 
Bread - - - - 
Potatoes 
Other Vegetables 
- pt. 
- oz 
- oz. 
oz. 
1 
4 
8 
4 
TEA. 
Tea 
Bread - - - - 
Cold Meat - - 
- pt. 
oz. 
- oz. 
1 
G 
2 
Tea - - - - - pt. 
Bread oz 
Molasses .... gill. 
1 
G 
0.32 
Tea 
Bread 
Fruit, stewed - 
pt. 
oz. 
oz. 
1 
G 
3 
Tea Pt- 
Bread oz. 
Molasses - - - - gill. 
1 
G i 
0.32 
Tea 
Bread 
Cold Meat - - - - 
pt. 
oz. 
oz. 
1 
G 
2 
Tea 
Bread - 
Fruit, stewed - 
- - 
pt. 
oz 
oz. 
1 
g : 
3 i 
Tea 
Bread .... 
Molasses 
- pt. 
oz. 
- gill. 
1 
G 
0 32 
H A. L F DIET. 
SUNDAY 
MONDAY. 
TUESDAY. 
WEDNESDAY. 
TU U BSD AY. 
1 BIDAY. 
SATURDAY. 
H 
X 
«! 
'* 
* 
m 
m 
f 
l 
r 
{ 
i 
Coffee 
B ead 
Butter 
Hominy, boiled - - 
Molasses * 
pt 
oz. 
oz. 
oz. 
gill. 
• _ 
1 
G 
1 
2 
2 
0.32 
s Coffee 
Bread 
Butter 
pt. 
oz. 
oz. 
1 
6 
1 
2 
Coffee - 
Bread - 
Butter - 
Rice, boiled 
Molasses 
- pt. 
- oz. 
- oz 
oz 
- gill 
1 
G 
1 
2 
2 
0.32 
Coffee - 
Bread - 
Butter - - - - 
- pt. 
oz. 
- oz. 
1 
G 
1 
2 
Coffee pt 
Bread oz 
Butter oz. 
Indian Meal, boiled - oz 
Molasses - - - gill. 
I 
1 
2 
2 
0.32 
Coffee - 
Bread - - - 
Butter 
pt. 
oz. 
oz. 
1 
1 
2 
Coffee .... 
Bread .... 
Butter - 
Rice, boiled 
Molasses 
- Pb 
- oz. 
- oz. 
oz 
- gill. 
1 !l 
(! 
1 
2 
2 
0.32 
ss 
M 
P, 
K 
Z 
Z 
P 
Beef Soup - - - * 
Do do. Meat • - 
Bread - - - - * 
Potatoes * ' * 
Other Vegetables 
pt.. 
oz. 
oz. 
oz. 
oz. 
1 
8 
4 
8 
4 
Beef Soup - 
Do. do. Meat 
Bread 
Potatoes - - - 
Other Vegetables 
pt. 
oz 
oz. 
oz 
oz 
1 
8 ! 
4 
8 
4 ; 
Beef Soup - - - 
Do. do. Meat - 
Bread - 
Potatoes - - 
Other Vegetables 
■ f’4- 
oz. 
- oz 
- oz 
- oz. 
1 
8 
4 
8 1 
4 1 
Beef Snup - - - 
Do. do. Meat - 
Bread - 
Potatoes - - 
Other Vegetables 
Indian Pudding. 
- pt. 
oz. 
- oz 
- oz. 
- oz. 
1 
8 j 
4 i 
8 
4 
Beef Soup - - - - pt. 
Do. do. Meat - - oz. 
Bread oz. 
Potatoes - - ; oz. 
Other Vegetables - oz. 
1 
8 
4 
8 
4 
Cod-fish Hash, with 
Potatoes - 
Bread 
Vegetables ... 
Bread Pudding. 
oz. 
oz. 
oz. 
16 
4 
4 
Beef Soup - 
Do. do. Meat 
Bread - 
Potatoes 
Other Vegetables 
■ Pb 
- oz. 
oz. 
- oz. 
oz. 
1 
8 
4 
8 
4 
L 
1 
Rice Pudding. 
TEA. 
Tea- 
Bread - 
Butter 
pt. 
oz. 
oz. 
1 
G ; 
1 j 
2 1 
Tea 
Bread 
Butter 
pt 
oz. 
oz. 
1 
G 
h 
Tea 
Bread - 
Butter - 
- pt. 
- oz. 
- oz. 
1 
G 
1 
2 
Tea 
Bread - 
Butter - - - - 
- Pb 
- oz. 
- oz. 
1 
H 
1 
2 
Tea pt. 
Bread oz. 
Butter oz. 
1 
G 
1 
2 
Tea 
Bread 
Butter 
pt. 
oz. 
oz. 
1 
G 
h 
Tea 
Bread - - . . 
Butter • - . . 
- pb 
oz. 
oz. 
1 
G 
1 
2 
H 
* 
b ( 
CHICKEN 
DIET. 
LOW DIET. 
' 
MILK DIET. 
BEEF-TEA 
DIET. 
Tea 
- pt. 
OZ 
1 
1 Tea pt. 
1 
Milk 
Pt- 
1 
Tea 
- pt. 
1 
*\ 
Bread - 
G 
1 Bread oz. 
5 
Bread 
oz. 
G 
Bread .... 
oz 
4 
I f 
Butter - 
oz. 
1 
2 
Butter oz. 
1 
2 
- 
f 
Chicken 
oz. 
12 
Beef Tea, or Mutton or 
Rice - 
oz. 
2 
Beef Tea - 
oz. 
12 
: 
Or Chicken Soup 
Bread .... 
- pt. 
oz. 
1 
4 
Chicken Broth - - pt. 
Bread oz. 
l 
4 
Milk - 
Bread 
pt- 
oz. 
1 
4 
Bread ... - 
- oz. 
4 ; 
J 
fe j 
Rice, Farina, Corn 
Sugar 
oz. 
1 
s 1 
Starch, or Bread, 
l 
in Pudding - - - oz. 
2 
. ( 
Tea 
- pt. 
1 
Tea pt. 
1 
Milk 
pt. 
1 
Tea 
- pt. 
1 
* 
Bread - 
oz. 
G 
Bread - - - - oz. 
5 
Bread 
oz. 
G 
Bread .... 
oz. 
4 
"( 
Butter - - 
oz. 
h | 
Butter oz. 
1 
2 
RECIPES. 
Xo. 1—COFFEE FOR 100 MEN. 
Ingredients. 
I Milk, boiled, gnllons, 2}. 
Wa‘er, gallons, 10 pounds. 4; Sugar, brown, pounds, 61. 
Coffee, roasted andf . P.u coffee. I 
equivalent to 5 pounds g. Directions. 
a „ Rolf trillions of water; heat the water till it boils briskly, 
t. * mto the boiler nine and a nan » - prt,viouslv roasted to a chestnut color (not 
1 Pwhen so boiling, add l"l]r [|™" |,,ls thoroughly recommenced ; then cover the boiler, 
? ' A and ground. Stir well ,!11 ’ . f .move the boil-r from the fire, and p nr into it Iml a 
burnt) andg the boiling two iinnutes.rem minuteH the coffee may be carefully 
gallon of cold waterjndhrep-ace theg ■ To'every two quarts drawn off add one pint of hot 
poured o'd “"/five ounces of sugar. 
boiled milk and nv o—TEA FOR 100 MEN. 
Ingredients. 
I Milk, gallons, 2}. 
Water, gallons, 10. | Sugar, pounds, 6}. 
Tea, ounces, l~- Directions. 
f water Bring it to a boil. When boiling, introduce 
r.„t into the boiler forty quarts bobiuet or mosquito netting, to prevent the 
10 tp}l tied up „nr Allow it to boil one or two mimiteH; then 
twelve ounc , throughout the 1 ■ fove or range, but net < vet- the coals, 
1-T -d Aow rr-- should be covered. Stir in 
»ft br fifteen minutes, to d.aw b barter pounds of sugar, and the tea is ready for the 
£w ten quarts of milk and six and on 
table. 3 ueeF SOUP FOR 100 MEN. 
INGREDIENTS. 
I Rice, pounds, 6. 
n water, gallons, 16. Salt, pounds, J}. 
“ l, beef, pounds, 75. , i pepper to taste—about ounce, 1. 
F,-e Afresh vegetables, pounds 12|- 
Mixed 1 vegetables, pounds, 3. 
Or desiccated \ eb > r Directions. 
e about five pounds each, and the bones crack'd, so as to 
_ meat cut in pieces of about n fine pk.ces Put ftll the n gradients, 
®°the marrow, without 8|’lnitl'''.‘.'h,;,/ water, in a boiler, and heat till it boils. Oontinue 
expose . j„t0 sixteen gallons ot al,j jlfirty minutes ; then take out all the meat, 
except t ’ jiy) or sinmn-r lor two bones to the boiier, and when boiling has recoin- 
to boil V i 8 fht, larger bones; Je^r,ncontinue to boil briskly for one hour and a half, 
and cut it . pounds ot rice, and covered with the partly prepared soup, and 
mea is to be placed in a boiler by thu"Mm.1,,,ha hit should be 
THot U1 the soup is ,efdy 1 ° bsel it will prove an excellent substitute for butier tor 
No. 4.—SEMI-STEWED BEEF, OR MUTTON, AND SOUP, FOR 100 MEN. 
Ingredients. 
No. 8.—BOILED POTATOES. 
Wash the potatoes, and put them, with their skins on. into the caldron ; throw in a handful 
of salt, and fill the vess, 1 w ill cold water. Put it on the file and bring it to a boil. When 
the water boils, thiow in a little cold wat r to check it; d * so two or th-ee times. When the 
potatoes are very nearly cooked, p ur off all the water, and stand the kettle over the fire till 
the steam evaporates. This process will muke the potatoes mealy Remove the skins when 
the potutoes ure to be eaten with soup. 
No. 9.—INDIAN MUSH FOR 100 MEN. 
Ingredients. 
Directions. 
Put the Balt and water into the boiler \vi, ... i 
washed B >il I r tea minnti-B, or till eai-h eridn I, .A!!, b°' ln?’ add.<hp ricP. previously well 
Slightly grease the pot with butter; out the i-iee >• <>n a colander, 
twenty minu'es neui the tire, or in a slow m .... , 1 *° lf I**1 swell slowly for about t 
It is then ready for use. ' ’ MC ' Kraiu "''U then swell up and be well 
No. 12. COD-FISH HASH. WITH POTATOES FOR 100 MEN. 
Ingredients. 
Cod-fish, dried, pounds, 37k i 
I Potatoes, pounds. 62}. 
Directions. 
Put the salt fish to soak over nirrht in i,,b„„ 
morni g put it in a pot with fr. sh w ,ter, and si,nnie? till ili T’ flfHhy >'ide downward. Np*t 
skin. ieji cling the bones; ebop i, fine/aud ,n!x with twice Tt’der- • ?ck tl,e fl*«* ,r0,U 'he 
moistening the mixture with pork scraps and din r, " r. weight of boiled pom"1;*’ 
addition of some milk will be found a great improvement. * °Ut Up a"d t,itd 0U,I Tlie 
ORDERS. 
this Diet 5 H08pit<J“ °f *he Unit‘d States Army shall conform to' 
neceiwary^imirutu^'ioi-'ui-^aja68 °f f«‘^tence required by this 
oth. rwise provided. 3d. F- r gas or other light. p “'g and serving the diets* arc u°t 
ll tin* Hospital 1* ui.d thtiK upplii <1 pn.vi-K ii'aflfoiuiti* tn 4. 
to thin Diet Table, thi* IMncmal Mi dieal (iSTf Vn M,PP°rt ot patient* according 
diminish, or, if need tie, to d s' i, , - . bun'r and “a?;""141 is authoriz d to 
Dietn If, with this authored reduX in "Je heHH1, W;<] U* Fb11 
1. sufiicunt, the Principal Mrdieal Officer will be governed bythe biT.wV* * V w P7VeJ! 
or puserved fruits, milk, i,utter, or eggs, cannot be , r , !"C following mle: When fresh 
mar be purebus d by the Su geon in rliaige, on special authorit^1'!’ h“ Uo8»'.1,“1 * u,'d' thpy 
General or the M- dieal Dir, ctor, in such quantit es as may e n *e * be by *1' ,SiUge0“ 
the sick. The accounts, with the certificates of the ,,‘ edie d P,r°'7' <Uet of 
which iw.(lend Mich pm chapes liecenaui \, and tin authnrifv i*^K V-’ J’ lully tlie cauttea ■ 
be promptly naiiMi.itted to the Smgenn G, neral tor payment " 11C 1 they were made, will 
K >aM B.-ef may be d lor Bei t noun on Su .wL rp , _ : ~ 
Coflfe, i the Hall di. t Bienklast. When the Ho,nit 1 K n 'i, 1 pa may be substituted for 
tor the H.hf.diet B.eaktast on Mondays. W.dmsdavs aid Fifdavs P ““Uy be allowed 
’**' ‘"““o- «• 
I he recipes lor cooking are auvisory. 
WILLIAM A. HAMMO$p. 
SURGEON General’s Office, Surgeon General V. S. Army. . 
Washington, D. C., February 5, 1803. 
Cold water, gallons, 16. 
Fresh beef or mutton, pounds, 75. 
Mixed fresh vegetables, pou (Is, 12}. 
Or desiccated vegetables, pounds, 3. 
Rice, pounds, 6. 
Salt, pounds, II. 
Flour, pounds, ll. 
Sugar, pounds, 11. 
Pepper, ounce, 1. 
Directions. 
Have the meat cut in pieces of about five pounds, and the bones well cracked. Put all 
the ingredients, except the rice and flour, into sixteen gallons of col I icat-r. Heat the water 
till it boils briskly ; then add the rice ; simmer for two hours and a hull'; then add to the soup 
the flour, which has been first mixed with enough water to form a light batter ; stir well 
together with a large spoon ; boil auotlier half hour; skim off the fat; take out the meat, and 
serve the soup and meat separately. The soup should be stirred now and then while making, 
to prevent burning or sticking to the sides of the caldron. 
No. 5.—BOILED CORNED BEEF AND CABBAGE FOR 100 MEN. 
Ingredients. 
Take of recently corned beef (not salt beef) one hundred pounds; cut in pieces of five 
pounds, and put the beef in a caldron, with twelve and a half gallons of water, and simmer 
over a moderate-fire for two hours and a half, occasionally skimming off the fat; then add as 
much cabbage as the water will cover, and boil gently for one hour and a half. If salt beej is 
used, it must be soaked all night, and boiled iu fresli water. 
No. 6.—BEAN SOUP FOR 100 MEN. 
Ingredients. 
Indian meal, pounds, 20. 
Water, gallons, 8j. 
Salt, ounces, 6. 
Directions. 
Moisten, slightly, the tneal with water. It will require about one gallon and three-fourths 
for this purpose Have the r, hi of the water—say seven gallon,—in the caldron boiling; add 
the salt; then • tir in the moistened meal. Tim stiri ing' sin u d lie continu, d after all the m* al 
is in, to prevent burning. From twenty minutes to half an hour will lie found long <•' ougii to 
boil. The above quantities will make one hundred pints of mush, or a little more. One pint 
may be served to each man, \\ ith molasses or milk. If milk, ope piut .hould be allowed to 
each patient; if molasses, one gallon to one hundred men. 
No. 10.—SAVORY HOMINY FOR 100 MEN. 
Ingredients. 
Water, gallons, 15. 
Beans, quarts, 8. 
Poik, pounds, 30. 
Onions, number, 6. 
Salt, pound, }. 
Pepper, ounce, 1. 
Directio i;s> 
Soak the beans over right. Early in the morning put them into a caldron with the salt 
and water, and boil steadily for three hours, or until the beaus are so well done that they can 
be strained through a sieve, leaving their skins on the sieve They are then to be so strained, 
after which the poik, cut in puces of from three to five p< unds, the onions chopped fine, and 
the pepper, are to be added and the boiling continued two to three hours longer, or till the 
pork is done tender, when the soup is ready. In n aking 'his soup, good soft water is required. 
At posts where the water is hard, rain water must be substitut-d. The caldron must be clean 
and free from grease; and grease, in every shape, must be avoided until the beuns are done. 
NO. 7.—BAKED PORK AND BEANS FOR 100 MEN. 
Take thirty-seven and a half pounds of pork and eight quarts of beans. Soak the beans 
ali night. In the morning boil the pork and beans separately for about two hours. The pork 
is then put into pans, surrounded and covered by the beans, a little pepper added, and baked 
one hour by a moderate fire. 
Hominy, pourds, 20. 
Dripping, or poik or beef fat, pounds, 2. 
0"ions, ounces, 12. 
Suit, ounces, 16. 
Directi ns. 
Soak the hominy (if the large kind) 12 hours. Put it in two gallons boiling water ; simmer 
five hours. Drain off the water; add the di ippieg; the onions, slic. d thin ; the ralt Put it on 
tin- fire for twenty minutes. Stir, constantly, or it vs ill burn Tins will n ake twilve gallons. 
When hominy is to be used for breakfast, it should be souked and boiled the day hi fore. 
No. 11.—PLAIN BOILED RICE FOR 100 MEN. 
Ingredients. 
Rice, pounds, 12k 
Water, gallons, 121 
Salt, tablespoousful, 12k r 
NO. 
NAME. 
I 
DATE OF CONTRACT 
NATURE OF SERVICE. 
PERIOD FOR WHICH PAY IS DUE. 
RATE OF PAY 
OR COMPENSA-1 
TION PER 
MONTH. 
DETAINED PAY 
PER MONTH. , 
AMOUNT DUE 
LESS RETAIN- 
ED PAY. 
We, the subscribers, do hereby acknowledge to have received of Surgeon 
nt , the sums set opposite our respective names, 
expressed, having signed duplicates hereof, viz: 
- * i 
being in full of our pay for the period herein 
FROM— 
TO— 
MOS. 
DAYS. 
DOLLS. 
CTS. 
DOLLS. 
CTS. 
DOLLS. 
CTS. 
Signer’s Name. 
Witness. 
Remarks. 
— 
• 
1 
% 
• 
• 
♦ 
✓ 
S 
- 
. 1 
Surgeon. 
,186 
during the month of 
, and that the sums set opposite their names are accurate and just. 
LIi of Men of the Hospital Corps'of the U. S. Army, employed in the General Hospital, 
I CERTIFY that the above is a correct Roll of the Hospital Corps, employed under my direction, during the month of 
(DUPLICATES.) "xT 
* 
CD 
H-H CO 
o • V 
« § 
>H 
< -~ 
H *K> 
Q S * 5 
ft % \ % 
<1 I5 fa 
Ph Si 
S: 
r*l 
E“j « : 
g & 
a -8 
S ’S 
<*^ 
's k2 
-to S 
<s> Ri 
a ~ 
2^ 
t§ ( Form No. 22.) 
OBSERVE THE FOLLOWING DIRECTIONS 
Send with the “ Original” one complete set of Vouchers, as required by Army Regulations. 
Keep with the “Duplicate to be retained” a complete set of Vouchers, exact duplicates of those transmitted with the 
“Original” 
Articles "'Lost or destroyed by unavoidable accident ” must be accounted for by a certificate from the medical officer 
responsible for the same, setting forth fully the circumstances under which such loss or destruction occurred—and this 
should be accompanied by a certificate of at least one other commissioned officer, or by a statement supported by an 
affidavit of any other non-interested party as evidence in the case. Such certificates and statements must be forwarded 
through the Medical Director for remark. 
No article can be returned as “ Worn out and unfit for usev until after inspection and condemnation by a properly 
authorized officer. 
Articles destroyed to prevent contagion must be accounted for by a certificate of the officer responsible, setting forth 
that they were destroyed in compliance with Paragraph 230b of the Regulations. 
Bedding and other property will not, under any circumstances, be used for other than hospital purposes, and within 
the hospital to which it has been supplied. 2 
RETURN OF MEDICAL PROPERTY on hand at last Return, received, expended, issued, sold. and remaining on hand at for the ending ,18 
MEDICINES. 
REGULAR LIST. 
— 
—i 
MEDICINES. 
REGULAR LIST. 
o 
> 
H 
W 
No. OF Youchkr. 
p Acacia, (Gum Arabic.) 
o Acacia, (Gum Arabic,) 
(powdered.) 
S Acid, acetic. 
*15 
CD 
O 
cT 
o 
Xi % 
g a 
'5.2 
9 
* Acid, carbolic, 95 per ct., 
( for disinfection.) 
p Acid, citric. 
p Acid, hydrochloric. 
p Acid, nitric. 
p Acid, sulphuric. 
S Acid, sulphuric,aromatic. 
g Acid, tannic. 
n Acid, tartaric, (powd’d.) 
O Alcohol. 
a 
s 
< 
oz. 
c Ammonia, 
-N aromatic spirit of. 
c Ammonia, 
-N stronger water of. 
p Ammonium, carbonate of. 
p Ammonium, chloride of. 
Arsenite of potassium, 
p solution of, 
(Fowler's solution.) 
p Atropine, sulphate of. 
a; 
u 
CD 
oz. 
rC 
g 
s*' 
p- 
s 
<3 
O 
oz. 
p Chalk, prepared. 
n Chloroform, purified. 
p Copaiba. 
c Ethei*, comp'nd spirit of, 
(Hoffman’s anodyne.) 
c Ether, spirit of nitrous, 
(sweet spirit of nitre.) 
c Ether, stronger, for anaes- 
thesia. 
c Extract of belladonna, 
alcoholic. 
Extract of buchu, fluid. 
Extract of ergot, fluid. 
Extract of ginger, fluid. 
Extract of hyoscyamus, 
alcoholic. 
Extract of ipecac, fluid. 
Extract of nux vomica, 
alcoholic, (powdered.) 
Extract of valerian, fluid, 
Flaxseed. 
Flaxseed meal. 
Glycerin. 
Glycyrrhiza, compound 
powder of. 
Iodine. 
Iodoform. 
Ipecac, (powdered.) 
Ipecac and opium, pow- 
der of,(Dover’s powd’r) 
Iron, subsulphate of. 
Iron, sulphate of, (com- 
mercial.) 
Iron, syrup of iodide of. 
Iron and potassium, tar- 
trate of. 
Iron, solution of tersul- 
pliate of. 
Lead, acetate of. 
Magnesium,carbonate of. 
Magnesium, sulphate of. 
Mercury, corrosive chlo- 
ride of, (corrosive subli- 
mate.) 
Mercury, mass of, (blue 
pill.) 
Mercury,mild chloride of, 
(calomel.) 
Mercury, with chalk. 
Morphine, acetate of. 
Morphine, sulphate of. 
Mustard, black, (ground) 
Oil, castor. 
oz. 02 • 
oz. 
oz. 
OZ. oz. 
oz. lb. lb. oz. 
OZ. oz. 
OZ. 
OZ. OZ. OZ. 
lb. 
OZ. 
OZ. 
lb. oz. 
oz. lb. oz. oz. oz. oz. oz. oz. lb. bott. 
On hand at last Return 
Received from 
Received from 
Received from 
Received from 
Received from 
* 
Received from 
Received from 
Received from 
Received from 
Received from 
Received from 
Received from 
Received from 
Purchased from 
Purchased from 
Total to be accounted for 
Expended with the sick 
t. - ■ • E i . : s ; . . 
Issued to 
Issued to 
Issued to 
Issued to 
Issued to 
Issued to 
Sold 
Sold 
« 
Lost and destroyed by unavoidable accident 
Worn out and unfit for use 
— * 
■j-TTST-r 
f 1 "I' 
Total expended, issued, etc 
■ '■!- — ■ ■■ 1 - rv■■■■■■■■ |i!-!.". . ::rzrz 
jj.-" la.nt' t 
| i-1. i■*Li1 ' T 
On hand to be accounted for RETURN OF MEDICAL PROPERTY on hand at last Return, received, expended, issued, sold, and remaining on hand at for the ending ,18 
MEDICINES. 
MEDICINES. 
REGULAR LIST. 
REGULAR LIST. 
6 
3 
g 
DATE. . 
se .6 
a s 
K O 
o —- 
o S' 
> § 
r « 
O 
6 
J2: OZ. 
a Acacia, (Gum Arabic,) 
(powdered.) 
§ Acid, acetic. 
IS 
h 
h 
O 
*"o QP 
-O 
f- 5 
g ft 
•5.2 
<< 
9 
it Acid, carbolic, 95 per ct., 
(for disinfection.) 
p Acid, citric. 
p Acid, hydrochloric. 
p Acid, nitric. 
§ Acid, sulphuric. 
n Acid, sulphuric, aromatic. 
g Acid, tannic. 
T6 
b 
£ 
© 
p- 
"C 
a 
c3 
bs' 
*3 
OZ. 
c Alcohol. 
s 
a 
< 
OZ. 
0 Ammonia, 
•s aromatic spirit of. 
c Ammonia, 
stronger water of. 
p Ammonium, carbonate of. 
p Ammonium, chloride of. 
Arsenite of potassium, 
p solution of, 
(Fowler’s solution.) 
p Atropine, sulphate of. 
© 
u 
Cft! 
S3 
OZ. 
p Camphor, (refined.) 
5 Chalk, prepared. 
n Chloroform, purified. 
p Copaiba. 
c Ether, comp’nd spirit of, 
(Hoffman’s anodyne.) 
© Ether, spirit of nitrous, 
(sweet spirit of nitre.) 
a Ether, stronger, for anaes- 
thesia. 
a Extract of belladonna, 
alcoholic. 
Extract of buchu, fluid. 
Extract of ergot, fluid. 
Extract of ginger, fluid. 
Extract of hyoscyamus, 
alcoholic. 
Extract of ipecac, fluid. 
Extract of nux vomica, 
alcoholic, (powdered.) 
Extract of valerian, fluid. 
Flaxseed. 
Flaxseed meal. 
Glycerin. 
Glycyrrhiza, compound 
powder of. 
Iodine. 
1 
Ipecac, (powdered.) 
Ipecac and opium, pow- 
der of,(Dover’s powd’r) 
Iron, subsulphate of. 
Iron, sulphate of, (com- 
mercial.) 
Iron, syrup of iodide of. 
Iron and potassium, tar- 
trate of. 
Iron, solution of tersul- 
pliate of. 
Lead, acetate of. 
Magnesium, carbonate of. 
Magnesium, sulphate of. 
Mercury, corrosive chlo- 
ride of, (corrosive subli- 
mate.) 
Mercury, mass of, (blue 
pill.) 
Mercury,mild chloride of, 
(calomel.) 
Mercury, with chalk. 
Morphine, acetate of. 
M orphine, sulphate of. 
Mustard, black, (ground) 
Oil, castor. 
OZ. oz* 
OZ. 
oz. 
oz. oz. 
oz. lb. lb. oz. 
OZ. 
OZ. 
oz. 
OZ. oz. oz. 
lb. 
OZ. 
OZ. 
lb. 
oz. 
oz. lb. oz. oz. oz. oz. oz. oz. lb. bott. 
On hand at last Return 
Received from 
Received from 
Received from 
Received from 
Received from 
Received from 
Received from 
• 
Received from 
Received from 
A i , 
Received from 
Received from 
Received from 
Received from 
Purchased from 
Purchased from 
Total to be accounted for 
Expended with the sick 
Issued to 
Issued to 
Issued to 
Issued to 
Issued to 
Issued to 
Sold 
Sold 
Lost and destroyed by unavoidable accident 
Worn out and unfit for use 
11111 llr'"— t 
JMi-aj-.. 
rp»-*'-r-H—ttt 
fi'nw -~.-s.-bss 
fwr ■ mrr ii ■nf ■■ ■■ 
t r imnni 
iLir.m- aa 
jw rvvfm 
[nwririr—r-v 
Total expended, issued, etc 
On hand to be accounted for 4 
RETURN—Continued 
cr 
© 
Oil, cod-liver. 
cr 
o 
Oil, olive. 
c 
N 
Oil of peppermint. 
cr 
© 
Oil of turpentine. 
o 
N 
Pepsin, (lactated.) 
cr 
Petrolatum, 105° F. 
c2 
Petrolatum, P20° F. 
P 
© 
Pills, comp’nd cathartic. 
c 
Pills of camphor (grs. 2) 
and opium (gr. 1.) 
© 
Pills of mercury, (green 
iodide of,) (£ gr. each.) 
p 
Pills ofopium,(lgr.each.) 
p- 
CO 
Piaster, blistering. 
V- 
ST 
Plaster, mustard. 
c 
N 
Potassa, solution of. 
PS 
t£j 
N 
Potassium, acetate of. 
£ 
r 
a 
0 
M 
Q 
C 
N 
Potassium, bicarb, of. 
PS 
£ 
S3 
h- 
% 
w 
pa 
C 
N 
Potassium, bitartrate of, 
( powdered.) 
N 
Potassium,bichromate of. 
O 
N 
Potassium, bromide of. 
O 
N 
Potassium, chlorate of, 
( powdered.) 
© 
Potassium, iodide of. 
© 
N 
Potassium and sodium, 
tartrate of, (powdered.) 
© 
N 
Quinine, sulphate of. 
© 
M 
Silver, nitrate of,(in crys- 
tals.) 
© 
N 
Silver, nitrate of, molded. 
c2 
Soap, castile. 
N 
Sodium, bicarbonate of. 
© 
s 
Sodium, borate of (pow- 
dered.) 
c2 
Squill, syrup of. 
© 
Tinct. of aconite, (root.) RETURN—Continued. 
5 
o 
N 
o 
N 
O 
N 
C 
N 
Tincture of arnica 
flowers. 
Tincture of chloride ot 
iron. 
Tincture of cinchona, 
compound. 
Tincture of digitalis. 
C 
K 
Tincture of gelsemium. 
c 
N 
Tincture of gentian, com- 
pound. 
C 
N 
Tincture of myrrh. 
c- 
N 
Tincture of opium, 
(laudanum.) 
C 
N 
Tincture of opium, cam- 
phorated, (paregoric.) 
Vaccine virus. 
C 
N 
C 
N 
Zinc, oxide of. 
Zinc, sulphate of. 
1 s 
1 § 
F w 
Q 
PC g 
55 oq 6 
RETURN—Continued. 
o 
N 
Acid, arsenious. 
O 
N 
Acid, benzoic. 
o 
N 
Acid, gallic. 
C 
N 
Acid, liydrobromic, 
diluted. 
C 
N 
Acid, hydrocyanic, 
dihited. 
C 
N 
Acid, phosphoric, 
diluted. 
5 
Acid, salicylic. 
c 
N 
Aloes, ( powdered.) 
C 
s 
Ammonium, bromide of. 
o 
N 
Ammonium, valerianate 
of. 
P- 
o 
N 
Amyl, nitrite of, (5-drop 
pearls.) 
C 
s 
c 
s 
Antimony and potassium, 
tartrate of, 
(tartar emetic.) 
Apomorpliine, hydrochlo- 
rate of. 
DO 
d 
d 
d 
r 
K 
S 
K 
© 
N 
c 
N 
Arsenic and mercury, so- 
lution of iodide of, 
(Donovan’s solution.) 
Bray era, (koosso—pow- 
dered.) 
g 
U 
c 
K 
Bromine. 
> 
PS 
Q 
M 
g 
H 
03 
Boxe 
Capsules, gelatin. 
F 
>—« 
Cerate, resin. 
c 
N 
Chloral. 
o 
N 
Chrysarobin. 
N 
Cinchona, (powdered.) 
C 
s 
Codeine. 
5 
Collodion. 
c 
N 
Copper, sulphate of. 
s 
Creasote. 
§ 
Digitalis, (leaves.) 
o 
N 
Ergotin. 
N 
Extract of cascara 
sagrada, tluid. 
N 
Extract of castanea, 
fluid. 
N 
Extract of colchicum 
seed, fluid. RETURN—Continued. 
7 
o 
N 
C 
N 
Extract of colocynth, 
compound, (powdered.) 
Extract of eucalyptus, 
fluid. 
© 
N 
Extract of glycyrrhiza. 
C 
K 
Extract of hamamelis, 
fluid. 
§ 
Extract of Indian canna- 
bis, fluid. 
Extract of pilocarpus, 
(jaborandi,) fluid. 
C 
N 
Extract of pbysostigma, 
(calabar bean.) 
g 
Extract of rhubarb, 
fluid. 
.O 
fca 
Extract of sarsaparilla, 
fluid. 
O 
N 
Extract of taraxacum, 
fluid. 
O 
N 
Extract of wild cherry, 
(bark,) fluid. 
CT 
Insect powder. 
C 
N 
Iron and ammonium, 
citrate of. 
00 
O 
N 
Iron and quinine, 
citrate of. 2 
r g 
C 
N 
O 
t*a 
ft 2 
Iron, reduced, (by hydro- g g 
gen.) ft g 
* Q 
n M 
Iron, dried sulphate of. z 
S3 hH 
Tf\ 
O 
K 
y) 
Iron, pyrophosphate of. £ 
Lithium, carbonate of. 
C 
NS 
C 
N3 
Lycopodium. 
J? 
jMercurial ointment. 
C 
K 
Mercury, (metallic.) 
C 
he 
Mercury, ointment of ni- 
trate of, (citrine oint- 
ment.) 
© 
N3 
Mercury, oleate of, (10 
per cent.) 
© 
N 
Mercury, red oxide of. 
© 
N 
© 
K 
N 
© 
N 
Oil, croton. 
Oil of anise. 
Oil of cinnamon. 
Oil of cloves. 
© 
K 
Oil of lemon. 
© 
Oil of male fern, ethereal. 8 
RETURN—Continued. 
8 
Oil of rosemary. 
C 
N 
Oil of santal, (sandal 
wood.) 
O 
N 
Oil of theobroma, (but- 
ter of cacao.) 
C 
N 
Opium, powdered. 
D 
C 
Pills of arsenious acid, 
(-6\f of a grain each.) 
t= 
c 
Pills of iodide of arsenic, 
(tod of a grain each.) 
e 
p 
Pills of copaiba, com- 
pound. 
e 
c 
Pills of sulphate of qui- 
nine, (3 grains each.) 
CD 
Plaster, belladonna. 
D 
O 
Plaster, porous. 
C 
be 
Podophyllum, resin. 
8 
Potassa, (caustic.) 
P 
Potassium, cyanide of. 
CO 
C 
tSJ 
Potassium, nitrate of, 
(powdered.) 
a 
h3 
r 
MEDICINES. 
C 
Potassium,permanganate 
of. 
I 
© 
N 
Rhubarb, (powdered.) 
i-j 
> 
to 
Kj 
C 
K 
Santonin. 
f 
)-( 
CO 
bott. 
Soda, chlorinated, solu- 
lution of. 
c 
N 
Sodium, bromide of. 
C 
tsi 
Sodium, salicylate of. 
c 
N 
Sodium, sulphite of. 
C 
Strychnine, sulphate of. 
c 
N 
Sugar of milk, (powd’d.) 
cr 
Sulphur, (in roll.) 
c 
N 
Sulphur, washed. 
C 
K 
Tar, (wood.) 
© 
N 
Tincture of belladonna. 
O 
N 
Tincture of cantharides. 
C 
tSJ 
Tincture of catechu, com- 
pound. 
C 
N 
Tincture of cimicifuga, 
( racemosa.) RETURN—Continued. 
9 
c 
N 
Tincture of guaiac, am- 
moniated. 
N 
Tincture of opium, 
deodorized. 
C 
N 
Tincture of sanguinaria. 
O 
N 
Tincture of serpentaria. 
GO 
O 
N 
Tincture of veratrum 
viride. 
a 
•v 
13 
i—i 
O 
N 
C 
N 
Tincture, Warburg’s. 
Tolu, balsam of. 
K 
g 
g 
* 
H 
► 
W 
Hj 
r 
GO 
H 
[EDICINES. 
O 
N 
Wax, white. 
C 
N 
Wax, yellow. 
o 
N 
Zinc, acetate of. 
c? 
Zinc, solution of chloride 
of. 
N 
Zinc, oleate of. 
cr 
Arrow root. 
gs 
Beef-extract. 
bolt. 
Brandy. 
5: 
Candles. 
- 
Chocolate. 
N 
Cinnamon, (ground.) 
lb. lb. 
Corn-starch. 
Farina. 
W 
O 
GO 
2 
ARTICLE! 
O 
N 
Gelatin. 
Ginger, (ground.) 
£ 
GO 
H 
O 
« 
W 
GO 
Vi 
1 
C" 
Lye, concentrated. 
> 
W 
M 
bott. 
Meat juice, Valentine’s. 
gS 
Milk, condensed. 
N 
Nutmegs. 
C 
N 
Pepper, black, (ground.) 
N 
Pepper,cayenne, (gr’nd.) 
cr 
Soap, common. 10 
RETURN—Continued. 
T) 
FT 
(K 
m 
Soap-powder. 
? 
Sugar, white. 
S 
c- 
Tapioca. 
O 
m 
'*-0 
>—i 
H 
p* 
Tea, black. 
> 
t" 
GO 
bott. bott. 
Whisky. 
Wine, sherry. 
TORES. 
C3 
c 
Cupping-glasses, assort’d 
sizes. 
o 
Nipple-shields. 
es 
c 
Probangs. 
D 
© 
Syringes, penis, glass, in 
case. 
S3 
© 
Syringes, rubber, self- 
injecting. 
SH 
25 
GO 
H 
P3 
5 
Syringes, vagina, glass. 
to} 
H 
H 
GO 
t> 
£d 
O 
Thermometers, clinical. 
t-3 
M 
Q 
g 
El 
CC 
a 
© 
Trusses, single. 
3 
C 
Trusses, double. 
XPENDABLE. 
05 
<t> 
Antiseptic dress’gs for use 
with spray apparatus. 
P- 
O 
N 
Bandages, roller. 
O 
Bandages, suspensory. 
O 
Chamois skins. 
cr 
Cotton, absorbent. 
O 
N 
Cotton, styptic. 
DRESSINGS. 
©- 
Cotton-bats. 
sheets. 
Cotton wadding. 
Vj 
11 
Flannel, red. 
bott. 
Ligature, catgut for. 
C 
N 
Ligature, silk for. 
cr 
Lint, patent. 
Vj 
a- 
9 
Muslin, unbleached. RETURN—Continued. 
11 
pap’s. 
Needles, assorted. 
3 
Needles, upholsterers’. 
Sr 
Oakum or marine lint. 
s 
c 
Pencils, hair. 
“d 
C5 
Otf 
Pins, assorted. 
ft* 
N 
Pius, safety. 
30 
Plaster, adhesive, India 
rubber. 
% 
Plaster, isinglass. 
Plaster of Paris. 
VJ 
Rubber sheeting, white. 
* 
Silk, gray, for shades. 
V; 
&- 
IX) 
Silk, oiled. 
O 
W 
K 
GO 
CO 
)—i 
no 
CD 
Splints. 
t> 
w 
t-3 
C 
Splints, anterior, Smith’s. 
St, 
O 
GC 
hH 
Q 
F 
H 
s* 
CD 
® 
N 
Splints, felt for. 
Sponge, fine,small pieces. 
m 
H 
N 
d 
H 
2 
V** 
Tfi 
Stenta book. 
d 
s> 
w 
"C# 
fT* 
O 
Ct 
m 
Tape, cotton. 
F 
a 
£S 
Thread, cotton, spools. 
O 
ts; 
Thread, linen. 
c 
s 
Towels. 
CL 
O 
N 
Towels, roller. 
OD 
Tubes, drainage. 
c 
K 
Twine. 
3 
Blank books, cap, half- 
bound, 4 quires. 
no. no. 110. 
Blank books, octavo, 
4 quires. 
Blocks, memorandum. 
Elastic bands, assorted, 
gross. 
STATIONERY. 
e 
Envelopes, official, large. 12 
RETURN—Continued. 
c 
Envelopes, official, letter. 
g 
Envelopes, official, note. 
•c^ 
cT 
ft 
& 
India rubber. 
bott. 
Ink, black. 
bott. 
Iuk, carmine. 
bott. 
Mucilage. 
JD 
■-s 
00 
Paper, blotting. 
CO 
hO 
»-3 
OD 
Paper, writing, legal-cap. 
H 
{► 
H 
H© 
►-s 
CD 
Paper, writing, letter. 
SH 
o 
8 
*-i 
CD 
Paper, writing, note. 
PO 
Kj 
3 
O 
Pencils, lead. 
5 
Pen-holders. 
© 
Pens, steel. 
sticks 
Sealing-wax. 
w 
© 
ft 
Tape, red. 
H| 
hH 
Q 
8 
8 
03 
8 
§ 
Bowls, soup, delf 
8 
g 
Bowls, wash, delf, (for 
office.) 
2 
8 
t 
P- 
c 
Boxes, ointment, imper- 
vious. 
W 
8 
8 
o~> 
o 
N 
Boxes, pill, paper. 
o 
N 
Boxes, powder. 
3 
Brooms. 
5 
Brushes, dust. 
3 
O 
Brushes for stove black- 
ing. 
K 
i—i 
02 
o 
8 
no. feet. 
Brushes, scrubbing. 
Clothes-line. 
8 
It1 
a 
8 
O 
C 
po 
N 
Corks. 
© 
Cups and saucers, delf. 
3 
p 
Dishes, assorted sizes, 
delf. 
© 
Fans. 
g 
Feeding-cups, delf. RETURN—Continued. 
13 
© 
Funnels, glass, 
M 
Cu 
X 
Green Holland, for cur- 
tains and bed-screens. 
1 
X 
X 
Labels, for vials. 
© 
Lantern-glasses, extra. 
Measures, graduated, 
glass, 4-oz. 
g 
Measures, graduated, 
glass, 8-oz. 
c 
Measures, graduated, 
glass, minim. 
g 
Medicine droppers. 
g 
Medicine glasses. 
r 
Mop handles. 
g 
Mugs, delf. 
g 
Mugs, spit, delf. 
crq 
'S- 
a 
Paper, filtering. p 
g 
Paper, litmus, blue and 
red, of each. j* m 
uC wh 
3 
o M 
Paper, wrapping. 
& H 
> H 
Percolators, glass. !3 
2 2 
Pitchers, pint, delf. § 0 
t> 
g 
E 
Pitchers, quart, delf. f1 
H 
g 
Pitchers, wash, delf, (for 
office.) 
C3 
© 
Plates, delf. 
c 
Salt-cellars. 
a 
© 
Spirit-lamps, glass. 
© 
Sponges, large. 
© 
Spoons, medicine, delf. 
p 
© 
Stove-blacking, papers. 
g 
Test-tubes. 
C2 
Tubing, glass. 
® 
Tubing, rubber. • 
e 
Tumblers, glass. 
g 
Urinals, delf. 
o- 
c 
N 
Vials. 14 
RETURN—Continued. 
c 
Apparatus, electric. 
s 
c 
Apparatus, Pulitzer’s, for 
the ear. 
c 
c 
Apparatus, spray. 
3 
Atomizers, steam. 
g 
Case, dental. 
g 
Case, field. 
3 
C 
Case, genito-urethral. 
© 
Case, obstetrical and 
gynaecological. 
3 
C 
Case, pocket. 
5 
Case, post-mortem. 
3 
Case, stomach-pump and 
tube. 
3 
Cutting pliers, for fixed 
bandages. 
t> 
3 
O 
Lancels, thumb. 
SI 
3 
Q 
C 
Microscopes. 
KH 
2! 
P 
H 
CO 
3 
© 
Ophthalmoscopes. 
GO 
W 
NOT 
O 
Powder blower, for 
larynx. 
g; 
W 
25 
H 
i 
3 
Scarificators. 
GO 
El 
§ 
o 
3 
C 
Shears. 
> 
w 
p 
5 
Speculum for the ear. 
El 
© 
Speculum for the rectum. 
O 
Sponge-holders, for the 
throat. 
3 
O 
Stethoscopes. 
O 
Syringes, hard rubber, 
8-oz. 
3 
C 
Syringes, hypodermic. 
3 
O 
Tongue depressors. 
3 
Tourniquets and band- 
ages, Esmarch's. 
5 
Tourniquets, field. 
O 
Tourniquets, screw, with 
pad. 
3 
O 
Urinometer*. 
O 
Vision test set. RETURN—Continued. 
15 
3 
O 
Barometers, aneroid. 
3 
Barometers, mercurial. 
W 
3 
O 
Hygrometers. 
H 
B 
O 
B 
O 
O 
Rain-gauges. 
Rain-gauge glasses. 
O 
B 
O 
Q 
i“t 
O 
> 
B 
3 
O 
Thermometers, maxim'm. 
SH 
GD 
H 
3 
Thermometers, minimum. 
W 
a 
K 
M 
5 
Thermometers, standard. 
a 
H 
CP 
c 
P 
X* 
® 
Capital operation. 
ft 
- 
m 
m 
j 
Minor operation. 
b 
B 
W 
CP 
O 
!zj 
ft 
& 
7? 
ft 
® 
Eye and ear. 
a 
Q 
ft 
■ 
CO 
ft 
Jj 
Pocket. 
B 
CP 
B 
*2* 
ft 
P 
GO 
ft 
® 
For local anaesthesia. 
B 
H 
oc 
C 
Trunks, leather. 
NOT 
fed 
I 
copy. 
Analysis, Volumetric— 
Sutton. 
fed 
3 
0 
r. 
o 
Anatomy—Gray. 
t> 
w 
B 
fed 
ft 
o 
"3 
'<5 
Chemistry—F ownes. 
copy. 
Children, Diseases of— 
Vogel. 
copy. 
Color-Blindness— 
Jeffries. 
copy. 
Dictionary, English— 
W ebster. 
copy. 
Dictionary, Medical— 
Dunglison. 
Q 
copy, i 
Dispensatory. 
O 
B 
CD 
copy, i 
Ear, Diseases of—Roosa. 
copy. copy. copy. 
Eye, Diseases of— 
J. Soelberg Wells. 
Gynaecology, Principles 
and Practice of— 
Emmet. 
Histology—Strieker. 
copy. copy. 
Hygiene—Parkes. 
Medicine, Cyclopaedia of 
the Practice of—Ziems- 
sen,20 vs. and Suppl’mt. 16 
RETURN—Continued. 
copy. 
Medicine—Legal—Tidy, 
2 vols. 
copy. 
Medicine Practice of-— 
Aitken, 2 vols. 
copy. 
Medicine, Practice of— 
Flint. 
copy. 
Medicine, Practice of— 
ft iemeyer, 2 vols. 
copy. 
Medicine, Practice of— 
Wood, 2 vols. 
copy. 
Medicine, System of— 
Reynolds, 5 vols. 
copy. 
Medicine, Veterinary— 
Kirby. 
copy. 
Meteorology—Loomis. 
C> 
Midwifery—Cazeaux. 
2 
•3 
Midwifery—Lusk. 
Obstetrics, Principles and 
Practice of—Hodge. 
2 
-5 
Pathology,5 Surgical— 
Hillroth. 
► 
copy. 
Physical Diagnosis— 
Del afield and Stillman. 
n 
g 
g 
a 
U1 
copy. 
Physics— Ganot. 
copy. 
Physiology—Flint, 
5 vols. 
q 
a 
0 
copy. 
Physiology—F oeter. 
O 
W 
cc 
fel 
N 
o 
Post-mortem Examina- 
tions—Virchow. 
M 
1 
H 
copy. 
Recruits, Examination of 
—Tripler. 
w 
£ 
copy. 
Skin, Diseases of—Fox. 
a 
copy. 
Surgery—E rich sen, 
2 vols. 
copy. 
Surgery—Gross, 2 vols. 
copy. 
Surgery—Guthrie’sCom- 
meutaries. 
copy. 
Surgery—H ol m es, 5 vol s. 
copy. 
Surgery, Operative—Ste- 
phen Smith. 
copy. 
Surgery, Oral—Garret- 
son. 
copy. 
Therapeutics—Ringer. 
copy. 
Therapeutics— Stilld, 
2 vols. 
a 
o 
'<1 
Therapeutics—Wood, 
(H. 0.) 
copy. 
Therapeutics, Mechani- 
cal—W ales. 
copy. 
Throat—Diseases of— 
Cohen. RETURN—Continued. 
17 
ARTICLES 
NOT 
EXPENDABLE. 
BOOKS. 
BEDDING. 
HOSPITAL 
CLOTHING. 
i 
| 
% 
4= 
08 
5 
CO 
E 
*£ 
s 
"o 
X 
<S 
oS 
V 
tT 
tT 
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owns, ilressing. 
l ine, Analysis 
Fowler. 
Cj 
a 
SI 
— a. 
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p CQ 
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44 
CP 
op 
3 
£ 
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t£ 
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4* 2 
-5 tc 
£ 
4£ 
OL 
21 
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c; 
5 
&._* 
SP 21 
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u 
of 
3 
X 
r$ 
2 5 
X X 
C CP 
'x i 
S C 
2 
X 
X 
X 
a; 
aT 
s 
X 
£ 
X 
4p 
3- 
cr. 
© 
illows, feather 
*3 
43 
X 
5 
aT 
© 
X 
■ 
CP 
oT 
OP 
■ 
c3 
CP 
o 
X 
44 
© 
> 
© 
uilts, white. 
fleets, cotton. 
X 
aT 
"x 
0* 
i 
2, 
az 
S- 
flirts, cotton. 
e 
OP 
3 
“o 
Cfi 
44 
CP 
P 
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35 
35 
a 
S3 
s 
p 
Oh 
p 
pH 
O1 
m 
02 
fi 
C 
02 
in 
CfJ 
copy. 
copy. 
no. 
no. 
no. 
no. 
no. 
uo. 
no. 
no. 
no. 
no. 
no. 
no. 
no. 
no. 
no. 
no. 
no. 
no. 
no. 
no. 
no. 
pairs. 
pairs. 18 
RETURN—Continued. 
p 
© 
Bath-tubs. 
p 
c 
Bedstead?. 
p 
c 
Chairs. 
p 
c 
Chairs, rocking. 
c 
c 
Clocks. 
p 
© 
Close-stools. 
p 
© 
Dispensing sets. 
p 
© 
Earth-closet commodes. 
vi 
a. 
U1 
Linoleum. 
brj 
d 
w 
S' 
M 
H 
p 
© 
Look i n g-gl asses. 
p 
o 
Mats, door. 
d 
P3 
w 
p 
© 
Refrigerators. 
t> 
p 
c 
Tables, bedside. 
n 
p- 
w 
Table-cloths. 
d 
H 
CO 
p 
c 
Trays, butler’s. 
2 
0 
p 
© 
Water-coolers. 
l 
e 
Water-filters. 
| 
p 
c 
Window-shades. 
fe 
d 
p 
c 
Window-shade fixtures. 
EEl 
p 
© 
Basins, wash, hand. 
p 
© 
Bed-pans, delf. 
p 
© 
Bed-pans, metal. 
p 
c 
Bed-ticket, frames. 
c 
Boilers, tin. 
ss 
M 
cc 
o 
W 
d 
d 
t> 
p 
© 
Boilers, double, for cook- 
ing. 
no. no. 
Bowls, chopping. 
Buckets, covered, (6 qts.) 
55 
K 
O 
d 
CO 
P 
© 
Buckets, fire,(galvanized 
iron.) 
P 
© 
Buckets, wooden. RETURN—Continued. 
19 
§ 
Candlesticks. 
g 
Cans, milk. 
3 
Can-openers. 
X 
Casters. 
3 
Cleavers. 
3 
Clothes-pins. 
3 
Clotbes-wringers. 
5 
Colanders. 
w 
't 
Cork borers. 
3 
Cork extractors. 
g 
Cork pressers. 
5 
Corkscrews. 
3 
m 
© 
Cuspidors. 
5 
Dippers. 
K 
SH 
5 
Erasers. 
CD 
O 
M 
tr 
> 
as 
w 
SZ{ 
0 
5 
Fire extinguishers. 
H 
M 
3 
O 
Forks, carving. 
o 
a 
ao 
fd 
K 
g 
Forks, llesh. 
> 
W 
IT* 
a 
3 
Forks, table. 
o 
Funnels, pint. 
© 
Graters, large. 
3 
C 
Graters, nutmeg. 
© 
Gridirons. 
© 
Hatchets. 
3 
Hones. 
© 
Kettles, tea. 
3 
Knives, bread. 
5 
Knives, butcher’s. 
5 
Knives, carving. 
s 
Knives, chopping. 20 
RETURN—Continued. 
P 
c 
Knives, table. 
p 
c 
Ladles. 
p 
c 
Lamps, hand. 
p 
c 
Lanterns. 
c 
Litters, hand, 
w 
41 
Measures, gallon to pint. 
p 
c 
Medical saddle-bags. 
p 
c 
Medicine cases. 
p 
c 
Medicine panniers. 
p 
c 
Medicine wagons. 
p 
c 
Mess chests. 
p 
c 
Mills, coffee. 
> 
w 
3 
Q 
D 
c 
Mortars and pestles, 
wedgewood. 
c 
c 
Pails, chamber. 
K 
h-< 
cc 
F 
H 
03 
p 
c 
►3 
c 
c 
c 
Pans, dish. 
Pans, dust. 
Pans, frying. 
Pans, milk. 
c 
K 
t“ 
> 
a 
K 
c 
c 
po 
NOT EXPENDABLE. 
c 
Pans, sauce. 
c 
Pill machines. 
p 
c 
Pill tiles. 
c 
Pitchers, britannia. 
p 
c 
Pots, chamber. 
p 
c 
Pots, coffee. 
p 
c 
Pots, pepper. 
p 
c 
Pots, tea. 
c 
Razors. 
p 
c 
Razor-strops. 
© 
Retort-stands. 
p 
c 
Rulers. RETURN—Continued. 
21 
o 
Sadirons. 
o 
Saws, butcher’s. 
© 
© 
Saws, wood. 
© 
Scales and weights, 
apothecary’s, (counter.) 
c 
© 
Scales and weights, bal- 
ance, in glass case. 
© 
Scales and weights, 
grocer’s. 
© 
© 
Scales and w’eights, 
prescription. 
> 
© 
© 
Scales, platform. 
Q 
M 
3 
Scoops. 
K 
CO 
L 
H 
cc 
% 
© 
Shaving brushes. 
O 
hrj 
r 
0 
R 
fed 
2 
0 
t> 
© 
© 
Spatulas. 
K 
O 
© 
Spoons, table. 
a 
CO 
3 
Spoons, tea. 
w 
It1 
fed 
© 
© 
Steels. 
© 
Suppository molds. 
© 
Tape measures. 
© 
© 
Thermometers. 
© 
© 
Tools, small chest of. 
© 
Wash-boards. 
© 
© 
Wash-tubs 22 
RETURN—Continued. 
ADDITIONAL ARTICLES. RETURN—Continued. 
23 
ADDITIONAL ARTICLES. 24 
RETURN—Continued. 
ADDITIONAL ARTICLES EEMABKS: 
1 certify that the foregoing Return is correct, to the best of my knowledge, and that the Medicines, Dressings, and Stores 
have been expended only in accordance with Army Regulations. 
Station: 
18 
Surgeon, U. S. Army 
NOTICE THE DIRECTIONS ON THE FIRST PAGE. 
Returns of Medical Property are required annually, on the 31st of December, and “when relieved from the duty to ivhich such Returns relate.” 
(DUPLICATES.) (Form No. 22.) 
Examined, S. G. ()., ... ,18 , 
and found 
FINALLY SKTTLED BY THE RECEIPT OF 
Dated— , 18 
ZRETTTieasr 
OF 
MEDICAL PROPERTY 
IN CHA11GE OF 
Surgeon, U. S. A. 
At 
During the ending ....,18 
FOLD THIS RETURN IN THE DIRECTION OF THE VERTICAL RULED LINES 
NOTICE THE DIRECTIONS ON THE FIRST PAGE. 
Notice of settlement forwarded, 
- - - , I* ISSUING TABLE F O R FULL LILT. 
ARTICLES. 
SUNDAY. 
MONDAY. 
TUESDAY. 
WEDNESDAY. 
THURSDAY. 
FRIDAY. 
SATURDAY. 
Breakfast. 
Dinner. 
Supper. 
Total. 
CO 
P 
.2 
cS 
K 
o 
100 Rations. 
Breakfast. 
Dinner. 
Supper. 
o 
H 
10 Rations. 
100 Rations. 
o 
M 
Dinner. 
Supper. 
Total. 
10 Rations. 
! 100 Rations. 
& 
rc2 
a> 
| 
j Dinner. 
c 
Supper. 
i Total. 
10 Rations. 
100 Rations. 
rn 
QJ 
U 
Dinner. 
S 
s 
m 
Total. 
10 Rations. 
m 
rt 
M 
o 
o 
rH 
U. 
Hi 
a> 
M 
Dinner. 
Supper. 
O 
H 
10 Rations. 
ICO Rations. 
Breakfast. 
Dinner. 
Supper. 
Total. 
10 Rations. 
100 Rations. 
lbs. 
lbs. 
lbs. 
lbs. 
lbs. 
lbs. 
lbs. 
12 
12 
120 
4 
12 
10 
160 
100 
12 
12 
120 
75 
4 
4 
40 
25 
12 
12 
120 
75 
4 
4 
40 
25 
12 
4 
16 
160 
ICO , 
Pork oz. 
6 
6 
60 
371 
Fish (Cod or Mackerel) oz. 
(] 
g 
60 
:\7x 
Bread oz. 
6 
4 
6 
16 
160 
100 
6 
4 
6 
16 
160 
100 
6 
4 
6 
16 
160 
100 
6 
4 
6 
16 
160 
100 
6 
4 
6 
16 
160 
100 
6 
4 
6 
16 
160 
100 
6 
4 
6 
16 
160 
100 
Beans gills. 
.80 
.80 
8 
t 
lbs. 
* 
Potatoes oz. 
10 
10 
100 
62i 
2. 56 1.60 
4.16 
41.6 
26 
10 
10 
100 
62* 
2. 56 
G 
8. 56 
85.6 
53* 
10 
10 
100 
62* 
2.56 
10 
12. 5 
125.6 
78* 
1.60 
1.60 
16 
10 
Other S °'!ions’ turnips, ) 
Vegetables j Beets’ Carrots> ( oz- 
4 
4 
40 
25 
.... 
.20 
.20 
2 
Id 
— 
2 
.... 
2 
20 
12* 
— 
4 
— 
4 
40 
25 
.... 
4 
.... 
4 
40 
25 
.... 
4 
.... 
4 
40 
25 
.20 
.20 
2 
n 
Rice oz. 
1 
1 
10 
6* 
.64 
.64 
6. 40 
4 
1.60 
.48 
2. 08 
20.8 
13 
LOO 
.64 
2.24 
oo 4 
14 
Hominy oz. 
1.5 
1.5 
15 
9/b 
1 
1 
10 
61 
Salt, for the day oz. 
.32 
— 
.32 
3.2 
2 
.32 
.32 
3.2 
o. 
.32 
.32 
3.2 
2 
.32 
.32 
3.2 
2 
.32 
.32 
3.2 
2 
.32 
.32 
3.2 
2 
.32 
.32 
3.2 
2. 
Coffee oz. 
.48 
.48 
4.80 
3 
.48 
.48 
4.80 
.48 
. 48 4.80 
3 
.48 
.48 
4.80 
3 
.48 
.48 
4.80 
3 
.48 
48 
4. 80 
3 
.48 
48 
4 80 
3 
Tea ■- oz. 
.08 
.08 
.80 
X 
.08 
. 08 
80 
X 
.08 
. 80 
* 
. 08 
. 08 
.80 
a 
08 
08 
80 
X 
OP 
OP 
80 
J, 
08 
08 
80 
l 
Sugar oz. 
.64 
.32 
.68 
1.6416.4 
10* 
.64 
.48 
1.1211.2 
7 
.64 
.68 
1. 3213.2 
8* 
.64 
.48 
1.1211.2 
7 
.64 
. 681.32 
13.2 
8* 
.64 
.... 
.481.12 
11.2 
7 
.64 
..... 
.48 
1.12 
11.2 
7 
pts. 
pts. 
pts. 
T)tS. 
pts. 
pts. 
pts. 
Milk oz. 
1 
— 
.65 
1.66 
16.6 
10f 
1 
.... 
.66 
1.66 
16.6 
10! 
1 
.... 
.66 
1.66 
16.6 
log 
1 
— 
.66 
1.66 
16.6 
10f 
1 
.... 
.66 
1.66 
16.6 
iog 
1 
.... 
.66 
1.66 
16. 6 
log 
1 
.65 
1.66 
16.6 
m 
lbs. 
Pickles oz. 
1 
L 
10 
6* 
lbs. 
lbs. 
lbs. 
lbs. 
lbs. 
lbs. 
Flour oz. 
.20 
. 13 
. 33 3. 30 
2-Ar 
.80 
.80 
8 
5 
.20 
.48 
. 68 6. 80 
4* 
.20 
.20 
2 
11 
.20 
.80 
1 
inn on 
pts. 
pts. 
pts. 
pts. 
pts. 
pts. 
pts. 
Vinegar gills. 
— 
.12 
.... 
.12 
1.20 
3 
.... 
.12 
.... 
.12 
1.2 
3 
.... 
.12 
.... 
.12 
1.2 
3 
.... 
.12 
.... 
.12 
1.2 
3 
.... 
.12 
.... 
.12 
1.2 
3 
.... 
.12 
.... 
.12 
1.2 
3 
.12 
.12 
1.2 
3 
lbs. 
lbs. 
lbs. 
lbs. 
lbs. 
lbs. 
lbs. 
Cheese oz. 
1 
1 
10 
6* 
1 
1 
10 
6* 
1 
1 
10 
61 
Pepper oz. 
.02 
.02 
.20 
£ 
— 
.02 
.02 
.20 
£ 
— 
.02 
.02 
.20 
£ 
.02 
.02 
.20 
£ 
.02 
.... 
.02 
.20 
£ 
.... 
.02 
.02 
.20 
£ 
.02 
.02 
.20 
£ 
Dried Fruit - oz. 
1.5 
1.5 
9& 
1.5 
1.5 
15 
9 A- 
1. 5 
1 5 
15 
q 
Smoked Herring oz. 
2 
2 
20 
200 SPECIAL DIET. 
h\. f. §>flat §ospital, 
- ,/fy . 
ARTICLES. 
co 
H 
H 
SC 
< 
<y 
NUMBER OF BEDS. 
Total. 
— 
— 
— 
— 
BREAKFAST. 
BREAD 
oz. C 
oz. i 
pt. 1 
pt. 1 
oz. 4 
oz. G 
no. 1 
no. 1 
oz. 12 
oz. G 
pt. I 
oz. 4 
oz. 2 
BUTTER 
COFFEE 
tea 
TOAST, DRY 
TOAST, MILK 
EGGS BOILED 
Ettas PO \ttIIED .... 
milk 
BEEFSTEAK 
MILK POPKIDttE 
HAM 
BEEF ESSENCE 
DINNER. 
BREAD 
oz. 4 
oz. 6 
pt. 1 
oz. G 
pt 1 
oz. 12 
gill 1 
oz. 12 
oz. 1 
oz. 4 
oz. 4 
pt 1 
oz. G 
oz. 6 
oz. 2 
CHICKEN, STEWED 
CHICKEN BROTH 
MUTTON CHOP 
MUTTON BROTH 
milk 
OYSTERS, STEWED 
BEEF TEA 
RICE, BOILED 
FARINA PUDDING 
CORN STARCH PUDDING 
MILK PORRIDGE 
BEEFSTEAK 
POTATOES, MASHED 
BEEF ESSENCE 
SUPPER. 
TEA 
pt 1 
oz. £ 
oz. 4 
oz. 4 
oz. 12 
no. I 
pt 1 
oz. 2 
BUTTER 
BREAD 
TOAST, DRY 
milk 
eggs 
MILK PORRIDGE 
BEEF ESSENCE 
FULL DIET. 
Kurnber of Patients on Fxll Diet in Ward 
“ “ “ “ Mess-Koojn 
“ “ on Special Diet 
“ Detailed Men in Ward _ 
Total Surgeon U. S. A., in charge of Hospital. 
All Stimulants and Lentous shall be issued from the Dispensary, Note,—All outstanding bills against the Hospital are to be entered on this page, showing date, list of articles purchased, and name of the person to 
whom payment is due. 
OUTSTANDING ACCOUNTS AGAINST THE HOSPITAL FUND FOR PURCHASES MADE. 
Dr. to 
DATE. 
•AETICLES. 
DOLLARS. 
CENTS. 
DOLLARS. 
CENTS. 
• 
Dr. to 
! 
II 
Dr. to 
Total indebtedness 
MONTHLY STATEMENT 
OF THE 
HOSPITAL FUND OF THE U. S. A. HOSPITAL 
AT 
FOR THE 
Month of ,187 , 
BY 
* Surgeon U. S. A. 
Issuing Commissary: MONTHLY STATEMENT of the Hospital Fund of the Post Hospital at 
for the month of 187 . 
Cr. 
T?v ’hnln.np.p. r»rprlit rlnp montli . . . ... 
DOLLARS. 
CENTS. 
rations, being the number due this month, at cents per ratior 
Dr. ISSUED. 
To the following provisions at contract prices: 
pounds of Pork, at cts. per lb 
DOLLARS. 
CENTS. 
££ Salt Beef, ££ <£ 
u Fresh Beef, ££ ££ 
££ Flour, u ££ 
££ Beans, “ ££ , 
££ Rice, ££ ££ 
“ Coffee, “ ££ 
“ Tea, “ ' “ 
£‘ Sugar, ££ £k 
rmllnns nf Vinoo-nr. ££ ££ oral 
— j;, 7 O 
pounds of Ada. Candles, ££ “ lb. 
“ Soap, ££ ££ . . 
££ Salt. ££ ££ 
“ Pp.nrifir. ££ ££ 
PURCHASED. 
DOLLARS. 
CENTS. 
To payment of unpaid vouchers to— 
(as per statement of 
<c « 
,187 ,) 
,187 ,) 
Total expended 
Balance of credit this day of 
,187 , $ 
Note.—This statement is to be forwarded; in duplicate, to the Medical Director of the Department. Note.—All outstanding bills against the Hospital are to be entered on this page, showing date, list of articles purchased, and name of the person to 
whom payment is due. 
OUTSTANDING ACCOUNTS AGAINST TllE HOSPITAL FUND FOR PURCHASES MADE. 
Dr. to 
DATE. 
ARTICLES. 
DOLLARS. 
CENTS. 
DOLLARS. 
CENTS. 
. 
Dr. to 
Dr. to 
| 
Total indebtedness 
$ 
MONTHLY STATEMENT 
OF THE 
HOSPITAL FUND OF THE U.S. A. HOSPITAL 
AT 
FOR THE 
Month of , 187 , 
BY 
Surgeon IT. S. A. 
Issuing Commissary: MONTHLY STATEMENT of the Hospital Fund of the Post Hospital at „ 
for the month of , 187 . 
Or. 
"Rv linlnnop. of or or! it rlnp. Inst month _ 
DOLLAES. 
CENTS. 
% 
rations, being the number dne tliis month, at cents per ratioi 
1 
Dr. ISSUED. 
To the following provisions at contract prices: 
pounds of Forlr; at cts. pp.v lb 
DOLLAES. 
CENTS. 
<c Salt Beef, ££ ££ 
u Fresh Beef, ££ ££ 
u • Flour, ££ ££ 
“ Beans, ££ ££ . 
“ Iiice, “ “ 
“ Coffee, “ “ 
u Tea, ££ ££ 
(i Sugar, ££ £k 
(rallons of Vinpcrar. ii (C <ml 
r>— — ' o—j o 
pounds of Ada. Candles, ££ ££ ib. 
“ Soap, ££ ££ . . 
“ Salt. “ “ 
“ Former. “ (( 
PURCHASED. 
DOLLAES. 
CENTS. 
To payment of unpaid vouchers to— 
(as per statement of 
« ti 
,18T ,) 
,187 ,) 
Total expended 
Balance of credit this day of 
, 187 , $ 
Note.—This statement is to be forwarded, in duplicate, to the Medical Director of the Department. (TVyrm "No. 40A 
STATEMENT 
OF THE 
HOSPITAL FUND 
OF THE 
POST HOSPITAL 
At 
For the month of f 188 
BY 
Surgeon, U. S. A., 
Commanding the Hospital. 
Note.—This statement, in duplicate, with a set of" vouchers, 
will he forwarded to the Medical Director of the Department, 
who will retain one copy and forward the other with the vouchers 
to rite Surgeon General. A triplicate copy with a duplicate set of 
vouchers will be retained in the Post Hospital. 
STATEMENT OF THE HOSPITAL FUND of the Post Hospital at 
for the month of , 188 . 
Or 
- 
Dolls. 
Cts. 
Bv balance on 
hand, ner last statement 
By cash received from Lieut. , Regiment of 
, A. A. C. S., for the following savings (per within statement) at cost prices, viz: 
nounds Pork, at cents uer nound 
pounds Bacon, at 
pounds Salt Beef, at 
pounds Fresh Beef, at 
pounds Flour, at 
pounds Corn Meal, at 
cents per pound 
cents per pound 
cents per pound _ 
cents per pound __ _ 
cents per pound.. 
pounds Hard Bread, at 
pounds Beans, at 
pounds Peas, at 
cents ner nound.. . 
cents ner nound 
cents per pound 
pounds Rice, at 
pounds Hominy, at 
pounds Coffee, Green, at 
cents per pound.. _ 
cents per pound 
cents per pound. __ 
pounds Coffee, Roasted, at 
cents per pound 
pounds Coffee, R. & G., at 
cents per pound 
pounds Tea, Green, at 
cents per pound _ _ 
pounds Tea, Black, at 
cents per pound 
pounds Sugar, at 
gallons Vinegar, at 
pounds Candles, Adamantine, at 
cents per pound. 
cents per gallon 
cents per pound 
pounds Soap, at ' 
pounds Salt, at 
pounds Pepper, at 
d from 
cents per pound _ _ _ _ 
cents per pound .... _ _ 
cents per pound 
By cash receive 
Total credits 
1 
<F 
OUCHER. 
13 A?. 
DISBURSEMENTS. 
Dolls. 
Cts. 
% ..<! 
■ As/ (Form No. 46.) 
STATEMENT of Subsistence Stores Issued to, and Saved by, the Post Hospital at commanded by , Surgeon, LI S. A, in the month of . 188 . 
£> 
G 
a 
H 
i-f 
w 
>1; 
CP 
3 
bs 
a 
c 
* 
<72 
>> 
<1 
W 
Quantities in bulk issued to the Hospital 
Quantities in bulk Used 
Total number of Rations Issued to the Hospital 
Number of Return. 
Number of Enlisted 
Men. 
Number of Hospital 
Matrons. 
Total. 
3 
Commencing. 
Ending. 
Number of Days. 
Number of Rations 
Issued to Hospital. 
Pounds. 
Pork. 
NUMBER OF RATIONS OF— 
Ounces. 
Pounds. 
Bacon. 
Ounces. 
Pounds. 
Salt Beef. 
Ounces. 
Pounds. 
Fresh Beef. 
Ounces. 
Pounds. 
Flour. 
Ounces. 
Pounds. 
Corn Meal. 
Ounces. 
Pounds. 
Hard Bread. 
Ounces. 
Pounds. 
Beans. 
Ounces. 
Pounds. 
Peas. 
Ounces. 
Pounds. 
Rice. 
Ounces. 
Pounds. 
Hominy. 
Ounces. 
Pounds. 
Coffee, 
Green. 
Ounces. 
Pounds. 
Coffee, 
Roasted. 
Ounces. 
Pounds. 
Coffee, R. & G. 
Ounces. 
Pounds. 
Tea, Green. 
Ounces. 
Pounds. 
Tea, Black. , 
Ounces. 
Pounds. 
Sugar. 
Ounces. 
Gallons. 
Vinegar. 
Quarts. 
Pounds. 
Candles, 
Adamantine. 
Ounces. 
Pounds. 
Soap. 
Ounces. 
Pounds. 
Salt. 
Ounces. 
Pounds. 
Pepper. 
Ounces. 
I certify that the above Statement is correct. 
Surgeon, U. S. A., 
Commanding the Hospital. (Fopm "No. 40.) 
STATEMEN X 
OF THE 
HOSPITAL FUND 
OF THE 
POST PIOSPITAL 
At 
For the month of jgg 
BY 
T Surgeon, U. S. A., 
Commanding the Hospital. 
Note.—This statement, in duplicate, with a set of vouchers 
will be forwarded to the Medical Director of the Department’ 
who will retain one copy and forward the other with the vouchers 
to the Surgeon General. A triplicate copy with a duplicate set of 
vouchers will be retained in the Post Hospital. 
STATEMENT OF THE HOSPITAL FOND of the Post Hospital at 
for the month of , 188 . 
Or. 
Dolls. 
Cts. 
By balance on band, per last statement _ _ 
By cash received from Lieut. , Regiment of 
y xxi xii \w/« iui me av/hv/\v ou/i/t'/iyo wiLinix citiicilien'%jj <xt ewi piieco^ 
nounds Pork, at, cents ner nnunrl 
cents per pound 
cents per pound 
pounds Bacon, at 
pounds Salt Beef, at 
pounds Flour, at 
pounds Lorn lYIea! at 
cents per pound- _ 
cents per pound 
pounds Hard Bread, at 
pounds Beans, at 
pounds Peas, at 
pounds Rice, at 
pounds Hominy, at 
cents per pound.. _ 
cents per pound _ 
cents per pound 
pounds Colfee, Green, at 
pounds Colfee, Roasted, at 
pounds Coffee, R. <C, CT, at 
cents per pound 
cents per pound 
pounds Tea, Green, at 
pounds Tea, Black, at 
cents per pound 
pounds Su<rar, at 
cents per pound 
gallons Vinegar, at 
pounds Candles, Adamantine, at 
pounds Soap, at 
pounds Salt at 
cents per pound- 
cents per pound _ 
pounds Pepper, at 
cash received from 
cents per pound- 
By 
Total credits 
t 
K 
H 
O 
c 3 
ZDz?_ DISBURSEMENTS. 
Dolls. 
Cts. 
; (Form No. 46.) 
STATEMENT of Subsistence Stores Issued to, and Saved by, tlie Post Hospital at , commanded by , Surgeon, ll S. 1, in the month of , 188 . 
Quantities in bulk SAVED 
Quantities in bulk issued to the Hospital 
Quantities in bulk Used 
Total number of Rations Issued to the Hospital 
J Number of Return. 
Number of Enlisted 
Men. 
Number of Hospital 
Matrons. 
Total. 
Commencing. 
Ending. 
Number of Days 
ns 
>spital. 
Number of Ratic 
Issued to H< 
Pounds. 
Pork. 
NUMBER OF RATIONS OF— 
Ounces. 
Pounds. 
Bacon. 
Ounces. 
Pounds. 
Salt Beef. 
Ounces. 
Pounds. 
Fresh Beef. 
Ounces. 
Pounds. 
Flour. 
Ounces. 
Pounds. 
Corn Meal. 
Ounces. 
Pounds. 
Hard Bread. 
Ounces. 
Pounds. 
Beans. 
Ounces. 
Pounds. 
Peas. 
Ounces. 
Pounds. 
Rice. 
Ounces. 
Pounds. 
Hominy. 
Ounces. 
Pounds. 
Coffee, 
Green. 
Ounces. 
Pounds. 
• 
Coffee, 
Roasted. 
Ounces. 
Pounds. 
Coffee, R. & G. 
Ounces. 
Pounds. 
Tea, Green. 
Ounces. 
Pounds. 
Tea, Black. 
Ounces. 
Pounds. 
Sugar. 
Ounces. 
Gallons. 
Vinegar. 
Quarts. 
Pounds. 
Candles, 
Adamantine. 
Ounces. 
Pounds. 
Soap. 
Ounces. 
Pounds. 
Salt. 
Ounces. 
Pounds. 
Pepper. 
Ounces. 
I certify that the above Statement is correct. 
Surgeon, U. S. A., 
Commanding the Hospital. OSt of 
, 18 . 
Voucher No. 
$ 
(Form No. 47.) 
HOSPITAL-FUND VOUCHER. (Form No. 47.) 
VOUCHER FOR ARTICLES PffSCEASMB WITS TBS HOSPITAL FWWBS. 
of 
, »8 
The United States 
To. 
Sv. 
oc 
DOLLARS. 
GTS. 
1 
— 
: 
I certify that the above account is correct, and that the state of the Hospital Fund justified the expenditure. 
Surgeon, U. S. Army, 
Post Surgeon. 
Received at.. 
18 , of 
Surgeon, U. S. Army, 
in full of the above account. INVOICE 
OF 
DURABLE ARTICLES 
Purchased with the Hospital Fund during the 
onth of 18 , 
1 Hospital, 
charge of 
I 1 
Surgeon, U. S. Army. 
(Form No. 48.) INVOICE of Durable Articles purchased with the Hospital Fund during the month 
of.. ~ 18 , at Hospital, in charge 
of - , Surgeon. II. S. Army. 
ARTICLES. 
• 
QUANTITIES. 
PRICE 
Dollars. 
Cts. 
REMARKS. 
i ' 
' 
. 
I certify that the above invoice is correct. 
Station : 
- Surgeon, U. S. Army. 
18 
[QUADRUPLICATES. ] INVOICE 
OF 
hjrable articles 
I urchased with the Hospital Fund during the 
>nth of jg 
; Hospital, 
gFarge of 
I 
i 
\ 
Surgeon, U. S. Army. 
(Form No. 48.) INVOICE of Durable Articles purchased with the Hospital Fund during the month 
of , 18 , at- —- Hospital, in charge 
of . , Surgeon, U. S. Army. 
— .■ :■■■■ : — — —— 
ARTICLES. 
_ . 
QUANTITIES. 
PRICE 
Dollars. 
Cts. 
REMARKS. 
-v ; :3 
CV3 
I certify that the above invoice is correct. 
Station : 
Surgeon, U. S. Army. 
,18 
[quadruplicates. ] INVOICE 
OF 
>URABLE ARTICLES 
Purchased with the Hospital Fund during the 
>nth of _ 18 , 
j Hospital, 
Y> 
C 
charge of 
I 
C 
i 
I Surgeon, U. S. Army. 
(Form No. 48.) [ Form No. 48. 
INVOICE of Durable Articles purchased with the Hospital Fund during the month 
of . ,-J- , 18 , at Hospital, in charge 
of , Surgeon, U. S. Army. 
PRICE. 
ARTICLES. 
QUANTITIES. 
REMARKS. 
Dollars. 
Cts. 
_ 
_ 
/ 
I certify that the above invoice is correct. 
Surgeon, U. S. Army. 
Station : 
IS 
[quadruplicates. ] !'S/ (. _C# 
iucript for ||Ici)ical Supplies 
.—I:HCr/ 
M'„A: 
/ro it : 
Voucher No. , Quarter, 18 . 
(Form No. 21.) 
Surgeon U. S. Army. 
, s§ (Form No. 21. 
RECEIPT for Medical Supplies, contained in Packages, issued 
by , U. S. A. 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
MEDICINES. 
Extract of ipecac, fluid, in 8-oz. bottles .. — 
Regular List. 
Extract of mix vomica (alcoholic, powdered), in 2-oz. bottles . 
-OZ. 
Acacia (Gum Arabic), in 8-oz. bottles 
Extract of valerian, fluid, in l-lb. bottles 
Acacia (Gum Arabic), powdered, in l-lb. bottles 
..oz. 
Flaxseed, in 8-lb. tins 
..lb. 
Acid, acetic, in l-lb. bottles 
Flaxseed meal, in 8-lb. tins 
..lb. 
Acid, carbolic (crystallized, pure), in l-lb. g. s. bottles 
Acid, carbolic, 95 per cent, (for disinfection), in l-lb. bottles . 
..lb. 
Glycyrrhiza, compound powder of, in 8-oz. bottles 
. OZ. 
Acid, hydrochloric, in l-lb. g. s. bottles 
Iodoform, in 2-oz. bottles 
..oz. 
Acid, sulphuric, in 8-oz. g. s. bottles 
Ipecac and opium, powder of (Dover’s powder), in l-lb. bottles 
.. oz. 
Acid, tannic, in 1-oz. bottles 
Iron, sulphate of (commercial), in 25-lb. wooden boxes 
..lb. 
Acid, tartaric (powdered), in l-lb. bottles 
Iron, syrup of iodide of, iu l-lb. bottles 
Alcohol, in 32-oz. bottles 
bot.t. 
Iron and potassium, tartrate of, in 8-oz. bottles 
- oz. 
Alum, in l-lb. bottles 
Iron, solution of tersulphate of, in l-lb. bottles 
..lb. 
Ammonia, stronger water of, in l-lb. g. s. bottles 
Magnesium, carbonate of, in 2-oz. papers 
-.OZ* 
Ammonium, carbonate of, in l-lb. bottleg 
Magnesium, sulphate of, in 8-lb. tins 
..lb. 
Arsenite of potassium, solution of (Fowler’s solution), in 8-oz. botts.oz. 
Mercury, mass of (blue pill), in 8-oz. covered jars 
..oz. 
..oz. 
mercury, mnu cmorme o kca • 
Bismuth, subnitrate ol, in l-lb. bottles 
Mercury with chalk, in 4-oz. bottles 
Camphor (refined), in 8-oz. bottles 
Morphine, acetate of, in £-oz. bottles 
.. oz. 
Chalk, prepared, in l-lb. bottles 
Morphine, sulphate of, in £-oz. bottles 
Chloroform, purified, in l-lb. g. s. bottles .... 
Mustard, black (ground), in l-lb. tins 
..lb. 
Ether, compound spirit of (Hoffman’s anodyne), in l-lb. bottles 
. .OZ. 
Oil, cod-liver, in 1-pint bottles 
bott. 
Ether, spirit of nitrous (sweet spirit of nitre), in l-lb. bottles. 
..oz. , 
Oil, olive, in 1-pint bottles 
bott. 
Ether, stronger, for anaesthesia, in l-lb. tins 
.. oz. 
Oil of peppermint, in 4-oz. bottles 
Extract of belladonna, alcoholic, in 1-oz. w. m. bottles 
Oil of turpentine, in 1-quart bottles 
.bott. 
Extract of buchu, fluid, in l-lb. bottles 
Pepsin (lactated), in 2-oz. bottles 
Extract of ergot, fluid, in 8-oz. bottles 
Petrolatum, 105° F., in l-lb. tins 
..lb. 
Extract of ginger, fluid, in l-lb. bottles 
Petrolatum, 120° F., in l-lb. tins 
..lb. 
Extract of hvoscyam us, alcoholic, in 1-oz. w.m.bottles 
Pills, compound cathartic, in bottles , — RECEIPT FOR MEDICAL SUPPLIES—Continued. 
2 
ARTICLES. 
QUANTITY 
ARTICLES. 
Pills of camphor (grains two) and opium (grain one), in bottles.no. 
Acid, hydrocyanic, diluted, in 1-oz. g. s. bottles 
Pills of mercury (green iodide of), (£ gr. each), in bottles of 100 
Acid, phosphoric, diluted, in 8-oz. g. s. bottles 
( / 
each 
Pills of opium (one grain each), in bottles 
Aloes (powdered), in 2-oz. bottles _ 
Plaster, blistering, in 1-yd. tins 
; Plaster, mustard, in 4-yd. tins 
Potassa, solution of, in 1-lb. bottles . 
Potassium, acetate of, in 1-lb. bottles 
Potassium, bicarbonate of, in 1-lb. bottles 
Apomorphine, hvdrochlorate of, in \-oz. bottles 
Potassium, bitartrate of (powdered), in 1-lb. bottles 
Potassium, bichromate of, in 1-lb. bottles 
Potassium, bromide of) in 1-lb. bottles 
Potassium, chlorate of (powdered), in 1-lb. bottles 
Bromine, in 1-oz. g. s. bottles 
Potassium, iodide of, in 1-lb. bottles 
Capsules, gelatin, in boxes of 100 each 
Potassium and sodium, tartrate of (powdered), in 1-lb. bottles 
-- .oz. 
11. 
Quinine, sulphate of, in 1-oz. bottles 
Silver, nitrate of (in crystals), in 2-oz. bottles 
Silver, nitrate of, molded, in 1-oz. bottles 
Cinchona (powdered), in 1-lb. bottles 
Soap, castile 
...lb. 
Codeine, in bottles 
Sodium, bicarbonate of, in 1-lb. bottles 
Collodion, in 2-oz. bottles 
Sodium, borate of (powdered), in 1-lb. bottles . 
Squill, svrup of, in 1-lb. bottles 
...lb. 
oz. 
Tincture of arnica flowers, in 1-lb. bottles 
OZ. 
Tincture of chloride of iron, in 1-lb. g. s. bottles 
Extract of cascara sagrada, fluid, in 4-oz. bottles 
oz. 
Tincture of cinchona, compound, in 1-lb. bottles . . . 
Tincture of gelsemium, in 4-oz. bottles 
~ ~ '—- 
Extract of colocynth, compound (powdered), in 8-oz. bottles oz. 
Tincture of gentian, compound, in 1-lb. bottles 
Extract of eucalyptus, fluid, in 1-lb. bottles 
Tincture of opium (laudanum), in 1-lb. bottles 
i 
Extract of hamamelis, fluid, in 1-lb. bottles 
Tincture of opium, camphorated (paregoric), in 1-lb. bottles 
oz. 
Extract of Indian cannabis, fluid, in 8-oz. bottles 
Vaccine virus 
Zinc, oxide of. in 8-oz. bottles 
MEDICINES. 
r 7 ’ 
; Acid, benzoic, in 1-oz. bottles 
lb 
Acid, gallic, in 1-oz. bottles 
Acid, livdrobromic, diluted, in 4-oz. bottles 
Iron aud quinine, citrate of, in 1-oz. bottles RECEIPT FOR MEDICAL SUPPLIES—Continued. 
3 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
Iron, reduced (by hydrogen), in 1-oz. bottles 
Sulphur, washed, in 1-lb. bottles 
Iron, dried sulphate of, in 4-oz. bottles 
Tar (wood), in 1-lb. w. m. bottles 
Iron, pyrophosphate of, in 4-oz. bottles 
Lithium, carbonate of, in 1-oz. bottles 
Tincture of cantharides, in 1-oz. bottles 
Lycopodium, in 2-oz. bottles 
Tincture of catechu, compound, in 1-lb. bottles 
Mercurial ointment, in 1-lb. jars 
Tincture of cimicifuga (racemosa), in 8-oz. bottles 
Mercury (metallic), in bottles 
Tincture of guaiac, aminoniated, in 8-oz. bottles 
Mercury, ointment of nitrate of (citrine ointment), in 4-oz. 
covered 
; Tincture of opium, deodorized, in 8-oz. bottles 
jars 
— 
Mercury, oleate of (10 per cent.), in 1-lb. bottles 
Tincture of serpentaria, in 4-oz. bottles 
Mercury, red oxide of, in 1-oz. bottles 
1 Tincture of veratrum viride, in 4-oz. bottles 
Oil, croton, in 1-oz. bottles 
. Tincture, Warburg’s, in 1-lb. bottles 
Oil of anise, in 1-oz. bottles 
i Tolu, balsam of, in 8-oz. bottles 
Oil of cinnamon, in 1-oz. bottles 
Oil of cloves, in 1-oz. bottles 
Wax, yellow, in paper .... 
Oil of lemon, in 2-oz. bottles. 
: Zinc, acetate of, in 2-oz. bottles .... 
Oil of male fern, ethereal, in 1-oz. bottles 
Zinc, solution of chloride of, in 1-lb. g. s. bottles 
lb. 
1 
Oil of rosemary, in 1-oz. bottles 
Zinc, oleate of, in 8-oz. bottles 
1 
Oil of santal (sandal wood), in 4-oz. bottles 
HOSPITAL STORES. 
Oil of theobroma (butter of cacao), in 8-oz. tins 
Opium, powdered, in 8-oz. bottles 
Beef-extract 
lb. 
Pills of arsenious acid (A0- of a grain each), in bottles 
Brandy, in 32-oz. bottles 
Pills of iodide of arsenic of a grain each), in bottles... 
Candles 
lb. 
Pills of copaiba, compound, in bottles 
Chocolate, in £-lb. cakes 
lb. 
Pills of sulphate of quinine, 3 grains each (100 in a bottle). 
no. 
Cinnamon (ground), in 8-oz. bottles 
Plaster, belladonna, in tins 
Corn-starch, in 1-lb. packages 
lb. 
Plaster, porous 
Farina, in 1-lb. packages 
lb. 
Podophyllum, resin, in 1-oz. bottles 
Gelatin, in 2-oz. packages 
Potassa (caustic), in 1-oz. bottles 
Ginger (ground), in 1-lb. bottles 
Potassium, cyanide of, in £-oz. bottles 
Lye, concentrated .. 
Potassium, nitrate of (powdered), in 1-lb. bottles 
Meat-juice, Valentine’s 
Potassium, permanganate of, in 2-oz. bottles 
Milk, condensed 
Rhubarb (powdered), in 4-oz. bottles 
Nutmegs, in 2-oz. bottles 
Santonin, in 1-oz. bottles 
Pepper, black (ground), in 8-oz. bottles 
Soda, chlorinated, solution of, in 2-quart bottles 
Pepper, cayenne (ground), in 8-oz. bottles 
Sodium, bromide of, in 1-lb. bottles 
Soap, common, in bars 
lb- 
Sodium, salicylate of, in 8-oz. bottles 
Soap-powder, in 1-lb. packages 
Sodium, sulphite of, in 8-oz. bottles . 
Sugar, white 
lb. 
Strychnine, sulphate of, in i-oz. bottles 
Tapioca, in tins 
lb. 
Sugar of milk (powdered), in 8-oz. bottles 
lb. 
Suluhur fin roll! 
lb. RECEIPT FOR MEDICAL SUPPLIES—Continued. 
4 
ARTICLES. 
QUANTITY 
ARTICLES. 
QUANTITY. 
Wine, sherry, in 32-oz. bottles 
Rubber sheeting, white 
ARTICLES EXPENDABLE. 
Silk, gray, for shades 
yds. 
Instruments. 
Silk, oiled, in 5-yard pieces 
1 
~ 
Nipple shields 
Splints, anterior, Smith’s 
Probangs 
Splints, felt for 
Syringes, rubber, self-injecting 
Stenta book 
yds. 
Thermometers, clinical 
Thread, cotton, spools, assorted 
Trusses, single 
Thread, linen, unbleached 
Trusses, double 
Towels 
Dressings. 
Towels, roller 
Antiseptic dressings for use with spray apparatus: Gauze, antiseptic, 
Tubes, drainage, 3 sizes, 1 yard each 
25 yards; gauze, hygroscopic, 25 yards; jute, salicylated, 5 lbs.; 
Twine, half coarse 
tissue, gutta-percha (antiseptic), 3 yards 
Stationery. 
Bandages, roller, unbleached and unsized, assorted, in 
a paste-board 
Blank books, cap, half-bound, 4 quires 
box: 1 dozen, 1 inch by 1 yard; 2 dozen, 2 inches by 3 yards; 
Blank books, octavo, 4 quires, with flexible covers. 
no. 
2 dozen, 2it inches by 3 yards: 1 dozen, 3 inches by 
4 yards; half 
Blocks, memorandum 
dozen, 3+ inches by 5 yards; 1 dozen, 4 inches by 
6 yards; half 
Elastic bands, assorted, gross 
dozen, 4 inches by 8 yards 
Envelopes, official, large 
Bandages, suspensory 
Envelopes, official, letter 
Chamois skins 
Envelopes, official, note 
Cotton, absorbent 
lb. 
India rubber 
Cotton, styptic, in 1-oz. packages 
Ink, black, in 2-oz. bottles 
Cotton-bats 
Ink, carmine, in 1-oz. bottles 
Cotton-wadding 
Mucilage 
Ligature, catgut for, carbolized, three sizes, in bottles 
Paper, writing, legal-cap 
Ligature, silk for 
Paper, writing, letter 
Lint, patent 
lb. 
Muslin, unbleached, unsized, 1 yard wide 
Pencils, lead 
Needles, assorted 
Pen-holders 
Needles, upholsterers’ 
Pens, steel 
Oakum or marine lint 
Sealing-wax 
Pencils, hair, in vials 
Tape, red 
Pins, assorted 
Miscellaneous. 
Pins, safety 
Bowls, soup, delf — 
Plaster, adhesive, India-rubber 
Bowls, wash, delf (for office) 
Plaster, isinglass, 1 yard, in case 
Boxes, ointment, impervious 
Plaster of Paris, in 5-lb. tins 
lb. | 
Boxes, pill, paper RECEIPT FOR MEDICAL SUPPLIES—Continued. 
5 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
Boxes, powder 
Vials: six 6-oz.; twenty-four 4-oz.; twelve 2-oz.; six 1-oz — 
.doz. 
Brooms 
ARTICLES NOT EXPENDABLE. 
Brushes, dust 
Instruments. 
Brushes, for stove blacking 
no- 
Apparatus, electric 
.110. 
Brushes, scrubbing 
Apparatus, Politzer’s, for the ear 
. no. 
Clothes-line 
Apparatus, spray 
..no. 
Corks, velvet, best, assorted 
Atomizei's, steam, with three extra tubes 
.110. 
Cups and saucers, delf 
Case, dental 
Dishes, assorted sizes, delf 
Case, field 
. no. 
Case, genito-urethral 
Feeding-cups, delf 
Case, obstetrical and gynaecological 
. 
Funnels, glass, £-pint 
Case, pocket 
- 
Green Holland, for curtains and bed-screens 
Case, post-mortem 
Labels, for vials 
Case, stomach-pump and tube 
Lantern-glasses, extra 
Cutting pliers, for fixed bandages .. 
Measures, graduated, glass, 4-oz 
Lancets, thumb 
Measures, graduated, glass, 8-oz 
Microscope 
Measures, graduated, glass, minim 
Ophthalmoscope — 
Medicine droppei's 
Powder blower, for larynx 
Medicine glasses 
Scarificators 
Mop-handles 
Shears 
Mugs, delf 
Speculum for the ear 
Mugs, spit, delf 
Speculum for the rectum 
; Paper, filtering, round, gray, 10 inches 
pkgs. 
Sponge-holders, for the throat 
Paper, litmus, blue and red, of each 
Stethoscopes — 
Paper, wrapping, white and blue 
Syringes, liard-rubber, 8-oz 
Pitcher, pint, delf 
Tongue depressoi’s 
Pitcher, wash, delf (for office) 
Tourniquets, field 
Plates, delf 
Tourniquets, screw, with pad 
Salt-cellars, individual 
Urinometer 
Spirit-lamps, glass 
Vision test set 
Sponges, large, for bath 
Meteorological Instrum ents. 
Spoons, medicine, delf 
Barometer, aneroid 
Stove-blacking, papers 
Barometer, mercurial 
Test-tubes 
Hygrometer 
Tubing, glass, assorted sizes 
Rain-gauge 
Tubing, rubber, black, to match 
Rain-gauge glasses 
Tumblers, glass 
Thermometer, maximum RECEIPT FOR MEDICAL SUPPLIES—Continued. 
6 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
Thermometer, standard 
Surgery, Oral—Garretson 
Books. 
Therapeutics—Ringer 
Analysis, Y olumetric—Sutton 
copy. 
Therapeutics—Still6—2 vols 
Anatomy—Gray 
Therapeutics—Wood (H. C.) 
Chemistry—Fownes 
Therapeutics, Mechanical—Wales 
copy. 
Children, Diseases of—Vogel 
Throat, Diseases of—Cohen. 
Color-Blindness—Jeffries 
Urine, Analysis of—Fowler 
Dictionary, English—Webster 
copy. 
Venereal Diseases—Bumstead 
Dictionary, Medical—Dunglison 
copy. 
Bedding. 
Dispensatory 
Bed-sacks 
Ear, Diseases of—Roosa 
copy. 
Blankets, grav, for the field 
Eye, Diseases of—J. Soelberg Wells 
copy. 
Blankets, white 
Gynaecology, Principles and Practice of—Emmet 
copy. 
Blanket cases, canvas 
Histology—Strieker 
....copy. 
Counterpanes, red striped 
Hygiene—Parkes 
copy. 
Cushions, rubber, small 
Medicine, Cyclopaedia of the Practice of—Ziemssen—20 
vols. and 
Cushions, rubber, with open center 
Supplement 
Mattresses, felt 
Medicine, Legal—Tidy—2 vols 
copy. 
Mattresses, hair 
Medicine, Practice of—Aitken—2 vols 
Mosquito bars 
Medicine, Practice of—Flint 
Pillows, feather 
Medicine, Practice of—Niemeyer—2 vols 
Pillows, hair 
Medicine, Practice of-—Wood—2 vols 
copy. 
Pillow cases, cotton 
Medicine, System of—Reynolds—5 vols 
Pillow cases, linen 
Medicine, Veterinarv—Kirby -- 
....copy. 
Pillow ticks 
Meteorology—Loomis 
Quilts, white 
Midwifery—Cazeaux 1 
Sheets, cotton 
Midwifery—Lusk 
Sheets, linen ... ........ 
Obstetrics, Principles and Practice of—Hodge 
Hospital Clothing. 
Pathology, Surgical—Billroth 
Drawers 
Physical Diagnosis—Delafield and Stillman. 
Physics—Ganot 
....copy. 
Shirts, cotton 
Physiology—Flint—5 vols 
copy. 
Slippers 
Physiology—Foster 
Post-mortem Examinations—Virchow 
Furniture. 
Recruits, Examination of—Tripler 
Bath-tubs 
Skin, Diseases of—Fox 
Bedsteads 
Surgery—Erichsen—2 vols 
Chairs 
Surgery—Gross—2 vols 
Surgery—Guthrie’s Commentaries 
Clocks 
Surgery, Operative—Stephen Smith 
Dispensing set 
1 RECEIPT FOR MEDICAL SUPPLIES—Continued. 
7 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY.! 
Earth-closet commodes 
Forks, table 
' 
Linoleum . 
Funnels, pint 
Looking-glasses 
Graters, large 
Mats, door 
Graters, nutmeg 
Refrigerator 
Gridirons 
Tables, bedside 
Hatchets 
Table-cloths 
Hones 
Travs, butler’s 
Kettles, tea 
Water-coolers 
Knives, bread 
Water-filters 
Knives, butcher’s 
Window-shades 
Knives, carving 
Window-shade fixtures 
Knives, chopping 
Miscellaneous. 
Knives, table 
Basins, wash, baud 
Ladles 
Bed-pans, delf 
Lamps, hand 
Bed-pans, metal 
Lanterns no. 
Bed-ticket frames 
Litters, hand 
Boilers, tin...... 
Measures, gallon to pint 
Boilers, double, for cooking 
Medical 
Bowls, chopping 
1 
Medicine cases no. 
Buckets, covered (6 quarts) 
Medicine panniers 
Buckets, fire (galvanized iron) 
Medicine wagons 
Buckets, wooden no. 
Mess-chest 
Mills, coffee 
Candlesticks 
Cans, milk (2-gallon) 
1 ' 
Mortars and pestles, wedge wood 
Pails, chamber 
Can-openers .. 
Casters no. 
Cleavers 
Clothes-pins 
Clothes-wringers 
Pans, milk 
Colanders 
Cork borers 
Cork extractors 
Pill tiles, 5 to 10 inches 
Cork pressers 
Pitchers, britannia 
Corkscrews 
Pots, chamber 
Cuspidors 
Pots, coffee 
Dippers 
Pots, pepper 
Erasers 
Pots, tea 
Fire extinguishers 
Razors 
Forks, carving 
Razor-strops 
Forks. flesh no RECEIPT FOR MEDICAL SUPPLIES—Continued. 
8 
ARTICLES. 
QUANTITY 
ADDITIONAL ARTICLES. 
QUANTITY. 
Rulers 
no. 
Sadirons 
no. 
Saws, butcher’s 
no. 
Saws, wood 
Scales and weights, apothecary’s (counter) 
Scales and weights, balance, in glass case 
no. 
Scales and weights, prescription 
no. 
Scales, platform 
ScOOp8 
Shaving-brushes 
no. 
Spatulas 
Spoons, table 
Spoons, tea 
Steels 
Suppository molds ... 
Tape measures 
Thermometers 
no. 
; Tools, small chest of 
Wash-boards 
Wash-tubs 
no. 
1 RECEIPT FOR MEDICAL SUPPLIES—Continued. 
9 
ADDITIONAL ARTICLES. 
QUANTITY. 
ADDITIONAL ARTICLES. 
QUANTITY. 
i 
✓ 
. 
• 
' 
_u. 
I certify that I have received the articles enumerated above. 
Surgeon, U. S. Army. 
Station : 
Date: 
18 
(Triplicates.) (Form No. 20.) 
INVOICE op Medical Supplies, contained in„ Packages, issued 
to _ , IT. S. A. 
' 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
MEDICINES. 
Extract of ipecac, fluid, in 8-oz. bottles .. oz. 
Regular List. 
Extract of nux vomica (alcoholic, powdered), in 2-oz. bottles oz. 
Extract of valerian, fluid, in 1-lb. bottles ...... ..oz. 
1 
] 
Acacia (Gum Arabic), powdered, in 1-lb. bottles oz. 
Acid, acetic, in 1-lb. bottles -. oz. 
Flaxseed, in 8-lb. tins lb. 
Flaxseed meal, in 8-lb. tins lb. 
Acid, carbolic (crystallized, pure), in 1-lb. g. s. bottles oz. 
Glycerin, in 1 lb. bottles oz. 
Acid, carbolic, 95 per cent, (for disinfection),in 1-lb. bottles ...lb. 
Glycyrrhiza, compound powder of, in 8-oz. bottles oz. 
Iodine, in 1-oz. g. s. bottles oz. 
Acid, hydrochloric, in 1-lb. g. s. bottles - oz. 
Acid, nitric, in 8. oz g. s. bottles oz. 
Iodoform, in 2-oz. bottles oz. 
Ipecac (powdered), in 8-oz. bottles oz. 
Acid, sulphuric, in 8-oz. g. s. bottles . — oz. 
Acid, sulphuric, aromatic, in 1-lb. g. s. bottles oz. 
Acid, tannic, in 1-oz. bottles oz. 
Ipecac and opium, powder of (Dover’s powder), in 1-lb. bottles ..oz. 
Iron, subsulphate of, in 2-oz. bottles oz. 
Iron, sulphate of (commercial), in 25-lb. wooden boxes lb. 
Void, tartaric (powdered), in 1-lb. bottles oz. 
Alcohol, in 32-oz. bottles bott. 
| 
Alum, in 1-lb. bottles - oz. 
. 
Iron, syrup of iodide of, in 1-lb. bottles oz. 
Iron and potassium, tartrate of, in 8-oz. bottles oz. 
Iron, solution of tersulpliate of, in 1-lb. bottles lb. 
Ammonia, aromatic spirit oi, io. 
Ammonia, stronger water of, in 1-lb. g. s. bottles oz. 
Ammonium, carbonate of, in 1-lb. bottles oz. 
Ammonium, chloride of, in 1-lb. bottles oz. 
Arsenite of potassium, solution of (Fowlers solution),in 8-oz. botts.oz. 
Atropine, sulphate of, in g. s. bottles oz. 
Bismuth, subnitrate of, in 1-lb. bottles oz. 
Magnesium, carbonate of, in 2-oz. papers oz. 
Magnesium, sulphate of, in 8-lb. tins lb. 
Mercury,corrosive chloride of (corrosive sublimate), in 1-oz. bottles, oz. 
Mercury, mass of (blue pill), in 8-oz. covered jars oz. 
Mercury, mild chloride of (calomel), in 4-oz. bottles oz. 
Mercury with chalk, in 4-oz. bottles oz. 
; 
Chalk, prepared, in 1-lb. bottles oz. 
Chloroform, purified, in 1-lb. g. s. bottles oz. 
Morphine, sulphate of, in £-oz. bottles oz. 
Mustard, black (ground), in l-lb. tins lb. 
Oil, castor, in 1-quart bottles bott. 
Ether, compound spirit of (Hoffman’s anodyne), in 1-lb. bottles oz. 
Ether, spirit of nitrous (sweet spirit of nitre), in 1-lb. bottles oz. 
Ether, stronger, for anaesthesia, in 1-lb. tins oz. 
Oil, cod-liver, in 1-pint bottles bott. 
Oil, olive, in 1-pint bottles bott. 
Oil of peppermint, in 4-oz. bottles oz. 
i 
Extract of belladonna, alcoholic, in 1-oz. w. m. bottles oz. 
Extract of buchu, fluid, in 1-lb. bottles oz. 
Extract of ergot, fluid, in 8-oz. bottles oz. 
Extract of ginger, fluid, in 1-lb. bottles oz. 
Extraetof hyoscyamus, alcoholic, in 1-oz. w.m.bottles oz. 
Oil of turpentine, in 1-quart bottles bott. 
Pepsin (lactated), in 2-oz. bottles oz. 
Petrolatum, 105° F., in l-lb. tins. lb. 
Petrolatum, 120° F., in l-lb. tins lb. 
Pills, compound cathartic, in bottles no. INVOICE OF MEDICAL SUPPLIES—Continued. 
2 
ARTICLES. 
QUANTITY. 
. 
ARTICLES. 
QUANTITY. 
Pills of camphor (grains two) and opium (grain one), in bottles.no. 
Pills of mercury (green iodide of), (& gr. each), in bottles of 100 
each no. 
Acid, phosphoric, diluted, in 8-oz. g. s. bottles oz. 
Acid, salicylic, in 8-oz. bottles oz. 
Potassa, solution of, in 1-lb. bottles oz. 
Potassium, acetate of, in 1-lb. bottles oz. 
Potassium, bicarbonate of, in 1-lb. bottles oz. 
Potassium, bitartrate of (powdered), in 1-lb. bottles oz. 
Amyl, nitrite of (5-drop pearls), in boxes doz. 
Antimony and potassium, tartrate of (tartar emetic), in 1-oz. botts.oz. 
Apomornhine, hydrochlorate of, in £-oz. bottles oz. 
Arsenic and mercury, solution of iodide of (Donovan’s solution), in 
Potassium and sodium, tartrate of (powdered), in 1-lb. bottles .. .oz. 
Cerate, resin, in 1-lb. tins lb. 
Chrysarobin, in 1-oz. bottles oz. 
Cinchona (powdered), in 1-lb. bottles oz. 
Silver, nitrate of, molded, in 1-oz. bottles oz. 
Sodium, borate of (powdered), in 1-lb. bottles oz. 
■ Squill, syrup of, in 1-lb. bottles lb. 
Creasote, in 1-oz. g. s. bottles oz. 
Tincture of aconite (root), in 8-oz. bottles oz. 
Digitalis (leaves), in 1-oz. packages oz. 
lincture of arnica flowers, in 1-lb. bottles oz. 
Ergotin, in 1-oz. bottles oz. 
Tincture of chloride of iron, in 1-lb. g. s. bottles oz. 
Extract of cascara sagrada, fluid, in 4-oz. bottles oz. 
Tincture of cinchona, compound, in 1-lb. bottles —... oz. 
Tincture of digitalis, in 4-oz. bottles oz. 
Extract of colchicum seed, Huid, in 4-oz. bottles oz. 
1 Tincture of gelsemium, in 4-oz. bottles oz. 
Tincture of gentian, compound, in 1-lb. bottles oz. 
Extract of colocynth, compound (powdered), in 8-oz. bottles oz. 
Extract of eucalyptus, fluid, in 1-lb. bottles oz. 
Tincture of myrrh, in 1-lb. bottles oz. 
Extract of glycyrrhiza, in paper oz. 
Tincture of opium (laudanum), in 1-lb. bottles oz. 
( Tincture of opium, camphorated (paregoric), in 1-lb. bottles—oz. 
Extract of hamamelis, fluid, in 1-lb. bottles oz. 
Extract of Indian cannabis, fluid, in 8-oz. bottles oz. 
Zinc, oxide of, in 8-oz. bottles oz. 
Extract of physostigma (calabar bean), in i-oz. bottles oz. 
! Zinc, sulphate of, in 8-oz. bottles oz. 
Extract of rhubarb, fluid, in 8-oz. bottles oz. 
MEDICINES. 
nixiraci oi sarsaparilla, mua, m l-id. Domes oz. 
Supplementary List. 
Extract of taraxacum, fluid, in 1-lb. bottles oz. 
Acid, arsenious, in 1-oz. bottles oz. 
Extract of wild cherry (bark), fluid, in 1-lb. bottles oz. 
Iron and ammonium, citrate of, in 8-oz. bottles oz. 
! Acid, gallic, in 1-oz. bottles oz. 
, Acid, hvdrobromic, diluted, in 4-oz. bottles oz. 
Iron and quinine, citrate of, in 1-oz. bottles oz. INVOICE OF MEDICAL SUPPLIES—Continued. 
3 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
Iron, reduced (by hydrogen), in 1-oz. bottles 
Sulphur, washed, in 1-lb. bottles 
Iron, dried sulphate of, in 4-oz. bottles 
Tar (wood), in 1-lb. w. m. bottles 
Iron, pyrophosphate of, in 4-oz. bottles 
Tincture of belladonna, in 8-oz. bottles 
Lithium, carbonate of, in 1-oz. bottles 
Tincture of cantharides, in 1-oz. bottles 
Lycopodium, in 2-oz. bottles 
Tincture of catechu, compound, in 1-lb. bottles 
Mercurial ointment, in 1-lb. jars 
....lb. 
Tincture of cimicifuga (racemosa), in 8-oz. bottles 
| 
Mercury (metallic), in bottles 
Tincture of guaiac, ammoniated, in 8-oz. bottles 
Mercury, ointment of nitrate of (citrine ointment), in 4-oz. covered 
Tincture of opium, deodorized, in 8-oz. bottles 
. 
Tincture of sanguinaria, in 8-oz. bottles 
! 
Mercury, oleate of (10 per cent.), in 1-lb. bottles— 
Tincture of serpentaria, in 4-oz. bottles 
Mercury, red oxide of, in 1-oz. bottles 
Tincture of veratrum viride, in 4-oz. bottles 
i 
Oil, croton, in 1-oz. bottles 
Tincture, Warburg’s, in 1-lb. bottles 
Oil of anise, in 1-oz. bottles 
Tolu, balsam of, in 8-oz. bottles 
Oil of cinnamon, in 1-oz. bottles 
Wax, white, in paper 
Oil of cloves, in 1-oz. bottles 
Wax, yellow, in paper 
Oil of lemon, in 2-oz. bottles 
Zinc, acetate of, in 2-oz. bottles 
lb. 
Oil of santal (sandal wood), in 4-oz. bottles ... 
HOSPITAL STORES. 
Oil of theobroma (butter of cacao), in 8-oz. tins 
oz. 
Arrow-root, in tins 
lb. 
Opium, powdered, in 8-oz. bottles 
Beef-extract 
lb. 
Pills of arseuious acid (j1,, of a grain each), in bottles 
Brandy, in 32-oz. bottles 
Pills of iodide of arsenic (too a grain each), in bottles 
. ..no. 
Candles 
— - lb- 
Pills of copaiba, compound, in bottles 
Chocolate, in |-lb. cakes. 
lb. 
i 
Pills of sulphate of quinine, 3 grains each (100 in a bottle).. 
no. 
Cinnamon (ground), in 8-oz. bottles 
j 
Plaster, belladonna, in tins 
Corn-starch, in 1-lb. packages 
lb. 
lb. 
i 
i 
Potassa (caustic), in 1-oz. bottles 
Ginger (ground), in 1-lb. bottles 
i 
lb. 
Potassium, nitrate of (powdered), in 1-lb. bottles 
Meat-juice, Valentine’s 
Potassium, permanganate of, in 2-oz. bottles 
Milk, condensed 
lb. 
Rhubarb (powdered), in 4-oz. bottles 
Nutmegs, in 2-oz. bottles 
j 
Soda, chlorinated, solution of, in 2-quart bottles 
Pepper, cayenne (ground), in 8-oz. bottles 
Sodium, bromide of, in 1-lb. bottles 
Soap, common, in bars 
lb. 
Sodium, sulphite of, in 8-oz. bottles 
Sugar, white 
Strychnine, sulphate of, in }-oz. bottles 
Tapioca, in tins 
lb. 
Sugar of milk (powdered), in 8-oz. bottles 
Tea, black, in tins or original chests 
lb. 
i 
Sulphur (in roll) 
....ib. 
Whiskv, in 32-oz. bottles 
i 
{ INVOICE OF MEDICAL SUPPLIES—Continued. 
4 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
Wine, sherry, in 32-oz. bottles bott. 
ARTICLES EXPENDABLE. 
Instruments. 
Rubber sheeting, white yds. 
Silk, gray, for shades -.yds. 
Silk, oiled, in 5-yard pieces yds. 
Splints sets. 
Splints, anterior, Smith’s ......................no. 
Splints, felt for pieces. 
Syringes, rubber, self-injecting no. 
Stenta book yds. 
Thermometers, clinical no- 
Trusses, single no. 
1 
Thread, cotton, spools, assorted no. 
Thread, linen, unbleached oz. 
Towels doz. 
Dressings. 
Antiseptic dressings for use with spray apparatus: Gauze, antiseptic, 
25 yards; gauze, hygroscopic, 25 yards; jute, salicylated, 5 lbs.; 
tissue, gutta-percha (antiseptic), 3 yards set. 
Bandages, roller, unbleached and unsized, assorted, in a paste-board 
box: 1 dozen, 1 inch by 1 yard; 2 dozen,2 inches by 3 yards; 
2 dozen, 2£ inches by 3 yards; 1 dozen, 3 inches by 4 yards; half 
dozen, 3£ inches by 5 yards; 1 dozen, 4 inches by 6yards; half 
Towels, roller doz. 
Tubes, drainage, 3 sizes, 1 yard each yds. 
Twine, half coarse oz. 
Stationery. 
Blank books, cap, half-bound, 4 quires no. 
Blank books, octavo, 4 quires, with flexible covers no. 
Blocks, memorandum no. 
Elastic bands, assorted, gross no. 
Envelopes, olEcial, large no. 
Envelopes, official, letter ..no. 
Envelopes, official, note —...no. 
India rubber pieces. 
Cotton, styptic, in 1-oz. packages oz. 
Ink, black, in 2-oz. bottles bott. 
Ink. carmine, in 1-oz. bottles —- bott. 
| 
Ligature, catgut for, carbolized, three sizes, in bottles bott. 
Paper, writing, legal-cap qrs 
Paper, writing,letter qrs. 
Paper, writing, note qrs. 
Muslin, unbleached, unsized, 1 yard wide yds. 
Needles, assorted papers. 
Needles, upholsterers’ no. 
Oakum or marine lint lb. 
Pencils, lead no. 
Pen-holders no. 
Pens, steel ...no. 
Sealing-wax sticks. 
Tape, red pieces. 
Pins, assorted papers. 
Miscellaneous. 
Bowls, soup, delf - no. 
Plaster, adhesive, India-rubber -— yds. 
Plaster, isinglass, 1 yard, in case yds. 
Bowls, wash, delf (for oftice) no. 
Boxes, ointment, impervious doz. 
Boxes, pill, paper - doz. INVOICE OF MEDICAL SUPPLIES—Continued. 
5 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
Boxes, powder 
Vials: six 6-oz.; twenty-four 4-oz.; twelve 2-oz.; six 1-oz . 
... doz. 
Brooms 
ARTICLES NOT EXPENDABLE. 
Brushes, dust 
Instruments. 
Brushes, for stove blacking 
Apparatus, electric 
Clothes-line 
Apparatus, spray 
Corks, velvet, best, assorted . 
Atomizers, steam, with three extra tubes 
Dishes, assorted sizes, delf 
Case, field 
Fans - 
Case, genito-urethral 
Feeding-cups, delf 
Case, obstetrical and gynecological 
Funnels, glass, £-pint 
Case, pocket 
Green Holland, for curtains and bed-screens 
Case, post-mortem 
Labels, for vials 
Case, stomach-pump and tube 
Lantern-glasses, extra 
Cutting pliers, for fixed bandages 
Measures, graduated, glass, 8-oz 
Microscope 
Medicine droppers 
Powder blower, for larynx 
Medicine glasses - 
Scarificators 
Mop-handles 
Shears 
Mugs, spit, delf 
Speculum for the rectum 
Paper, filtering, round, gray, 10 inches 
pkgs- 
Sponge-holders, for the throat 
Pitcher, pint, delf 
Tongue depressors 
Pitcher, quart, delf 
Tourniquets and bandages, Esmarch’s 
Pitcher, wash, delf (for office! 
Tourniquets, field 1 
Plates, delf. 
Tourniquets, screw, with pad 
Salt-cellars, individual 
Urinometer 
Spirit-lamps, glass 
Vision test set 
Sponges, large, for bath 
Meteorological Instruments. 
Stove-blacking, papers 
Barometer, mercurial 
Test-tubes 
Hygrometer 
Tubing, glass, assorted sizes 
lbs. 
Tubing, rubber, black, to match 
Rain-gauge glasses INVOICE OF MEDICAL SUPPLIES—Continued. 
6 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
Thermometer, standard 
Surgerv. Oral—Garretson copy 
Books. 
Theraoeutics—Riimer . . ..pfinv. 
Analysis, Volumetric—Sutton 
Theraoeutics—Stills—2 vols 
Anatomy—Gray - 
Theraoeutics—Wood CH. CO.. mnv. 
Chemistry—Fownes 
Therapeutics, Mechanical—Wales 
Children, Diseases of—Vogel 
Throat, Diseases of—Cohen 
Color-Blindness—J eftries 
Urine, Analysis of—Fowler 
Dictionary, English—Webster 
Venereal Diseases—Bumstead 
Dictionary, Medical—Dunglison 
Bedding. 
Bed-sacks 
Ear, Diseases of—Roosa 
Blankets, gray, for the field 
Eye, Diseases of—J. Soelberg Wells 
Blankets, white 
Gynaecology,Principles and Practice of—Emmet 
Blanket cases, canvas 
Histology—Strieker .- 
Counterpanes, red striped 
Cushions, rubber, small ... 
Medicine, Cyclopaedia of the Practice of—Ziemssen—20 
vols. and 
Cushions, rubber, Avith open center 
Supplement 
Mattresses, felt 
Medicine, Legal—Tidy—2 vols 
Mattresses, hair 
Medicine, Practice of—Aitken—2 vols 
I Mosquito bars 
Medicine, Practice of—Flint 
i Pillows, feather 
[ 
Medicine, Practice of—Niemeyer—2 vols 
Pillows, hair 
Medicine, Practice of—Wood—2 vols 
Pillow cases, cotton 
Medicine, System of—Reynolds—5 vols 
....copy. 
Pillow cases, linen 
Pillow ticks 
’ 
Meteorology—Loomis 
Quilts, white 
Sheets,cotton 
y 
Obstetrics, Principles and Practice of—Hodge 
CODV. 
Hospital Clothing. * 
Pathology, Surgical—Billroth 
Drawers 
Physical Diagnosis—Delafield and Stillman 
Gowns, dressing 
Physics—Ganot 
Shirts, cotton 
Physiology—Flint—5 vols 
Slippers 
. 1 
Furniture. 
r 
Recruits, Examination of—Tripler 
Bath-tubs ................. 
Bedsteads 
Surgery—Erichsen—2 vols 
Chairs 
i 
Surgery—Gross—2 vols 
Chairs, rocking ..... 
Surgery—Guthrie’s Commentaries 
copy. 
Clocks 
Close-stools 
Suroerv. Ouerative—Stenhen Smith 
Dispensing set 
| 
i INVOICE OF MEDICAL SUPPLIES—Continued. 
7 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
Earth-closet commodes 
Forks, table 
Linoleum 
Funnels, pint ...... 
Looking-glasses 
Graters, large 
Mats, door 
Graters, nutmeg 
Refrigerator 
Gridirons 
Tables, bedside 
Hatchets 
Table-cloths 
Hones 
Trays, butler’s 
Kettles, tea 
Water-coolers 
Knives, bread 
Water-filters .. 
Knives, butcher’s 
Window-shades 
Knives, carving 
Window-shade fixtures 
Knives, chopping 
Miscellaneous. 
Knives, table 
Basins, wash, hand. 
Ladles 
Bed-pans, delf. 
Bed-pans, metal 
Lanterns 
Bed-ticket frames 
Litters, hand 
Boilers, tin 
Boilers, double, for cooking 
Medical saddle-bags 
Bowls, chopping 
Medicine cases 
Buckets, covered (6 quarts) 
Medicine panniers 
Buckets, fire (galvanized iron) 
Medicine wagons 
Buckets, wooden 
Mess-chest 
Candlesticks 
Mills, coffee 
Cans, milk (2-gallon) 
Mortars and pestles, wedgewood 
Can-openers 
Pails, chamber 
Caster 8 
Pans, dish 
Cleavers 
Pans, dust 
Clothes-pins 
Pans, frying 
Clothes-wringers 
Pans, milk 
Colanders 
Pans, sauce 
Cork borers 
Pill machines 
Cork extractors 
Pill tiles, 5 to 10 inches 
Cork pressers 
Pitchers, britannia 
Corkscrews 
Pots, chamber 
Cuspidors 
Pots, coffee 
Dippers 
Erasers 
Pots, tea 
Fire extinguishers 
Razors 
Forks, carving 
Razor-strops 
Forks, flesh 
Retort-stand INVOICE OF MEDICAL SUPPLIES—Continued. 
8 
ARTICLES. 
QUANTITY. 
ADDITIONAL ARTICLES. 
QUANTITY. 
Saws, butcher’s no. 
Saws, wood no. 
Scales and weights, apothecary’s (counter) no. 
Scales and weights, balance, in glass case no. 
Scales and weights, grocer’s no. 
Scales and weights, prescription no. 
Scales, platform no. 
Scoops no. 
Shaving-brushes no. 
Spatulas no. 
Spoons, table no. 
Spoons, tea no. 
i 
Suppository molds no. 
Tape measures no. 
Thermometers no. 
Tools, small chest of no. 
Wash-boards - no. 
Wash-tubs no. INVOICE OF MEDICAL SUPPLIES!—Continued. 
9 
ADI)ITIONAL ARTICLES. 
-QUANTITY. 
I 
ADDITIONAL ARTICLES. 
QUANTITY. 
j 
I certify tluit the preceding Invoice is correct. 
Surgeon, U. S. Army. 
Station : 
Date : 
18 
(Thipmcates.) f. J71 
ue</ /<* 
fnboicc of Iflcbical Supplies 
, 
Voucher No, , Quarter, 18 
(Form ISto. 20.) 
.Surgeon U. S. Army. CONSOLIDATED SPECIAL DIET TABLE. 
General piosmtal, 
ARTICLES. 
Quantities. 
NUMBER OF WARDS. 
Total. 
1 2 
3 
4 
5 
6 
7 
8 ft 
1ft 
11 
12 
13 14 
1 
15 1« 
17 
18 
1ft 
20 21 22 
23 24 
i | 
Breakfast. 
i 
oz. 6 
oz. £ 
pt. 1 
pt. 1 
oz. 4 
oz. 6 
no. 1 
no. 1 
oz. 12 
oz. 6 
pt. 1 
oz. 4 
oz. 2 
.... 
........ 
.... 
Jlilk 
Dinner. 
oz. 4 
oz. 6 
pt. 1 
oz. 6 
pt. 1 
oz. 12 
gill 1 
oz. 12 
cz. 1 
oz. 4 
oz. 4 
pt. 1 
oz. 6 
oz. 6 
oz. 2 
Milk 
Corn Starch Pudding 
Beefsteak 
Potatoes, mashed 
Beef Essence 
' 
Supper. 
pt. 1 
oz. i 
oz. 6 
oz. 4 
oz. 12 
\ no. 1 
pt. 1 
oz. 2 
Butter 
Bread 
Toast, dry 
Milk 
Milk Porridge 
Beef Essence 
FULL DIET. 
Number of Patients on Full Diet in Ward 
“ Mess-Room 
“ Special Diet 
“ Detailed Men in Ward 
Total 
Commissary Steward. (Form No. 18.) 
REQUISITION FOR MEDICAL SUPPLIES. 
Station : 
Period : 
-Months. 
From . 
to_- 
Command: Officers,... 
Enlisted Men, 
All others entitled to Medicines, 
Total, 
No. of Companies, 
1 
ARTICLES AND QUANTITIES. 
1 
ON HAND. 
WANTED. 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
MEDICINES. 
Ether, stronger, for anaesthesia, in 1-lb, tins oz. 
Regular Supply. 
Extract of belladonna, alcoholic, in 1-oz. \y. m. botts.oz. 
Extract of buclm, fluid, in 1-lb. bottles oz. 
Acacia (Gum Arabic), powdered, in l-Ib. bottles.. 
.. oz. 
Extract of ergot, fluid, in 8-oz. bottles oz. 
Acid, acetic, in 1-lb. bottles 
Extract of ginger, fluid, in 1-lb. bottles oz. 
Acid, carbolic (crystallized, pure), in 1-lb. g. s. botts.oz. 
Extract of hyoscyam us, alcoholic, in 1-oz. w. m.botts oz. 
Acid, carbolic, 95 per cent, (for disinfection),in 
1-lb. 
Extract of ipecac, fluid, in 8-oz. bottles oz. 
bottles 
.. lb. 
Extract of nux vomica (alcoholic, powdered), in 2-oz. 
Acid, citric, in 1-lb. bottles 
bottles oz. 
Acid, nitric, in 8-oz g. s. bottles 
Flaxseed, in 8-lb. tins _.lh 
Acid, sulphuric, in 8-oz. g. s. bottles 
Flaxseed meal, in 8-lb. tins lb, 
Acid, sulphuric, aromatic, in 1-lb. g. s. bottles.... 
.. oz. 
Glycerin, in 1 lb. bottles oz. 
Acid, tannic, in 1-oz. bottles 
Glycyrrhiza, compound powder of, in 8-oz. bottles..oz. 
Acid, tartaric (powdered), in 1 lb. bottles 
Iodine, in 1-oz. g. s. bottles oz. 
Ammonia, aromatic spirit of, in 1-lb. bottles 
Ipecac and opium, powder of (Dover’s powder), in 
Ammonia, stronger water of, in 1-lb. g. s. bottles . 
- . oz. 
Ammonium, carbonate of, in 1-lb. bottles 
Iron, subsulphate of, in 2-oz. bottles oz. 
Ammonium, chloride of, in 1-lb. bottles... 
Iron, sulphate of (commercial), in 25-lb. wooden 
Arsenite of potassium, solution of (Fowler’s solution), 
boxes lb. 
in 8-oz. bottles 
Iron, syrup of iodide of, in 1-lb. bottles oz. i 
Atropine, sulphate of, in |-oz. g. s. bottles 
. oz. 
Iron and potassium, tartrate of, in 8-oz. bottles oz.: 
Bismuth, subnitrate of, in 1-lb. bottles 
. oz. 
Iron, solution of tersulphate of, in 1-lb. bottles lb. 1 
Camphor (refined), in 8-oz. bottles... 
Lead, acetate of, in 1-lb. bottles oz. i 
Chalk, prepared, in 1-lb. bottles 
Magnesium, carbonate of, in 2-oz. papers oz. 
Chloroform, purified, in 1-lb. g. s. bottles 
-OZ. 
Magnesium, sulphate of, in 8-lb. tins lb. 
Copaiba, in 1-lb. bottles 
Mercury, corrosive chloride of (corrosive sublimate), in 1 
Ether, compound spirit of (Hoffman's anodyne), in 
1-lb. 
1-oz. bottles oz. 
bottles 
Mercury,mass of (blue pill), in 8-oz. covered jars..oz. 
Ether, spirit of nitrous (sweet spirit of nitre), in 
1-lb. 
Mercury mild chloride of (calomel),in 4-oz. bottles.oz. 
Mercurv with chalk, in 4-oz. bottles oz. 
' REQUISITION—Continued. 
2 
ARTICLES AND QUANTITIES. 
OX HAND. 
WANTED. 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
Morphine, acetate of, in bottles 
Tincture of gelsemium, in 4-oz. bottles 
Morphine, sulphate of, in $-oz. bottles 
Tincture of gentian, compound, in 1-lb. bottles — 
...lb. 
Oil, castor, in 1-quart bottles 
.bott. 
Tincture of opium (laudanum), in 1-lb. bottles ... 
Oil, cod-liver, in 1-pint bottles 
.bott. 
Tincture of opium, camphorated (paregoric), in 
1-lb. 
Oil, olive, in 1-pint bottles 
bott. 
bottles 
Oil of peppermint,, in 4-oz. bottles 
Zinc, oxide of, in 8-oz. bottles .. 
.bott. 
Zinc, sulphate of, in 8-oz. bottles 
Pepsin (lactated), in 2-oz. bottles 
MEDICINES. 
Petrolatum, 105° F., in 1-lb. tins 
..lb. 
Supplementary List. 
Petrolatum, 120' F., in 1-lb. tins 
..lb. 
Acid, arsenious, in 1-oz.bottles .... 
Acid, benzoic, in 1-oz. bottles 
Pills of camphor (grain two) and opium (grain 
one), 
Acid, gallic, in 1-oz. bottles 
in bottles 
Acid, hydrobromic, diluted, in 4-oz. bottles 
Pills of mercury (green iodide of), (-} gr. each), in 
Acid, hydrocyanic, diluted, in 1-oz. g. s. bottles .. 
. .oz. 
bottles of 100 each .. 
Acid, phosphoric, diluted, in 8-oz. g. s. bottles 
- . OZ. 
Pills of opium (one grain each), in bottles 
Acid, salicylic, in 8-oz. bottles 
Aloes (powdered), in 2-oz. bottles 
Plaster, mustard, in 4-vd. tins 
Ammonium, bromide of, in 1-lb. bottles 
Potassium, acetate of, in 1-lb. bottles 
Amyl, nitrite of (5-drop pearls), in boxes 
. doz. 
Potassium, bitartrate of (powdered!. in 1-lb. bottles.oz. 
1-oz. bottles — 
Potassium, bromide of. in 1-lb. bottles 
Arsenic and mercury, solution of iodide of (Donovan’s 
Potassium, chlorate of (powdered), in 1-lb. bottles .oz. 
solution), in 1-oz. bottles 
Potassium, iodide of, in 1-lb. bottles 
Brayera (kooso, powdered), in 8-oz. bottles 
..oz. 
1-1 h 
bottles 
Oansules. gelatin, in boxes of 100 each boxes. 
Cerate, resin, in 1-lb. tins 
..lb. 
Silver, nitrate of (in crystals'), in 2-oz. bottles 
- . OZ. 
Chloral, in 1-oz. g. s. bottles 
..lb. 
Cinchona (powdered), in 1-lb. bottles 
Sodium, bicarbonate of, in 1-lb. bottles 
Codeine, in i-oz. bottles 
Sodium, borate of (powdered), in 1-lb. bottles ... 
Collodion, in 2-oz. bottles 
..lb. 
Copper, sulphate of, in 4-oz. bottles 
Tincture of aconite (root), in 8-oz. bottles 
- . OZ. 
Creasote, in 1-oz. g. s. bottles 
Tincture of arnica flowers, in 1-lb. bottles 
Digitalis (leaves), in 1-oz. packages 
Tincture of chloride of iron, in 1-lb. g. s. bottles .. 
- . oz. 
Ergotin, in 1-oz. bottles 
Tincture of cinchona, compound, in 1-lb. bottles.. 
.. oz. 
Extract of cascara sagrada, fluid, in 4-oz. bottles. 
..oz. 
Tincture of digitalis, in 4-oz. bottles 
Extract of castanea, fluid, in 1-lb. bottles REQUISITION—Continued. 
3 
1 1 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
Extract of eolchieum seed, fluid, in 4-oz. bottles .. .oz. 
Pills of copaiba, compound, in bottles 
.. no. 
Extract of colocynth, compound (powdered), in 8-oz. 
Pills of sulphate of quinine, 3 grains each (100 
in a 
bottles oz. 
bottle) 
Extract of eucalyptus, fluid, in 1-lb. bottles oz. 
Plaster, belladonna, in tins 
yds. 
Extract of erlycyrrhiza, in paper ..oz. 
Extract of hamamelis, fluid, in 1-lb. bottles oz. 
Podophyllum, resin, in 1-oz. bottles 
Extract of Indian cannabis, fluid, in 8-oz. bottles ..oz. 
Potassa (caustic), in 1-oz. bottles 
Extract of pilocarpus (jaborandi), fluid, in 4-oz. 
Potassium, cyanide of, in £-oz. bottles 
bottles oz. 
Potassium, nitrate of (powdered), in 1-lb. bottles 
..oz. 
Extract of pbysostigma(calabarbean), in -£-oz.botts .oz. 
Potassium, permanganate of, in 2-oz. bottles 
.. oz. 
Extract of rhubarb, fluid, in 8-oz. bottles oz. 
Rhubarb (powdered), in 4-oz. bottles 
.. oz. 
Extract of sarsaparilla, fluid, in 1-lb. bottles oz. 
Santonin, in 1-oz. bottles 
Extract of taraxacum, fluid, in 1-lb. bottles oz. 
Soda, chlorinated, solution of, in 2-quart bottles. 
bott. 
Extract of wild cherry (bark), fluid, in 1-lb. bottles.oz. 
Sodium, bromide of, in 1-lb. bottles 
Iron and ammonium, citrate of, in 8-oz. bottles oz. 
Sodium, sulphite of, in 8-oz. bottles 
Iron and quinine, citrate of, in 1-oz. bottles oz. 
Iron, reduced (by hydrogen), in 1-oz. bottles oz. 
Sugar of milk (powdered), in 8-oz. bottles 
Iron, dried sulphate of, in 4-oz. bottles oz. 
lb. 
Iron, pyrophosphate of, in 4-oz. bottles oz. 
Lithium, carbonate of, in 1-oz. bottles oz. 
Tar (wood), in 1-lb. w. m. bottles 
Lvcopodium, in 2-oz. bottles oz. 
Tincture of belladonna, in 8-oz. bottles 
- - OZ. 
Mercurial ointment, in 1-lb. jars lb. 
Tincture of cantharides, in 1-oz. bottles 
.. oz. 
Mercury (metallic), in bottles oz. 
Tincture of catechu, compound, in 1-lb. bottles .. 
..oz. 
Mercury, ointment of nitrate of (citrine ointment), in 
Tincture of cimicifuga (racemosa), in 8-oz. bottles 
-OZ. 
4-oz. covered jars oz. 
Tincture of guaiac, ammoniated, in 8-oz. bottles.. 
..oz. 
Mercury, oleate of (10 per cent.), in 1-lb. bottles. ..oz. 
Tincture of opium, deodorized, in 8-oz. bottles 
- . oz. 
Mercury, red oxide of, in 1-oz. bottles oz 
Tincture of sanguinaria, in 8-oz. bottles 
Oil, croton, in 1-oz. bottles oz. 
Tincture of serpentaria, in 4-oz. bottles 
Oil of anise, in 1-oz. bottles oz. 
Tincture of veratrum viride, in 4-oz. bottles 
- . oz. 
Oil of cinnamon, in 1-oz. bottles oz. 
Oil of cloves, in 1-oz. bottles oz. 
Tolu, balsam of, in 8-oz. bottles 
Oil of male fern, ethereal, in 1-oz. bottles oz. 
Wax, yellow, in paper 
Oil of rosemary, in 1-oz. bottles oz. 
Zinc, acetate of, in 2-oz. bottles 
Oil of santal (sandal wood), in 4-oz. bottles oz. 
Zinc, solution of chloride of, in 1-lb. g. s. bottles . 
..lb. 
Oil of tlu obroma (butter of cacao), in 8-oz. tins oz. 
Zinc, oleate of, in 8-oz. bottles 
Opium, powdered, in 8-oz. bottles oz. 
HOSPITAL STORES. 
Pills of arsenious acid (fa of a grain each), in botts .no. 
Arrow-root, in tins 
..lb. 
Pills of iodide of arsenic (too of a grain each), in 
Beef-extract 
..lb. 
bottles — no. 
Brandy, in 32-oz. bottles 
bott. REQUISITION—Continued. 
4 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
Candles 
Bandages, suspensory 
Chocolate, in cakes 
lb. 
Chamois skins 
Cinnamon (ground), in 8-oz. bottles 
lb. 
Corn-starch, in 1-lb. packages 
lb. 
Cotton, styptic, in 1-oz. packages 
Farina, in 1-lb. packages 
lb. 
Cotton-bats 
Gelatin, in 2-oz. packages 
Ginger (ground), in 1-lb. bottles 
Flannel, red, all wool 
Lye, concentrated 
lb. 
Meat-juice, Valentine’s 
lb. 
Ligature, silk for 
oz. 
Milk, condensed 
lb. 
Lint, patent 
lb. 
Nutmegs, in 2-oz. bottles 
Pepper, black (ground), in 8-oz. bottles ... 
Needles, assorted 
Pepper, cayenne (ground), in 8-oz. bottles . 
Needles, upholsterers’ 
Soap, common, in bars 
lb. 
Oakum or marine lint 
lb. 
Soap-powder, in 1-lb. packages 
pkgs. 
Pencils, hair, in vials 
Sugar, white 
lb. 
Pins, assorted 
Tapioca, in tins 
lb. 
Pins, safety 
Tea, black, in tins or original chests 
lb. 
Plaster, adhesive, India-rubber 
yds. 
Wine, sherry, in 32-oz. bottles 
Plaster of Paris, in 5-lb. tins 
lb. 
ARTICLES EXPENDABLE. 
Rubber sheeting, white 
Instruments. 
Silk, gray, for shades 
yds. 
Cupping-glasses, assorted sizes 
Silk, oiled, in 5-yard pieces 
Nipple shields 
Splints 
Probangs 
Splints, anterior, Smith’s 
Syringes, penis, glass, in case 
Splints, felt for 
Syringes, rubber, self-injecting 
Sponge,line, small pieces 
Syringes, vagina, glass 
Stenta book 
Trusses, single 
Tape, cotton 
Trusses, double 
Thread, cotton, spools, assorted 
Dressings. 
Thread, linen, unbleached 
Antiseptic dressings for use with spray apparatus: 
Towels 
Gauze, antiseptic, 25 yards; gauze, hydroscopic, 25 
Towels, roller 
yards; jute, salicylated, 5 lbs.; tissue, gutta-percha 
Tubes, drainage, 3 sizes, 1 vard each 
Twine, half coarse ....... ...... 
Bandages, roller, unbleached and unsized, assorted, in 
Stationery. 
a paste-board box; 1 dozen, 1 inch by 1 yard; 2 
Blank books, cap, half-bound, 4 quires... 
dozen, 2 inches by 3 yards; 2 dozen, 2i inches by 3 
Blank books, octavo, 4 quires, with flexible covers.no. 
yards; 1 dozen, 3 inches by 4 yards; half dozen, 3£ 
Blocks, memorandum 
inches by 5 yards; 1 dozen, 4 inches by 6 yards; half 
Elastic bands, assorted, gross 
dozen, 4 inches by 8 yards 
Envelopes, official, large REQUISITION—Continued. 
5 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
Envelopes, official, letter 
Mugs, spit, delf 
Envelopes, official, note 
Paper, filtering, round, gray, 10 inches 
* • pkgs. 
India rubber 
Paper, litmus, blue and red, of each 
Ink, black, in 2-oz. bottles 
Paper, wrapping, white and blue 
Ink, carmine, in 1-oz. bottles 
Percolator, glass 
Mucilage 
Pitcher, pint, delf 
Paper, blotting 
Pitcher, quart, delf 
Paper, writing, legal-cap 
Pitcher, wash,, delf (for office) 
Paper, writing, letter 
Plates, delf 
Paper, writing, note 
Salt-cellars, individual 
Pencils, lead 
Spirit-lamps, glass 
Pen-holders 
Sponges, large, for bath 
Pens, steel 
Spoons, medicine, delf 
Sealing-wax 
Stove-blacking, papers 
Tape, red 
Test-tubes 
Miscellaneous. 
Tubing, glass, assorted sizes 
Bowls, soup, delf 
Tubing, rubber, black, to match 
yds. 
Bowls, wash, delf (for office) 
Tumblers, glass 
Boxes, pill, paper 
Urinals, delf 
Boxes, powder 
Vials: six 6-oz.; twenty-four 4-oz.; twelve 2 
oz.; six 
Brooms 
1-oz 
Brushes, dust 
ARTICLES NOT EXPENDABLE. 
Brushes, for stove blacking 
Instruments. 
Brushes, scrubbing 
Clothes-line 
Corks, velvet, best, assorted 
Apparatus, spray 
Cups and saucers, delf 
Atomizers, steam, with three extra tubes 
Dishes, assorted sizes, delf 
Case, dental 
Fans 
Case, field 
Feeding-cups, delf 
Funnels, glass, -J-pint 
Green Holland, for curtains and bed-screens.. 
... yds. 
Case, pocket 
Labels, for vials 
Case, post-mortem 
Lantern-glasses, extra 
Case, stomach-pump and tube 
Measures, graduated, glass, 4-oz 
Cutting pliers, for fixed bandages 
Measures, graduated, glass, 8-oz 
Lancets, thumb 
Measures, graduated, glass, minim 
Ophthalmoscope 
Medicine droppers 
Powder blower, for larynx 
Medicine glasses 
Scarificators 
Mop-handles 
Shears 
j Mugs, delf 
Speculum for the ear REQUISITION—Continued. 
6 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
Speculum for the rectum 
Physiology—Flint—5 vols 
- - - copy. 
Sponge-holders, for the throat 
Physiology—Foster 
Syringes, hypodermic 
Skin, Diseases of—Fox 
Tongue depressors 
. .no. 
Surgery—Eriehsen—2 vols 
...copy. 
Tourniquets and bandages, Esmarch’s 
Surgery—Gross—2 vols 
Tourniquets, field 
Surgery—Guthrie’s Commentaries 
--•copy. 
Tourniquets, screw, with pad 
. .no. 
Surgery—Holmes—5 vols 
...copy. 
Urinometer 
Surgery, Operative—Stephen Smith 
...copy. 
Vision test set 
Surgery, Oral—Garretson 
...copy. 
Books. 
Therapeutics—Ringer 
Analysis, Volumetric—Sutton 
copy. 
Therapeutics—Still6—2 vols 
Anatomy—Gray 
copy. 
Therapeutics—Wood (H. C.) 
...copy. 
Chemistry—Fownes 
copy. 
Therapeutics, Mechanical—Wales 
... copy. 
Children, Diseases of—Vogel 
copy. 
Throat, Diseases of—Cohen 
Color-Blindness—Jeffries 
copy. 
Urine, Analysis of—Fowler 
Dictionary, English—Webster 
copy. 
Venereal Diseases—Bumstead 
...copy. 
Dictionary, Medical—Dunglison 
copy. 
Bedding. 
Dispensatory — . 
copy. 
Bed-sacks 
Ear, Diseases of—Roosa 
copy. 
Blankets, grav, for the field 
Eye, Diseases of—J. Soelberg Wells 
copy. 
Blankets, white 
Gynaecology, principles and practice of—Emmet 
.copy. 
Blanket cases, canvas 
Histology—Strieker 
copy. 
Counterpanes, red striped 
,y. ... .i.3K 
Hygiene—Parkes 
copy. 
Cushions, rubber, small 
Medicine, Cyclopaedia of the practice of—Ziemssen—20 
Cushions, rubber, with open center 
vols. and supplement 
copy. 
Mattresses, felt 
Medicine, Legal—Tidy—2 rols 
copy. 
Mattresses, hair (when specially required) 
Medicine, Practice of—Aitken—2 vols 
copy. 
Mosquito bars (when specially required) 
no. 
Medicine, Practice of—Flint 
copy. 
Pillows, feather 
Medicine, Practice of— Niemeyer—2 vols 
.copy. 
Pillows, hair 
Medicine, Practice of—Wood—2 vols 
copy. 
Pillow cases, cotton 
Medicine, System of—Reynolds—5 vols 
copy. 
Pillow cases, linen (when specially required). 
no. 
copy. 
.copy. 
Quilts, white 
Midwifery—Cazeaux 
copy. 
Sheets, cotton 
Sheets, linen (when specially required) 
Obstetrics, Principles and Practice of—Hodge.. 
-copy. 
Hospital Clothing. 
Pathology, Surgical—Billroth 
copy. 
Drawers 
.copy. 
Gowns, dressing 
Physics—Ganot 
. copy. 
Shirts, cotton REQUISITION—Continued. 
7 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
Slippers 
Cork boi'ers 
. set. 
Socks, woolen 
Cork extractor 
..no. 
Furniture. 
Cork presser 
Bath-tubs 
Corkscrews 
Bedsteads — 
Cuspidores 
Chairs 
Dippers 
Chairs, rocking 
Erasers 
Clocks 
Fire extinguishers 
Close-stools 
Forks, carving 
Dispensing set 
no. 
Forks, flesh 
Earth-closet commodes 
Forks, table 
Linoleum (when specially required) 
...yds. 
Funnels, pint 
Mats, door ., 
Graters, nutmeg 
Refrigerator, size as required 
Gridirons 
Tables, bedside 
Hatchets 
Table-cloths 
Hones 
Trays, butler’s 
Kettles, tea 
Water-coolers 
Knives, bread 
Water-filters (when specially required) 
Knives, butcher’s 
Window-shades (when specially required) 
Knives, carving 
Window-shade fixtures (when specially required) .no. 
Knives, chopping 
Miscellaneous. 
Knives, table 
Basins, wash-hand 
Ladles ... ...—.. 
Bed-pans, delf 
Lamps, hand — 
Bed-pans, metal 
Lanterns 
Bed-ticket frames 
Litters, hand 
Bond's, tin, size as required 
Measures, gallon to pint 
sets. 
Boilers, double, for cooking 
Medical saddle-bags, as required 
Bowls, chopping 
Medicine cases, as required 
Buckets, covered (6 quarts) 
Medicine panniers, as required 
Buckets, fire (galvanized iron) 
Medicine wagons, as required 
Buckets, wooden 
Mess-chests furnished by the list 
. .no. 
Candlesticks 
Mills, coffee 
Cans, milk (2-gallon) 
Mortars and pestles, wedgewood, 34 to 8 inches 
..no. 
Casters 
Fans, dish 
Clothes-wringers ...» 
Pans, milk 
Pans, sauce REQUISITION—Continued. 
8 
ARTICLES AND QUANTITIES. 
OX HAND. 
WANTED. 
ARTICLES AND QUANTITIES. 
OX HAND. 
WANTED. 
Pill machines 
ADDITIONAL ARTICLES. 
Pill tiles, 5 to 10 inches 
Pitcher, britannia, 1-gallon 
.. .no 
Pots, chamber 
Pots, coffee 
Pots, pepper 
Pots, tea 
Razors 
Razor-strops 
Retort-stands 
Rulers 
Sadirons 
Saws, butcher’s 
Saws, wood 
Scales and weights, apothecary's (counter) 
.. .no. 
Scales and weights, balance, in glass case 
Scales and weights, grocer’s 
Scales and weights, prescription 
Scales, platform 
...no. 
Scoops 
Shaving- brushes 
Spatulas, o-mcn aim o-mcli 
Spoons, table 
Spoons, tea 
Steels 
• 
Suppository molds 
Tape measures 
1 
Thermometers 
Tools, small chest of 
Wash-boards 
■ Wash-tubs REQUISITION—Continued. 
9 
ARTICLES AND QUANTITIES. 
ON HAND. 
W ANTED. 
ARTICLES AND QUANTITIES. 
ON HAND. 
WANTED. 
ADDITIONAL ARTICLES. 
ADDITIONAL ARTICLES. 
I certify that the supplies asked for are necessary for the public service, and in accordance with the Standard Supply Table. 
Surgeon, TJ. S. Army. 
Date : 
(Duplicates.) for the ending ———, 18 
at 
REQUISITION 
FOR 
MEDICAL SUPPLIES 
REQUIRED BY 
(Form No. 18.) SPECIAL DIET. 
lit. S'. Cmicvat Moouitat, 
Ward . ISA 
% 
ARTICLES. 
Quantities. 
NUMBER OF BEDS. 
Total. 
— 
Breakfast. 
oz. 6 
oz. 1 
pt. 1 
pt. 1 
oz. 4 
oz. 6 
no. 1 
no. 1 
oz. 12 
oz. 6 
pt. 1 
oz. 4 
oz. 2 
i 
i 
.... 
Dinner. 
oz. 4 
oz. 6 
pt. 1 
! oz. 6 
pt. 1 
oz. 12 
gill 1 
i oz. 12 
cz. 1 
| oz. 4 
; oz. 4 
pt. 1 
oz. 6 
oz. 6 
oz. 2 
.... 
.... 
• 
.... 
.... 
... 
- 
.... 
.... 
Supper. 
pt. I 
oz. i 
oz. 4 
oz. 4 
oz. 12 
no. 1 
pt. 1 
oz. 2 
/ 
— 
' i M 
i 
FULL DIET. 
1 
Number of Patients on Full Diet in Ward 
“ “ “ Mess-Room.... 
“ “ Special Diet 
“ Detailed Men in Ward 
Total 
Act. Asst. Surg., U. S. A., in charge of ward 
.til Stimulants and Lemons shall be issued from the dispensary. 
Medical Officers will prescribe these diets at their evening visits, and transmit the requisitions to the office of the Surgeon in charge lotapproval by 7 o’clock, 
P. M„ after which they will be returned to the Wards to regulate the distribution of food. , , , , ,, , 
These blanks will be filled out in the handwriting of the Surgeon in charge of the Ward, or no issues will be made. Any ai dmaster or nui se who shall change, 
or in any way mutilate this list, will be punished. 
No more than five articles of food will be prescribed for Breakfast. 
“ “ five “ “ “ “ Dinner. 
“ “ four “ “ “ “ Supper. 
Medical Officers can add other articles of diet when considered indispensably necessary for the welfare of the patient, subject to the approval of the Surgeon 
in charge. FULL DIET 
SUNDAY. 
MONDAY. 
THE S D A Y. 
WEDNESDAY. 
THURSDAY. 
FRIDAY. 
SATURDAY. 
BREAKFAST. 
BREAKFAST. 
BREAKFAST. 
BREAKFAST. 
BREAKFAST. 
BREAKFAST. 
BREAKFAST. 
Coffee pt. 1 
Bread, Wheat or Com oz. 6 
Hominy, with Gravy oz. 1£ 
Coffee pt. 1 
Bread oz. 6 
Meat Hash oz. 8 
Coffee pt. 1 
Bread, Wheat oz. 6 
Rice, or Succotash, with 
Gravy oz. 1.60 
Coffee pt. 1 
Bread oz. 6 
Meat Hash oz. 8 
Coffee pt. 1 
Bread, Wheat or Com.. oz. 6 
Hominy, with Gravy..oz. 1 
Coffee pt. 1 
Bread, Wheat oz. 6 
Meat Hash oz. 8 
Coffee pt. 1 
Bread oz. 6 
Rice, or Succotash, with 
Gravy oz. 1.60 
DINNER. 
DINNER. 
DINNER. 
DINNER. 
DINNER, 
DINNER. 
DINNER. 
Roast Beef oz. 12 
Bread oz. 4 
Beef or Mutton, (stew,).. oz. 12 
Beef Soup, with Vegeta- 
Pork, ) oz. 6 
/ Baked, or in Soup, 
Beef or Mutton, (roast), oz. 12 
Fish oz. 6 
Potatoes oz. 10 
Beef,or Mutton, (stew).oz. 12 
Bread oz. 4 
Potatoes oz. 10 
Other Vegetables oz. 4 
Rice Pudding, or Savory 
Bread oz. 
Meat oz. 12 
Bread oz. 4 
Potatoes oz. 10 
Bread oz. 4 
Potatoes oz. 6 
Cold Slaugh or Beets, 
(pickled) oz. 4 
Potatoes oz. 10 
Other Vegetables oz. 4 
Bread oz. 4 
Beets, or other vegetab’s,oz. 4 
Pickles oz. 1 
Savory Bread oz. 
SUPPER. 
: 
SUPPER. 
SUPPER. 
SUPPER. 
SUPPER. 
SUPPER. 
SUPPER. 
Tea pt. 1 
Bread oz. 6 
Dried Fruit, (stewed) oz. 1| 
Tea pt. 1 
Bread oz. 6 
Cheese oz. 1 
Tea pt. 1 
Bread oz. 6 
Dried Fruit, (stewed) ...oz. 14 
Tea pt. 1 
Bread oz. 6 
Cheese oz. 1 
Tea pt. 1 
Bread oz. 6 
Dried Fruit, (stewed)..oz. 14 
Tea pt. 1 
Bread oz. 6 
Smoked Herring oz. 2 
Or Cheese oz. 1 
Tea pt. 1 
Bread oz. 6 
Cold Meat oz. 4 (Form No. 13.) 
IN\ OICE OF MEDICAL AND HOSPIIAL PROPERTY sold at Public Auction at 
, under direction of 
on the 
of 
,188 . 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
i 
l 
* 
I certify that the above Invoice is correct. 
(TRIPLICATES 
ELECTRO’S. 
, U. S. Army. mvoiCB 
OF 
Medical and Hospital Property 
SOLD AT 
UNDER DIRECTION OF 
(Form No. 13.) 
188 (Form No. 12.) 
ACCOUNT OF SALES OF MEDICAL AND HOSPITAL PROPERTY at Public Auction at 
, under the direction of 
on the of , 188 . 
ARTICLES. 
Number or 
Quantity. 
PURCHASER. Rate. 
Amount. 
; $ 
$ 
J 
I certify that the preceding Account of Sales is correct. 
Auctioneer. 
I certify that the Articles enumerated above were sold at public auction, as stated in the foregoing account, pursuant 
to 
(DUPLICATES.) 
. Surgeon, U. S. Army. (Form No. 13.) 
ACCOUNT OF SALES 
OF 
Medical and Hospital Property 
SOLD AT 
, 188 
UNDER THE DIRECTION OF (FORM 4 2.) 
Nomenclature to be followed in making the Monthly Report of Sick and Wounded. (See Form 41, Direction 1.) This nomen- 
clature will be strictly observed, except when diseases occur which are not provided for by it. In such cases the Surgeon must 
state, under the head of “Remarks,” liis reason for departing from the Form. 
CLASS I. ZYMOTIC DISEASES. 
Order 1. Miasmatic Diseases. 
Typhoid fever. 
Typhus fever. 
Typho-Malarial fever. 
Yellow fever. 
Remittent fever. 
Quotidian Intermittent fever. 
Tertian Intermittent fever. 
Quartan Intermittent fever. 
Congestive Intermittent fever. 
Acute diarrhoea. 
Chronic diarrhoea. 
Acute dysentery. 
Chronic dysentery. 
Epidemic cholera. 
Erysipelas.* 
Hospital gangrene.* 
Pyaemia.* 
Small-pox. 
Varioloid. 
Chickenpox. 
Measles. 
Scarlet fever. 
Mumps. 
Tonsillitis. (Quinsy.) 
Diphtheria. 
Epidemic catarrh. (Influenza.) 
Whooping cough. 
Cerebro-spinal Meningitis. 
Order 2. Entiietic Diseases. 
Primary syphilis. 
Constitutional syphilis. 
Gonorrhoea. 
Gonorrhoeal orchitis. 
Gonorrhoeal ophthalmia. 
Stricture of urethra. (Gonorrhoeal.) 
Glanders. 
Hydrophobia. 
Bite of serpents. 
Malignant pustule. 
Order 3. Dietic Diseases. 
Starvation. 
Scurvy. 
Purpura. 
Inebriation. 
Delirium tremens. 
Chronic -alcoholism. 
Lumbricoid worms. 
Ascarides. 
Trichiniasis. 
Femoral hernia. 
Inguinal hernia. 
Acute inflammation of liver. 
Chronic inflammation of liver. 
Cirrhosis of liver. 
Dropsy from hepatic disease. 
Jaundice. 
Biliary calculi. 
Inflammation of the spleen. 
Enlarged spleen. 
Order 7. Diseases of Urinary and 
Genital Organs. 
Inflammation of kidneys. 
Bright’s disease. 
Diabetes. 
Gravel. 
Calculus. 
Inflammation of bladder. 
Incontinence of urine. 
Retention of urine. 
Inflammation of testicle (not gonorrhoeal). 
Hydrocele. 
Varicocele. 
Order 8. Diseases of the Bones 
and Joints. 
Inflammation of periosteum. 
Inflammation of bones. 
Caries. 
Necrosis. 
Inflammation of joints. 
Anchylosis. 
Order 9. Diseases of the Integu- 
mentary System. 
Abscess. 
Boil. 
Carbuncle. 
Ulcers. 
Whitlow. 
Skin diseases (Not including syphilitic 
skin affections, or itch). 
Order 1. Diseases of the Nervous 
System. 
Apoplexy. 
Convulsions. 
Chorea. 
Epilepsy. 
Headache. 
Insanity. 
Inflammation of the brain. 
Inflammation of the membranes of the 
brain. 
Inflammation of the spinal cord. 
Nostalgia. 
Neuralgia. 
Paralysis. 
Sunstroke. 
Tetanus.* 
Order 2. Diseases of the Eye. 
Conjunctivitis. 
Iritis. 
Cataract. 
Amaurosis. 
Night blindness. 
Order 3. Diseases of the Ear. 
Otorrhoea. 
Inflammation of the internal ear. 
Deafness. 
Order 4. Diseases of the Organs 
of Circulation. 
Inflammation of pericardium. 
Dropsy of pericardium. 
Inflammation of endocardium. 
Hypertrophy of heart. 
Valvular disease of heart. 
Dropsy from heart disease. 
Aneurism. 
Phlebitis. 
Varicose veins. 
Order 5. Diseases of the Respi- 
ratory Organs. 
Asthma. 
Catarrh. 
Acute bronchitis. 
Chronic bronchitis. 
Epistaxis. 
Inflammation of larynx. 
Inflammation of lungs. 
Inflammation of pleura. 
Dropsy of the chest. 
Order 0. Diseases of the Digestive 
Organs. 
Colic. 
Constipation. 
Cholera morbus. 
Dyspepsia. 
Inflammation of stomach. 
Inflammation of bowels. 
Inflammation of peritoneum. 
Ascites. 
Hemorrhage from stomach. . 
Hemorrhage from bowels. 
Fistula in ano. 
Piles. 
Prolapsus ani. 
CLASS IV. LOCAL DISEASES. 
CLASS V. VIOLENT DISEASES AND 
DEATHS. 
Order 1. Wounds, Injuries and 
Accidents. 
Burns and Scalds. 
Contusions. 
Concussion of the brain. 
Drowning. 
Sprains. 
Dislocations. 
Frostbite. 
Simple fractures. (Not gunshot.) 
Compound fractures. (Not gunshot.) 
Gunshot wounds. 
Incised wounds. 
Lacerated wounds. 
Punctured wounds. 
Poisoning (by f 
Order 2. Homicide. 
Order 3. Suicide. 
Order 4. Execution of Sentence. 
Hanging. 
Shooting. 
CLASS II. CONSTITUTIONAL 
DISEASES. 
Order 1. Diathetic Diseases. 
Gout. 
Acute rheumatism. 
Chronic rheumatism. 
Anaemia. 
Dropsy. (When not a mere symptom of 
disease of heart, liver or kidneys. 
Cancer. 
Epithelioma. 
Tumor 3. 
Dry gangrene. 
Order 2. Tubercular Diseases. 
Consumption. 
Scrofula. 
CLASS III. PARASITIC DISEASES. 
Itch. 
Tape worms. 
*When these affections occur as complications of gunshot wounds, they will not be reported as new cases; and in such instances, 
should they terminate fatally, the deaths will be set down opposite “Gunshot Wounds.” The details of all such cases will, of 
course, be reported in the Quarterly Report of Wounds and Operations. 
fHere state cause of poisoning. Form No. 43—(New.) 
Before the fifth (fay of each month one copy will he forwarded to the Surgeon General direct and one to the Medical Director of the Department. 
No. of Sheet, 
Consolidated Report of the Medical Department at 
MOVEMENT OF TROOPS. 
(1) When in the held, give the location of command on the first and last day of the month, (2) the route taken, (3) number of miles traveled, and (4) method of conveyance; 
also (5) the arrival of transient troops and their destination. (6) Note changes in the composition of the command, and (7) changes of medical officers. (8) If a hospital 
is opened or closed during the month, state order and date. (9) In case of closure, state disposition of the records both on the Report and by immediate letter to the Medical 
Director and Surgeon General. 
i 
Jflotith of , 188 . 
By 
' 
Surgeon, U. S. Army. 
COMMAND. 
[Here specify legibly the name of the regiment and the letters of the compa- 
nies comprising the command, together with the brigade, division, army, or 
department in which it is serving.J 
a r n- Number excused from duty 
vgtltc 11 UlllUCI MI A 1 Ut xlvLo“ 
ent on each day of the month. 
on account of sickness for 
each day of the month. 
Day of 
month. 
1 
o 
4 
5 
X i No. 
‘ ’ enlisted Total. 
off,cers- men. 
No. 
officers. 
No. 
enlisted Total. 
men. 
(i 
7 
g 
9 
10 
11 
12 
id 
14 
15 
CIVILIANS ATTACHED TO OR WITH THE COMMAND. [To include the wives, children, relatives, servants of officers and enlisted men, as well as all other civilians, 
male and female, living at the post or connected with the command.] 
Adult males, No. _ Adult females, No. __ . Children, No ; Total, - __ . . 
REMARKS: 
Sick Renort No. remaining sick I No. taken sick dur- Number 
1 on last report. ing month. recovered. 
Number 
died. 
Remaining 
sick. 
Adult males 
Adult females 
lti 
17 
Children _ 
. .. 
18 
REGISTER OF DEATHS AMONG CIVILIANS WITH THE COMMAND DURING THE MONTH. 
[The information called for as to the diseases, deaths, and births of civilians is required to perfect the records of vital statistics, etc., in the Surgeon General’s Office, and for 
this reason also Special Reports of interesting cases and autopsies will be forwarded.] 
111 
20 
Name. 
Age. 
Sex. 
Race. Cause. 
Date. 
21 
22 
23 
24 
25 
20 
27 
, 
28 
REMARKS.—Civilians treated in hospital during the month, with name and complaint of each. 
29 
JO 
31 
L i 
I>0 NOT WRITE ON THE MARGINS OR BINDING SPACE. 
'Mean strength and totals will he computed at the Surgeon-! 
General’s Office. Form No. 43—(New.) 
[ Use no Ditto marks or Abbreviations on this sheet.] 
REGISTER OF PATIENTS at 
I. 
NUMBERS. 
The numbers 
will be continu- 
ous. The pa- 
tient’slast num- 
heron Register 
will also 
be entered in 
red ink. 
ii. 
ISTA-MIICS. 
SURNAME. CHRISTIAN. 
hi. 
RANK. 
Company. y 
V. 
REGIMENT 
OR 
STAFF CORPS. 
VI. 
AGE. 
VII. 
RACE OR 
NATIONALITY. 
VIII. 
BIRTHPLACE. 
Length of Service, y 
• 
Originated in Line 
oi Duty. y 
Yes or No. 
XI. 
CAUSE OF ADMISSION. 
Write the name of the disease in full. In doubtful cases enter “ awaiting 
diagnosis." In injuries give cause, location, character, and attending 
circumstances. When injuries are received in battle, specify date, en- 
gagement, and nature of missile. 
.—mmmm 
— 
— 
- 
NUMERICAL 
SUMMARY: Remaining fm 
n last month, No. 
. A. 
9 MISS 
'IONS: From coi 
nmanct 
. No. 
By transfer, No. 
Tot 
al No . DISPOSITIONS: Returned to Duty, No ; 
Note 1. Patients remaining under treatment at the end of last month will be brought forward and entered by name, with their proper numbers and dates of admission, on this Register. 2. They will be placed at the head of the page 
and separated from the others by a broad red line. 3. Facts once noted in columns vi, vil, vxix, IX, X, and xi need not be repeated, except in cases of Death or Discharge. 4. Names of patients will be placed on the double-ruled lines where 
matter to be entered in columns XI, xii, and XV is at all extensive. 5. The names of officers and enlisted men who are excused from any part of their military duty on account of sickness or injury will be entered on this Register. Enlisted 
men employed as cooks or attendants in hospital, when under treatment for disease or injury, must appear upon this Register as in the case of other enlisted men, and the fact of their employment as cooks and nurses in hospital noted. 6. Sepa- 
rate Reports will be made for White and Black Troops and for organized Companies of Indian Scouts. 
1>0 NOT WRITE ON TIIE MARGINS OR BINDING SPACE. [ Use no Ditto marks or Abbreviations on this sheet.] 
No. of Sheet, 
, for the month of 
188 
XII. 
COMPLICATIONS, SEQUELA; ETC. 
Note surgical operations, unusual treatment, and the 
correction of errors of diagnosis. If the disease or 
injury was contracted prior to enlistment, or in some 
other locality, note the fact. 
XIII. 
DATE OF 
ADMISSION. 
Give day, month, 
and year in each 
case. 
XIV. 
SOURCE OF ADMISSION. 
From quarters, field, etc. [When trans- 
ferred from another hospital or command, 
give name of same and date of original 
entry on Sick Report, taken from the 
transfer slip accompanying the soldier.] 
XV. 
RESULTS AND DISPOSITION OF THE PATIENT, VIZ: 
Returned to duty, furuoughed, died, deserted, discharged from service or trans- 
ferred TO ANOTHER HOSPITAU OR COMMAND. 
In case of return to duty, was cure complete? In case of discharge, give cause, in full, and 
degree of disability. In case of death, give cause, also result of autopsy, if made. State date 
of return from furlough or desertion. In case of transfer, give specific destination. In case 
of desertion, repeat the name of the patient in this column. 
XVI. 
DATE OF 
DISPOSITION. 
Give day, month, and 
year in each case. 
- - ——-— - -4 
. 
— — . - - - ■ -■ 
. 
. . - - - ... - 
T — - 
Transferred, No. ; Discharged, No.- 
; Deserted, No —. ; Furloughed, No — ; Died, No Total, No . Remaining under treatment, No 
Note 1. Cases of wounds and injuries will be underscored by red lines. 2. In all cases of discharge for disability, enter on last page under "General Remarks” transcripts from the certificate both of the company commander and the 
medical officer. 3. Discharges on Surgeon’s certificate of disability and deaths occurring among those not on sick report will also be reported; in each case specify the manner in which the injury or disease originated, when known. 4. In every 
case of death of an officer whether on dutv or not, a special report is to be made to the Surgeon General, and if with the command, his name will be entered upon this Register. 5. In every case of death or discharge, including patient’s discharge 
by expiration of term of service, by sentence, by order, or for disability, it should be stated whether the disease or injury originated in the line of duty. 
6. Deaths of ex-officers and soldiers, if with the command, will be entered upon this Register with the proper remarks, and a statement as to whether 
cause of death originated in the service and in the line of duty. 7. When it is necessary to use more than one sheet, those additional will have the head- 
ings properly filled. The sheets will be consecutively numbered and stitched to each other through the binding space. ... 
DO NOT WRITE ON THE MARGINS OR BINDING SPACE. SlirgPOU, U. S. . Form No. 43—(New.) Insert A. [Use no Ditto marks or Abbreviations on this sheet.] 
[To be stitched into Monthly Report when there is not sufficient space for names on single blank.] 
REGISTER OF PATIENTS al 
I. 
NUMBERS. 
The numbers 
will be continu- 
ous. The pa- 
tient’s last num- 
ber on Register 
will also 
be entered in 
red ink. 
ii. 
NAMES. 
IK. 
RANK. 
Company. -i 
V. 
REGIMENT 
OR 
STAFF CORPS. 
VI. 
AGE. 
VII. 
RACE OR 
NATIONALITY. 
VIII. 
BIRTHPLACE. 
Length of Service, x 
Originated in Line 
of Duty. X 
Yes or No. 
XT. 
CAUSE OF ADMISSION. 
Write the name of the disease in full. In doubtful cases enter “ awaiting 
diagnosis.” In injuries give cause, location, character, and attending 
circumstances. When injuries are received in battle, specify date, en- 
gagement, and nature of missile. 
SURNAME. 
CHRISTIAN. 
- 
* 
- 
- =* 
1 ' ' ■ 
— 
1 
• 
L- : 
r- | 
NUMERICAL SUMMARY: Remaining from last month, No. 
. ADMISSIONS: From coi 
nmand 
, No. ; 
By transfer, No. 
—Tot 
al, No. . DISPOSITIONS: Returned to Duly, No. 
Note 1. Patients remaining under treatment at the end of last month will he brought forward and entered by name, with their proper numbers and dates of admission, on this Register. 2. They will be plaeed at the head of the page 
and separated from the others by a broad red line. 3. Facts once noted in columns VI, VII, VIII, IX, X, and xi need not be repeated, except in cases of Death or Discharge. 4. Names of patients will be placed on the double-ruled lines where 
matter to be entered in columns XI, XII, and XV is at all extensive. 5. The names of officers and enlisted men who are excused from any part of their military duty on account of sickness or injury will be entered on this Register. Enlisted 
men employed as cooks or attendants in hospital, when under treatment for disease or injury, must appear upon this Register as in the case of other enlisted men, and the fact of their employment as cooks and nurses in hospital noted. 6. Sepa- 
rate Reports will be made for White and Black Troops and for organized Companies of Indian Scouts. 
no not wtuti: <>\ the margins or ringing space. [ Use no Ditto marks or Abbreviations on this sheet.] 
,/Yo. of Sheet, 
for tlie month of 
188 
XII. 
COMPLICATIONS, SEQUELA?, ETC. 
Note surgical operations, unusual treatment, and the 
correction of errors of diagnosis. If the disease or 
injury was contracted prior to enlistment, or in some 
other locality, note the fact. 
XIII. 
DATE OF 
ADMISSION. 
Give day, month, 
and year in each 
case. 
XIV. 
SOURCE OF ADMISSION. 
From quarters, fiet.d, etc. [When trans- 
ferred from another hospital or command, 
give name of same and date of original 
entry on Sick Report, taken front the 
transfer slip accompanying the soldier.] 
XV. 
RESULTS AND DISPOSITION OF THE PATIENT, VIZ: 
Returned to duty, furloughed, died, deserted, discharged from service or trans- 
ferred TO ANOTHER HOSPITAL OR COMMAND. 
In case of return to duty, was cure complete? In case of discharge, give cause, in full, and 
degree of disability. In case of death, give cause, also result of autopsy, if made. State date 
of return from furlough or desertion. In case of transfer, give specific destination. In case 
of desertion, repeat the name of the patient in this column. 
XVI. 
DATE OF 
DISPOSITION. 
Give day, month, and 
year in each case. 
■ 
- 
* 
Transferred, No. : Discharged, No. 
— Deserted, No. ; Furloughed, No. - —; Died, No ; Total, No. ... Remaining under treatment, No. 
Note 1. Cases of wounds and injuries will be underscored by red lines. 2. In all cases of discharge for disability, enter on last page under ‘‘General Remarks” transcripts from the certificate both of the company commander and the 
medical officer. 3. Discharges on Surgeon’s certificate of disability and deaths occurring among those not on sick report will also be reported; in each case specify the manner in which the injury or disease originated, when known. 4. In every 
case of death of an officer, whether on duty or not, a special report is to be made to the Surgeon General, and if with the command, his name will be entered upon this Register. 5. In every case of death or discharge, including patient’s discharge 
by expiration of term of service, by sentence, by order, or for disability, it should be stated whether the disease or injury originated in the line of duty. 
0. Deaths of ex-officers and soldiers, if with the command, will be entered upon this Register with the proper remarks, and a statement as to whether 
cause of death originated in the service and in the line of duty. 7. When it is necessary to use more than one sheet, those additional will have the head- 
ings properly filled. The sheets will be consecutively numbered and stitched to each other through the binding space. 
1)0 NOT WHITE ON THE MAKGTNS OH BTNOING SPACE. SurgeOTl, TJ. S. .4. Form No. 43—(New.) Insert A. [Use no Ditto marks or Abbreviations on this sheet.] 
[To be stitched into Monthly Report when there is not sufficient space for names on single blank.] 
REGISTER OF PATIENTS at 
I. 
NUMBERS. 
The numbers 
will be continu 
ous. The pa- 
tient’s last num 
heron Register 
will also 
be entered in 
red ink. 
ii. 
ISTAJVIES. 
m. 
RANK. 
IV. 
>, 
a 
a 
ft 
a 
o 
o 
V. 
REGIMENT 
OR 
STAFF CORPS. 
VI. 
AGE. 
VII. 
RACE OR 
NATIONALITY. 
VIII. 
BIRTHPLACE. 
Length of Service, y. 
Originated in Line 
of Duty. X 
Yes or No. 
XI. 
CAUSE OF ADMISSION. 
Write the name of the disease in full. In doubtful cases enter “awaiting 
diagnosis.” In injuries give cause, location, character, and attending 
circumstances. When injuries are received in battle, specify date, en- 
gagement, and nature of missile. 
SURNAME. 
CHRISTIAN. 
- - ■ 
----- 
IL 
• 
-- 
i— 
- ■ 
—. . ' _1 
/ 
• 
nmand 
.No ; , 
NUMERICAL SUMMARY: Remainingfror 
n last month, No. ........ ADMISSIONS: From cot 
9y transfer, No. 
/ Tott 
il. No. . DISPOSITIONS: Returned to Duty, No. 
Note 1. Patients remaining under treatment at the end of last month will be brought forward and entered by name, with their proper numbers and dates of admission, on this Register. 2. They will be placed at the head of the page 
and separated from the others by a broad red line. 3. Facts once noted in columns Vi, vii, vm, IX, X, and xi need not be repeated, except in cases of Death or Discharge. 4. Names of patients will be placed on the double-ruled lines where 
matter to be entered in columns XI, XII, and xv is at all extensive. 5. The names ot officers and enlisted men who are excused from any part of their military duty on account of sickness or injury will be entered on this Register. Enlisted 
men employed as cooks or attendants in hospital, when under treatment for disease or injury, must appear upon this Register as in the case of other enlisted men, and the fact of their employment as cooks and nurses in hospital noted. 6. Sepa- 
rate Reports will be made for White and Black Troops and for organized Companies of Indian Scouts. 
no NOT WRITK ON mi: MARGINS or rinding space. [Use no Ditto nmrks or Abbreviations on this sheet.] 
jVo. of Sheet, 
for the month of , 188 . 
.... 
XIII. 
XIV. 
XV. 
XVI. 
COMPLICATIONS, SEQUELAE, ETC. 
Note surgical opei'ations, unusual treatment, and the 
correction of errors of diagnosis. If the disease or 
injury was contracted prior to enlistment, or in some 
other locality, note the fact. 
DATE OF 
ADMISSION. 
Give day, month, 
and year in each 
case. 
SOURCE OF ADMISSION. 
From quarters, field, etc. [When trans- 
ferred from another hospital or command, 
give name of same and date of original 
entry on Sick Report, taken from the 
transfer slip accompanying the soldier.] 
RESULTS AND DISPOSITION OF THE PATIENT, VIZ: 
Returned to duty, furloughed, died, deserted, discharged from service or trans- 
ferred TO ANOTHER HOSPITAL OR COMMAND. 
In case of return to duty, was euro complete? In case of discharge, give cause, in full, and 
degree of disability. In case of death, give cause, also result of autopsy, if made. State date 
of return from furlough or desertion. In case of transfer, give specific destination. In case 
of desertion, repeat the name of the patient in this column. 
1 
DATE OF 
DISPOSITION. 
Give day, month, and 
year in each case. 
• 
- 
■ 
■ 
Transferred, No. ; Discharged, No. 
— ----- / Deserted, No. / Furloughed, No. 
Died, No ; Total, No. . Remaining under treatment, No. ----- - 
Note 1. Cases of wounds and injuries will be underscored by red lines. 2. In all cases of discharge for disability, enter on last page under “General Remarks” transcripts from the certificate both of the company commander and the 
medical officer. 3. Discharges on Surgeon’s certificate of disability and deaths occurring among those not on sick report will also be reported; in each case specify the manner in which the injury or disease originated, when known. 4. In every 
case of death of an officer, whether on duty or not, a special report is to be made to the Surgeon General, and if with the command, his name will be entered upon this Register. 5. In every case of death or discharge, including patient’s discharge 
by expiration of term of service, by sentence, by order, or for disability, it should be stated whether the disease or injury originated in the line of duty, 
b. Deaths of ex-officers and soldiers, if with the command, will be entered upon this Register with the proper remarks, and a statement as to whether 
cause of death originated in the service and in the line of duty. 7. When it is necessary to use more than one sheet, those additional will have the head- 
ings properly filled. The sheets will be consecutively numbered and stitched to each other through the binding space. 
r>0 NOT WRTTK ON THE MARGINS OR BINDING SPACE. Surgeon, U. S. A. Form No. 43—(New.) Insert A. [Use no Ditto marks or Abbreviations on this sheet.] 
[To be stitched into Monthly Report when there i« not sufficient space for names on single blank.] 
REGISTER OF PATIENTS at 
1. 
ii. 
hi. 
IV. 
V. 
VI- 
VII. 
VIII. 
\ IX 
X. 
XI. 
NUMBERS. 
The numbers 
will be continu 
ous. The pa- 
tient’s last num 
heron Register 
will also 
UNTA-lVriCS. 
RANK. 
>> 
5 
a 
REGIMENT 
OR 
STAFF CORPS. 
AGE. 
RACE OR 
NATIONALITY. 
BIRTHPLACE. 
gth of Service. 
mated in Line 
of Duty, 
or No. 
CAUSE OF ADMISSION. 
Write the name of the disease in full. In doubtful cases enter “awaiting 
diagnosisIn injuries give cause, location, character, and attending 
circumstances. When injuries are received in battle, specify date, en- 
gagement, and nature of missile. 
be entered in 
red ink. 
SURNAME. 
CHRISTIAN. 
a 
o 
O 
c 
<v 
hi 
.2f cc 
u *p 
O PH 
' 
1 
. 
• 
.. .J 
h 
* 
NUMERICAL SUMMARY: Remaining frot 
n la 
stmonth. No.... 
. ADMISSIONS: From cot 
nmand. No. ; 
3v transfer. No. 
: Tnti 
7/. No DISPOSITIONS: Returned to Duty, No. 
Note 1. Patients remaining under treatment at the end of last month will be brought forward and entered by name, with their proper numbers and dates of admission, on this Register. 2. They will he placed at the head of the page 
and separated from the others by a broad red line. 3. Facts once noted in columns Vi, vii, VIII, IX, X, and xi need not be repeated, except in cases of Death or Discharge. 4. Names of patients will be placed on the double-ruled lines where 
matter to be entered in columns XI, xn, and xv is at all extensive. 5. The names of officers and enlisted men who are excused from any part of their military duty on account of sickness or injury will be entered, on this Register. Fnlisted 
men employed as cooks or attendants in hospital, when under treatment for disease or injury, must appear upon this Register as in the case of other enlisted men, and the fact of their employment as cooks and nurses in hospital noted. 6. Sepa- 
rate Reports will be made for White and Black Troops and for organized Companies of Indian Scouts. 
DO NOT WRITE ON THE MARGINS OR WINDING SPACE. [ Use no Ditto marks or Abbreviations on this sheet.] 
No. of Sheet, 
, tor the month of 
188 
XII. 
COMPLICATIONS, SEQUELAE, ETC. 
Note surgical operations, unusual treatment, and the 
correction of errors of diagnosis. If the disease or 
injury was contracted prior to enlistment, or in some 
other locality, note the fact. 
XIII. 
DATE OF 
ADMISSION. 
Give day, month, 
and year in each 
case. 
XIV. 
SOURCE OF ADMISSION. 
From quarters, FiEiiD, etc. [When trans- 
ferred from another hospital or command, 
give name of same and date of original 
entry on Sick Report, taken from the 
transfer slip accompanying the soldier.] 
XV. 
RESULTS AND DISPOSITION OF THE PATIENT, VIZ: 
Returned to duty, furloughed, died, deserted, discharged from service or trans- 
ferred TO ANOTHER hospital or command. 
In case of return to duty, was cure complete? In case of discharge, give cause, in full, and 
degree of disability. In case of death, give cause, also result of autopsy, if made. State date 
of return from furlough or desertion. In case of transfer, give specific destination. In case 
of desertion, repeat the name of the patient in this column. 
XVI. 
/ 
DATE OF 
DISPOSITION. 
Give day, month,and 
year in each case. 
• 
=— »--- | 
'■■■'■'■ ■■ - ■■ ~L~'A 
- 
Ui . .. ,, -1 - - - - 
. 
Transferred, No. ; Discharged, No. / Deserted, No. ; Furloughed, No. 
if, No — 
Is'OTK 1- of wounds and injuries will In; underscore! Y us. 2. In all cases of discharge for disability, enter on ast page under General Remarks transcripts from the certificate both of the company commander and the 
medical officer, d. Discharges on Surgeon’s certificate ot disa n . a, ls occurring among those not on sick report will also be reported; in each case specify the manner in which the injury or disease originated, when known. 4. In every 
case of death of an officer, whether on duty or not, a special repot 18 :! e (> ’he Surgeon General, and if with the command, his name will be entered upon this Register. 5. In every case of death or discharge, including patient’s discharge 
by expiration of term of service, by sentence, by order, or for disability, it should be stated whether the disease or injury originated m the line of duty, 
fi. Deaths of ex-officers and soldiers, if with the command, will be en . l)'m 18 Register with the proper remarks, and a statement as to whether 
cause of death originated in the service and in the line of duty. 7. necessary to use more than one sheet, those additional will have the head- 
ings properly fiHe<b *e sheets will be consecutively numbered an 6 eac i other through the binding space. - 
no not write on thk margins or binthno space. Surgeon, V. S. . Form No. 43—(New.) Insert A. [Use no Ditto marks or Abbreviations on this sheet.I 
[To be stitched into Monthly Report when there is not sufficient space for names on single blank.] 
REGISTER OE PATIENTS at 
I. 
NUMBERS. 
The numbers 
will be continu- 
ous. The pa- 
tient’s last num- 
ber on Register 
will also 
be entered in 
red ink. 
ii. 
NAMES. 
III. 
RANK. 
Company. -*) 
V. 
REGIMENT 
OR 
STAFF CORPS. 
VI. 
AGE. 
VII. 
RACE OR 
NATIONALITY. 
VIII. 
BIRTHPLACE. 
Length of Service. 
Originated in Line 
of Duty. X 
Yes or No. 
XI. 
CAUSE OF ADMISSION. 
Write the name of the disease in full. In doubtful cases enter “ awaiting 
diagnosis.” In injuries give cause, location, character, and attending 
circumstances. When injuries are received in battle, specify date, en- 
gagement, and nature of missile. 
SURNAME. 
CHRISTIAN. 
• 
'■ =3 
=====J 
NUMERICAL SUMMARY: Remaining from last month, No. . At 
EMISSIONS: From cot 
rr 
nmand, No. ; By transfer, No. ; Total, No. ■ DISPOSITIONS: Returned to Duty, No. 
Note 1. Patients remaining under treatment at the end of last month will he brought forward and entered by name, with their proper numbers and dates of admission, on this Register. 2. They will be placed at the head of the page 
and separated from the others by a broad red line. 3. Facts once noted in columns VI, VII, VIII, IX, X, and XI need not be repeated, except in cases of Death or Discharge. 4. Names of patients will be placed on the double-ruled lines where 
matter to be entered in columns XI, xii, and xv is at all extensive. 5. The names of officers and enlisted men who are excused from any part of their military duty on account of sickness or injury will be entered on this Register. Enlisted 
men employed as cooks or attendants in hospital, when under treatment for disease or injury, must appear upon this Register as in the case of other enlisted men, and the fact of their employment as cooks and nurses in hospital noted. 6. Sepa- 
rate Reports will be made for White and Black Troops and for organized Companies of Indian Scouts. 
DO NOT WHITE <>\ Till! MARGINS OR RINDING SPACE. [ Use no Ditto marks or Abbreviations on this sheet.] 
No. of Sheet, 
for the month of 
188 
XII. 
COMPLICATIONS, SEQUELA?, ETC. 
Note surgical operations, unusual treatment, and the 
correction of errors of diagnosis. If the disease or 
injury was contracted prior to enlistment, or in some 
other locality, note the fact. 
XIII. 
DATE OF 
ADMISSION. 
Give day, month, 
and year in each 
case. 
XIV. 
SOURCE OF ADMISSION. 
From quarters, field, etc. [When trans- 
ferred from another hospital or command, 
give name of same and date of original 
entry on Sick Report, taken from the 
transfer slip accompanying the soldier.] 
XV. 
RESULTS AND DISPOSITION OF THE PATIENT, VIZ: 
Returned to duty, furloughed, died, deserted, discharged from service or trans- 
ferred TO ANOTHER HOSPITAL OR COMMAND. 
In case of return to duty, was cure complete? In case of discharge, give cause, in full, and 
degree of disability. In case of death, give cause, also result of autopsy, if made. State date 
of return from furlough or desertion. In case of transfer, give specific destination. In case 
of desertion, repeat the name of the patient in this column. 
XVI. 
DATE OF 
DISPOSITION. 
Give day, month, and 
year in each case. 
* 
| 
• 
Transferred No / Discharged, No... 
1 
; Died, No ; Total, No Remaining under treatment, No. 
Note 1 Cases of wounds and injuries will be underscored by red lines. 2. In all cases of discharge for disability, enter on last page under “General Remarks’ transcripts from the certificate both of the company commander and the 
medical officer. 3. Discharges on Surgeon s certificate of disability and deaths occurring amon<, those not on sick report will also be reported; in each case specify the manner in which the injury or disease originated, when known. 4. In every 
case of death of an officer whether on duty or not, a special report is to be made to the Surgeon General, and if with the command, his name will be entered upon this Register. 5. In every case of death or discharge, including patient’s discharge 
>/ expiration of term of service, by sentence, by or( <’^,<]1fa 1 it should be stated whether the disease or injury originated in the line of duty. 
deaths of ex-officers and soldiers, if with thei comma> , be entered upon this Register with the proper remarks, and a statement as to whether 
cause of death originated in the service and m the , ‘ j ' , .le'} u is necessary to use more than one sheet, those additional will have the head- 
mgs properly filled. The sheets will be consecutive y < s itched to each other through the binding space. - 
DO NOT WRITE ON THE MARGINS OR RINDING SPACE. Surgeon, U. S. A. CONSOLIDATED REPORT OP MEDICAL DEPARTMENT—Continued. 
Vaccinations during the month. 
Number of 
CASES. 
[1. Officers and soldiers excused from duty because of vaccination will be entered on Register with vaccina. 2. Note kind of virus used and general character of lesions 
produced thereby.] REMARKS: 
Vaccinated successfully _ 
Vaccinated unsuccessfully _ . 
Undetermined__ . _ 
Revaccinated successfully . __ .. 
Undetermined . . . _ 
REGISTER OF MARRIAGES DURING THE MONTH. 
Name of Groom. 
y,A 1 h- (If widower, so state.) 
1 
Rank, Reg't, or Staff Corps. R Nativity 
If civilian, state his occupation. H/ACE AND JN ATI\ ITY. 
Age. 
Maiden Name of Bride. 
(If widow, so state.) 
Race and Nativity. Age. 
P 
3C 
REGISTER OF HIRTHS DURING THE MONTH. [3. To establish the legal rights of the heirs of officers and enlisted men of the Army, the Register (if Marriages, 
care. 4. No erasures will be made. In case errors occur an explanation, signed by the medical officer, must be entered in the remarks. 5. Record also all ci vilian births o< 
irths, and Deaths should be kept with the utmost 
urring on the military reservation. 
Date. Sex. Name of Child. Name, father, and, if Maiden Name of Mother. 
Age of parents. 
nntinnnlitv JN umoer Ol Cftlla 
of parents? Father. Mother. b>'this ™ther. 
1 
GENERAL REMARKS. 
(6. Here note any matters of interest pertaining to the medical, hygienic, or sanitary condition of the troops and post, prevalent diseases of vicinity, etc., etc. 7. Reports of cases will not be entered in remarks, but will be made separately.] 
• 
/ 
I certify that the foregoing entries are correct, and that an accurate copy of this Register and Report is on file at this post. 
The Register covers — sheets, and is accompanied by the following special reports, viz: 
616. §. Qizwwy 
The signature of the medical officer will he attached to every sheet. 
1)0 NOT WRITE ON THE MARGINS OR BINDING SPACE. (FORM 44.) 
NOMENCLATURE to be followed in making the Monthly Report of Sick and Wounded. (See 
Form 41, Direction 1.) This nomenclature will be strictly observed, except when diseases occur which 
are not provided for by it. In such cases the surgeon must state, under the head of “Remarks,” his 
reason for departing from the Form. 
CLASS I. ZYMOTIC DISEASES. 
Order I. Miasmatic Diseases. 
Typhoid fever. 
Typhus fever. 
Typho-malarial fever. 
Yellow7 fever. 
Remittent fever. 
Quotidian intermittent fever. 
Tertian intermittent fever. 
Quartan intermittent fever. 
Congestive intermittent fever. 
Acute diarrhoea. 
Chronic diarrhoea. 
Acute dysentery. 
Chronic dysentery. 
Epidemic cholera. 
Erysipelas.* 
Hospital gangrene.* 
Pyaemia.* 
Small-pox. 
Varioloid. 
Chicken-pox. 
Measles. 
Scarlet fever. 
Mumps. 
Tonsillitis. (Quinsy.) 
Diphtheria. 
Epidemic catarrh. (Influenza.) 
Whooping cough. 
Cerebro-spinal meningitis. 
Order 2. Enthetic Diseases. 
Primary syphilis. 
Constitutional syphilis. 
Gonorrhoea. 
Gonorrhoeal orchitis. 
Gonorrhoeal ophthalmia. 
Stricture of the urethra. (Gonorrhoeal.) 
Glanders. 
Hydrophobia. 
Bite of serpents. 
Malignant pustule. 
Order 3. Dietic Diseases. 
Starvation. 
Scurvy. 
Purpura. 
Inebriation. 
Delirium tremens. 
Chronic alcoholism. 
Lumbricoid worms. 
Ascarides. 
Tricliimasis. 
Prolapsus ani. 
Femoral hernia. 
Inguinal hernia. 
Acute inflammation of liver. 
Chronic inflammation of liver. 
Cirrhosis of liver. 
Dropsy from hepatic disease. 
Jaundice. 
Biliary calculi. 
Inflammation of the spleen. 
Enlarged spleen. 
Order 7. Diseases of Urinary and 
Genital Organs. 
Inflammation of kidneys. 
Bright’s disease. 
Diabetes. 
Gravel. 
Calculus. 
Inflammation of bladder. 
Incontinence of urine. 
Retention of urine. 
Inflammation of testicle, (not gonorrhoeal.) 
Hydrocele. 
Varicocele. 
Order 8. Diseases of the Bones and 
Joints. 
Inflammation of periosteum. 
Inflammation of bones. 
Caries. 
Necrosis. 
Inflammation of joints. 
Anchylosis. 
Order 9. Diseases of the Integument- 
ary System. 
Abscess. 
Boil. 
Carbuncle. 
Ulcers. 
Whitlow. 
Skin diseases. (Not including syphilitic 
skin affections or itch.) 
CLASS IV. LOCAL DISEASES. 
Order 1. Diseases of the Nervous 
System. 
Apoplexy. 
Convulsions. 
Chorea. 
Epilepsy. 
Headache. 
Insanity. 
Inflammation of the brain. 
Inflammation of the membranes of the 
brain. 
Inflammation of the spinal cord. 
Nostalgia. 
Neuralgia. 
Paralysis. 
Sunstroke. 
Tetanus.* 
Order 2. Diseases of the Eye. 
Conjunctivitis. 
Iritis. 
Cataract. 
Amaurosis. 
Night blindness. 
Order 3. Diseases of the Ear. 
Otorrhoea. 
Inflammation of the internal ear. 
Deafness. 
Order 4. Diseases of the Organs of 
Circulation. 
Inflammation of pericardium. 
Dropsy of pericardium. 
Inflammation of endocardium. 
Hypertrophy of heart. 
Valvular disease of heart. 
Dropsy from heart disease. 
Aneurism. 
Phlebitis. 
Varicose veins. 
Order 5. Diseases of the Respiratory 
Organs. 
Asthma. 
Catarrh. 
Acute bronchitis. 
Chronic bronchitis. 
Epistaxis. 
Inflammation of larynx. 
Inflammation of lungs. 
Inflammation of pleura, 
Dropsy of the chest. 
Order 6. Diseases of the Digestive 
Organs. 
Colic. 
Constipation. 
Cholera morbus. 
Dyspepsia. 
Inflammation of stomach. 
Inflammation of bowels. 
Inflammation of peritoneum. 
Ascites. 
Hemorrhage from stomach. 
Hemorrhage from bowels. 
Fistula in ano. 
Piles. 
CLASS V. VIOLENT DISEASES AND 
DEATHS. 
Order 1. Wounds, Injuries, and Acci- 
dents. 
Burns and scalds. 
Contusion. 
Concussion of the brain. 
Drowning. 
Sprains. 
Dislocations. 
Frostbite. 
Simple fractures. (Not gunshot.) 
Compound fractures. (Not gunshot.) 
Gunshot wounds. 
Incised wounds. 
Lacerated wounds. 
Punctured wounds. 
Poisoning (byf ). 
’Order 2. Homicide. 
Order 3. Suicide. 
Order 4. Execution of Sentence. . 
Hanging. 
Shooting. 
CLASS II. CONSTITUTIONAL DIS- 
EASES. 
Order 1. Diathetic Diseases. 
Gout. 
Acute rheumatism. 
Chronic rheumatism. 
Anremia. 
Dropsy. (When not a mere symptom of 
disease of heart, liver, or kidneys.) 
Cancer. 
Epithelioma. 
Tumors. 
Dry gangrene. 
Order 2. Tubercular Diseases. 
Consumption. 
Scrofula. 
CLASS III. PARASITIC DISEASES. 
Itch. 
Tape jfcorms. 
*When these affections occur as complications of gunshot wounds, they will not be reported as new cases; and in such instances, should they terminate 
fatally, the deaths will be set down opposite “Gunshot Wounds.” The details of all such cases will, of course, be reported in the Quarterly Report of Wounds and 
Operations. 
f Here state cause of poisoning. for Blank Forms required for use at the Post Hospital at 
...... during the year ending , 188 
. ON HAND. 
NO. REQUIRED. 
BLANKS. 
- 
Account for Medicines Purchased (Form 5). 
Invoice of Medical Supplies Purchased (Form 6). 
Bill for Articles Purchased or Services Performed (Form 7). 
Accoun t of Sales of Medical Property (Form 12). 
Invoice of Medical Property Sold (Form 13). 
Requisition for Medical Supplies (Form 18). 
Invoice of Medical Supplies Issued (Form 20). 
“ “ “ “ (Small) (Fo?an 20V. 
Invoice of Chemicals and Chemical Apparatus (Form 58). 
Receipt for Medical Supplies Received {Form 21). 
(Small) (Form 211). 
Receipt for Chemicals and Chemical Apparatus (Form 59). 
Return, of Medical Property (Form 22). 
, extra leaves for. 
Case, Diet and Prescription Booh, Leaves for, (Form 35). 
Diet Table for Hospitals (Form 36). 
Special Diet Table (Form 37). 
Sanitary Report (Form 38). 
List of Patients suffering from Epidemic Diseases (Form 39). 
Meteorological Register (Form 40). 
Classified, Return of Wounds and Injuries (Form 4®)- 
Consolidated, Report of the Medical Department (Form 43—new). 
“ “ “ “ “ “ (Insert A). 
a u (6 (( (( (C /T 1 -n ( 
(Insert B). 
Nomenclature of Diseases (Form 44)• 
Statement of the Hospital Fund (Form 40). 
Hospital Fund Voucher (Form 4^)• 
Invoice of Durable Articles Purchased, with the Hospital Fund, (Form 43). 
Report of Surgical Operations (Form 50). 
Return of Durable Property Purchased from Hospital Hind (Form, 52). 
Invoice of Durable Articles Transferred (Form 53). 
Receipt for Durable Articles Transferred (Form 54)- 
Bills for Medical Attendance (Form 55). 
Monthly Report, of Examination of Recruits (Form 56). 
Diagnosis of Areas of Physical Signs. 
Record, of Variations of Temperature. 
— 
— 
— 
— 
-- 
Certify that the blanks above enumerated are requiredl for use at the 
Post Hospital at this Post. 
Surgeon, U. S. Army. Post Surgeon.. 
Pla ce: 
Date: , 188 
POST SURGEON, 
Fort 
Requisition for Blanks. * Wliich mast be strictly complied with. 
[A. G, 0. No. 31.] electro’s [DUPLICATES.] DIRECTIONS. 
This certificate will be made out in duplicate by the soldier’s troop, 
battery, or company commander, or other officer commanding the sep- 
arate detachment to which he belongs, and sent by him to the surgeon 
who has charge of the hospital where the soldier is sick. The surgeon 
will then fill out and sign the surgeon’s certificate, and forward these 
papers to the post commander, who will forward them, with his action 
indorsed thereon, through the proper channel, to the department com- 
mander or officer to whom the authority to discharge enlisted men 
may be specially delegated. 
These certificates, after having received the action of the highest 
authority to which they are required to be sent, will be returned 
through the same channel to the post commander, who will, if the dis- 
charge is authorized by the indorsement of the proper authority, sign 
the soldier’s discharge, and the last certificate on this paper; see that 
the soldier is furnished with the proper final statements in duplicate, 
and forward both of these certificates direct to the Adjutant General 
United States Army, at Washington, D. C.; they will not, under any 
circumstances, be given into the hands of the soldier. 
Note 1. 
The troop, battery, or company commander will here add 
a statement of all the facts known to him concerning the 
disease or wound, or cause of disability of the soldier; the 
time, place, manner, and all the circumstances under which 
the injury occurred, or disease originated or appeared; the 
duty, or service, or situation of the soldier at the time the 
injury was received or disease contracted, stating particu- 
larly whether the injury was received or the disease con- 
tracted in the line of his duty; and whatever other facts 
may aid a judgment as to the cause, immediate or remote, 
of the disability, and the circumstances attending it. 
When the facts are not known to the soldier’s immediate 
commander, the certificate of any officer, or affidavit of other 
person having such knowledge, will be appended—as the 
surgeon in charge of a hospital, the officer commanding a 
detachment of recruits, &c., &c. 
Note 2. 
When a probable case for pension, special care must be 
taken to state the degree of disability—as 1;, &c., &c.; 
to describe particularly the disability, wound, or disease, 
the extent of which it deprives him of the use of any limb 
or faculty, or affects his health, strength, activity, constitu- 
tion, or capacity to labor or earn his subsistence. The sur- 
geon will add, from his knowledge of the facts and circum- 
stances, and from the evidence in the case, his professional 
opinion of the cause or origin of the disability. 
Medical officers, in giving certificates of disability, are to 
take particular care in all cases that have not been under 
their charge, and especially in epilepsy, convulsions, chronic 
rheumatism, derangement of the urinary organs, ophthal- 
mia, ulcers, or any obscure disease liable to be feigned or 
purposely produced; and in no case shall such certificate 
be given until after a sufficient time and examination to 
detect any attempt at deception. 
Received (A. G. Office) 
a 
CERTIFICATE OF DISABILITY FOR DISCHARGE 
Reg’t of 
IN THE CASE OF 
Of 
, 188 * Which must be strictly complied with. 
[A. G-. 0. No. 31.] electro’s [DUPLICATES.] Note 1. 
The troop, battery, or company commander will here add 
a statement of all the facts known to him concerning the 
disease or wound, or cause of disability of the soldier; the 
time, place, manner, and all the circumstances under which 
the injury occurred, or disease originated or appeared; the 
duty, or service, or situation of the soldier at the time the 
injury was received or disease contracted, stating particu- 
larly* whether the injury was received or the disease con- 
tracted in the line of his duty; and whatever other facts 
may aid a judgment as to the cause, immediate or remote, 
of the disability, and the circumstances attending it. 
When the facts are not known to the soldier’s immediate 
commander, the certificate of any officer, or affidavit of other 
person having such knowledge, will be appended—as the 
surgeon in charge of a hospital, the officer commanding a 
detachment of recruits, &c., &c. 
Note 2. 
When a probable case for pension, special care must be 
taken to state the degree of disability—as -J-, &c., &c.; 
to describe particularly the disability, wound, or disease, 
the extent of which it deprives him of the use of any limb 
or faculty, or affects his health, strength, activity, constitu- 
tion, or capacity to labor or earn his subsistence. The sur- 
geon will add, from his knowledge of the facts and circum- 
stances, and from the evidence in the case, his professional 
opinion of the cause or origin of the disability. 
Medical officers, in giving certificates of disability, are to 
take particular care in all cases that have not been under 
their charge, and especially in epilepsy, convulsions, chronic 
rheumatism, derangement of the urinary organs, ophthal- 
mia, ulcers, or any obscure disease liable to be feigned or 
purposely produced; and in no case shall such certificate 
be given until after a sufficient time and examination to 
detect any attempt at deception. 
DIRECTIONS. 
This certificate will be made out in duplicate by the soldier’s troop, 
battery, or company commander, or other officer commanding the sep- 
arate detachment to which he belongs, and sent by him to the surgeon 
who has charge of the hospital where the soldier is sick. The surgeon 
will then fill out and sign the surgeon’s certificate, and forward these 
papers to the post commander, who w ill forward them, with his action 
indorsed thereon, through the proper channel, to the department com- 
mander or officer to whom the authority to discharge enlisted men 
may be specially delegated. 
These certificates, after having received the action of the highest 
authority to which they are required to be sent, will be returned 
through the same channel to the post commander, who will, if the dis- 
charge is authorized by the indorsement of the proper authority, sign 
the soldier’s discharge, and the last certificate on this paper; see that 
the soldier is furnished with the proper final statements in duplicate, 
and forward both of these certificates direct to the Adjutant General 
United States Army, at Washington, D. C.; they will not, under any 
circumstances, be given into the hands of the soldier. 
Received (A. G. Office) 
a 
CERTIFICATE OF DISABILITY FOR DISCHARGE 
Reg’t of.... 
IN THE CASE OF 
of- 
, IS8 RECORD OF AUTOPSY. 
1. 
Name 
, Rank , Co. 
, Reft 
2.: 
Sex , 3. Color 
, 4. Nativity 
5. 
Age ,6. Date and Cause of death 
7. 
Time between death and autopsy, 
Rigor mortis, and general condition of nutrition 
8. 
Body, height, feet, 
inches. 9. Weight, 
lbs. 
10. 
Brain, total weight, 
oz. 
Volume, 
fluid oz. 
11. 
“ Right Hemisphere, 
oz. 
Volume, 
fluid oz. 
12. 
“ Left Hemisphere, 
oz. 
Volume, 
fluid oz. 
13. 
“ Cerebellum, 
oz. 
Volume, 
fluid oz. 
14. 
“ Pons and Medulla, 
oz. 
Volume, 
fluid oz. 
15. 
Spinal Cord, 
oz. 
Volume, 
fluid oz. 
16. 
Heart, 
oz. 
Volume, 
fluid oz. 
17. 
Lungs, 
oz. 
Volume, 
fluid oz. 
18. 
“ Right Lung, 
oz. 
Volume, 
fluid oz. 
19. 
“ Left Lung, 
oz. 
Volume, 
fluid oz. 
20. 
Thymus Gland, 
oz. 
Volume, 
fluid oz. 
21. 
Stomach, 
OZ. 
22. 
Liver, 
oz. 
Volume, 
fluid oz. 
23. 
Pancreas, 
oz. 
Volume, 
fluid oz. 
24. 
Spleen, 
oz. 
Volume, 
fluid oz. 
25. 
Kidneys, 
oz. 
Volume, 
fluid oz. 
26. 
“ Right Kidney, 
oz. 
Volume, 
fluid oz. 
27. 
“ Left Kidney, 
oz. 
Volume, 
fluid oz. 
28. 
Supra-renal Capsules, 
oz. 
Volume, 
fluid oz. 
29. 
Testes, 
oz. 
Volume, 
fluid oz. 
30. 
Uterus, 
oz. 
Volume, 
fluid oz. 
31. 
Ovaries, 
oz. 
Volume, 
fluid oz. 
32. 
Small Intestine, length, 
feet. 
33. 
Large Intestine, length, 
feet. 
34. 
Ascending Aorta, circumference, 
inch. 
35. 
Pulmonary Artery, circumference, 
inch. 
36. 
Thoracic Aorta, circumference, 
inch. 
37. 
Abdominal Aorta, circumference, 
inch. 
( Right, circumference, 
inch. 
38. 
Renal Arteries, < 
( Left, circumference, 
inch. 
Station • 
Signature: 
Date RECORD OF AUTOPSY. 
Case of 
Co. —, Regt. 
Reported by 
Surgeon, U. S. Army. (Form JN:o. 35.J 
CASE, DIET, AND PRESCRIPTION BOOK. 
KTo. of Bed ( ) 
NAME. 
RANK. 
CO. 
REGIMENT. AGE. 
DATE OF ADMISSION. 
DIAGNOSIS. 
DATES. 
HISTORY AND PROGRESS OF CASE. 
' PRESCRIPTIONS AND DIET. (Form No. 35.) 
CASE, DIET, AND PRESCRIPTION BOOK. 
No. of Bed ( ) 
NAME. 
RANK. 
CO. 
REGIMENT. 
AGE. 
DATE OF ADMISSION. 
DIAGNOSIS. 
DATES. 
HISTORY AND PROGRESS OF CASE. 
PRESCRIPTIONS AND DIET. (Form -No. oo.) 
CASE, DIET, AND PRESCRIPTION BOOK. 
No. of Bed ( ) 
NAME. RANK. CO. 
REGIMENT. AGE. 
DATE OF ADMISSION. 
DIAGNOSIS. 
1 
' 
! ■ 
DATES. 
HISTORY AND PROGRESS OF CASE. 
PRESCRIPTIONS AND DIET. 
1 ' (Fop.m No. 35.) 
CASE, DIET, AND PRESCRIPTION BOOK. 
No. of Bed ( ) 
NAME. 
RANK. 
CO. 
REGIMENT. 
AGE. 
DATE OF ADMISSION. 
DIAGNOSIS. 
DATES. 
HISTORY AND PROGRESS OF CASE. 
PRESCRIPTIONS AND DIET. ZET'OIIRJVL OIB1 CERTIFICATE 
FOK 
ABSENCE ON ACCOUNT OF SICKNESS. 
of the 
Regiment of 
, having applied for a certificate to cover absence from 
his command, or duty, I do hereby certify that I have carefully examined this officer, and find that 
[Here the nature of the disease, wound, or disability is to be fully stated, and the period during which 
the officer has suffered under its effects.] 
and that in consequence thereof he is, in my opinion, unfit for duty, and not able to travel without 
endangering his ultimate cure. I further declare my belief that he will not be able to resume his duties 
in a less period than [.Here state candidly and explicitly the period which will probably elapse before the 
officer will be able to resume his duties. When there is no reason to expect recovery, or when the prospect 
of recovery is remote or uncertain, it must be so stated.'] 
* Date and source of original leave, 
Post Office address, 
Dated at 
., this 
day of „ 188 
[Signature.] 
* Care must be taken in all cases to state this. 
Note 1.—Army medical officers in granting certificates for “ABSENCE ON ACCOUNT OF SICKNESS” will use the above form. 
Certificates of a different form will not be recognized, nor will they serve to cover the absence of an officer. Where the officer (in 
the absence of an Army medical officer) substitutes his own certificate, he will be held responsible for any departure from the orders 
and instructions herein contained. 
Note 2.—When the officer cannot procure the certificate of a medical officer of the Army, he will change the above form to 
make it appear as his own certificate, on honor. 
Note 3.—When an officer is absent under a satisfactory certificate of disability, he will be entitled to the same pay as if an 
order had been issued granting him leave of absence on account of disability. 
Note 4.—Extensions of sick leave are not granted in orders, and an officer will be considered as evading duty if the disease 
results from his own imprudence. OUTLINE FIGURES 
TO INDICATE THE 
AREAS OF PHYSICAL SIGNS 
During the Progress of Diseases 
OF THE 
CHEST AND ABDOMEN. 
In these affections Medical Officers will often find 
it useful to map out the Areas of Dullness on Per- 
cussion, or other Physical Signs, with pencil or ink on 
one or more of the adjoining figures. 
On the termination of the case the diagrams will 
he transmitted to the Surgeon General’s Office with 
the Medical History. OF THE 
• 1' 
Areas of Physical Signs 
To accompany the Medical History of 
Surgeon, U. S. A. LIST OF PATIENTS suffering from Epidemic 
at 
, month of 
, 18 
% 
• 
. 
• 
NATIVITY. AGE. 
KANK. 
_ 
o 
1 
'at, 
' - L " 
Company. 
* Length of 
service in 
months. 
• 
t Length of 
time at 
station. 
Date of Attack. 
• — 
I o 
|| 
't 
0 
» 
(t 
p 
> 
> 
w 
w 
pc 
* 
* 
N O T E . 
This List is to be furnished monthly whenever cases of Yellow Fever or of Cholera occur, and also in the case of such other epidemic diseases as may, from time to time, 
he indicated by the Medical Director or the Surgeon General. Cases among Colored Troops will he reported on separate sheets. 
* Under this head embrace previous, as well as present enlistment. 
+ Under this head embrace the whole period of service at the station, whether continuous or not. 
+ Here state the source of the disease in each case, when it can be ascertained. 
( ircular No. 2, War Department, Surgeon General’s Office, dated June 12, 1868. 
Surgeon, U. 8. A. LIST OF PATIENTS 
SUFFERING FROM EPIDEM 
At 
month of 1 
Forwarded by— 
Surgeon, Record of Variations of Temperature berpr/ninp J<f- -- ttf jZep’t. of 
r— -— 
NAME 
'OMPANY 
REGIMENT 
NATIVITY 
— 
AfcE 
DIAGNOSIS 
Day of Mont/t 
i 
'lime ot fay 
II 
II 
| 
I 
I 
«s 
1 
IJL 
1 
LJL 
Mi 
1 
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II 
1 
II: 
ii 
11 
ii 
41 
1 
II 
1 5 
I. 
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II 
§ 
1 =1 • 
§ 
LA i 
* 1 
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1 1 
1 
g 
t 
111 
w 
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son 
. _ lmi 
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—i— 
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■ 
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... 
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—I 
. - “* - 
— 
*- 
— 
— 
._ . L05l- 
-104° 
. _L03° 
m:>0 
■ 
: 
r ' 
• 
— 
L„ 
— 
— 
— 
■ — 
■rj 
— 
L- 
1 
— 
zznz 
— 
1 
—— 
1 
— 
— 
— 
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—i— 
— 
zzj_z 
1 \I-Ld 
1 
—1 
1010 
— 
— 
—« 
L__ 
— 
— 
z_ 
— 
- 100 
— 
-U 
71 
1 
1— 
, » 
(— 
! 
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— 
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* 
1 
— 
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1 
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r 
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4 - 
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.. 90. 
: 
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Fhl&e 
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—|— 
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Hesptratiojv 
i /A/// //zr zz/zzz'e, zJfMt&cA 
efta. ffff f. 
/ / Form No. 43—(New.) 
Before the fifth day of each month one copy will be forwarded to the Surgeon General direct and one to the Medical Director of the Department. 
No. of Sheet,. 
Consolidated Report of the Medical Department at 
MOVEMENT OF TROOPS. 
(1) When in the field, give the location of command on the first and last day of the month, (2) the route taken, (3) number of miles traveled, and (f) method of conveyance; 
also (5) the arrival of transient troops and their destination. (6) Note changes in the composition of the command, and (7) changes of medical officers. (8) If a hospital 
is opened or closed during the month, state order and date. (9) In case of closure, state disposition of the records both on the Report and by immediate letter to the Medical 
Director and Surgeon General. 
[Here 
nies 
depa 
mth of ..... : , 188 . 
By 
Surgeon. V. S. Army. 
COMMAND. 
pecify legibly the name of the regiment ami the letters of the compa- 
comprising the command, together with the brigade, division, army, or 
rtmeiit in which it is serving.] 
--- 
j 
- 
<TcfsTATr 
— 
fr7 '\ 
I \ /1 
\\ \ HHr / // 
V \ / // 
: r 
Number excused from duty 
ent on each day of the month. 
on account of sickness for 
each day of the month. 
Day of 
month. 
No. 
officers. 
No. 
enlisted 
men. 
Total. 
No. 
officers. 
No. 
enlisted Total. 
men. 
1 
2 
' 
:i 
4 
5 
6 
7 
8 
9 
ID 
11 
12 
i:» 
14 
15 
* 
CIVILIANS ATTACHED TO OR WITH THE COMMAND. [To include the wives, children, relatives, servants of officers and enlisted men, as well as all other civilians, 
male and female, living at the post or connected with the command.] 
Adult males, No. ; Adult females, No ; Children, No. ... Total, . 
REMARKS: 
Sick Report No. remaining sick No. taken sick dur- Number 
on last report. ing month. recovered. 
Number Remaining 
died. sick. 
Adult males 
Adult females 
lb 
17 
18 
Children 
! ' ' . . ■ . .... ‘ 
REGISTER OF DEATHS AMONG CIVILIANS WITH THE COMMAND DURING THE MONTH. 
[The information called for as to the diseases, deaths, and births of civilians is required to perfect the records of vital statistics, etc., in the Surgeon General's Office, and for 
this reason also Special Reports of Interesting cases and autopsies will be forwarded.] 
19 
20 
Name. 
' 
Age. Sex. 
Race. 
Cause. Date. 
21 
22 
23 
24 
25 
26 
27 
28 
» 
31 
REMARKS.—Civilians treated in hospital during the month, with name and complaint ol each. 
! 
["Mpan strength and totals will he computed at the Surgeon ~| 
[_ General’s Office. J 
DO NOT WRITE ON THE MARGINS OR BINDING SPACE Form No. 43—(New.) 
[ Use no Ditto marks or Abbreviations on this sheet.] 
REGISTER OF PATIENTS at 
I. 
NUMBERS. 
The numbers 
will be continu- 
ous. The pa- 
tient’slast nmn- 
beron Register 
will also 
be entered in 
red ink. 
ii. 
jNT TV INI I 
SURNAME. 
is. 
CHRISTIAN. 
iii. 
RANK. 
' Company. ■<, 
V. 
REGIMENT 
OR 
STAFF CORPS. 
VI. 
AGE. 
VII. 
RACE OR 
NATIONALITY. 
VIII. 
BIRTHPLACE. 
IX. 
© 
o 
> 
u 
<v 
m 
o 
£ 
bC 
S3 
0> 
Originated in Line 
of Duty. X 
Yes or No. 
XI. 
CAUSE OF ADMISSION. 
Write the name of the disease in full. In doubtful cases enter "■awaiting 
diagnosis.” In injuries give cause, location, character, and attending 
circumstances, when injuries are received in battle, specify date, en- 
gagement, and nature of missile. 
— 
- — ■ - 
.. 
NUMERICAL 
NUMMARY: Remainingfroi 
n last month, No. 
7 
. ADM/SS 
IONS: From cot 
nmand 
, No. 
By transfer, No. 
; Tot 
al, No. . DISPOSITIONS: Returned to Duty, No. 
Note 1. Patients remaining under treatment at the end of last month will he brought forward and entered by name, with their proper numbers and dates of admission, on this Register. 2. They will be placed at the head of the pa&N 
and separated from the others by a broad red line. 3. Facts once noted in columns VI, VII, VIII, IX, X, and XI need not be repeated, except in cases of Death or Discharge. 4. Names of patients will be placed on the double-ruled lines whet 
matter to be entered in columns xi, xii, and XV is at all extensive. 5. The names of officers and enlisted men who are excused from any part of their military duty on account of sickness or injury will be entered on this Register. Enlist* 
men employed as cooks or attendants in hospital, when under treatment for disease or injury, must appear upon this Register as in the case of other enlisted men, and the fact of their employment as cooks and nurses in hospital noted. 6. Sep1 
rate Reports will he made for White and Black Troops and for organized Companies of Indian Scouts. 
DO NOT AVRITE ON TIIK MARGINS OR RINDING SPACE. CONSOLIDATED REPORT OF MEDICAL DEPARTMENT—Continued. 
Vaccinations during thk month. 
Number of []. 
CASES. 
Officers and soldiers excused from duty because of vaccination will be entered on Register with vaccina. 2. Note kind of virus used and general character of lesions 
produced thereby.] REMARKS: 
Vaccinated successful! v 
Vaccinated unsuccessfully 
Undetermined 
Kevaccinated successfully 
Revaccinated unsuccessfully 
t . 
Undetermined 
....... 
REGISTER OF MARRIAGES DURING THE MONTH. 
Date. 
Name of Groom. 
(If widower, so state.) 
nk.yReg A°i Corps. Race and Nativity. 
If civilian, state his occupation. 
Age. 
Maiden Name of Pride. ,vn 
(If widow, so state.) Race and 
Nativity. 
1 
Age. 
REGISTER OF BIRTHS DURING THE MONTH. [3. To establish the legal rights of the heirs of officers and enlisted men of the 
care. 4. No erasures will be made. In cease errors occur an explanation, signed by the medical officer, must be entered in the remarks. 5 
Army, the Register of Marriages, Births, and Deaths should be kept with the utmost 
Record also all civilian births occurring on the military reservation. 
,f 
Race or 
Ace or parents. 
Number of child 
by this mother. 
Date. 
Sex. 
\r f n 1 a'IIUIICj liUlU, I 11111'11 L. tlUI U1 litlllt*!, ItllU, 
mame of child. civilian, his occupation. 
Maiden Name of Mother. nationality 
of parents. 
Father. 
Mother. 
| III 
GENERAL REMARKS. 
fti. Here note any matters of interest pertaining to the medical, hygienic, or sanitary condition of the troops and post, prevalent diseases of vicinity, etc. 
etc. 7. Reports of cases will not be entered In remarks 
, but will be made separately.] 
| 
— — 
* 
/ 
I CERTIFY that the foregoing entries are correct, and that an accurate copy of this Register and Report is on file at this post. 
The Register covers sheets, and is accompanied by the following special reports, viz: 
Glt. S. OLzA-nif. 
If** signature of the medical officer will be attached to every sheet. 
DO >'OT WRITE ON THE MARGINS OR BINDING SPACE Form No. 43—(New.) Insert B. 
To be pasted into bound volume of Register at the end of every month’s record.*} 
No. of Sheet,.. 
Consolidated Report of the Medical Department at 
MOVEMENT OF TROOPS. 
j (1) When in the field, give the location of command on the first and last day of the month, (2) the route taken, (3) number of miles traveled, and (1) method of conveyance: 
j also (5) the arrival of transient troops and their destination, (li) Note changes in the composition of the command, and (7) changes of medical officers. (8) If a hospital 
is opened or closed during the month, state order and date. (9) In case of closure, state disposition of the records both on the Report and by immediate letter to the Medical 
Director and Surgeon General. 
MlottfJt of ...., 188 . 
By 
Surgeon, U. S. Army. 
COMMAND. 
1 Here specify legibly the name of the regiment and the letters of the compa- 
nies comprdng the command, together with the brigade, division, army, or 
depart me., t in which it is serving.; 
. 
# 
* 
A 
excused from duty 
omit of sickness for 
ay of the month. 
Aggre 
ENT 
gate number of Troops prks- 
on each day of the month. 
N umber 
1 on acc 
each d 
Day of 
month. 
No. 
officers. 
No. 
enlisted Total. 
men. 
No. 
officers. 
No. 
enlisted Totai,. 
men. 
1 
2 
3 
1 1 i| | 
.... - . - 
4 
5 
• ■ . • .... 
6 
8 
9 
TO 
■ • | : 
! t 
1 
; j -- 
CIVILIANS ATTACHED TO OR WITH THE COMMAND. [To include the wives, children, relatives, servant* of officers and enlisted men, as well as all other civilians, 
male and female, living at the post or connected with the command.] 
11 
12 
13 
14 
15 
lfi 
— 
-- - — —| 
Adult males, No. ; Adult females. No ; Children, No ; Total, -. 
REMARKS: 
1 
Sick Reoort Xo- remaining sick 
» ick Report. on last report 
No. taken sick dur- 1 Number 
ing month. recovered. 
Number 
died. 
Remaining 
sick. 
-. 
Adult males 
• 
Adult females 
j- — 
Children __ __ ..... 
17 
18 
19 
20 
. j 
- ■ . ..... . . . . . 
REGISTER OF DEATHS AMONG CIVILIANS WITH THE COMMAND DURING THE MONTH. 
[The information called for as to the diseases, deaths, and births of civilians is required to perfect the records of vital statistics, etc., in the Surgeon General's Office, and for 
this reason also Special Reports of interesting cases and autopsies will be forwarded.] 
- 
Namk. A<;e. 
Sex. 
Race. 
Cause. 
Date. 
21 
... 
22 
— 
— 
...... 
23 
~-24- 
25 
26 
27 
28 
REMARKS.—Civilians treated in hospital during the month, with name and complaint of each 
• 
1 
29 
30 
rMean strength and totals will l>e computed at the Surs-eon 
L General’s Office. K 
DO NOT "WRITE ON THE MARGIN'S OR RINDING SPACE. ' Vaccinations during thk month. 
Numbei 
CASE* 
of | [i. Officers and soldiers excused from duty because of vaccination will be entered on Register with vaccina. 2. Note kind of yirus used and general character of lesions ] 
*• produced thereby.] REMARKS: 
v acunmieu buccwhiuiiv 
Vaccinated unsuccessfully 
Undetermined 
Revaccinated successfully . 
Revaccinated unsuccessfully 
Undetermined _ ...... 
■ - - - - - - -- -. - - -- - - - - - - - ...- - - - 
REGISTER OF MARRIAGES DURING THE MONTH. 
Date. 
Name of Groom. 
(If widower, so state.) 
Rank, Reg’t, or Staff Corps. 1 
If civilian, state his occupation. 
Race and Nativity. 
Age. 
Maiden Name of Bride. Race and Nativity 
(If widow, so state.) KACfc- AJ>D JNATrv ITY- 
Age. 
I 
REGISTER OF BIRTHS DURING THE MONTH. [:?. To establish the legal rights of the heirs of officers and enlisted men of the Army, the Register of Marriages, Births, and Deaths should be kept with the utmost 
care. 4. No erasures will he made. In case errors occur an explanation, signed by the medical officer, must be entered in the remarks. 5. Record also all civilian births occurring on the military reservation. 
Datk. 
Sf.x. 
Name of Child. 
Race or 
Name, rank, regiment or corps of father, and, if Maiden Name of Mother. nationality 
civilian, his occupation. of parents. 
Age or parents. 
Number of child 
by this mother. 
Father. 
Mother. 
. _ * i - ...... ... . ...... 
i i i 
| 
GENERAL REMARKS. 
j [6. Here note any matters of interest pertaining to the medical, hygienic, or sanitary condition of the troops and post, prevalent diseases of vicinity, etc., etc. 7. Reports of cases will not be entered in remarks, but will be made separately.] 
i ' 
, 
' ' v. '; - ■ \ .. , ■ * . . . . 
.. 
1 
I certify that the foregoing entries are correct, and that an accurate copy of this Register and Report is on tile at this post, j 
The Register covers sheets, and is accompanied by the following special reports, viz: 
" - - —- ■ J StvtC|e<m, GXt. S. 
CONSOLIDATED REPORT OF MEDICAL DEPARTMENT—Continued. 
The signature of the medical officer will be attached to every sheet. 
DO NOT WHITE ON THE MARGINS OR BINDING SPACE. [To be pasted into bound volume of Register at the end of every month’s record.] 
Form No. 43—(New.) Insert B. 
No. of Sheet, „ 
Consolidated Report of the Medical Department at 
MOVEMENT OF TROOPS. 
(1) When in the field, give the location of command on the first and last day of the month, (2) the route taken, (3) number of miles traveled, and (4) method of conveyance; 
also (o) the arrival of transient troops and their destination. (6) Note changes in the composition of the command, and (7) changes of medical officers. (8) If a hospital 
is opened or closed during the month, state order and date. (9) In ease of closure, state disposition of the records both on the Report and by immediate letter to the Medical 
Director and Surgeon General. 
Jflanlh of ... . , 188 . 
By 
Surgeon, U. S. Army. 
COMMAND. 
[ Here specify legibly the name of the regiment and the letters of the compa- 
nies comprising the command, together with the brigade, division, army, or 
department in which it is serving.] 
' 
- 
A 
x\\ 
TATe 
(r3§^ 
1 
// 
\ / J 
<£s 
nSva ...... K'ty'x 
0 
Aggregate number of Troops pres- 
ent on each day of the month. 
Number excused from duty 
on account of sickness for 
each day of the month. 
Day of 
month. 
No. 
officers. 
No. 
enlisted 
men. 
Totai.. 
No. 
officers. 
No. 
enlisted 
men. 
Totai.. 
1 
.. 
2 
- - 
3 
4 
5 
6 
I 
... .... - - 
? 
— 
8 
9 
1 
10 
CIVILIANS ATTACHED TO OR WITH THE COMMAND. [To Include the wives, children, relatives, servant* of officers and enlisted men, as well as all other civilians, 
male and female, living at the post or connected with the command.] 
11 
12 
I 1 
. .. 
Adult males. No ; Adult females, No ; Children, No ; Total, 
REMARKS: 
13 
14 
K. . 1 No. remaining sick I No. taken sick dur- 
mck nepori. j on last report. j ing month. 
Number 
recovered. 
Number 
died. 
Remaining 
sick. 
Adult males 
15 
Adult females _ < 
lb 
Children 
17 
18 
19 
— 
- 
REGISTER OF DEATHS AMONG CIVILIANS WITH THE COMMAND DURING THE MONTH. 
[The information called for as to the diseases, deaths, and births of civilians is required to perfect the records of vital statistics, etc., in the Surgeon General’s Office, and for 
this reason also Special Reports of interesting cases and autopsies will be forwarded.] 
-1 
20 
Name. 
Age. 
Sex. 
Race. 
Cause. 
Date. 
21 
22 
23 
24 
25 
26 
27 
28 
REMARKS.—Civilians treated in hospital during the month, with name and complaint of each. 
29 
30 
31 
1 
1 
["Mean strength and totals will he computed at the Surireonn 
L General’s Office. 
DO NOT WHITE ON THE MARGINS OK BINDING SPACE. [Use no Ditto marks or Abbreviations on this sheet.] 
No. of Sheet, 
for the month of 
188 
XII. 
COMPLICATIONS, SEQUELAE, ETC. 
Note surgical operations, unusual treatment, and the 
correction of errors of diagnosis. If the disease or 
injury was contracted prior to enlistment, or in some 
other locality, note the fact. 
XIII. 
DATE OF 
ADMISSION. 
Give day, month, 
and year in eacli 
case. 
XIV. 
SOURCE OF ADMISSION. 
From quarters, field, etc. [When trans- 
ferred from another hospital or command, 
give name of same and date of original 
entry on Sick Report, taken froni the 
transfer slip accompanying the soldier.] 
XV. 
RESULTS AND DISPOSITION OF THE PATIENT, VIZ: 
Returned to duty, furloughed, died, deserted, discharged from service or trans- 
ferred TO ANOTHER HOSPITAL OR COMMAND. 
In case of return to duty, was cure complete? In case of discharge, give cause, in full, and 
degree of disability. In case of death, give cause, also result of autopsy, if made. State date 
of return from furlough or desertion. In case of transfer, give specific destination. In case 
of desertion, repeat the name of the patient in this column. 
• 
i 
XVI. 
DATE OF 
DISPOSITION. 
Give day, month, and 
year in each case. 
—— _ . ___ . _ 
Transferred, No. ; Discharged, No.... 
; Deserted, No ; Furloughed, No.— 
; Died, No ; Total, No Remaining under treatmen 
! 
t, No . 
Note 1. Cases of wounds and injuries will be underscored by red lines. 2. In all cases of discharge for disability, enter on last page under “General Remarks” transcripts from the certificate both of the company commander and the 
medical officer. 3. Discharges on Surgeon’s certificate of disability and deaths occurring among those not on sick report will also be reported; in each case specify the manner in which the injury or disease originated, when known. 4. In every 
case of death of an officer, whether on duty or not, a special report is to be made to the Surgeon General, and if with the command, his name will be entered upon this Register. 5. In every case of death or discharge, including patient’s discharge 
by expiration of term of service, by sentence, by order, or for disability, it should be stated whether the disease or injury originated in the line of duty. 
f>. Deaths of ex-officers and soldiers, if with the command, will be entered upon this Register with the proper remarks, and a statement as to whether 
cause of death originated in the service and in the line of duty. 7. When it is necessary to use more than one sheet, those additional will have the head- 
ings properly filled. The sheets will be consecutively numbered and stitched to each other through the binding space. ... 
BO NOT WRITE ON THE MARGINS OR BINDING SPACE. Surgeon, U. S. A. CONSOLIDATED REPORT OF MEDICAL DEPARTMENT—Continued. 
Vaccinations during the month. 
Number of 
cases. 
[1. Officers and soldiers excused from duty because of vaccination will be entered on Register with vaccina. 2. Note kind of virus used and general character of lesions 
produced thereby.] REMARKS: 
Vaccinated successfully _ 
Vaccinated 
unsuccessfully 
uimeterninieu . 
Revaccinated successfully 
Undetermined 
REGISTER OF MARRIAGES DURING THE MONTH. 
Date. 
Name of Groom. 
(If widower, so state.) 
Rank, Reg’t, or Staff Corps. „ „ . 
If civilian, state his occupation. RACE AND NATIVITY. Age. 
Maiden Name of Bride. 
(If widow, so state.) 
Race and Nativity. 
Age. 
• 
' 
RI'itJISTKIl OF BIRTHS DURING THE MONTH. [3. To establish the legal rights of the heirs of officers and enlisted men of the Army, the Register of Marriages, Births, and Deaths should be kept with the utmost 
care. 4. No erasures will be made. In case errors occur an explanation, signed by the medical officer, must be entered in the remarks. 5. Record also all civilian births occurring on the military reservation. 
Race or 
Agf. of parents. 
Number of child 
by this mother. 
! 
Date. 
Sex. 
Name of 
CHILD. i ou»u.«l, *uu, 11 MAIDEN NAME OF MOTHER. 
• 
nationality 
of parents. 
Father. 
Mother. 
GENERAL REMARKS. 
[(>. Here note any matters of interest pertaining to the medical, hyg 
lenic, or sanitary condition of the troops and post, prevalent diseases of vicinity, etc., etc. 7. Reports of cases will not be entered in remarks, but will be made separately.] 
i 
I certify that the foregoing entries 
are correct, and that an accurate copy of this Register and Report is on file at this post. 1 
the Register covers . — sheets, find is accompanied by the following special reports, viz: 
f 
\ 
/ 
Stinjecm, °XC. S. ttzimj. 
The signature of the medical otticer will he attached to every sheet. 
IX) NOT WRITE ON THE MARGINS OR lHNOING SPACE. FORM FOR THE PHYSICAL EXAMINATION OF A RECRUIT. 
J 
N-H 
Name, ; age, ; occupation, 
< 
h 
W 
birthplace, .. — ; residence, ; height,*. 
P 
weight,f ; chest measurement: expiration, ; inspiration, 
£ 
M 
Oh 
nationality of father,. ; of mother, 
P 
Have you applied for enlistment at any other rendezvous; and if so, where? 
Q 
u 
£ 
0 
J 
P 
0 
What sickness have you had, and at what age? 
k 
U 
Are both parents living? 
P 
0 
If either has died, state cause? 
h 
in 
If brother or sister has died, state cause? 
w 
H-H 
h 
Have you given up any occupation on account of your health or habits? 
£ 
(T 
Are you subject to dizziness? ; to severe headache? - ; to pain in the breast? . 
M 
Ct4 
to fluttering of the heart? ; to shortness of breath? ; to colds in the head? 
2 
M 
0 
to coughs? ; to diarrhoea? ; to piles? ; to rheumatism? 
£ 
M 
u 
Do you believe you are sound and well now? 
< 
o 
Have you had sore eyes? 
>-H 
Q 
z 
Have you had running from either ear? 
i—i 
C/) 
Have you had fits? If so, how frequently? - 
P 
w 
s. 
Do you have any difficulty in making or holding vour water? 
> 
in 
Have you had stricture? 
Z 
c 
Have you had gonorrhoea, and when? 
b 
Have you had a sore of any kind upon your penis, and when? 
z 
M 
P 
Have you had any swelling about or of your testicles? 
P 
M 
P 
H 
C/3 
Have you had a boil near the anus (fistula)? 
Have you been ruptured? 
w 
p 
Do you drink intoxicating liquors? If so, to what extent? 
0 
[in 
Have vou had the “ horrors,” and when ? 
Id 
P 
Have you been hurt upon the head? Answer fully . 
in 
z 
0 
H 
Have you had a sprain? ; a stiff joint? ; a bone or joint out of place? 
C/3 
Id 
a bone broken? 
P 
(3 
Are you subject to sore feet? 
Id 
in 
Id 
Mention carefully any other injuries or any surgical operation you may have had in any part of your body, especially 
X 
h 
burns, cuts, severe bruises, &c 
in 
- 
C 
* In bare feet. 
tNote weight stripped, unless rejected for some absolute disqualification in preliminary examination. When stripped, examine carefully the head, ears, eyes (including color-blindness and astigmatism*); nose; moutl 
(especially teeth, hard palate, and tonsils); neck (especially for enlarged glands); chest:* shape* (flat or pigeon- 
breasted), resonance,* character of respiration;* heart:* sounds,* impulse* (position and force), action* (as to reg- 
ularity); spine; abdomen (especially for hernia and enlarged glands in the groin); genito-urinary apparatus; anus 
(especially for fistula); upper extremities (especially for enlarged glands at the elbows); lower extremities; skin. 
Describe in detail any deviation from the normal in the regions enumerated. 
Knowledge of the English language 
Previous service (U. S. or foreign): ... 
Comparative intelligence: 
Figure and general appearance: 
Marks (Note 1): 
I certify that I have asked the foregoing questions and have recorded the answers as given to me, and have 
personally examined the above-named recruit. 
Place: 
Inspecting Officer. 
Date: .... 
* Especially for medical examiner. 
Note 1.—Record enough natural or artificial marks for identification, but do not encumber the form with trivial markings. 
Note 2.—This paper, with defects discovered at depot, noted and signed by the medical officer, to accompany the proceedings of boards of 
inspection in the case of rejected recruits. 
Recruiting Officer. 
This recruit has been re-examined before 
leaving the rendezvous for the depot, and 
found to be 
Recruiting Officer. 
REMARKS OF THE MEDICAL OFFICER AT THE DEPOT. 
Surgeon, JJ. S. A. 
EXAMINATION OF RECRUIT 
BY 
Enlisted at FORM FOR THE PHYSICAL EXAMINATION OF A RECRUIT. 
Name, ; age, ; occupation, 
C 
h 
birthplace, - ; residence, ; height,* 
W 
- 
Q 
weight,f ; chest measurement: expiration, ; inspiration, 
X 
(X 
nationality of father, ; of mother, .... .... 
D 
Have you applied for enlistment at any other rendezvous; and if so, where? 
Q 
U 
£ 
0 
J 
0 
What sickness have you had, and at what age? 
X 
- 
u 
Are both parents living?. 
ffl 
0 
If either has died, state cause? 
h 
tfl 
If brother or sister has died, state cause? 
W 
>—i 
h 
Have you given up any occupation on account of your health or habits? . .. 
nr; 
Are you subject to dizziness? ; to severe headache? ; to pain in the breast? . 
HH 
IX 
to fluttering of the heart? ; to shortness of breath? ; to colds in the head? 
£ 
■—1 
0 
to coughs? ; to diarrhoea? ; to piles? ; to rheumatism? 
X 
M 
Do you believe you are sound and well now? 
h 
< 
o 
Have you had sore eyes? 
HH 
Q 
£ 
Have you had running from either ear? 
HH 
to 
Have you had fits ? If so, how frequently? 
IX’ 
w 
s 
Do you have any difficulty in making or holding vour water? 
> 
if) 
Have you had stricture? 
z 
< 
Have you had gonorrhoea, and when? 
6 
Have you had a sore of any kind upon your penis, and when? 
z 
HH 
CX 
Have you had any swelling about or of your testicles? 
cx 
M 
IX 
h 
CO 
Have you had a boil near the anus (fistula)? .......... 
Have you been ruptured ? 
w 
X 
Do you drink intoxicating liquors? If so, to what extent? 
0 
IX 
Have you had the “horrors,” and when? 
u 
PQ 
Have you been hurt upon the head? Answer fully .... 
to 
£ 
0 
h 
Have you had a sprain? ; a stiff joint? ; a bone or joint out of place? 
(0 
W 
X 
a bone broken? 
(3 
w 
Are you subject to sore feet? 
to 
w 
Mention carefully any other injuries or any surgical operation you may have had in any part of your body, especially 
X 
h 
burns, cuts, severe bruises, <fec .. . 
(0 
C 
* In bare feet. 
tNote weight stripped, unless rejected for some absolute disqualification in preliminary examination. When stripped, examine carefully the head, ears, eyes (including color-blindness and astigmatism*); nose; mouth 
'especially teeth, hard palate, and tonsils); neck (especially for enlarged glands); chest : * shape* (flat or pigeon- 
breasted), resonance,* character of respiration;* heart:* sounds,* impulse* (position and force), action* (as to reg- 
ularity); spine; abdomen (especially for hernia and enlarged glands in the groin); genito-urinary apparatus; anus 
especially for fistula); upper extremities (especially for enlarged glands at the elbows); lower extremities; skin. 
Describe in detail any deviation from the normal in the regions enumerated. 
Knowledge of the English language 
Previous service (U. S. or foreign): ... 
Comparative intelligence: 
Figure and general appearance: 
Marks (Note 1): 
I certify that I have asked the foregoing questions and have recorded the answers as given to me, and have 
personally examined the above-named recruit. 
Place 
Inspecting Officer. 
Date :. 
* Especially for medical examiner. 
Note 1.—Record enough natural or artificial marks for identification, but do not encumber the form with trivial markings. 
Note 2.—This paper, with defects discovered at depot, noted and signed by the medical officer, to accompany the proceedings of boards of 
inspection in the case of rejected recruits. 
Recruiting Officer. 
This recruit has been re-examined before 
leaving the rendezvous for the depot, and 
found to be 
Recruiting Officer. 
REMARKS OF THE MEDICAL OFFICER AT THE DEPOT. 
Surgeon, TJ. S. A. 
EXAMINATION OF RECRUIT 
BY 
Enlisted at State of. 
City or Town of 
ss: 
I, , born in. - , in 
the State of , aged —.years and- 
months, and by occupation a , DO HEDEDY A.CK.NOJVEEDG-E 
to have voluntarily —r-._.enlisted, this day of , 188 , 
as a SOLDIER in the Army of tiie United States of America, for the period of FIVE YEARS, unless sooner 
discharged by proper authority: And do also agree to accept from the United States such bounty, pay, rations, and 
clothing as are or may be established by law. And I do solemnly swear (or affirm) that I will bear true faith and 
allegiance to the UNITED STATES OF AMERICA, and that I will serve them honestly and faithfully against all their 
enemies whomsoever; and that I will obey the orders of the President of the United States, and the orders of the 
officers appointed over me, according to the Rules and Articles of War. 
Note.—Sears and Marks found upon the person of a Recruit will be here noted: 
i SEAL, 
Subscribed and duly sworn to before me this day of , A. D. 188 
Recruiting Officer. 
I CERTIFY, ON HONOR, That I have carefully examined the above-named man agreeably to the General Regulations of the Army, and 
that, in my opiuion, he is free from all bodily defects and mental infirmity which would, in any way, disqualify him from performing the duties of a 
soldier. 
I CERTIFY, ON UONOR, That I have minutely inspected the above-named man, , previous to 
liis enlistment, and that he was entirely sober when enlisted; that, to the best of my judgment and belief, he is of lawful age; and that I have 
accepted and enlisted him into the service of the United States under this contract of enlistment as duly qualified to perform the duties of an able- 
bodied soldier, and, in doing so, liave strictly observed the Regulations which govern the Recruiting Service. This soldier has eyes, 
hair, , complexion, is _ feet inches high. 
Examining Officer. 
» SEAL ■ 
(A. C,. o. No. »:i.) 
E-ECTRO’S- 
Recruiting Officer. DECLARATION OF RECRUIT. 
desiring to ENLIST in the ARMY OR THE UNITEl* STATES 
for the term of FIVE YEARS, DO DECLARE That I have neither wife nor child; that I am of the legal age to enlist, and believe myself to be 
physically qualified to perform the duties of an able-bodied soldier; and do further declare that I have never been discharged from the United States 
service (Army or Navy) or any other service on account of disability, or by sentence of either civil or military court, or in any case except with good 
character, and for the reasons given by me to the recruiting officer prior to this enlistment. 
Given at 
this . 
.. day of 
,188 
Witness: 
of. 
Assigned to 
Received A. G. O. 
Enlistments for the General Service must, in all cases, be made in tripli- 
cate. The recruiting officer will send two copies to the Superintendent with 
his monthly return, and a third to the depot at the time the recruits are 
sent there. In cases of soldiers re-enlisted in a regiment, or of regimental 
recruits, two copies only will be made, which will be forwarded to regi- 
mental headquarters—one copy for file, the other to accompany the monthly 
regimental recruiting return. 
N. B.—In cases of Re-enlistment, the declaration of recruit will not be 
filled in, but it will be stated on the margin whether the soldier is single 
or married and the number of children, if any. The prefix “re-” will be 
added to the word “ enlisted ” where it occurs, and the assignment to Com- 
pany and Regiment filled in below. 
Discharged 
by 
the day of ~ 
enlistment; last served in . 
enlisted at 
Regiment of 
Regiment of 
No. 
DIRECTIONS. 
., U. S. Army. 
. Regiment 
18 
.,188 , 
.on 
CONSENT IN CASE OF MINOR 
3, 
DO CERTIFY That I am the 
of 
years of age; and I do hereby freely give my CONSENT to his enlisting as a SOLDIER in the Army OF THE United States for the period of 
FIVE YEARS. 
that the said 
is. 
Given at 
Witness 
the .. 
day of State of. 
City or Town of 
-ss: 
I, , born in , in 
the State of , aged years and 
months, and by occupation a , DO HERESY ACKNOWLEDGE 
to have voluntarily enlisted, this day of , 188 , 
as a SOLDIER in the Army of the United States of America, for the period of FIVE YEARS, unless sooner 
discharged by proper authority: And do also agree to accept from the United States such bounty, pay, rations, and 
clothing as are or may be established by law. And I do solemnly swear (or affirm) that I will bear true faith and 
allegiance to the UMiTED STATES OF AMERICA, and that I will serve them honestly and faithfully against all their 
enemies whomsoever; and that I will obey the orders of the President of the United States, and the orders of the 
officers appointed over me, according to the Rules and Articles of War. 
Note.—Scars and Marks found upon the person of a Recruit will be here noted: 
gSEALi 
Subscribed and duly sworn to before me this day of , A. D. 188 . 
Recruiting Officer. 
I CERTIFY, ON HONOR, That I have carefully examined the above-named man agreeably to the General Regulations of the Army, and 
that, in my opinion, he is free from all bodily defects and mental infirmity which would, in any way, disqualify him from performing the duties of a 
soldier. 
Examining Officer. 
I CERTIFY, ON HONOR, That I have minutely inspected the above-named man, , previous to 
his enlistment, and that he was entirely sober when enlisted; that, to the best of my judgment and belief, he is of lawful age; and that I have 
accepted and enlisted him into the service of the United States under this contract of enlistment as duly qualified to perform the duties of an able- 
bodied soldier, and, in doing so, have strictly observed the Regulations which govern the Recruiting Service. This soldier has eyes, 
liair, , complexion, is feet - inches high. 
SEAL 
(A. 0. o. No. "•:.) 
ELECTRO’S- 
Recruiting Officer. DECLARATION OF RECRUIT. 
j[f , desiring to ENLIST in the ARMY OR THE UNITER STATES 
for the term of FIVE YEARS, DO DECLARE That I have neither wife nor child; that I am of the legal age to enlist, and believe myself to he 
physically qualified to perform the duties of an able-bodied soldier; and do further declare that I have never been discharged from the United States 
service (Army or Navy) or any other service on account of disability, or by sentence of either civil or military court, or in any case except with good 
character, and for the reasons given by me to the recruiting officer prior to this enlistment. 
Given at... 
_. this . 
. day of 
188 
Witness: 
of. 
Assigned to 
Received A. G. O. 
Enlistments for the General Service must, in all cases, be made in tripli- 
cate. The recruiting officer will send two copies to the Superintendent with 
his monthly return, and a third to the depot at the time the recruits are 
sent there. In cases of soldiers re-enlisted in a regiment, or of regimental 
recruits, two copies only will be made, which will be forwarded to regi- 
mental headquarters—one copy for tile, the other to accompany the monthly 
regimental recruiting return. 
N. B.—In cases of Re-enlistment, the declaration of recruit will not be 
filled in, but it will be stated on the margin whether the soldier is single 
or married and the number of children, if any. The prefix “re- ” will be 
added to the word “ enlisted ” where it occurs, and the assignment to Com- 
pany and Regiment filled in below. 
Discharged . 
h7 
the. 
..enlisted at 
.enlistment; last served in 
.day of. 
Regiment of ~ 
Regiment of 
No. 
DIRECTIONS. 
U. S. Army. 
Regiment 
18 
, 188 
.on 
CONSENT IN CASE OF MINOR 
....... , DO CERTIFY That I am the 
of ; J that the said is 
years of age; and I do hereby freely give my CONSENT to his enlisting as a Soldier in the Army OF the United States for the period of 
FIVE YEARS. 
Given at. 
Witness 
the 
day o ( Form No. 56.) 
MONTHLY REPORT of Examination of Recruits at , for the Month of ' , 188 . 
By 
Surgeon, U. S. A. 
NAME. NATIVITY. 
iDPiscrtiFTioisr. 
ACCEPTED _ 
REMARKS. 
OR 
, Here state any peculiar marks, onuses of rejection in full, Ac. 
REJECTED. 
DATE. NO. 
SURNAME. 
CHRISTIAN. TOWN. 
MARRIED Meas. of Chest 
STATE HEIGHT. on Level with 
OCCUPATION. AGE. OR Nipples. WHITE OR 
OR WEIGHT. BLACK, 
SINGLE. ' AND 
COUNTRY. At At COMPLEX’N. 
Feet. Indies. Tnspira- Expira- 
tion. tion. 
COLOR OF COLOR OF 
EYES. HAIR. DATE. 
ISTYMIED nativity. 
MARRIED 
OR 
SINGLE. 
DESCRIPTION. 
NO. 
SURNAME. 
CHRISTIAN. TOWN. 
STATE 
OCCUPATION. AGE. 
OR 
COUNTRY. 
y 
HEIGHT. 
WEIGHT. 
Meas. of Chest 
on Level with 
Nipples. 
WHITE OR 
BLACK, COLOR OF 
AND 
COMPLEX’N. 
ACCEPTED . ,,,,,, 
OR 
OOT OK OF 
Here stato any peculiar marks, causes of rejection in full, Ac. 
HAIR. REJECTED. 
1 J 
H 
At 
Inspira- 
tion. 
At 
Expira- 
tion. 
1 
Directions.—Tills report is to be made and forwarded direct to the Surgeon General’s Office on the last day of each month, and it should he 
an exact copy of the “Record Book of the Medical Examination of Recruits,” which is furnished to all recruiting stations hy the Surgeon General. 
By order of the Surgeon General: C. H. CRANE, 
Ass’t Surgeon General, IT. S. A. (Form No. 40.) 
METEOROLOGICAL REGISTER 
Station 
Lai. 
Long. 
Alt. of Bar. above Sea, 
feet. 
188 . 
MOVEMENTS OF 
ATMOSPHERE. 
AMOUNT OF RAIN 
AND MELTED 
oliiJL r - 
Li 
S. 
— 
SNOW. 
Month. 
THERMOMETER 
1 
THERMOMETER. 
7 A. 
M. 
2 P. 
M. 
9 P. 
M. 
REMARKS. 
2 P. M. 
9 P. M. 
Daily 
mean. 
Max. 
Min. 
Mean. 
WINDS. 
Motion 
of 
Clouds. 
WINDS. 
Motion 
of 
Clouds. 
WINDS. 
Motion 
of 
Clouds. 
7 A.' M. 
2PM 
9 P. M. Began. 
Ended. 
Quantity. 
=4 
7 A. M. 
D. 
F. 
D. 
F. 
D. 
F. 
" ■ —— ■■ 
— *=i 
— 
• 
! . 
. 
SUMMARIES OF WIND AND WEATHER. 
N. 
N. E. 
E. 
S. E. 
S. 
S. W. 
W. 
N. W. 
No. 
Force. 
No. 
Force. 
No. 
Force. 
No. 
Force. 
No. 
Force. 
No. 
Force. 
No. 
F orce. 
No. 
Force. 
Average f 
cloudiness, ) 
No. of days of ? 
rain and hail, $ 
No. of days 
of snow, 
Surgeon, U. S. Army 188 . 
BAROMETER AND THERMOMETER ATTACHED. 
REMARKS. 
Month. 
7 A. M. 
2 P. M. 
9 P. M. 
Bar. 
Ther. 
Bar. 
Ther. 
Bar. 
Ther. 
1 
2 
3 
4 
S 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
25 
26 
27 
28 
29 
30 
31 
Month of— 
Meteorological Register 
FOR THE 
Station:... 
Transmitted by 
( Form No. 40.) 
Surgeon, U. 8. Army. 
188 
ob 
'---4-1 
DRY AND WET BULB THERMOMETER. 
REMARKS. 
Month. 
7 A. M. 
2 P. M. 
9 P. M. 
Month. 
7 A. M. 
2 P. M. 
9 r. m. 
D. B. 
W. B. 
p. b. 
W. B. 
D. B. 
tV. B. 
r>. b. 
VV. B. 
IX B. 
W. B. 
P. B. 
W. B. 
1 
17 
O 
18 
3 
li) 
4 
5 
20 
21 
O 
7 
23 
8 
24 
O 
25 
1(> 
20 
11 
27 
12 
28 
13 
20 
14 
30 
15 
31 
10 
— 
Monthly mean (Form No. 40.) 
METEOROLOGICAL REGISTER 
Station 
Lat. 
Long. 
Alt. of Bar. above Sea, 
feet 
188 . 
THERMOMETER. 
SELF-REGISTERING 
THERMOMETER. 
MOVEMENTS OF ATMOSPHERE. 
AMOUNT OF 
CLOUDINESS. 
RAIN 
AND MELTED 
SNOW. 
REMARKS. 
Month. 
7 A. M. 
2 P. 
M. 
9 P 
M. 
7 A.M. 
2 P. M. 
9 P. M. 
Daily 
mean. 
Max. 
Min. 
Mean. 
WINDS. 
Motion 
of 
Clouds. 
WINDS. 
Motion 
of 
Clouds. 
WINDS. 
Motion 
of 
Clouds. 
7 A. M. 
2 P. M. 
9 P. M. 
Began. 
Ended. 
Quantity. 
D. 
F. 
D. 
F. 
D. 
F- 
* 
SUMMARIES OF WIND AND WEATHER. 
N. 
N. E. 
E. 
S. E. 
S. 
S. W. 
W. 
N. W. 
No. 
Force. 
No. 
Force. 
No. 
F orce. 
No. 
Force. 
No. 
Force. 
No. 
Force. 
No. 
Force. 
No. 
F orce. 
Average l 
cloudiness, ) 
No. of days of ? 
rain and hail, $ 
No. of days 
of snow, 
Surgeon, U. S. Army 188 . 
BAROMETER AND THERMOMETER ATTACHED. 
REMARKS. 
Mon tli. 
7 A. M. 
2 P. M. 
9 P. M. 
Bar. 
Tlier. 
Bar. 
Ther. 
Bar. 
Ther. 
1 
2 
3 
4 
5 
• 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
21 
22 
23 
24 
25 
26 
27 
28 
29 
30 
31 
Month of 
Station: - 
Meteorological Register 
FOR TIIE 
Transmitted by 
( Form No. 40.) 
Surgeon, U. S. Army. 
188 
188 . 
: 
DRY AND WET BULB THERMOMETER. 
REMARKS. 
Month. 1 
7 A. M. 
2 P. M. 
9 P. M. 
Month. 
7 A. M. 2 P. M. 
9 P. M. 
D. B. 
W. B. 
I). B. 
W. B. 
1>. B. 
W. B. 
1). B. 
W. B. 
D. B. 
W. 1*. 
r>. b. 
W. B. 
1 
17 
_ 
2 
18 
3 
11) 
4 
20 
5 
21 
O 
<> 
7 
23 
8 
24 
1) 
25 
io 
20 
11 
27 
12 
13 
28 
20 
14 
30 
15 
31 
16 
Monthly mean INVENTORY AND INSPECTION REPORT of 
for which 
is responsible, and which ha been inspected and reported on by 
Inspector General 
— - ' - - 
REPOET. 
ARTICLES. 
QUANTITY. 
RECEIVED BY THE OFFICER NOW RESPONSIBLE. 
Condition 
when Received 
at Post, 
(IF KNOWN.) 
HOW RENDERED UNSERVICEABLE. 
NATURE, EXTENT, AND PROBABLE CAUSE 
OF DAMAGE. 
DISPOSITION RECOMMENDED. 
REMARKS. 
Note.—Whenever practicable, the Inspector will note in this column 
when, where, and from whom stores were purchased, the name of the 
purchasing officer or agent, and the marks upon original packages. 
When. 
Fkom Whom. 
Condition 
when Received. 
To be 
continued in 
service. 
TO BE DROPPED. 
To be repaired 
or repacked 
at Post. 
To be sold at 
Post. 
TO BE TURNED INTO DEPOT. 
TO BE TAKEN UP ON 
RETURNS. 
To be 
destroyed. 
To be 
broken up. 
lor issue. 
For repairs or 
recuperation. 
For sale. 
To be 
broken up. 
* 
L 
a 
I certify on honor, that the above is a correct inventory, in every particular, of public property for which I am responsible, which I have personally examined and 
believe requires the action of an Inspector, and which, to the best of my knowledge and belief, lias never been previously condemned. 
JJ tCtllfjT that I have, this day of ,188 , carefully examined each and every article enumerated in the accompanying inventory; that their condition is as stated 
above; and that the disposition recommended is, in my judgment, the best for the public interests. I also certify that the articles found to be utterly worthless have, as far as practicable, been destroyed in my presence 
STATION,. 
DATE, 
Inspector. INVENTORY 
AND 
INSPECTION REPORT 
OF 
WAR DEPARTMENT, 
Washington City, January 2, 1876. 
This Form will be used for the inspection of property for condemnation in all the different departments of the Army. Requisitions for these blanks to be made direct upon the Inspector General 
at Washington. 
By order of the Secretary of War: E. D. TOWNSEND, 
Adjutant General, U. S. Army. 
DIRECTIONS.—To be made out in triplicate, and, whenever practicable, forwarded to the Inspector through the proper channels; otherwise, it will be presented to him upon his arrival. 
Receiving his action, it will be forwarded for the orders of the Commander empowered to authorize the disposition of condemned property, and returned, with such orders, to the officer responsible for 
the property, who will send certified abstracts with any property ordered to be turned into depot or to be transferred to some other officer, which abstracts will, when practicable, be signed by the Inspec- 
tor, or by an officer wholly disinterested in the disposition or responsibility of the property. This Form is designed for all descriptions of public property, but separate inventories are to be made for the 
property of each Staff Department; also for “Clothing, Camp and Garrison Equipage/’ as distinct from all other property of the Quartermaster’s Department, and for “Commissary Property,” 
as distinct from “Subsistence Stoees,” whenever property of the Subsistence Department is to be inspected. Horses and Mules will be inventoried singly, with brief description of color, sex, age, 
and distinguishing marks. Of the inventories, one will be sent to the Chief of the Staff Department to which the property pertains, one will accompany the officer’s next stated accounts, and one will 
be retained by himself. In order to relieve an officer from liability on account of public property that has become damaged except by fair wear and tear, or otherwise unsuitable for use, or when 
deficiencies are found in it, it must, before being submitted to an Inspector for condemnation, be examined by a Board of Survey. 
Articles to be “continued in service” are such as the Inspector regards as still serviceable, and not proper subjects of present condemnation; those to be “dropped from returns,” if utterly 
worthless, to be so far destroyed, in the presence of the Inspector, whenever practicable, as to prevent any possibility of future presentation as public property; and when the presence of the Inspector is 
impracticable, the officer under whose personal supervision such articles are directed to be destroyed shall certify, on the monthly return of the officer responsible, to the destruction of the same; and such 
articles as cannot be so destroyed will, when practicable, be marked with the letters “I. C.,” [Inspected, Condemned,] but otherwise to be broken up and serviceable parts retained; those “to be sold 
at the post” are such as are of no further public use, or not worth the cost of transportation to the depot; those “to be turned into depot” are such as cannot be repaired at the post and are worth 
the cost of turning them in; and those to be “taken up” are such parts of the broken-up articles as are still serviceable, and are to be kept for public use by the officer responsible, or transferred to 
depot, or to some other officer, whose receipt will be taken. Public animals will not be condemned for temporary disease or low flesh, but may be turned into the depot for recuperation or treatment if 
temporarily unserviceable. The special attention of Inspectors is called to the requirement of General Orders No. 8, Headquarters of the Army, A. G. O., March 3, 1869. 
FOR WHICH 
is responsible, 
INSPECTED AT 
ON THE 
day of , 188 
FOR DIRECTIONS—SEE OTHER SIDE. 
The within articles will be disposed of 
By order of (Form No. 6.) 
INVOICE OF MEDICAL SUPPLIES purchased this day by 
for use at 
as per bill for reimbursement , to be taken up and accounted for on his next 
Medical and Hospital Property Return. 
PLACE AND DATE. 
ARTICLES. 
QUANTITY. 
• 
* 
• 
. 
J\ 
: 
1 certify that the above Invoice is correct. 
Station 
Surgeon, U. S. Army. 
Date: INVOICE 
OP 
MEDICAL SUPPLIES 
PURCHASED BY 
on the 
day of , 188 , 
at 
(Form No. 6.) (Form No. 5.) 
THE UNITED STATES, 
(To 
§r. 
For reimbursement for moneys expended by him, as follows: 
PLACE AND DATE. 
ARTICLES AND QUANTITIES. 
Dollars. 
Cents. 
. 
% that the above account is correct and just; that I purchased and paid for the arti- 
cles above charged, as shoivn by the appended receipted bill, andj that such purchase was necessary 
because 
Surgeon, U. S. Army. 
Station: 
Date: 
(Note.—The original bill for the articles must be appended to this Form as a Voucher. In the receipt to the original bill must be stated the 
place, date, amount received, and name of the officer from whom received, in full.) ACCOUNT FOR MEDICINES 
PURCHASED AND PAID FOR 
by 
at 
on the da,y of , 188 . 
(Form No. 5.) (Form No. 8.) 
,/Jsf 
fpie Slates, &y 
,«OJ!.S.QL 
Bought of 
ARTICLES. 
Dollars. 
Cents. 
* 
• 
The above-named articles were received in good condition, and will be accounted for on my Property 
Returns for 
188 
, TJ.S.A. Voucher JVo 
ABSTRACT 
OF 
PROPERTY RECEIVED 
BY 
, U. $. A., 
, 188 . 
(Form No. 8.) (Form No. 12. 
ACCOUNT OF SALES OF MEDICAL AND HOSPITAL PROPERTY at Public AuctioJi at 
under the direction of „ ........ 
on the ... of , 188 . 
ARTICLES. 
Number or 
Quantity. 
PURCHASER. 
Rate. 
_ 
Amount. 
$ 
$ 
I certify that the preceding Account of Sales is correct. 
Auctioneer. 
I certify that the Articles enumerated above were sold at public auction, as stated in the foregoing 
account, pursuant to 
(duplicates.) 
_ Surgeon, U. S. Army. ACCOUNT OF SALES 
OF 
Medical and Hospital Property 
SOLD AT 
,188 , under the 
direction of. — 
$ - 
(Form No. 12.) (Form No. 55.) 
&ft/<zce.• 
, m 
3?1it ‘(fin vied j$ tales 
S'... 
188 . 
For medical attendance rendered to 
DOLLS. 
CTS. 
. . . on duty at 
* 
— 
_ _ _ 
’ 
For medicines, as per accompanying copies of original prescriptions 
—- 
— 
I certify that the above account is correct and just; that the attendance was rendered and the medicines fur- 
nished; that they were necessary, and that the charges do not exceed those customary in this vicinity. 
, M. I). 
I certify that the above account is correct and just; that the services were rendered and the medicines furnished 
as stated; that they were necessary for the public service; that— was on 
duty at the time and place specified, and that the services of a medical officer of the Army could not be obtained because 
U. S. Army. Headquarters Department of 
MEDICAL DIRECTOR'S OFFICE, 
Respectfully forwarded to the Surgeon General 
U. S. Army, approved. 
(Form No. 55.) 
Surgeon Generates Office, 
, 188 . 
Approved by order of the Surgeon General 
for $ , appropriation for 
the Medical and Hospital Department for the 
year ending June 30, 188 . 
U. S. Army. 
NOTES. 
1. Accounts of Citizen Physicians, not under contract, will be made out on this form, in duplicate, but need not be receipted. 
2. The Officer's Certificate must show that the attendance was furnished to Officers or enlisted men who were on duty at the time and place 
stated, and that the services of a Medical Officer could not be obtained. When they cannot be certified by a Commissioned Officer they must be 
sworn to before an Officer of the Army, or before a Notaryr Public, Clerk of Court, or other municipal officer having an official seal. 
3. Medical attendance or medicines for families or servants of officers cannot be paid for by the United States. (See G. O. No. 64 of 1873.) 
4. When an Officer has p>aid the account, that fact should be plainly stated in the certificate, both of the Officer and of the physician. 
5. The accounts should be forwarded to the Medical Director of the Department for his action. The accounts of each fiscal year (which ends 
June 30) must be distinct. 
6. The nature of the disease or injury and the date and number of visits should be set forth in the body of the account. 
7. Officers on detached duty should cite the order under which they are acting. (Form No. 20 J.) 
tffmoiai off amfamec/ m 
- iddu#/ fo 
$&. tPf cQ&n?y. 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
r_f ceitMu Mat Me adove emveae <j ceitect. 
U. S. Army. 
/<? 
(TRIPLICATES.) INVOICE OF MEDICAL SUPPLIES 
Issued by 
U. S. A., 
To - - 
U. S. A., 
At 
(Form No. 20|.^ ( Form No. 211.) 
Receipt for MsdiQdJ Supplies, amfamec/m 
€MU6(/dp 
ARTICLES. 
QUANTITY. 
ARTICLES. 
QUANTITY. 
:■ ! 
cei/yj/, Mat /iave tecewet/ //e aitic/ed enameiatec/ adove. 
Surgeon, U. S. A 
S'fa fan; 
(TRIPLICATES.) iccript for Jprital Supplies 
6-if 
.. cm jy. 
— 
m. jy. 
<S¥o. . 
Form No. 211 (Fokm No. 59.) 
/&i anc/ &/emica/ 'Swi/taiafad container/ m 
ijduet/ 
ARTICLES. 
Quantity. 
ARTICLES. 
Quantity. 
Solid Chemicals, in 2-oz. Glass-stoppei 
Sodium hyposulphite 
Acid, arsenious 
“ phosphate 
a 
“ chromic 
it 
“ sulphate . 
a 
“ oxalic 
ti 
Tin chloride 
a 
“ tartaric 
it 
Uranium nitrate 
a 
Ammonium carbonate 
tt 
Liquid Chemicals, in 4-oz. Glass-stoppered Vials. 
molybdate 
a 
Acid, acetic, c. p 
“ oxalate 
ti 
“ hydrochloric, c. p 
a 
Barium carbonate 
a 
“ nitric, c. p 
a 
“ chloride 
tt 
“ sulphuric, c. p 
tt 
“ hydrate..... 
tt 
Alcohol, absolute 
tt 
“ nitrate 
tt 
Ammonia, solution of 
tt 
Calcium carbonate 
a 
Antimoniate of potassium, solution of 
tt 
“ chloride 
a 
Benzol 
tt 
Cobalt nitrate 
n 
Copper oxide 
a 
' 
Iron chloride 
a 
Apparatus. 
Iron sulphuret 
a 
Beaker’s, in nest 
Manganese binoxide 
a 
“ 2, 4, and 6-oz 
Platinum chloride 
tt 
Blow-pipe, with forceps and reagents 
a 
Potassium bichromate 
u 
Bottles, g. 8., n. m., 1, 2, and 4-oz 
tt 
“ carbonate 
tt 
“ g. s., w. m., 1, and 2-oz 
a 
“ cyanide 
a 
Burner (Bunsen’s) 
a 
“ ferrieyanide 
a 
Capsules (porcelain), nest of six 
“ ferrocyanide 
a 
“ 4-oz 
“ hydrate 
a 
“ 8-oz 
a 
it 
Casserol, with cover 
tt 
“ sulphocyanide 
a 
Cork borers (set of six) 
Sodium acetate 
a 
“ tongs 
“ ammoniacal phosphate 
a 
Corks, assorted 
a 
“ india-rubber, perforated 
tt 
“ carbonate .... 
a 
Crucibles (porcelain), conical 
“ chloride 
a 
“ Hessian, nest of three 
“ hydrate 
a 
Drying apparatus, sulphuric acid Date 
Station 
Surgeon, TJ. S. A. 
Received from 
Receipt for Medical Supplies 
Voucher JVo.. 
(Form No. 59.) 
Surgeon, TJ. S. A. 
Quarter, 18 
18 (Form No. 58.) 
$tipoice f/ ant/ amfamtt/ m 
/MuetZ Zy 
, tfS. tPf *S$tnp. 
ARTICLES. 
Quantity. 
ARTICLES. 
Quantity. 
Solid Chemicals, in 2-oz. Glass-stoppered Jars. 
Sodium hyposulphite 
Acid, arsenious 
gram.. 
“ phosphate 
.... “ .. 
“ chromic 
it 
“ sulphate 
a 
“ oxalic 
(( 
Tin chloride 
a 
“ tartaric 
ii 
.. 
Uranium nitrate 
a 
Ammonium carbonate 
a 
.. 
Liquid chemicals, in 4 oz. q. s. vials : 
molybdate 
a 
-- 
Acid, acetic, c. p 
oxalate 
a 
■■ 
“ hydrochloric, c. p 
Barium carbonate 
« 
“ nitric, c. p 
“ chloride 
u 
“ sulphuric, c. p 
u 
••t 
“ nitrate 
u 
Calcium carbonate 
a 
Antimoniate of potassium, solution of.. 
it 
“ chloride 
a 
Benzol 
it 
~n 
Cobalt nitrate 
a 
-• 
(M 
Copper oxide 
a 
Iron chloride 
a 
Apparatus. 
Iron sulpbnret 
.... “ 
Beaker’s, in nest 
Manganese binoxide 
t( 
Platinum chloride 
a 
Blow pipe, with forceps and reagents 
.... “ .. 
Potassium bichromate 
a 
Bottles, g. s., n. m., 1, 2, and 4-oz 
it 
li 
“ cyanide 
tt 
Burner (Bunsen’s) 
ti 
“ ferricyanide 
a 
Capsules (porcelain), nest of six 
“ ferrocyanide 
a 
.. 
“ 4-oz 
“ hydrate 
u 
“ sulphate 
u 
Casserol, with cored “ . 
“ sulphocyauide 
a 
Cork borers (set of six) 
Sodium acetate 
a 
.. 
“ tongs 
“ ammoniacal phosphate 
a 
“ 
Corks, assorted 
“ biborate, pure, dry 
u 
“ india-rubber, perforated “ . 
“ carbonate 
.... “ 
Crucibles (porcelain), conical 
“ chloride 
.... “ 
“ Hessian, nest of three 
“ hydrate 
Drying apparatus, sulphuric acid ARTICLES 
Quantity. 
ARTICLES. 
Quantity. 
Apparatus—Continued. 
Measuring Apparatus—Continued. 
Filters, cut, white (in packs ot 100) 
...packs.. 
Spatulas or spoons, porcelain 
Flasks, fiat-bottomed, with lip 
Specific-gravity bottle “ 
“ round-bottomed, long-necked 
44 
“ “ bulbs 
44 
“ Schuster’s, plain or stoppered “ .. 
Spirit-lamp, argaud “ 
Forceps, for handling small objects “ .. 
“ u simple . “ 
Funnel-tubes “ .. 
Still, copper, half-gallon capacity “ 
Funnels, glass “ .. 
Stop-cocks for rubber tubing 
a 
Mortar and pestle (porcelain) “ .. 
Sulphuretted hydrogen apparatus “ 
Paper, filtering, German or Swedish 
.... qrs. .. 
Test glasses, on foot 
u 
“ litmus, red and blue 
... sheets.. 
“ tube brushes. “ 
Tongs, crucible 
no. .. 
“ “ stand . “ 
Measuring Apparatus. 
“ tubes, assorted 
44 
Alkalimeters, Schuster's 
“ “ nests of six 
Bottles. Woulff’s, 3-oz 
U 
Thermometer 
Burette, 50 c. c “ -- 
Tubes, chloride of calcium 
“ ‘>5 c. c 
« 
• U 
44 
“ clips 
tt 
Tubing, glass 
Cylinder, graduated, 200 c. c 
“ 
“ rubber 
“ “ 100 c. c., stoppered 
a 
Wash-bottle 
“ “ 50 c. c 
« 
Watch-glass holder 
“ “ 25 c. c 
“ glasses 
Evaporating dishes, iron, porcelain lined, 1 and 2 pints. 
u 
Water-bath for drying 
44 
Flasks, 500 c. c “ .. 
Misckluaneocs. 
“ 100 c. c 
Bone earth 
Glasses, Kessler's, 50 c. c 
44 
Brazil wood, pieces of 
Pipe, block-tin, £-inch, for condensing distilled water .. 
feet .. 
Copper foil 
Pipette, 50 c. c 
Files, set of six 
“ 25 c. c 
44 
Glass, blue 
. sq.inch. 
10 c. c 
.... “ . 
“ green 
“ 20 c. c., graduated 
Iron wire 
“ 5 c. c, “ 
44 
’ t " 
“ 2 c. c., “ 
44 
Paraffin 
Platinum, capsule, 3-inch 
a 
Platinum, foil 
.sq.inch.. 
44 
Potash bulbs, Geissler’s 
Urea 
Rods, glass 
44 
Zinc 
Scoop, horn 
44 Q „0 no... Wire gauze sq. feet.j. 
TfrAnr-ta S./VZ. 32-OZ 
« .. Zinc gram.. 
r 
US* ** 
■fj 
' 
ceiZi/f z/iaZ Me a/ove invoice u coMecZ 
U. $. Army. 
/# 
(triplicates.) At.. 
To.... 
Issued by 
Invoice of Medical Supplies 
Voucher JVo. 
(Form No. 58.) 
Quarter, 18 
U. S. A. 
U. S: A. SANITARY REPORT 
OF 
FOR THE YEAR ENDING 
DECEMBER 31, 188 
u V- 4-idBSsftji 
MADE BY 
Surgeon, TJ. S. Army. 
No. of Inclosures, SANITARY REPORT of 
commanded 
1. Present strength—mean strength, composition and changes during the year, transient troops and 
their destination. 
X 
2. Civil employes, number and general occupation 
3. Women, children, and servants 
4. Barracks—Geographical and physical site, material, capacity, character, special features, &c._ 
5. Dormitories—superficial area and cubic air-space per man, ventilation . 
G. Dormitories—warming and lighting, natural and artificial 
7. Dormitories—bedding, bunks, material, single, double, or superimposed 
8. Dormitories—fixtures for clothing, arms, seating, police =.-= 
0. Barrack offices, clothing, and provision rooms, cellars, coal-sheds 
10. Kitchens and company bakeries • 
11. Mess-rooms, mess-furniture, quantity, condition, and material. Separate for N. C. O. s 
12. Bath-rooms, lavatories, and facilities for ablution 
13. Married soldiers’ quarters—relative site, number of sets, material, usual number of occupants 
to each room. 
14. Officers’ Quarters—Number of sets—material and character. Bathing and water facilities, 
condition and sufficiency. 
15. Guard-house—Site, suitability, character, material, internal construction and arrangement, 
ventilation, warming, lighting, police, facilities afforded for cleanliness of inmates, minimum, 
maximum, and average occupancy by prisoners. 
1G. Ivations—quality, quantity, variety, suitability for season and geographical situation, deficiencies, 
portions from which company savings are made. 
17. Fresh meat—kind, quality, mode of procuring, issuing, inspecting, preserving, and how often 
issued to troops. 
18. Facilities for marketing for officers ; 
19. Extra supplies kept by Sub. Dept, for sale to officers—quality, sufficiency, and variety. 
Deficiencies, if any. 
20. Extra vegetables, pickles, and other articles of food, game, and fish—amount and how obtained. 
21. Cooking—character, how often, by whom and when inspected, and hours for serving meals 
22. Gardens—post or company, how cultivated, disposition of produce 
23. Cows kept by companies—number of each _ 
124. Post-bakery—Character, capacity, condition, and management 
25. Water-supply—Whence and how obtained, distributed, kept for use, quality and quantity. 
If well-water is used, give means of protection against sewage and drainage. 
1 
2G. Ice—how obtained and preserved, quantity, quality, allowance, and months of issue 
27. Store-houses—capacity and suitability for preserving rations . 
28. Fuel—kind, quality, quantity, and suitability to climate and season 
29. Clothing—Quality, condition, appropriateness for season and locality, especially in regard to 
blankets, boots, shoes, socks, and hats. 
: 
3k. Employment—-character and amount of martial and fatigue duties 
31. Personal habits, temperance, cleanliness, and bearing of men 
32. Sinks, latrines, privies, urinals, and water-closets—relative situation to barracks and quarters, 
condition, facilities for flushing, emptying, or how contents disposed of. 
33. Drainage and Sewage—Extent and character, natural and artificial, general and special, 
effects or defects. 
34. Stables—relative site of cavalry, quartermaster’s, andothers for the accommodation of officers’ 
private horses. Capacity, condition, and material. Police, and disposal of manure. 
35. Cow-pens, mule-corrals—relative position and police • 
3G. Are pigs or chickens kept for the benefit of the soldiers’ mess? 
37. Regulations governing the keeping of dogs at post, and precautions against danger of hydrophobia. • 
38. Police—General, of post, how, when, and by whom done - 
Police—special, nature, white-washing of fences, facilities, frequency 
Police of yards and out-buildings attached to officers’ quarters 
Garrison. 
Personnel. 
Quarters. 
Food. 
Cloth i no. 
Employment. 
Police. by 
for the year ending December 31, 188 SANITARY REPORT 
39. Recreation—Facilities for boating, hunting, fishing, swimming, skating, games of strength 
and dexterity, ten-pins, billiards, base-ball, cricket, theatricals, music, &c. 
- 
40. Post School—Site, capacity, and suitability, number of teachers and pupils, attendance by 
enlisted men, heating, ventilation, water-closets for pupils, <fcc. 
Divine service—facilities for attendance on 
41. Post or Company Libraries—Number and character of volumes, facilities afforded men for 
reading. 
42. Recruits—physique and character 
43. Nature and frequency of punishments-—effects on health and morale of soldiers 
44. Hospital Buildings—Site, relative position, condition and suitability 
45. Hospital grounds—extent, cultivation, drainage, shade 
46. Heating, shading, lighting, ventilation, and protection from lightning 
47. Hospital wards—capacity, superficial area and air-space per bed, average occupation of each 
ward, isolation ward for the treatment of contagious diseases. 
48. Hospital wards—fixtures and furniture 
49. Hospital kitchen and laundry—position, furniture, fixtures, and condition 
50. Hospital mess-room—fixtures and furniture 
51. Hospital offices, dispensary, store-rooms—fixtures, furniture, suitability, cellars, coal-sheds, 
out-buildings, condition and use. 
52. Hospital post-mortem room—situation, fixtures, furniture, and condition 
53. Hospital lavatories—bath-extent, convenience, water-supply, drainage, Ac. 
54. Hospital water-closets, sinks, urinals—site and drainage 
55. Hospital drainage and sewage—separate or connected with other systems 
56. Hospital police and hospital grounds and vicinage i. 
57. Hospital diet—how cooked, inspected, served, and difference from diet-table 
58. Hospital garden—size, how cultivated, amount and variety of produce 
59. Cows, chickens, milk, butter, eggs, kept and raised for hospital 
160. Ice—how supplied to hospital, amount, and months issued 
61. How and when are purchases made from hospital fund, and its monthly average 
62. Hospital stewards—names, length of service, general and special character 
63. Attendants—names, length of service, character and discipline 
64. Officers, facilities for treatment of, in hospital 
65. Hours of sick-call, winter and summer 
166. Percentage of sick to command, ditto of mortality to sick 
67. Aggregate number of days’ service lost to Government by sickness of soldiers during year 
68. Cleanliness of patients on admission, discipline 
69. Nursing—how and by whom performed, night service 
70. Occupation and amusements of convalescents, reading matter, games, Ac 
71. Prevalent diseases at post and vicinity 
72. Nature and amount of diseases amongst women, children, civil employes, camp followers at 
post, number and cause of deaths, and number of births at post during year. 
73. Diseases, if any, of local origin 
74. Diseases supposed to be checked by hygienic measures 
75. Hospital supplies-—whence obtained, quality, and condition in which received and kept 
76. Instruments—hospital and personal, condition : 
77. Amount, nature, and condition of hospital bedding 
78. Amount, nature, and condition of hospital clothing 
79. Amount and condition of hospital appliances 
80. Hospital library—number of volumes, condition, and conveniences for preservation 
81. Hospital records, blanks, condition, supply, completeness; files of orders, condition 
82. Average monthly temperature—extremes, wind, moisture 
83. Means of subduing fire at post, and special at hospital 
84. Means for transportation of sick and wounded—ambulances, stretchers 
85. Hospital tents—extra number, how kept, condition, and use 
H( JSPITAL 
AND 
Sanitary. —Continued. SANITARY REPORT 
86. Interments—how conducted ; post cemetery—area, care, and condition 
87. Inhabitants of surrounding country, Indian tribes, &c. 
88. Sanitary measures recommended at post—copies marked and appended herewith 
89. Extra sanitary measures enforced in hospital 
90. Miscellaneous facts and general recommendations 
Hospital 
AND 
Sanitary—C’d. 
DIRECTIONS. 
Medical officers making this report will be governed by the Regulations for the Army, and by existing orders and circulars. 
The headings on this form are necessarily brief, and an intimate knowledge of, or an immediate reference to, Regulations and orders is necessary to give the desired 
information. 
When more space is required, reference must be made to notes by Roman numerals, or to special reports by capital letters. 
When alterations, or improvement or repairs, requiring the action of heads of Bureaus, are considered essential, special reports, accompanied by plans and approximate 
estimates of quantities and cost, will be made. 
Note all alterations made in post since last report, and state if made in consequence of medical advice. Changes and alterations to be given in red ink. —Concluded. 
Surgeon, U. S. Army INVENTORY AND INSPECTION REPORT of 
for which 
is responsible, and which ha been inspected and reported on by 
Inspector General 
IJ^^EZCSTTOIRY- 
IISTSPIEOTIOIN' IP IE PORT. 
ARTICLES. 
QUANTITY. 
RECEIVED BY THE OFFICER NOW RESPONSIBLE. 
Condition 
when Received 
at Post, 
(IF KNOWN.) 
HOW RENDERED UNSERVICEABLE. 
NATURE, EXTENT, AND PROBABLE CAUSE 
OF DAMAGE. 
DISPOSITION RECOMMENDED. 
REMARKS. 
Note.—Whenever practicable, the Inspector will note in this column 
when, where, and from whom stores were purchased, the name of the 
purchasing officer or agent, and the marks upon original packages. 
When. 
From Whom. 
Condition 
when Received. 
To be 
continued in 
service. 
TO BE DROPPED. 
To be repaired 
To be sold at 
Post. 
TO BE TURNED INTO DEPOT. 
TO BE TAKEN UP ON 
RETURNS. 
To be 
destroyed. 
To be 
broken up. 
or repacked 
at Post. 
lor issue. 
For repairs or 
recuperation. 
For sale. 
To be 
broken up. 
1 
- 
4 
' 
| rcrtifn, on honor, that the above is a correct inventory, in every particular, of public property for which I am responsible, which I have personally examined and 
believe requires the action of an Inspector, and which, to the best of my knowledge and belief, has never been previously condemned. 
ccrtifs that I have, this clay of , 188 , carefully examined each and every article enumerated in the accompanying inventory; that their condition is as stated 
above; and that the disposition recommended is, in my judgment, the best for the public interests. I also certify that the articles found to be utterly worthless have, as far as practicable, been destroyed in my presence. 
STATION, 
DATE, 
Inspector. INTVENTORT 
AND 
INSPECTION REPORT 
OF 
WAR DEPARTMENT, 
Washington City, January 2, 1876. 
This Form will be used for the inspection of property for condemnation in all the different departments of the Army. Requisitions for these blanks to be made direct upon the Inspector General 
at Washington. 
By order of the Secretary of War: E. D. TOWNSEND, 
Adjutant General, U. S. Army. 
DIRECTIONS.—To be made out in triplicate, and, whenever practicable, forwarded to the Inspector through the proper channels; otherwise, it will be presented to him upon his arrival. 
Receiving his action, it will be forwarded for the orders of the Commander empowered to authorize the disposition of condemned property, and returned, with such orders, to the officer responsible for 
the property, who will send certified abstracts with any property ordered to be turned into depot or to be transferred to some other officer, which abstracts will, when practicable, be signed by the Inspec- 
tor, or by an officer wholly disinterested in the disposition or responsibility of the property. This Form is designed for all descriptions of public property, but separate inventories are to be made for the 
property of each Staff Department; also for “Clothing, Camp and Garrison Equipage,” as distinct from all other property of the Quartermaster’s Department, and for “Commissary Property,” 
as distinct from “Subsistence Stores,” whenever property of the Subsistence Department is to be inspected. Horses and Mules will be inventoried singly, with brief description of color, sex, age, 
and distinguishing marks. Of the inventories, one will be sent to the Chief of the Staff Department to which the property pertains, one will accompany the officer’s next stated accounts, and one will 
be retained by himself. In order to relieve an officer from liability on account of public property that has become damaged except by fair wear and tear, or otherwise unsuitable for use, or when 
deficiencies are found in it, it must, before being submitted to an Inspector for condemnation, be examined by a Board of Survey. 
Articles to be “continued in service” are such as the Inspector regards as still serviceable, and not proper subjects of present condemnation; those to be “dropped from returns,” if utterly 
worthless, to be so far destroyed, in the presence of the Inspector, whenever practicable, as to prevent any possibility of future presentation as public property; and when the presence of the Inspector is 
impracticable, the officer under whose personal supervision such articles are directed to be destroyed shall certify, on the monthly return of the officer responsible, to the destruction of the same; andsucli 
articles as cannot be so destroyed will, when practicable, be marked with the letters “I. C.,” [Inspected, Condemned,] but otherwise to be broken up and serviceable parts retained; those “to be sold 
at the post” are such as are of no further public use, or not worth the cost of transportation to the depot; those “to be turned into depot” are such as cannot be repaired at the post and are worth 
the cost of turning them in; and those to be “taken up” are such parts of the broken-up articles as are still serviceable, and are to be kept for public use by the officer responsible, or transferred to 
depot, or to some other officer, whose receipt will’be taken. Public animals will not be condemned for temporary disease or low flesh, but may be turned into the depot for recuperation or treatment if 
temporarily unserviceable. The special attention of Inspectors is called to the requirement of General Orders No. 8, Headquarters of the Army, A. G. O, March 3, 1869. 
FOR WHICH 
is responsible, 
INSPECTED AT 
ON THE 
day of 
188 
FOR DIRECTIONS—SEE OTHER SIDE. 
The within articles will be disposed of 
By order of INVENTORY AND INSPECTION REPORT of 
,for which 
is responsible, and which ha been inspected and reported on by. 
, Inspector General 
hint at :e;n~to:ry_ 
J INI 
RECEIVED BY THE OFFICER NOW RESPONSIBLE. 
Condition 
when Received 
at Post, 
NATURE, EXTENT, AND PROBABLE CAUSE 
OF DAMAGE. 
DISPOSITION RECOMMENDED. 
REMARKS. 
ARTICLES. 
QUANTITY. 
Condition 
when Received. 
HOW RENDERED UNSERVICEABLE. 
To be 
TO BE DROPPED. 
To be repaired 
To be sold at 
Post. 
TO BE TURNED INTO DEPOT. 
TO BE TAKEN UP ON 
RETURNS. 
Note.—Whenever practicable, the Inspector will note in this column 
when, where, and from whom stores were purchased, the name of the 
purchasing officer or agent, and the marks upon original packages. 
When. 
From Whom. 
(IF KNOWN.) 
continued in 
service. 
To be 
destroyed. 
To be 
broken up. 
or repacked 
at Post. 
For issue. 
For repairs or 
recuperation. 
For sale. 
To be 
broken up. 
| 
- 
# 
• 
• 
I rertifjj, on honor, that the above is a correct inventory, in every particular, of public property for which I am responsible, which I have personally examined and 
believe requires the action of an Inspector, and which, to the best of my knowledge and belief, has never been previously condemned. 
mtlflT that I have, this day of ,188 , carefully examined each and every article enumerated in the accompanying inventory; that their condition is as stated 
above; and that the disposition recommended is, in my judgment, the best for the public interests. I also certify that the articles found to be utterly worthless have, as far as practicable, been destroyed in my presence. 
STATION, 
DATE,.... 
Inspector. ITsTAAHnSTTOIA Y 
AND 
INSPECTION REPORT 
OF 
WAR DEPARTMENT, 
Washington City, January 2, 1876. 
This Form will be used for the inspection of property for condemnation in all the different departments of the Army. Requisitions for these blanks to be made direct upon the Inspector General 
at Washington. 
By order of the Secretary of War: E. D. TOWNSEND, 
Adjutant General, U. S. Army. 
DIRECTIONS.—To be made out in triplicate, and, whenever practicable, forwarded to the Inspector through the proper channels; otherwise, it will be presented to him upon his arrival. 
Receiving his action, it will be forwarded for the orders of the Commander empowered to authorize the disposition of condemned property, and returned, with such orders, to the officer responsible for 
the property, who will send certified abstracts with any property ordered to be turned into depot or to be transferred to some other officer, which abstracts will, when practicable, be signed by the Inspec- 
tor, or by an officer wholly disinterested in the disposition or responsibility of the property. This Form is designed for all descriptions of public property, but separate inventories are to be made for the 
property of each Staff Department; also for “Clothing, Camp and Garrison Equipage,” as distinct from all other property of the Quartermaster’s Department, and for “Commissary Property,” 
as distinct from “Subsistence Stores,” whenever property of the Subsistence Department is to be inspected. Horses and Mules will be inventoried singly, with brief description of color, sex, age, 
and distinguishing marks. Of the inventories, one will be sent to the Chief of the Staff Department to which the property pertains, one will accompany the officer’s next stated accounts, and one will 
be retained by himself. In order to relieve an officer from liability on account of public property that has become damaged except by fair -wear and tear, or otherwise unsuitable for use, or when 
deficiencies are found in it, it must, before being submitted to an Inspector for condemnation, be examined by a Board of Survey. 
Articles to be “continued in service” are such as the Inspector regards as still serviceable, and not proper subjects of present condemnation; those to be “dropped from returns,” if utterly 
worthless, to be so far destroyed, in the presence of the Inspector, whenever practicable, as to prevent any possibility of future presentation as public property; and when the presence of the Inspector is 
impracticable, the officer under whose personal supervision such articles are directed to be destroyed shall certify, on the monthly return of the officer responsible, to the destruction of the same; and such 
articles as cannot be so destroyed will, when practicable, be marked with the letters “I. C.,” [Inspected, Condemned,] but otherwise to be broken up and serviceable parts retained; those “to be sold 
at the post” are such as are of no further public use, or not worth the cost of transportation to the depot; those “to be turned into depot” are such as cannot be repaired at the post and are worth 
the cost of turning them in; and those to be “taken up” are such parts of the broken-up articles as are still serviceable, and are to be kept for public use by the officer responsible, or transferred to 
depot, or to some other officer, whose receipt will be taken. Public animals will not be condemned for temporary disease or low flesh, but may be turned into the depot for recuperation or treatment if 
temporarily unserviceable. The special attention of Inspectors is called to the requirement of General Orders No. 8, Headquarters of the Army, A. G. O., March 3, 1869. 
FOR WHICH 
is responsible, 
INSPECTED AT 
ON THK 
day of 
188 
FOR DIRECTIONS—SEE OTHER SIDE. 
The within articles will be disposed of 
order of The anatomical location of the disease or injury may be indicated on these diagrams. 
Eig.l.\ 
Fig-2.1 
Fig.3. 
Fig-4* 
Fig.8. 
This Blank is not intended to supersede more extended special reports. 
Fig.8- 
fog.5 
Fig.6. 
Fig. 7. 
Fig.10. 
Fig.ll. 
URINE. 
FLUID 
OUNCES. 
SPECIFIC 
GRAVITY. 
CONDITION. 
NO. OF DAY. 
TEMPER- 
ATURE. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
M. 
E. 
FHR. 
105° 
104° 
103° 
102° 
101° 
100° 
— 
— 
99° 
98° 
97° 
96° 
PULSE. 
respira’n. BiisriDinsrGr uvLA-iRa-iisr. do tstot dold this :kz. 
The printed replies may be indicated by drawing a line around the desired words, thus: etc. When there are no facts to be recorded, draw line 
through all spaces not used. Additional Blanks may be used to complete the report if necessary. They will be stitched together through the binding margin. 
SURGICAL REPORT 
Original to be sent to the Surgeon General with Consolidated Report. Duplicate to be retained at Post. 
U. S. A. __ Hospital, 
Nature op Injury. 
Character of Injury. 
Anatomical Location of Injury. 
Slight, Severe. 
Flesh Wound. 
Incised, Contused, Lacerated. 
Punctured, Deep, Superficial. 
Penetrating, Perforating. 
Fracture. 
Simple, Compound. 
Comminuted, Complicated. 
Wound op Artery. 
In shot wounds specify points of entrance and exit by means of diagram on back of this sheet. 
Date: lss 
Cause and Missile. 
Hosp. No. 
Surname. 
Christian Name. 
Right. Left. Front. Back. Inner. Outer. 
Rank. 
Co. 
Regiment or Staff Corps. 
Age. 
! Shock, amount of. 
Slight. Severe. 
Hemorrhage, amount of. 
Slight. Severe. 
From what artery? 
Probing: Was wound probed or other- 
wise manipulated prior to primary 
dressing? 
Yes. No. 
Dressing. 
Was primary, occlusive? Yes. No. 
Were antiseptics used? Yes. No. 
State antiseptic employed. 
Transport: method of, if moved. 
State nature of primary dressing. Condition of parts and patient at time of operation, together with other matters of interest. 
Race or Nationality : 
Date op Injury: _ , l«s 
Date op Admission: ,188 . 
Whence Received : 
Result: 
Date op Result: iss 
Where Sent: 
* 
Do not write in this space. 
Date op Operation. 
Nature op Operation and Method. 
Shock following 
operation. 
Slight. 
Severe. 
Anesthetic Employed. 
, 188 . 
Hour of operation, 
Primary. Intermediary. Secondary. 
Quantity used to induce insensibility, ... fluid ounces 
Bloodless Method. Yes. No. 
Specify method. 
Antiseptics used during opera- 
tion? Yes. No. 
Specify agent. 
By Spray, Irrigation. 
Specify other method. 
Ligatures, Material used. 
State number. 
Sutures, Material used. 
State number. 
Dressings, Material used. 
Wet. Dry. 
Antiseptic? Yes. No. 
Agent. 
No. days antiseptics used. 
Occlusive Dressing. Yes. No. 
Drainage Tubes used. Yes. No. 
Number of days used. 
Note all complications and progress of case. In case of death, state immediate cause. 
Total quantity used, fluid ounces. 
Time anaesthesia was maintained, _ minutes. 
Vomiting? Yes. No. Before. During. After insensibility. 
Slight. Severe. Prolonged. 
Excitement? Yes. No. Before. During. After insensibility. 
Mild. Great. Prolonged. 
Prostration? Yes. No. Before. During. After insensibility. 
Slight. Great. Prolonged. 
State mode of administration and treatment of accidents. 
Name of Operator: 
Surgeon, U. S. A. 
Surgeon, U. S. A. 
Do not write on margin or binding space. 
Signature of Medical Officer making Report. (Form No. 53.) 
INVOICE of Durable Articles purchased with the Hospital Fund transferred at 
. Hospital to . 
'it vPeon, U. S. Army. 
ARTICLES. 
QUANTITIES. 
CONDITION. 
REMARKS 
* 
I certify that the above invoice is correct. 
Surgeon, U. S. Army. 
Station : 
, 188 
(QUADRUPLICATES.) OF 
DURA BLE ARTICLES 
Purchased with the Hospital Fund transferred 
at Hospital to 
Surgeon, U. S. Army. 
( Form No. 5;>.) (Form '\o. 54.) 
RECEIPT for Durable Articles purchased with the Hospital Fund transferred at 
Hospital, by 
Surgeon, V. S. Army. 
ARTICLES. 
QUANTITIES. 
X 
CONDITION. 
REMARKS. 
I certify that I have received the Articles enumerated above, 
Surgeon, XJ. S. Army. 
Station : 
, 188 
(QUADRUPLICATES.) IREOEttlFT 
FOR 
DURABLE A RT1CLES 
Purchased with the Hospital Fund transferred 
at Hospital, by 
Surgeon, JL S. Army. 
(Form No. 54.) (Form No. 49.) 
RETURN OF DURABLE PROPERTY on hand at last return, received by purchase from the Hospital Fund, issued, sold, lost, worn out, 
and remaining on hand at 
for the 
ending 
18 
H 
OD g 
H 
H 
NUMBER OF VOUCHER. 
» 
REMARKS. 
j 
On hand from last return 
(( <( (< 
« j 
(i U (C 
(( (( u 
(( u u 
U (t u 
II II II 
~ r T" 
" 
u u u 
u u <( 
TOTAL TO BE ACCOUNTED FOR 
Sold 
Worn out and unfit for use 
TOTAL EXPENDED 
ON HAND TO BE ACCOUNTED FOR 
- 
• 
I certify that the foregoing Return is correct. 
Station : 
(TRIPLICATES.) 
18 
, Surgeon, U. S. A. RETUBIST 
OF 
DURABLE PROPERTY 
PURCHASED WITH THE 
HOSPITAL FUND 
FOR THE 
_ ending ,18, 
at Hospital, 
IN CHARGE OF 
, Surgeon, II. S. A. 
(Form 49.)