REGULATIONS 
OF THE, 
UNITED STATES 
MARINE HOSPITAL SERVICE 
FOR THE 
COLLECTION OF HOSPITAL DUES, 
AND THE 
APPLICATION OF THE FUND 
RESULTING THEREFROM 
TO THE 
RELIEF OF SICK AND DISABLED SEAMEN, AS PROVIDED BY. 
ACTS OF CONGRESS APPROVED JULY 16, 1798, 
MAY 3, 1802, AND JUNE 30, 1870. 
WASHINGTON: 
GOVERNMENT PRINTING OFFICE. 
1873. CONTENTS. 
Page. 
SYNOPSIS OF LAWS GOVERNING THE UNITED STATES MARINE HOS- 
PITAL SERVICE 13 
The Supervising Surgeon. 
Assessment and collection of hospital-dues. 
When hospital-dues are to be paid. 
Penalty for making a false report. 
Accounts, deposits, and reports of hospital-money collected. 
Application of the marine hospital fund. 
Care of foreign sbamen. 
REGULATIONS : 
I. Assessment and collection of hospital-dues ; and accounts and re- 
ports OF HOSPITAL-MONEY 17 
1. Vessels subject to hospital-dues. 
2. Seamen subject to pay hospital-dues, and when. 
3. Who are seamen within the meaning of the act. 
4. Stevedores and 'longshoremen not included. 
5. Reports of hospital-dues, how made. 
6. Reports of hospital-dues from registered vessels. 
7. Reports of hospital-dues from coasting, lake, and river vessels. 
8. Reports of hospital-dues on sale or transfer of a vessel. 
9. No deductions allowed. 
10. Verification of reports of hospital-dues. 
11. Penalty for making a false report. 
12. Customs officers' monthly abstract of hospital-dues reports. 
13. Customs officers' accounts of hospital-money. 
14. Deposits of hospital-money collected. 
15. Customs officers' monthly account-current of hospital-money. 
16. When there are no collections or deposits. 
17. Consular officers to collect hospital-dues. 
18. Reports of hospital-money collected by consular officers. 
II. Application of the marine hospital fund- for the relief of sick 
AND DISABLED SEAMEN 20 
19. Object of the marine hospital fund. 
20. The fund to be expended under the direction of the Supervising Surgeon - 
21. Only temporary relief contemplated. 
22. Seamen who are entitled to hospital relief. 
23. Indigent seamen, not sick or disabled, not entitled to relief. 
24. Seamen who have abandoned their vocation not entitled to relief. 
25. Masters of vessels to furnish certificate of seamen's service. 
26. Manner of obtaining hospital relief. 
27. Verification of master's certificate, &c. 
28. Customs officers to send to surgeons for examination. 
29. Instructions to surgeons relative to certificate of examination. 
30. Permits for hospital relief issued only when recommended by a surgeon. 
31. Surgeons at certain ports to sign permits, &c. 
32. Numbering of permits and certificates. 
33. Register of permits. 8 
CONTENTS. 
Page. 
REGULATIONS: 
II. Application of the marine hospital fund for the relief of sick 
and disabled seamen-Continued 22 
Form of register of permits. 
34. Period of duration of permit. 
35. Extension of permits. 
36. The permit the only authority for relief. 
37. Surgeons to receive permits only on the day issued. 
38. When a seaman may be received into hospital without a permit. 
• 39. When a permit may be antedated. 
40. When the charge for the care of a patient shall commence. 
41. Disposition of the permit and certificate when relief is terminated. 
42. Seamen not entitled to re-imbursement. 
43. Expense of caring for a sick seaman during a voyage. 
44. Care of sick seamen landed or abandoned. 
45. Care of sick seamen at ports where no arrangement exists. 
Form of proposal for care of sick seamen. 
46. Transportation of seamen to hospitals. 
47. Relief of seamen at their own homes. 
48. Hospital relief to foreign seamen. 
III. Organization of the U. S. Marine Hospital Service 25 
49. Organization of the corps of medical officers. 
50. The Supervising Surgeon. 
51. Surgeons and assistant surgeons. 
52. Applicants for appointment to be examined by a board of surgeons. 
53. Surgeons and assistant surgeons to draw pay only when on duty. 
IV. Hospitals for seamen-their organization, etc 26 
54. Classification of hospitals for seamen. 
55. Relief at ports where there are no hospitals. 
56. Assignment of surgeons to United States marine hospitals, (Class I.) 
57. Assignment of surgeons to United States marine hospitals, (Class II.) 
58. Stewards, matrons, and other employees of marine hospitals, (Class I.) 
59. When additional employees will be authorized. 
60. Apothecary.i 
61. Surgeons to notify the Department of changes of employees. 
62. Compensation of officers and employees. 
63. Surgeons to have authority over all officers and employees. 
64. Assistant surgeons, authority of. 
65. Surgeons to examine applicants for relief, &c. 
66. Surgeons held responsible for administration of hospitals, &c. 
67. Records to be kept by surgeons in charge of marine hospitals. 
68. Register of patients. 
69. Prescription and diet-book. 
70. Case-book. 
71. Record of official communications sent. 
72. Preservation of official communications received. 
73. Money and valuables of patients to be taken charge of by surgeons. 
74. Stewards, duties of. 
75. Apothecaries, duties of, record of medicines, instruments, &c. 
76. Record of liquors consumed. 
77. Matrons, duties of. 
78. Subsistence supplies, how obtained. 
79. Approved requisitions for subsistence to be submitted to merchants for 
bids. CONTENTS. 
9 
Page. 
REGULATIONS: 
IV. Hospitals for seamen-their organization, etc.-Continued 29 
80. Articles of subsistence not provided for by contract, how obtained. 
81. Monthly report of subsistence stores received, used, &c. 
82. Horses and cows, when authorized. 
83. Fuel, lights, and water, requisitions for. 
84. Medical supplies. 
85. Requisitions for medical supplies. 
86. Medicines not on the supply-table, or requisitions for unusual amounts. 
87. Miscellaneous articles and medicines required to be replenished, how 
obtained. 
88. Requisitions must be approved before purchases are made. 
89. Annual property report by surgeons. 
90. Non-e^pendable articles not to be dropped without authority. 
91. Loss or destruction of hospital property to be reported to the Marine 
Hospital Bureau. 
92. Inspection of worn-out property. 
93. Invoices and receipts to be given when a surgeon resigns or changes station. 
94. Surgeon's final account. 
95. Surgeons to report diseases and injuries monthly. 
96. Surgeons to report surgical operations annually. 
V. Disbursements of the marine hospital fund 32 
97. Surgeons to make out monthly pay-rolls of officers and employees. 
98. Bills of purchases made for hospitals. 
99. Surgeons to make monthly reports of seamen treated, &c. 
100. Report to be compared with register of permits. 
101. Surgeons of hospitals of Class II to make monthly returns. 
102. Surgeon's accounts to be compared with the permits and the register of 
permits. 
103. Bills and accounts against the fund must include name of patient or 
article. 
104. Permits and certificates to accompany monthly transcripts and surgeon's 
accounts. 
105. Bills for the care of foreign seamen. 
106. Customs officers to make a monthly summary report. 
107. When there are no transactions. 
108. Omissions to be made the subject of a special report. 
109. Funds remitted by the Department upon receipt of reports. 
110. Surgeons' reports to be made promptly. 
111. Customs officers to pay authorized bills. 
112. Accounts-current of receipts (from the Department) and disbursements. 
113. When the abstract of disbursements may be omitted. 
VI. Official correspondence 34 
114. Official communications, how transmitted. 
115. Remarks of customs officers on official communications of surgeons. 
116. Blank forms furnished by the Department. 
FORMS: 
I. For the collection of hospital-dues, and accounts of hospital 
MONEY 39 
1. Report of hospital-dues-registered. 
2. Reports of hospital-dues-coasting, lake, and river vessels. 
3. Abstract of hospital-dues reports. 
4. Account-current of hospital-money collected and deposited. 10 
CONTENTS. 
Page. 
FORMS: 
II. For the application of the marine hospital fund 43 
5. Master's certificate of seaman's service on vessel. 
6. Surgeon's certificate of examination. 
7. Permit for hospital relief. 
III. For the administration of hospital service 46 
8. Proposals for supplying subsistence stores, &c. 
9. Report of subsistence stores received, used, and remaining on hand. 
10. Semi-annual requisition for medicines, instruments, &c. 
11. Special requisition. 
12. Report of United States marine hospital property, annual. 
13. Invoice of United States marine hospital property transferred. 
14. Invoice of United States marine hospital property received. 
15. Report of diseases and injuries. 
16. Report of surgical operations. 
IV. For the disbursement of the marine hospital fund 55 
17. Pay-roll of the officers and employees of a United States marine hos- 
pital. 
18. Bills for articles purchased. 
19. Transcript of register of United States marine hospital. 
20. Account for the maintenance of seamen in hospitals of Class II. 
21. Report of transactions of the United States marine hospital service 
(monthly by customs officers.) 
22. Abstract of disbursements of marine hospital fund. 
23. Account-current of receipts and disbursements of marine hospital fund. 
APPENDIX. 
A. United States Marine Hospital medical supply table 65 
B. outfit list 69 
C. DIET TABLES 70 
D. NOMENCLATURE OF DISEASES 72 UNITED STATES MARINE HOSPITAL SERVICE. 
SYNOPSIS OF THE LAWS. SYNOPSIS OF THE LAWS. 
The Supervising Surgeon:-The Supervising Surgeon is charged by 
law, under the direction of the Secretary of the Treasury, with the super- 
vision of all matters connected with the marine hospital service of the 
United States. (Sec. 6, Act June 29,1870. 16 Stat., 170.) 
Assessment and collection of hospital-dues:-The customs officers of the 
several ports of the United States shall assess and collect from the 
masters or owners of every vessel of the United States engaged in 
the foreign or coasting trade, the sum of forty cents per month for each 
and every officer and seaman who has been employed on said vessel 
since last return of hospital-dues, which sum the master or owner is 
authorized to collect or retain out of the wages of said officers and 
seamen. (Sec. 1, Act June 29,1870. 16 Stat., 169.) Consular officers 
shall collect hospital dues on the sale or transfer of vessels of the United 
States in foreign ports or waters.-(Act April 29, 1864. 13 Stat., 61.) 
When hospital-dues are to be paid:-Masters and owners of vessels 
engaged in foreign trade shall render hospital-dues returns whenever 
entry is made at a port of the United States. (Sec. 1, Act June 29,1870. 
16 Stat., 169.) Masters or owners of vessels engaged in the coasting 
trade are required to make said returns upon renewal of license or 
enrollment. (Sec. 2, Act June 29, 1870. 16 Stat., 169.) 
Penalty for making a false report:-Any master or owner of a vessel 
who shall make a false report of the number of seamen employed on his 
vessel, or of the length of time they have severally been employed, shall 
forfeit and pay fifty dollars for each and every offence, which sum shall 
be levied and collected by the customs officer to whom the report is 
made, and the same shall be credited to the marine hospital fund. (Sec 
2, Act June 29, 1870. 16 Stat.) 169.) 
Accounts, deposits, and reports of hospital-money collectedThe several 
collectors shall keep separate accounts of the hospital-money collected 
by them, and shall deposit the same, without abatement, in the nearest 14 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States depository, to the credit of the marine hospital fund; 
and shall make monthly reports thereof to the Marine Hospital Bureau 
of the Treasury Department.-(Sec. 3-4, Act June 29,1870. 16 Stat., 170.) 
Application of the marine hospital fund:-The fund resulting from the 
collections of hospital-dues is to be expended under the supervision of the 
Supervising Surgeon, for the relief of such American seamen as are en- 
titled to its benefits and who are suffering from diseases or injuries. 
(Sec. 5, 6, Act June 29, 1870. 16 Stat., 170.) 
Care of foreign seamen:-Any foreign seaman, sick or disabled, may 
be admitted into a marine hospital for treatment and care, and the 
charge for the same is a lien upon the vessel to which such seaman 
belongs. (Sec. 5, Act May 3, 1802. 2 Stat., 193.) PAGES 15-16 MISSING REGULATIONS. 
I.-Assessment and collections of hospital-dues, and accounts 
AND REPORTS OF HOSPITAL-MONEY. 
Vessels subject to hospital-dues:-1. Vessels, the seamen of which are sub- 
ject to pay hospital-dues, are vessels of the United States engaged in the 
foreign trade, and enrolled and licensed vessels of the United States en- 
gaged in trade on the sea-coast and inland waters; but not vessels em- 
ployed in the fisheries, or canal-boats, except canal-boats propelled by 
steam or sail-power. 
Seameu subject to pay hospital-dues, and when:-2. The sum of forty 
cents per month shall be assessed as hospital-dues, and collected from 
all officers and seamen engaged or employed on vessels described in 
paragraph 1, during the time said officers and seamen are so engaged 
or employed, without regard to whether the vessel was in active service 
or in port. 
Who are seamen within the meaning of the act:-3. The term 11 sea- 
meu" embraces officers of the vessel, and all persons employed in the 
navigation, or in the care and preservation, of the same, and among 
these includes the masters or- 
Captains, 
Supercargoes, 
Medical officers, 
Pursers, 
Clerks, 
Mates, 
Pilots, 
Engineers, 
Quarter-masters, 
Gunners, 
Boatswains, 
Sail-makers, 
Carpenters, 
Watchmen, 
Firemen, 
Coal-heavers or stokers, 
Oilers, 
Water-tenders, 
Stewards, 
Cooks, 
Bakers, 
Butchers, 
Pantrymen, 
Store-keepers, 
Messmen, 
Waiters, 
Porters, 
Cabin-boys, 
Stewardesses, 
Chambermaids, 
Seamen, 
Ordinary seamen, 
Boys, 
Deck-hands, 1st class, 
Deck-hands, 2d class, or 
Roust-abouts, and 
Lighter-men. 
Stevedores and'longshoremen not included:-4. Stevedores and 'long- 
shoremen are not subject to pay hospital dues, and consequently are not 
entitled to hospital relief. 18 
UNITED STATES MARINE HOSPITAL SERVICE. 
Reports of hospital-dues-how made:-5. A report of hospital-dues shall 
be made by the master or owner of every registered, licensed, or enrolled 
vessel of the United States, as directed by paragraph 6 or 7, as the 
case may be. Such report shall be made upon a form to be provided by 
the Treasury Department, {Form 1 or 2.) The receipt upon this form shall 
be filled out by the proper customs officer, in accordance with the re- 
port; shall then be detached and delivered to the master or owner of 
the vessel, who shall preserve the same with his ship's papers, subject 
to inspection by the proper authorities. The original report will be 
kept on file at the custom house where made, for the purposes directed 
in paragraphs 12 and 27 of these regulations. 
Reports of hospital-dues from registered vessels:-G. No vessel of the 
United States arriving in port under a register shall be admitted to 
entry until the master or owner has furnished to the proper customs 
officer a true account, under oath, of the number and names of all of- 
ficers and seamen engaged or employed (and the length of time they 
have severally been so engaged or employed,) on board said vessel since 
its last entrance at any port of the United States, {Form 1,) nor until 
said master or owner has paid to the said customs officer the sum of 
forty cents per month for each officer and seaman so engaged or employed. 
Reports of hospital-dues from coasting, lake, and river vessels:-7. In 
like manner as provided for registered vessels, reports {Form 2,) shall 
be rendered, and hospital-dues be paid, by vessels engaged in the coast- 
ing trade, and on the navigable inland waters of the United States? 
before being granted a renewal of license or enrollment. 
Reports of hospital-dues on sale or transfer of a vessel:-8. In like 
manner as is prescribed in paragraph 6, a report of hospital-dues 
shall be made for any vessel, the seamen of which are subject to 
hospital-tax, upon the sale or transfer of such vessel, whether such sale 
or transfer takes place at a home port or in foreign waters; and the 
" hospital-dues receipt" shall be preserved by the new master or owner 
with his ship's papers for inspection by the proper authorities. 
No deductions allowed:-9. The whole time during and for which each 
person was actually employed and paid must be embraced in the 
return, (paragraphs 6-7,) without regard to whether the vessel was in 
service or laid up. No deductions or allowances can be made upon any 
pretext whatever. 
Verification of reports of hospital-dues:-10. For the purpose of verify- 
ing reports of hospital-dues, customs officers are authorized to demand 
of the master of any vessel an inspection of his "shipping articles," or 
of his bo6ks and papers, before admitting the vessel to enter, or before 
renewing the license or enrollment, as the case may be, or they may re- 
quire other reasonable proof. UNITED STATES MARINE HOSPITAL SERVICE. 
19 
Penalty for making a false report:-11. The master or owner of any 
vessel, the seamen of which are subject to hospital-tax, who shall make 
a false return of the number of officers and seamen engaged or employed 
on his vessel, or of the length of time they have severally been engaged 
or employed since the date of the last return of hospital-dues, shall for- 
feit and pay a penalty of fifty dollars, (as provided by section 2, of 
the marine hospital act, approved June 29, 1870, 16 Stat., 169,) which 
sum shall be levied and collected by the customs officer to whom the 
report is made, subject to protest and appeal as in other customs penal- 
ties. The amount so collected must be deposited in the Treasury, to 
the credit of the marine hospital fund. 
Customs officers' monthly abstract of hospital-dues reports:-12. Cus- 
toms officers who have made collections of hospital-money during any 
month will, at the close of the mouth, make an abstract of the several 
reports of hospital-dues, and forward the same to the Marine Hospital 
Bureau, accompanied by a certified copy of each report of hospital-dues, 
(Forms 1-2.) 
Customs officers' accounts of hospital-money:-13. All customs officers 
who collect hospital-dues will keep separate accounts of the hospital- 
money received by them on this account and deposit the same in the 
nearest United States depository, as "receipts from hospital-duesand 
will make monthly reports of all such collections to the Marine Hospital 
Bureau of the Treasury Department. 
Deposits of hospital-money collected:-14. At ports where there is an 
assistant treasurer, or designated depositary, deposits of hospital-money 
will be made daily. At other ports the amounts collected will be depos- 
ited with the nearest legal depositary of Government moneys at the 
close of each month. 
Customs officers' monthly account-current of hospital-money:-15. Cus- 
toms officers will make an account-current (Form 4) at the close of each 
month of all hospital-money collected during the month to which the 
account relates, and will forward the same to the Marine Hospital Bureau, 
with the abstract and vouchers provided for in paragraph 12. 
When there are no collections or deposits:-16. When, at any port, 
there are no collections of hospital-dues, or deposits of hospital-money, 
during any month, the customs officer of such port will, at the close of 
the month, forward the blank account-current, (Form 4,) with the in- 
dorsement across the face thereof: No transactions. 
Consular officers to collect hospital-dues:-17. Consular officers of the 
United States will assess and collect hospital-dues from all vessels of 
the United States sold or transferred within their respective consular 
districts.-(Act April 29, 1864. 15 Stat., 61.) 20 
UNITED STATES MARINE HOSPITAL SERVICE. 
Reports of hospital-money collected by consular officers :-18. Consular 
officers of the United States will, by authority of the Secretary of 
State, keep separate accounts of hospital-money collected by them, and 
make reports of the same to the Secretary of the Treasury Department, 
in like manner as directed for customs-officers, except that said reports 
will be made quarterly, and will be forwarded through the Department 
of State. 
II. Application of the marine hospital fund for the relief 
OF SICK AND DISABLED SEAMEN. 
Object of the marine hospital fond:-19. The object of the assessment 
and collection of hospital-dues is to provide a fund to defray the expense 
of medical or surgical relief, when needed by the contributors thereto, 
and for their maintenance, nursing, and care while necessarily under- 
going such treatment. 
Fund to he expended under the supervision of the Supervising Surgeon:-20. 
The fund resulting from th ecollection of hospital-dues is to be expended, 
under the supervision of the Supervising Surgeon, for the relief of such 
seamen of the United States as are entitled to its benefits, and who are 
suffering from diseases or injuries. 
Only temporary relief contemplated:-21. The law providing for the 
disbursement of the marine hospital fund having been uniformly con 
strued as intended to provide temporary relief, and not for the con- 
tinued care of seamen permanently disabled, it is the duty of officers 
having authority to grant hospital relief to exercise such authority in 
accordance with this construction. 
Seamen who are entitled to hospital relief:-22. A seaman to be entitled 
to relief from the marine hospital fund must have served on a regis- 
tered, enrolled, or licensed vessel of the United States for at least two 
months immediately preceding his application for aid, and must have 
paid hospital-dues for that period of time: Provided, That when an in- 
terval has occurred in the applicant's seafaring service by reason of 
closure of navigation, it shall not be considered as excluding him from 
relief, except the sickness or injury for which he applies for relief is the 
result of employment on shore. Nor shall the phrase " immediately 
preceding his application" be held as excluding a seaman who has been 
but a few days away from his vessel, and who has not abandoned his 
vocation as seaman for any other employment; nor as excluding a 
seaman who may have been not more than three months away from his 
vessel, provided it is satisfactorily shown that such absence was due to 
sickness. 
Indigent seamen, not sick or disabled, not entitled to relief23. Indi- 
gent seamen, not sick or disabled, and those who do m5t require medi- 
cal or surgical treatment in hospitals as an essential to cure, are not 
entitled to relief from the fund. UNITED STATES MARINE HOSPITAL SERVICE. 
21 
Seamen who have abandoned their vocation not entitled to relief:-24. A 
seaman who has engaged in any vocation on shore daring a period of 
two months, and who is not debarred from shipping by reason of sick- 
ness or disability, or by closure of navigation, has forfeited his claim to 
hospital relief. 
Masters of vessels to furnish certificates of seamen's service:-25. Mas- 
ters of vessels of the United States, the seamen of which are subject to 
hospital-tax, shall furnish any such seaman, on demand, with a certificate 
of the length of time the person described in such certificate has paid 
hospital-dues, {Form 5.) This certificate will be filed in the custom- 
house upon application being made for relief. 
Manner of obtaining hospital relief:-26. A sick or disabled seaman, to 
obtain hospital relief, must apply to a surgeon of the marine hospital 
service, or to the proper customs officer, if there be no surgeon on duty 
at the custom-house, and must furnish satisfactory evidence that he has 
paid hospital-dues for the length of time prescribed in paragraph 22. 
(Such evidence is, usually, the certificate of the master of the vessel on 
whch the applicant last served.) When there is a surgeon on duty at 
the custom-house, he will make the examination directed, and follow the 
instructions contained in paragraph 29, and will issue the permit direct- 
ed in paragraph 30. (See paragraph 31.) 
Verification of masters' certificates, etc.:-27. Care will be taken to 
verify the genuineness of the signatures attached to masters' certifi- 
cates, and relief will not be granted in any case where the signature 
is found to be false. When an applicant for relief claims to have 
paid hospital-dues and is unable to obtain his captain's certificate, the 
hospital-dues report of his vessel, on file in the custom-house, will be ex- 
amined, for the purpose of verifying the statement of the applicant. 
Whenever a seaman is granted relief on other evidence than the master's 
certificate, a memorandum of the evidence, with the necessary reference 
to the same, will be made and signed by the surgeon, or, in his absence, 
by the proper customs officer, and will be filed in the proper order, in- 
stead of Form 5, for inspection. 
Customs officers to send to surgeons for examination:-28. When, in 
the absence of a surgeon of the marine hospital service, a customs officer 
receives the application for, and is satisfied that a seaman is entitled 
to, relief, he will send the applicant to the surgeon in charge of marine 
patients at the port, with a letter (and blank certificate attached- 
Form 6,) requesting that an examination of the case be made. 
Instructions to surgeons relative to certificate of examination:-29. 
The surgeon will examine the applicant and fill out the certificate at- 
tached to Form 6. In case the seaman does not require treatment in 
hospital as an essential to a cure of the disease or injury from which he 22 
UNITED STATES MARINE HOSPITAL SERVICE. 
is suffering, the surgeon will furnish a prescription, should one be 
needed, and indorse a copy of the same on the outer middle fold of the 
blank certificate, which copy will then become a voucher for one dollar- 
In case the seaman requires treatment in hospital as essential to 
a cure, the surgeon will state the probable length of time which will be 
required to effect a cure, and will forward the certificate to the customs 
officer. 
Permits for hospital relief issued only when recommended by a sur- 
geon :-30. Upon receipt of the surgeon's certificate, the customs offi- 
cer will, if hospital relief is recommended, issue a permit (Form 7,) in 
accordance with the recommendation of the surgeon, and send it to the 
person who is to have charge of the seaman, with the certificate (Form 6,) 
inclosed in the permit. 
Surgeons at certain ports to sign permits, etc.31. At ports where 
there is a surgeon of the marine hospital service on duty at the cus- 
tom-house, that officer will fill out and sign the certificate and permit, 
(Forms G and 7,) and will keep the register of permits. 
Numbering of permits and certificates :-32. Permits will be numbered 
consecutively, 1, 2, 3, &c., from July 1, to June 30, of each year, and 
the number given to a permit will be indorsed on the appropriate certi- 
ficate (Form 6,) which will be inclosed in the permit. 
Register of permits:-33. There will be kept in the custom-house a 
register of all permits issued, to be made iu the following form: 
Register of Permits. 
Permit. 
Name of 
patient. 
Name of 
vesseL 
Hospital-dues- 
length of time paid. 
Disease or 
injury. 
Date of dis- 
charge. 
Remarks. 
No. 
Date. 
Period of duration of permit:-34. The permit will state definitely the 
length of time for which hospital-relief is authorized, basing the same 
upon the statement iu the surgeon's certificate; but in no case shall any 
permit be issued for a period exceeding two (2) months. 
Extension of permits:-35. One week prior to the expiration of a per- 
mit, which it is necessary and proper to renew, the surgeon should make 
application to the Marine Hospital Bureau for extension of the same. 
This application must set forth the actual condition of the patient for 
whom extension of hospital relief is desired; the facts relating to his 
disease or injury; the additional period for which relief will probably 
be required; and the length of time the patient has paid hospital-dues, 
as nearly as can be ascertained. UNITED STATES MARINE HOSPITAL SERVICE. 
23 
The permit the only authority for relief:-36. The permit (Form 7) is 
the only authority for the care of a seaman that will be recognized by 
the Department. All permits, before they are delivered to the appli- 
cant, must be inclosed in an envelope, securely sealed and addressed to 
the person who is to have charge of the patient. When a permit is de- 
livered to a seaman, he should be informed that, if the same is not pre- 
sented on the day it is issued, it will be forfeited. 
Surgeons to receive permits only on the day issued:-37. Surgeons will 
not receive permits bearing date anterior to the day when presented, 
except in the cases provided for in paragraph 38. 
When a seaman may be received into hospital without a permit:-38. 
When a seaman, who is entitled to relief, makes application for a per- 
mit after the custom house is closed for the day, the surgeon in charge 
of the marine patients at the port where such application is made may 
receive the applicant into hospital, should the case be an urgent one, 
but in such case the surgeon will report the fact at the custom-house on 
the following day and present the master's certificate. In the event of 
failure to report on the following day, the permit will be dated from the 
day when such report is made. 
When a permit may be antedated:-39. In no case will a permit be 
antedated, except as provided in the foregoing paragraph, and then only 
to cover one working-day, that is, one day exclusive of legal holidays. 
When the charge for care of a patient shall commence:-40. The charge 
for the care and treatment of a seaman in hospital shall commence from 
the date of the actual entry of the patient into hospital. 
Disposition of the permit and certificate when relief is terminated41 
When a patient is discharged, dies, or otherwise leaves the hospital, the 
surgeon who has attended him shall fill out the certificate on the outer 
middle fold of the permit, (Form 7,) and return the same, with the sur- 
geon's certificate of examination (Form 6) inclosed, to the proper cus- 
toms officer within twenty-four (24) hours after the patient leaves the 
hospital. (See paragraph 105.) 
Seamen not enitled to re-imbursement:-42. A seaman is not entitled 
to re-imbursement for expenses incurred by himself on account of sick- 
ness or injuries. 
Expense of caring for a sick seaman during a voyage:-43. It has been 
decided by a Circuit Court of the United States, (Harden vs. Gordon, 2 
Mas. C. C. Epts., 541,) that the expense of caring for a sick seaman in 
the course of a voyage, is a charge on the vessel by the maritime law ; 
and in this charge are included not only medicines and medical advice, 
but nursing, diet, and lodging if the seaman is carried ashore. No sea- 
man, therefore, taken sick or disabled in the course of a voyage or en- 
gagement, is entitled to the benefits of the marine hospital fund, except 
at those ports where provision has been made for such purpose. 24 
UNITED STATES MARINE HOSPITAL SERVICE. 
Care of sick seamen landed or abandoned:-44. When a seaman, sick or 
disab1ad in the discharge of his duty through no fault or willful neglect 
of his own, is lauded and abandoned at a port where no customs officer 
is stationed, or where, from any other reason, it is impracticable to pro- 
vide relief from the marine hospital fund, such seaman, or the person 
who takes charge of him, may recover from the vessel from and by 
which he was landed and abandoned, the amount of the expenses in- 
curred for his care, food, lodging, medicines, and medical attendance, 
and the charge for such expenses may be enforced by a libel against the 
vessel. 
Care of sick seamen at ports where no arrangement exists:-4:5. At ports 
where no arrangement exists for the care of sick or disabled seamen, 
customs officers will make reasonable effort to arrange for their care, in 
a local hospital, should there be one, or with some physician of good 
professional standing, should there be no hospital. Proposals for the 
care of sick seamen will be transmitted to the Marine Hospital Bureau 
for approval by the Secretary of the Treasury, and no arrangement will 
be valid without such approval first obtained. The following is the 
form of proposal: 
Proposal for the Care of U. S. Marine Hospital Patients, 
(Place.) 
(Date.) 187-. 
To the Supervising Surgeon of the U. S. Marine Hospital Service: 
Sir : I (or we) agree to receive all sick and disabled seamen sent to me (or us) with 
a permit from the proper officer at this port, except those suffering from contagious 
diseases, and to furnish them with good and sufficient quarters, subsistence, medical 
attendance, nursing, and necessary medicines, until they are able to be discharged, at 
the rate of per day for each patient, and to .make the reports required 
by, and in all other respects to conform to, the Regulations of the U. S. Marine Hospital 
Service, as far as the same may be decided applicable by the Supervising Surgeon. 
I (or we) also agree to provide, in like manner, for the care of seamen afflicted with 
contagious diseases, in a place* removed from the other patients, at the rate of 
per day for each patient. 
This agreement is made for the fiscal year ending June 30th, 187-. 
Respectfully, 
We guarantee the faithful performance of the above in all its terms. 
The above offer is bona fide, and the securities are ample. 
Collector. 
* Each city and village usually has some place provided for the care of persons suffering from con- 
tagious diseases, and where such provision is made, it is desirable, for the protection of the public 
health, that seamen with contagious diseases should be cared for in the same place provided for others 
suffering like affliction. UNITED STATES MARINE HOSPITAL SERVICE. 
25 
Transportation of seamen to hospitals:-46. At the smaller ports, where 
it is impracticable to provide hospital relief, authority may be.given 
to furnish transportation, for sick seamen, to the nearest hospital.where 
provision is made for such relief. Before furnishing transportation, how- 
ever, the customs officer must obtain a physician's certificate that treat- 
ment in hospital is necessary to a cure, and will transmit the certificate 
as a voucher to the transportation account. 
Relief of seamen at their own homes:-47. Seamen will not be furnished 
relief at their own homes except in such cases as are specially author- 
ized by the Department, and then an allowance for medical attendance 
and medicines only will be authorized. 
Hospital relief to foreign seamen:-48. Sick or disabled seamen belong- 
ing to any foreign vessel may be admitted to United States marine 
hospitals, (class I,) when it can conveniently be dotie, upon the applica- 
tion of the commander of the foreign vessel to which such seamen may 
belong, or upon the application of a foreign consul, and each foreign sea- 
man so admitted shall be subject to a charge of seventy-five (75) cents 
per day.-(Sec. 5, Act May 3, 1802, 2 Stat., 193. See also paragraph 105 
of these Regulations. 
III.-Organization of the United States Marine Hospital 
Service. 
Organization of the corps of medical officers:-49. The medical officers 
of the United States marine hospital service shall consist of a Supervis- 
ing Surgeon, Surgeons, and Assistant Surgeons. 
The Supervising Surgeon :-50. The Supervising Surgeon, who is the 
official head of the Bureau of the United States marine hospital service 
attached to the Treasury Department, is charged by law with the super- 
vision of all matters connected with the service, including the disburse- 
ment of the fund. 
Surgeons and assistant surgeons:-51. Surgeons and assistant surgeons 
of the marine hospital service will be appointed by the Secretary of the 
Treasury on the recommendation of the Supervising Surgeon. 
Applicants for appointment to be examined by a board of surgeons52. 
As a requisite to recommendation for appointment in the corps of sur- 
geons the applicant must have been graduated as doctor in medicine 
from some respectable medical college, and must pass a satisfactory ex- 
amination before a board of surgeons, which-will be convened from time 
to time by the Supervising Surgeon. 
Surgeons and Assistant Surgeons to draw pay only when on duty-53. 
Surgeons and assistant surgeons will be paid only for the period while 
assigned to duty or under orders. 26 
UNITED STATES MARINE HOSPITAL SERVICE. 
IV.-Hospitals for seamen, their organization, etc. 
Classification of hospitals for seamen:-54. For the sake of convenience, 
hospitals in which seamen are relieved are divided into two classes, 
viz: 
Class I. Comprising United States marine hospitals. 
Class II. Comprising local hospitals, devoted exclusively, or in part, 
to seamen, at fixed rates authorized by the Department. 
Relief at ports where there are no hospitals :-55. Relief will also be 
provided at ports where there are no hospitals, when it can consistently 
be done, (see paragraphs 45-46, of these Regulations.) 
Assignment of surgeons to United States marine hospitals, Class I56. 
At each United States marine hospital (Class I) one medical officer will 
be assigned to duty as surgeon in-charge; and where the extent, or 
exigencies, of the service make it necessary, one additional medical 
officer will be assigned as assistant, in which event one of the two 
medical officers shall be on duty at the custom-house during the hours 
when it is open for the transaction of business, to perform the duties 
prescribed for such officer in these Regulations, paragraphs 26-31, inclu- 
sive. 
Assignment of surgeons to hospitals, Class II:-57. At large ports, 
where no United States marine hospitals are established, a medical 
officer will be assigned to duty at the custom house, when the extent 
of the service makes it necessary; and his duties shall be to examine 
applicants for admission to hospital: to prescribe for such cases as do 
not require treatment in hospital; to till out the certificate, {Form 6,) 
and issue the permit, {Form 7,) when one is required; to examine all 
applicants for extension of relief from time to time ; to inspect the hos- 
pitals whereto seamen are admitted; to keep the register of permits; 
and to supervise all transactions relating to the service at the port 
where he is stationed. 
Stewards, matrons, and other employees of marine hospitals, Class I 
58. There shall be in United States marine hospitals, class 1, a stew- 
ard, and when necessary a matron, both to be appointed by the Secre- 
tary of the Treasury, upon the recommendation of the surgeon of the 
hospital, approved by the Supervising Surgeon ; also, when needed, a 
principal nurse, a messenger, a cook, a watchman, (who shall also act 
as night nurse,) and such other employees as may be deemed necessary, 
all to be appointed by the surgeon, subject to the approval of the De- 
partment. The steward will be required to give bonds in the sum of 
one thousand (1,000) dollars for the faithful performance of his duties. 
When an engineer is necessary he will be appointed by the Secretary 
of the Treasury, on the recommendation of the Supervising Architect. UNITED STATES MARINE HOSPITAL SERVICE. 
27 
When additional employees will be authorized:-59. Additional nurses, 
cooks, and laundresses will be authorized when required. The usual 
basis for such additional help will be: One additional nurse for every 
twenty patients beyond the first twenty; one additional cook, and one 
additional laundress, when the number of patients exceeds thirty. 
Apothecary:-60. A prescription clerk or apothecary will be appointed 
by the Department, if the number of patients is such as to render it 
necessary. 
Surgeons to notify the Department of changes of employees61. Sur- 
geons in charge of United States marine hospitals will notify the Ma- 
rine Hospital Bureau of any changes they may make in the personnel of 
the employees, and will give reasons for such changes. 
Compensation of officers and employees :-62. The compensation of offi- 
cers and employees of the marine hospital service will be fixed by the 
Department. Surgeons and assistant surgeons will be provided with 
furnished apartments, fuel, and lights, when it can be done with con- 
venience; but they will, unless otherwise authorized by the Depart- 
ment, supply subsistence for themselves, families, and household help. 
Stewards, matrons, and other employees described in paragraphs 58-60, 
of these Regulations, will be subsisted by the hospital to which they are 
attached ; but other persons not included in said paragraphs, who are 
specially authorized to live in hospital, and are furnished subsistence, 
will be charged to cover the cost of the hospital ration. 
Surgeons to have authority over all officers and employees63. The 
surgeon in charge of a marine hospital shall have authority over all 
officers and employees of the hospital, and is empowered to enforce 
such regulations as he may deem necessary for the proper management 
and discipline of the hospital, subject to the approval of the Supervising 
Surgeon. 
Assistant surgeons, authority of:-64. When an assistant surgeon is 
on duty with a surgeon he shall be subject to the orders of the latter; 
but when serving alone he shall have the authority, and perform the 
duties, of a surgeon, and shall be alike accountable to the Department. 
Surgeons to examine applicants for relief, etc.:-65. It shall be the duty 
of the surgeon in charge of a marine hospital (unless provision for 
such duties is otherwise made in these Regulations, as in paragraph 
56, q. r.,) to examine all applicants for relief, and furnish the necessary 
certificates as to their condition, etc.; to prescribe for such seamen as 
do not require treatment in hospital, (see paragraph 29;) to visit all 
the patients in hospital at least once each day, and oftener if necessary; 
to see that his prescriptions and orders for diet are properly filled, and 
that all the officers and employees of the hospital perform their allotted 
duties. 28 
UNITED STATES.MARINE HOSPITAL SERVICE. 
Surgeons held responsible for administration of hospital, etc:-66. The 
surgeon will be held responsible for the proper and economical adminis- 
tration of the hospital under his charge, and for the care and preserva- 
tion of the building, furniture, and stores. 
Records to be kept by surgeons in charge of marine hospitals67. Sur- 
geons in charge of United States marine hospitals shall keep the follow- 
ing records, which shall be open at all times for inspection : Register 
of patients, prescription and diet-boolc, casebook, record of official com- 
munications sent. 
Register of patients :-68. The register of patients shall contain the 
number of permit, name, age, and nativity of each patient admitted to 
hospital; name of vessel on which last service was performed; date of 
admission to hospital; disease or injury; subsequent complications; 
date of discharge or death ; condition on leaving hospital; and num- 
bei' of days of relief furnished. 
Prescription and diet-book:-69. In the prescription and diet-book shall 
be entered each prescription in full, the time of administering the medi- 
cine, and the quantity to be given at each time, together with the names 
and quantities of special articles of diet. 
Case-book :-70. A record of all important cases, of the treatment 
pursued in each, and of the results, shall be kept iu the case-book. 
Record of official communications sent:-71. In the record of official 
communications shall be kept accurate copies of all official communica- 
tions sent. 
Preservation of official communications received:-72. All official com- 
munications received shall be preserved in a files-book, kept for that 
purpose, and properly indexed. 
Money and valuables of patients to be taken care of by surgeons:-73. 
Upon the admission of a patient into hospital he shall deliver his money 
and other valuables into the hands of the surgeon, who shall give a re- 
ceipt therefor. Upon the discharge of the patient from hospital his 
money and other effects shall be returned to him, and the receipt taken 
up and filed. On the death of a patient in hospital, notice to receive his 
effects shall be given, by letter or otherwise, to his nearest known rela- 
tive ; and when said effects are delivered a receipt shall be taken there- 
for and filed, as in the former case. If the effects are not called for 
within three months after such notice, an inventory, showing the pro- 
bable value of the same, will be forwarded to the Marine Hospital Bu- 
reau for instructions as to their disposition. (See paragraph 71, as to 
care of patients' clothing, etc.) 
Stewards, duties of:-71. It shall be the duty of the steward, 
acting under the direction of the surgeon, to procure the subsistence UNITED STATES MARINE HOSPITAL SERVICE. 
29 
supplies and keep a record by weight and measure of all the stores re- 
ceived, and also of the stores issued each day to the cook or patients, 
and to make a monthly report of the same as hereinafter directed. In 
issuing articles of special diet he will adhere strictly to the instructions 
written in the diet-book. He shall also keep an inventory of all public 
property and furniture belonging to the hospital not herein otherwise 
provided for, and an inventory of the effects, excepting money and valu- 
ables, of all patients admitted to hospital. The patient's inventory shall 
also show the name and address of the patient's nearest known relative. 
If there be no matron, he shall keep an inventory of all articles of bed- 
ding and hospital clothing. 
Apothecaries, duties of:-75. The surgeon shall cause to be kept by 
the apothecary, or the person acting as such, an inventory of all medi- 
cines, medical supplies, and instruments belonging to the hospital. The 
apothecary shall put up the medicines intended for each ward separately, 
and shall label each bottle or package with the name of the patient for 
whom it is intended, together with directions for taking or applying the 
same. 
Record of liquors consumed :-76. A record of allliquors usedina United 
States marine hospital shall be kept by the apothecary, or person acting 
as such, showing the amounts consumed daily of each kind. 
Matrons, duties of:-77. The matron, when one is employed, shall have 
charge of, and keep in repair, the bedding and hospital clothing, and 
shall keep an inventory of the same. 
Subsistence supplies, how obtained :-78. The ordinary and .regular sub- 
sistence supplies for United States marine hospitals will be obtained 
by contracts, to be made for one year, commencing on the first day of 
July of each year, and ending on the thirtieth day of June following. 
On the first day of May, of each yeqr, the surgeon in charge will for- 
ward to the Marine Hospital Bureau an .estimate, based upon the average 
number of patients, of the quantities of the following-named articles of 
subsistence likely to be required for his hospital, for the ensuing year: 
Beef, (fresh and corned,) ham, bacon, mutton, chickens, fish, (fresh and 
salt,) eggs, butter, milk, cheese, flour, bread, cracked wheat, corn-meal, 
hominy, rice, beans, peas, potatoes, cabbage, onions, carrots, turnips, 
parsnips, beets, tea, coffee, sugar, (white and brown,) molasses, salt, 
vinegar, pickles, ice, and, when horses or cows are kept, forage. 
Approved requisitions for subsistence to be submitted to merchants for 
bids :-79. On the approval of the. subsistence requisition, by the De- 
partment, it will be returned to the surgeon, who, upon receipt of 
the same, will fill out at least three blanks for proposals, {Form 8,) 
for each class of articles, viz : meats, vegetables, groceries, and forage ; 
and will submit copies of each to at least three merchants, dealing in 30 
UNITED STATES MARINE HOSPITAL SERVICE. 
the articles named. Upon receipt of the various bids, which must be in 
sealed envelopes, they will be opened by the proper customs officer in 
the presence of the surgeon and of such of the bidders as may be pres- 
ent. They will then be transmitted to the Marine Hospital Bureau by 
the customs officer, indorsed with his recommendation. 
Articles of subsistence not provided for by contract, how obtained: - 80. 
Articles of subsistence not provided for by contract will be purchased, 
by direction of the surgeon, in open market; and the bills for the same 
will be transmitted, at the close of each month, through the customs 
officer, to the Marine Hospital Bureau, for examination and approval, 
before payment is made. 
Monthly report of subsistence stores, received, used, etc.:-81. At the 
close of each month the steward shall make a report (Form 9) of the 
subsistence stores on hand, received and expended during the month, 
and remaining at the close, which report the surgeon shall indorse and 
forward to the Marine Hospital Bureau. 
Horses and cows-when authorized:-82. When horses or cows are 
needed for the use of the hospital, they will be authorized; but no 
officer or employee will be allowed to keep within the hospital inclosure 
any horse or cow for his own use. 
Fuel, lights, and water-requisitions for:-83. Requisitions for fuel, 
lights, and water will be made on customs officers. 
Medical supplies :-84. The standard for medical supplies will be the 
U. 8. Marine Hospital Medical Supply Table, (see Appendix A.) This will 
be used as a guide in making requisitions for supplies; but it is not 
intended to confine medical officers either to the articles or to the 
amounts specified. To permit the indulgence of individual preferences, 
and to provide for the exigencies of climate, seasons, epidemic diseases, 
etc., a supplementary list of medicines is also given, which may be added 
to at the discretion of the medical officer, in accordance with paragraph 
86. 
Requisitions for Medical Supplies:-85. Requisitions for medical sup- 
plies (Form 10) will be made semi-annually on the 30th of June, and 
on the 31st of December, of each year, and will be forwarded, in dupli- 
cate, to the Marine Hospital Bureau. 
Medicines not on the supply-table, or requisitions for unusual amounts: 
-86. In case any article not on the supply-table, or an amount in excess 
of the standard allowance, shall be asked for, the reason for such requi- 
sition will be stated, either on the requisition, under Remarks, or in an 
accompanying letter. UNITED STATES MARINE HOSPITAL SERVICE. 
31 
Miscellaneous articles and medicines required to be replenished-how 
obtained :-87. Articles not enumerated on the outfit list, (see Appendix 
B,) and miscellaneous articles, as well as those named on the supply- 
table, which are required to be replenished at any time between the 
regular semi-annual requisitions, will be obtained on special requisition, 
{Form 11,) which will be made in duplicate and separately submitted, 
by the surgeon making the requisition, to at least two responsible mer- 
chants, with a request to name the price for which they will agree to 
furnish each article. Articles of different classes or characters will not 
be grouped on the same special requisition. The reason for requiring 
separate requisitions for different classes of articles is obvious. 
Requisitions must be approved before purchases are made 88. Special 
requisitions {Form 11,) with prices, will be forwarded to the Marine 
Hospital Bureau for approval, before purchases are made. 
Annual property kept by surgeons :-89. Surgeons accountable for hos- 
pital property will make out a report of the same {Form 12,) on the 
30th day of June of each year, showing the amount of each article re- 
ceived, expended, and on hand. 
Non-expendable articles not to be dropped without authority:-90. No 
articles, except those which are authorized to be expended with the 
sick, will be dropped from the annual property report without authority 
from the Department. 
Loss or destruction of hospital property to be reported to the Marine 
Hospital Bureau:-91. In case of loss or destruction of any article which 
is non-expendable, the facts concerning the loss or destruction must be 
fully stated to the Marine Hospital Bureau before making the annual 
property report, and if the explanation is satisfactory an order will be 
issued authorizing the surgeon to drop such article from his report. A 
copy of the order will be transmitted with the annual property report 
as a voucher. 
Inspection of worn-out property:-92. Articles worn out, broken, or 
otherwise rendered unfit for use, will be invoiced and retained for in- 
spection. 
Invoices and receipts to be given when a surgeon resigns or changes sta- 
tion :-93. When any surgeon who is accountable for hospital property 
ceases to have charge of the same by reason of resignation, change of 
station, or otherwise, he shall furnish an invoice of said property to his 
successor, and forward a duplicate of the same to the Marine Hospital 
Bureau. The officer who receives the property will furnish a receipt to 
the surgeon from whom it is received, and will forward a duplicate of 
the receipt to the Marine Hospital Bureau. In naming articles on the 
invoices and receipts the same order will be observed as that followed 
on the annual property report. 32 
UNITED STATES MARINE HOSPITAL SERVICE. 
Surgeon's final account:-94. The final accounts of surgeons will not 
be paid until their property reports have been examined by the Marine 
Hospital Bureau and found to be correct. 
Surgeons to report diseases and injuries monthly:-95. Surgeons of 
the United States marine hospital service, and other surgeons having 
charge of marine hospital patients, shall make out, at the close of each 
month, a classified report of diseases and injuries of seamen treated 
during the month, {Form 15,) and forward the same to the Marine Hos- 
pital Bureau. 
Surgeons to report surgical operations annually :-96. Surgeons having 
charge of marine patients shall make a report on the 30th of June of 
each year, of the surgical operations performed on seamen who have 
been under their care during the preceding twelve months, {Form 16.) 
The report will, as far as possible, show the following facts: Name of 
patient; age; description of injury or disease for which the operation was 
performed; duration ; whether the operation was primary, (within twenty- 
four hours after the injury,) intermediate, (during the acute or inflam- 
matory period,) or secondary, (after that period;) anaesthetics employed ; 
result; usefulness. 
V.-Disbursements of the marine hospital fund. 
Surgeons to make out monthly pay-rolls of officers and employees:- 
97. At the close of each month surgeons in charge of United States 
marine hospitals shall furnish the customs officer of the port whereat 
the hospital is located, with a list of the officers and employees who have 
been engaged during the month, {Form 17.) 
Bills of purchases made for hospitals:-98. Duplicate bills of all 
purchases made on account of United States marine hospitals shall be 
rendered at the close of each month, indorsed by the surgeons in charge, 
and shall be forwarded to the Marine Hospital Bureau for approval, 
except in cases where the purchases have been specially authorized by 
the Department. 
Surgeons to make monthly reports of seamen treated, &c.:-99. Sur- 
geons in charge of United States marine hospitals shall report monthly 
to the Marine Hospital Bureau, through the customs officers of their 
respective ports, all seamen admitted, discharged, and remaining in 
hospital, {Form 19.) 
Report to he compared with the register of permits:-100. Before 
forwarding the surgeon's report, {Form 19,) it will be compared with the 
register of permits in the custom-house, and indorsed accordingly by 
the officer who makes the comparison. 
Surgeons of hospitals of class II to make monthly returns.:-101. Sur- 
geons in charge of hospital establishments, other than United States UNITED STATES MARINE HOSPITAL SERVICE. 
33 
marine hospitals of class I. wherein seamen are maintained on account 
of the marine hospital fund, shall make a return at the close of each 
month of all seamen treated during the mouth, giving the numbers of 
permits, names of seamen, dates of admission and discharge, number 
of days charged, rate and amount. This report and account, (Form 20,) 
will be handed to the proper customs officer to enable him to make 
out the summary report of transactions, (Form 21.) 
Surgeon's accounts to be compared with the permits and the register of 
permits:-102. Before forwarding the account, (Form 20,) it will be 
compared with the permits, and the patients in hospital will be mus- 
tered for examination. The comparison and examination will be made 
by a medical officer of the marine hospital service when one is present 
at the port, and in his absence by the customs officer. 
Bills and accounts against the fund must include name of patient or 
article :-103. Bills or accounts against the marine hospital fund must, 
in every case, include the name, if the service is rendered to a patient, 
or of the specific supply actually furnished. 
Permits and certificates to accompany monthly transcripts and ac- 
counts:-104. The monthly transcript, (Form 19,) and the account for 
maintenance of seamen, (Form 20,) will be transmitted to the Marine 
Hospital Bureau, accompanied by the permits, (Form 7,) of such patients 
as have been discharged during the month, with the surgeon's certifi- 
cate, (Form 6,) enclosed with the corresponding permit. 
Bills for the care of foreign seamen:-105. Upon the death or dis- 
charge of any foreign seaman from a United States marine hospital, 
the surgeon of the hospital shall make out a bill, in duplicate, at the 
rate of seventy-five cents per day; one copy of which he shall for- 
ward to the Marine Hospital Bureau, and the other copy he shall de- 
liver to the proper customs officer of the district wherein the hospital 
is located ; and the customs officer shall collect the amount from the 
consul, or commander of the foreign vessel who is responsible for the 
care of said foreign seaman, and shall deposit the money so received 
to the credit of the marine hospital fund as a repayment. When a foreign 
seaman is admitted to hospital on the application of a master of a foreign 
vessel, no clearance will be granted the vessel until the expense of keeping 
such seaman is paid; or, if he is still in hospital when application for 
clearance is made, until security is given for the payment of the 
amount prescribed by law.-(Sec. 5, Act May 3, 1802. 2 Stat., 193.) 
Customs officers to make a monthly summary report:-106. Upon re- 
ceipt of reports, (Forms 17 and 19, or Form 20, as the case may be,) cus- 
toms officers will make a summary report, (Form 21,) of the entire 
transactions of the marine hospital service in their respective districts, 
showing the condition of the same at the beginning and close of the 
month for which the report is made. 34 
UNITED STATES MARINE HOSPITAL SERVICE. 
When there are no transactions :-107. When there are no transactions 
the fact will be endorsed across the face of the blank, and the report 
signed and forwarded to the Marine Hospital Bureau. 
Omissions to be made the subject of a special report:-108. A transac- 
tion omitted from the report of the month in which it occurred, will not 
be included in the report for any subsequent month; but will be sep- 
arately-reported, (on Form 21,) with a letter of explanation. 
Funds remitted by the Department upon receipt of reports:-109. Upon 
receipt of the customs-officer's report, {Form 21,) a remittance, cover- 
ing the amount of funds required to meet the indebtedness of the 
month, will be authorized. 
Surgeons' reports to be made promptly:-110. The remittance of ma- 
rine hospital funds by the Department will depend upon the receipt of 
the report of transactions, {Form 21;) therefore, to enable customs of- 
ficers to forward the same promptly, the surgeons having charge of ma- 
rine patients must make out the reports required of them by these Reg- 
ulations, and deliver the same to the proper officer, on the last day of 
the month, or as soon thereafter as possible. 
Customs officers to pay authorized bills:-111. Upon the receipt of 
marine hospital funds, customs officers will pay the bills and accounts 
authorized by the Department. 
Accounts-current of receipts (from the Department) and disbursements: 
112. The paid bills and accounts for each month, and an abstract of the 
same, {Form 22,) with an account-current of receipts (from the Depart- 
ment) and disbursements of the marine hospital fund, {Form 23,) will 
be transmitted by the customs officer to the Marine Hospital Bureau. 
When the abstract of disbursements may be omitted:-113. When 
there is but one disbursement in a district during the month the 
abstract {Form 22) may be omitted. 
VI.-Official correspondence. 
Official communications-how transmitted:-114. Reports and official 
letters relating to the United States marine hospital service will be 
sent to the U. 8. Marine Hospital Bureau, Treasury Department, Wash- 
ington, D. C. Medical officers of the corps of marine hospital sur- 
geons will forward communications direct, except those relating to col- 
lections of hospital dues and disbursements of the fund, and those oth- 
erwise directed in these Regulations. Surgeons in charge of marine 
patients, not holding appointments in the marine hospital corps, will 
forward all reports and communications through the customs officers of 
their respective ports. UNITED STATES MARINE HOSPITAL SERVICE. 
35 
Remarks of customs officers on official communications of surgeons 
115. The remarks ot customs-officers J on official communications of 
medical officers will be indorsed,on said communications, and letters of 
transmittal will be dispensed with when not absolutely necessary. 
Blank forms furnished by the Department116. All reports, returns, 
proposals, etc., called for in the'proceeding/will be made out on blank 
forms, to be obtained on requisition'from the Marine Hospital Bureau. UNITED STATES MARINE HOSPITAL SERVICE. 
III.-FORMS. REPORT OF HOSPITAL-DUES. 
39 
United States 
Marine Hospital Service. 
Form 1. 
[Registered Vessels.] 
Report of Hospital-dues. 
True account of the number of officers and seamen, and of the length of time they 
have severally been employed by the , of , from the day of , 
187-, the date of the last entrance at a port of the United States, to this day 
of , 187-, when application is made for entry at the port of . 
Hails from . Tonnage . 
Name. 
Bating. 
Time employed, or under pay. 
When engaged. 
When discharged 
or still' on duty. 
Months. 
Days. 
Aggregate total: months, days, at forty (40) cents per month, .... $ . 
I do solemnly swear that the above is a true report. 
Master of the . 
Sworn to before me, this day of , 187-. 
Collector. 
Hospital-Dues Receipt.* [Registered.] 
Received from , master of the , of , the sum 
of Tinr dollars, amount of hospital-dues, for officers and sea- 
men, up to, and including, the day of , 187-. 
$ . 
J 
Collector. 
Port of , • 
* This receipt will be filled up by the customs officer in accordance with the above report, and will 
then be detached and returned to the master of the vessel, who will preserve it to show, when required, 
to the proper authorities. 
Form 1. Oat. No. -. 
[Cut.] 
(REGISTERED.) 
REPORT OF HOSPITAL-DUES 
from the 
* _ 
of 
Paid to include the day of 187-. 
Aggregate time : months, days, 
Aggregate amount: $ . 
No. 
* Insert the kind of vessel and name. 
[Indorsement.] 40 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States 
Marine Hospital Service. 
Form 2. 
[Coasting, Lake, and River Vessels.] 
True account of the number of officers and seamen, and of the length of time they 
have severally been employed by the , licensed or enrolled for carrying on the 
coasting trade, from the day of , 187-, the date of said license or 
enrollment, to this day of , 187-, when application is made for renewal 
of the same. 
Hails from . Tonnage, . 
Report of Hospital-dues. 
Name. 
Rating. 
Time employed, or under pay. 
When engaged. 
When discharged 
or on board. 
Months. 
Days. 
Aggregate total: months, days, at forty (40) cents per month $ . 
I do solemnly swear that the above is a true report. 
Master of the . 
Sworn to before me, this day of , 187-. 
Collector. 
Hospital-Dues Receipt.* (Coasting, lake, and river.) 
Received from , master of the , of , the sum 
of Toi, dollars, amount of hospital-dues, for officers and sea- 
men, up to, and including, the day of , 187-. 
$ • 
Collector. 
Port of , . 
* This receipt will be filled up by the customs officer in accordance with the above report, and will 
then be detached and returned to the master of the vessel, who ■will preserve it to show, when required, 
to the proper authorities. 
Form 2. Cat No. -. 
[Cut. ] 
(COASTING, LAKE, AND BIVER.) 
REPORT OF HOSPITAL-DUES 
from the 
* 
of 
Paid to include the day of 187-. 
Aggregate time: months, days, 
Aggregate amount: $ . 
No . 
* Insert the kind of vessel and name. 
[Indorsement.] ABSTRACT OF HOSPITAL-DUES REPORTS. 
41 
United States 
Marine Hospital Service. 
Form 3. 
Abstract of Hospital-dues Reports. 
District of for the month of , 187-. 
p 
State whether 
"registered," 
"enrolled," or 
"licensed." 
Name of vessel. 
Belongs at port 
of- 
Tons. 
Aggregate No. 
persons re- 
ported by 
each vessel. 
Months. 
Length of time 
for which re- 
port is made. 
b 
& 
Aggregate time 
reported. 
w 
Amount. 
p 
I certify, on honor, that the foregoing is a true abstract of all hospital-dues reports 
made in this district during the month stated above. 
Collector. 
Form 3. Cat. No. -. 
[Cut.] 
Port of . 
Aggregate amount; ? . 
Collector. 
ABSTRACT 
of 
HOSPITAL-DUES REPORTS 
for the 
Month of , 187-. 
No. of enclosures . 
[Indorsement.] 42 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States 
Marine Hospital Service. 
Form 4. 
Account-current of Hospital-money Collected and Deposited. 
District of ,for the month of , 187-. 
Under official bond dated , 187-. 
Date. 
Amount. 
Amount. 
To amount deposited with , 
as per certificate No. , dated 
, 187-. 
• 
By amount collected, as per ab- 
stract herewith, (Form 3.) 
• 
$ 
I certify, on honor, that the above account ia correct. 
Collector. 
Form 4. Oat. No. -. 
[Cut.] 
ACCOUNT-CURRENT OF HOSPITAL- 
MONEY 
Collected and Deposited 
for the 
Month of , 187-, 
Port of , 
Transmitted , 187-. 
■ ■» 
Collector. 
[Indorsement.] master's certificate. 
43 
United States 
Marine Hospital Service. 
Form 3. 
Port of , 
, 137-. 
I certify, on honor, that seaman , has been employed on board the , 
of , from the day of , 187-, to the day of , 187-, and 
that he has paid hospital-dues for a period of . 
Master of . 
Description of person: Age, ; height, ; color of eyes, ; color of hair, ; 
complexion . 
Master's Certificate. 
Form 5. Cat. No. -. 
[Cut.] 
MASTER'S CERTIFICATE 
In case of 
Seaman . 
Port of ; , . 
, 187-. 
No. of permit granted in this case, . 
[Indorsement.] 44 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States 
Marine Hospital Service. 
Form 6. 
Letter to Surgeon, and Surgeon's Certificate. 
Letter to Surgeon. 
United States Custom-House, 
, 187-. 
To , M. D., 
Surgeon in charge U. S. Marine Hospital at : 
Sir : Seaman having furnished satisfactory evidence that ho has paid 
hospital-dues from , 187-, to , 187-, you are hereby requested to examine 
him and till out the appended certificate if, in your opinion, he requires relief in 
hospital. 
If treatment in hospital is not essential to a cure in the case, you will please furnish 
the seaman with a prescription, should one be required, and indorse a copy of the same 
on the outer middle fold of this paper. 
I certify that I have carefully examined , and find that treatment 
in hospital is required by reason of . I further declare my belief that he will 
not * be able to resume his duties as a seaman within a period of , and I recom- 
mend that a permit be issued accordingly. 
Surgeon. 
Description of person: Age, years; height, feet inches; color of eyes, 
; color of hair, ; complexion, . 
Surgeon's Certificate. 
* The word " not " will be canceled by a pen-stroke, if proper to do so. 
Form 6. Cat. No. -. 
[Cut.] 
SURGEON'S CERTIFICATE 
In the case of 
Seaman , 
Port of , 
, 187-. 
No. of Permit granted in this case, . 
[Indorsement.] 
In case a prescription is furnished, as pro- 
vided by paragraph 29 of the Marine Hospital 
Regulations, a copy of the same will be in- 
dorsed below and this paper forwarded to the 
Marine Hospital Bureau, with the appropriate 
account, as a voucher for one dollar. 
Surgeon. 
Date , 187-. 
Disease _ 
R PERMIT FOR HOSPITAL RELIEF. 
45 
United States 
MArine Hospital Service. 
Form 7. 
Permit for Hospital Relief. 
United States Custom-House,* 
, 187-. 
Sir: Authority is hereby given for furnishing hospital relief to , in accordance 
with the surgeon's recommendation herewith inclosed. 
This authority does not extend beyond a period of two months, unless application be 
made to the Marine Hospital Bureau of the Treasury Department, and authority ob- 
tained for the extension of this permit; and you are directed to discharge the patient 
as soon as treatment in hospital is no longer required. 
To 
Descriptive memorandum : The above-named seaman last served on the 
of , and was discharged therefrom on the day of , 187-, having 
paid hospital-dues for a period of . Age, years; height, feet 
inches; color of eyes, ; color of hair, ; complexion, . 
* Surgeon's Office will be added where there is a surgeon on duty at the custom-house. 
Form 7. Oat. No. - 
[Cut.] 
PERMIT 
(No -.) 
FOR HOSPITAL RELIEF: 
In the case of ; 
Port of ; 
Dated , 187-. 
[Indorsement.] 
SURGEON'S CERTIFICATE. 
I certify that the within-named seaman was 
admitted to hospital on the day of , 
187-, for *; that he was treated for 
; that he was 
discharged on the day of , 187- 
and that the result was • . 
Surgeon. 
* Disease diagnosed by examining surgeon. 46 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States 
Marine Hospital Service. 
Form. 8. 
Proposal for Supplying Subsistence-Stores, etc. 
I, (or we,) hereby offer to furnish the articles hereinafter named to the 
United States Marine Hospital at , for the year ending June 30, 187-, at the 
prices set opposite the same, respectively, and if this proposal shall be accepted in 
whole or in part, I, (or we,) agree to enter into contract to supply the same 
in such quantities as may be required from time to time during the period stated. 
Articles. 
Total quantity. 
Price. 
Total price. 
(Place.) . 
(Date.) , 187-. 
Bond. 
We, the undersigned, hereby guarantee the foregoing proposal, and bind ourselves to 
the United States in the sum of one thousand dollars, to be paid as liquidated damages 
in the event of a failure of the maker to execute a-contract agreeably to proposal, 
vrith sureties, to be approved by the collector of customs, within one week after the 
said proposal', in whole or in part, is accepted. 
. [seal.] 
. [seal.] 
4 
Witnesses. 
Form 8. Cat. No. -. 
[Cut.] 
PROPOSAL 
for 
SUPPLYING SUBSISTENCE-STORES, &c., 
to the 
United States Marino Hospital at 
For the year ending June 30,187-. 
Bond attached. 
[Indorsement.] SUBSISTENCE-STORES RETURN. 
47 
United States 
Marine Hospital Service. 
Form 9. 
Subsistence-Stores Return. 
Subsistence-stores on hand, received, used, and remaining in the United States Marine 
Hospital at , for the month ending , 187-. 
Aggregate number of days that patients were maintained in hospital.... 
Aggregate number of days that employees were subsisted in hospital 
'Aggregate number of days that persons not employees were subsisted 
in hospital. ; - - 
Aggregate number of rations furnished 
Articles. 
On hand from 
last report. 
Received during 
the month. 
Total. 
Used during 
the month. 
Aggregate cost 
of articles con- 
sumed. 
Amount re- 
maining. 
Cereals 
Vegetables.... 
Groceries.;. •. 
• 
Forage 
(as near as 
can be given.) 
I certify, on honor, that the foregoing is a true statement, and that none of the 
stores have been used in violation of the regulations. 
Steward U. S. Marine Hospital Service. 
I have examined this report, and find it to be correct. 
Surgeon. 
9. Cat. No. -. 
[Cut.] 
SUBSISTENCE-STOKES RETURN 
of the 
UNITED STATES MARINE HOSPITAL 
at 
»Eor the month of , 187-. 
[Indorsement.] 
* Persons not included in paragraphs 58, §9, and 60, Reg. 17. S. M. H. S., who are authorized to live in 
hospital, and are furnished with subsistence, will be charged to cover the cost of the hospital-ration. 48 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States 
Marine Hospital Service. 
Form 10. 
Kequisition for Medical Supplies. 
Average No. of patients treated during corresponding six months of last fiscal 
year 
Number of patients remaining in hospital at date 
Articles. 
Quantity. 
Articles. 
Quantity 
On hand. 
Required. 
On hand. 
Required. 
I.-Materia Medica. 
(Regular supply.) 
II.-Materia Medica. 
(Supplementary list.) 
III.-Hospital stores. 
TV.-Instruments. 
V.-Dressings, etc. 
VI.-Booles, stationery, etc. 
VII.-Miscellaneous. 
I certify that the articles enumerated above are necessary for use in the United 
States Marine Hospital at , for the six months ending , 187-. 
Dated: , 
, 187-. Surgeon. 
Form 10. Cat. No. -. 
| Cut.] 
REQUISITION 
for 
MEDICAL SUPPLIES: 
For the six months ending , 187-. 
United States Marine Hospital at - 
Surgeon. 
[Indorsement.] SPECIAL REQUISITION. 
49 
"United States 
Marine Hospital Service. 
Form 11. 
Requisitions for bedding, hospital clothing, furniture, appliances, and other miscellaneous articles will be 
made on this blank. \ 
Special Requisition. 
Maximum number of patients in hospital during preceding six months... 
Minimum number of patients in hospital during preceding six months... 
Articles. 
Quantity. 
Total price. 
Remarks. 
On hand. 
Required. 
Dolls. 
Cts. 
(In pounds, ounces, or number.) 
I, (or we,) , agree to furnish the several articles enumerated above, at prices 
not exceeding the amount set opposite each article. 
Place of business, . 
Date, , 187-. 
I certify that the articles enumerated above are necessary for use in the United 
States Marine Hospital at . 
Surgeon. 
Form 11. Cat. No. -; 
[Cut.] 
SPECIAL REQUISITION. 
UNITED STATES MARINE HOSPITAL 
at 
, 187-. 
J 
Surgeon. 
[Indorsement.] 50 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States 
Marine Hospital Service. 
Form 12. 
Annual Property Return. 
Return of property on hand July 1, 187-, received, expended, issued, and dropped by 
order during the year, and remaining June 30, 187-, at the United States Marine 
Hospital at . 
Date. 
No. of 
voucher. 
On hand at last return 
Received from 
Total to be accounted for 
Expended with the sick 
Issued to 
Sold by order- Department letter dated , 187- 
Dropped by order- Department letter dated , 187-. 
Lost or destroyed by unavoidable accident 
Total expended, issued, etc 
On hand to be accounted for 
Worn out or unfit for use 
I certify that the foregoing report is true. 
Surgeon. 
Form 12. Cat. No. -. 
[Cut.] 
ANNUAL PROPERTY RETURN 
of the 
UNITED STATES.MARINE HOSPITAL 
at 
for the year ending 
, 187-. 
» 
Surgeon. 
[Indorsement.] TRANSFER INVOICE. 
51 
United States 
Marine Hospital Service. 
Form 13. 
Transfer Invoice. 
Invoice of U. S. Marine Hospital property, transferred to the charge of 
Surgeon U. S. Marine Hospital Service, this day of , 187-. 
Articles. 
Quantity, 
lbs., oz., etc. 
Remarks as to condition, etc. 
--- - 
I certify that the foregoing invoice is correct. 
Surgeon. 
Form 13. Cat. No. -. 
[Cut.] 
TRANSFER INVOICE 
of 
UNITED STATES MARINE HOSPITAL 
PROPERTY. 
(Place) . 
(Date) , 187 -. 
[Indorsement.] 52 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States 
Marine Hospital Service. 
Form 14. 
Receu't Invoice. 
Invoice of U. S. Marine Hospital property received, from , Surgeon U. 
S. Marine Hospital Service, on the day of , 187-. 
Articles. 
Quantity, 
lbs., oz., etc. 
Remarks as to condition, etc. 
I certify that I have received the articles enumerated above. 
J 
Surgeon. 
Form 14. Oat. No. -. 
[Cut.] 
RECEIPT INVOICE 
of 
UNITED STATES MARINE HOSPITAL 
PROPERTY. 
(Place) . 
(Date) , 187 
[Indorsement.] MEDICAL AND SURGICAL REPORT MONTHLY. 
53 
United States 
Maeine Hospital Sebvice. 
Form 15. 
Medical and Surgical Report-Monthly; 
Diseases and injuries treated at hospital, at port of , during the month 
of , 187-. 
Tabular list of diseases. 
(Enter only those dis- 
eases of which there are 
cases-following the nos- 
ology of The Provisional 
Nomenclature, Royal Col- 
lege Physicians, London. 
See Appendix to Regu- 
lations.) 
Remaining under treat- 
ment from last month. 
Admitted to hospital dur- 
ing the month. 
Total to be accounted for. 
Discharged: 
Remaining under treat- 
ment. 
Names of subsequent com- 
plications will be given 
opposite the appropriate 
cases. 
Cured. 
Improved. 
Not improved. 
Died. 
Desorted. 
No. 
Complications. 
General Remarks. 
[Report the names of deceased seamen, age, date of admission, date of death, disease or injury, etc.] 
^orm 15. • Oat. No. -. 
[Cut.] 
MEDICAL AND SURGICAL REPORT. 
[Monthly.] 
Jiseases and injuries treated at 
hospital, port of , during 
the month of , 187-. 
> 
Surgeon. 
[Indorsement.] 54 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States 
Marine Hospital Service 
Form 16. 
Annual Report of Surgical Operations, 
Performed at the hospital, at the port of , during the year ending June 
30, 187-. 
Operator, name 
of. 
Patient, name 
of. 
Age of patient. 
Injury or disease 
operated for. 
Duration of dis- 
ease or injury. 
Period of opera- 
tion.* 
Description of 
operation. 
Anaesthetic. 
Result.! 
Period of obser- 
vation.! 
Usefulness of the 
part after re- 
covery. 
Remarks.§ 
'Primary, (within twenty-four hours after injury;) intermediate, (during acute or inflammatory 
period,) or secondary, (after that period.) 
f Recovered; died; successful, or unsuccessful. 
+ State how and when observation terminated-by death, discharge, (and if discharged, in what condi- 
tion,) or transfer to other surgical care, (and if the latter, to whom, and for what purpose.) 
§ When erysipelas, hospital gangrene or pyaemia supervened, note details opposite the case in this 
column, specifying time of appearance, region or organs affected, etc. 
The above contains details of all the surgical operations, worthy of record, per- 
formed on patients of the U. S. Marine Hospital Service, at the hospital, 
(used as such for years,) during the year ending ' , 187-. 
~~~ , 
Surgeon. 
Form 16. Cat. No. -. 
[Cut.] 
ANNUAL REPORT 
of 
SURGICAL OPERATIONS 
Performed at 
Hospital, 
On patients of the United States Marine Hos- 
pital Service. 
During the year ending June 30, 187-. 
Port of . 
Surgeon. 
[Indorsement.] PAY-ROLL. 
55 
United States 
Mabine Hospital Service. 
Form 17. 
Pay-roll of officers and employees of the United States Marine Hospital at , 
for the month of , 187-. 
Pay-Roll. 
Name. 
Designation. 
Date of appointment or 
employment. 
Date of resignation or 
discharge. 
No. of days charged. 
Amount for the month. 
We, the subscribers, 
severally acknowl- 
edge to have re- 
ceived from 
, collector of 
the port of , 
the sums set oppo- 
site our names, in 
full compensation 
for services as stat- 
ed in this pay-roll. 
Witness. 
I certify that the persons named above were on duty in the hospital for the time 
stated, and that the accounts charged are in accordance with the rates authorized. 
Surgeon. 
I 
£ 
"5 
p 
S 
£ 
tn A 
H -S - 
g I -g 
i* p, S 
O $ © 
j .2 a 
a W |' 
ay© J. 
a a - S 
o w © P rH 
2 n 5 r 
g ° § 3 S ' 
<1 o - J 
Ph tn fl t*, 
M m ° .• 
W rs 5 
q © -g 
g § al 
a to " p 
O © o 
a 
fl 
o 
a 
© 
n 
O 
fl 56 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States 
Marine Hospital Service. 
Form 18. 
Bill.-(Miscellaneous.) 
The United States Marine Hospital at , 
To , Dr. 
Date. 
Articles. 
Dollars. 
Cents. 
I certify that the above articles were received, and that they were necessary for use 
of the hospital. ' 
Purchase authorized by Department letter dated , 187-. 
Surgeon. 
Received from , Collector of the port of , the sum of 
dollars and cents, in full of the above. 
Date , 187-. 
Form 18. Cal. No. -. 
[Cut] 
BILL 
For 
for use of United States Marino Hospital at 
, during the month of , 187-. 
Amount, |. 
[Indorsement.] TRANSCRIPT OF REGISTER OF PATIENTS. 
57 
United States 
Marine Hospital Service. 
Form 19. 
Transcript of the Register of Patients of the United Slates Marine Hospital at , 
for the Month of , 187-. 
Number of Name, age, Name of Date of ad- Disease or Date of dis- -n .. Time in hos- 
permit. and nativity. vessel mission. injury. charge. .nesun. pitah 
Correct. 
Surgeon. 
Form 19. Cat. No. -. 
[Cut.] 
TRANSCRIPT OF THE REGISTER 
of the 
UNITED STATES MARINE HOSPITAL 
at 
For the month of , 187-. 
, Surgeon. 
Compared with the permits and the register 
of permits in the custom-house, and found 
to be correct. 
[Indorsement.] 58 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States 
Marine Hospital Service. 
Form 20. 
Treatment and Maintenance Account. 
The United States Marine Hospital Fund, 
To , Dr. 
For treatment and maintenance of the following-named seamen during the month 
of , 187-, in hospital, at , at the rate of per , accord- 
ing to Department letter dated , 187-. 
Number of Vomn Date of admis- Date of dis- No. of days Amount, 
permit. x a e. siou. charge. charged^ _ „ ~ ' 
Dollars. Cents. 
I certify that I have compared the above account with the permits, and have also 
mustered the patients in hospital, and find the account correct. 
Received , 187-, from , collector at the port of 
, the sum of dollars, in full for the above account. 
Form 20. Cat. No. -. 
[Cut.] 
ACCOUNT 
for 
TREATMENT AND MAINTENANCE 
of seamen in the 
hospital, port of , 
during the month of , 187-. 
No. of days, . Amount, S . 
Voucher No. 
[Indorsement.] REPORT OF TRANSACTIONS OF MARINE HOSPITAL SERVICE. 
59 
United States 
Marine Hospital Sekvice. 
Form 21. 
Report of Transactions of ths Marine Hospital Service in the District of , during 
the Month of , 187-. 
Number of patients remaining in hospital on first day of , 187 - 
" " admitted during the month 
" " discharged during the month 
" deceased during month 
" remaining in hospital on the last day of the month 
Aggregate number of days' relief during the month 
Number of seamen prescribed for without being admitted to hospital 
Total number of prescriptions furnished 
Contagious diseases treated outside by special agreement, and not included above ; 
Remaining 1st of month, ; admitted, ; discharged, ; died, ; 
remaining at close of mouth, ; total number of days' relief, . 
Amount which will he required to meet Indebtedness for the Month of , 187-. 
Compensation of Surgeon and employees § 
Subsistence 
Burials 
Hospitals of 
Class I. 
Miscellaneous. 
:::::: $ 
Compensation of Surgeon, when separately author- 
ized by Department $ 
Hospitals of 
Class II. 
Medical attendance, (medicines,) nursing and board.. 
prescriptions furnished, at $1 each 
Burials 
Miscellaneous. 
* 
Current Statement of Marine Hospital Fund for the Month to ivhich this Report relates. 
Fund on hand at the beginning of the month (received from the Dep't.) $ 
a received from the Department during the month $ 
" paid out ont accounts 
" " " t .....accounts 
Balance on hand at the close of the month (due U. S.) 
Deficiency (due the customs officer) $ 
Balance from the fiscal year ending June 30, 187-, deposited as a repayment to 
theM. H. Fund . 
Balance deposited as a repayment to the M. H. Fund upon final settlement of 
accounts of the customs officer . .„. 
Hospital-Dues. 
Amount of hospital-dues collected during the month $ 
" deposited during the month as hospital-dues 
* Give date of Department letters authorizing miscellaneous purchases, 
i Insert months to which the accounts relate. 60 
UNITED STATES MARINE HOSPITAL SERVICE. 
Receipts and Deposits in accordance with special Acts of Congress. 
Amount received for the care of foreign seamen * $ 
" " from sales of hospitals and grounds (Act of April 
20, 1866) $ 
Amount received for care of foreign seamen, deposited to the credit of the M. 
II. Fund as a repayment $ 
" " from sales of hospitals and grounds deposited to the credit 
of M. H. Fund as a special appropriation 
Collector. 
Port of , 
, 187-. 
* Applicable only to ports where Hospitals of Class I are located. 
Form 21. Cat. No. -. 
[Cut.] 
REPORT OFj^TRANSACTIONS 
of the 
U. S. MARINE HOSPITAL SERVICE 
During the month of , 187-, in the 
port of . 
Collector. 
[Indorsement.] DISBURSEMENTS OF UNITED STATES MARINE HOSPITAL FUND. 
61 
United States 
Marine Hospital Service. 
Form 22. 
Abstract of Disbursements of the United States Marine Hospital Fund, made hy 
, Collector, of the District of , for the Month of , 
187-. 
Date of bill. 
No. of voucher. 
Name. 
Object of expenditure. 
Amount. 
$ Ct8. 
Total 
Collector. 
Form 22. Cat. No. -. 
[Cut.] 
ABSTRACT OF DISBURSEMENTS 
of the 
UNITED STATES MARINE HOSPITAL 
FUND 
in the 
District of , during the 
month of , 187-. 
Amount, $ . 
No. of vouchers indorsed . 
J 
Collector. 
Port of . 
[Indorsement.] 62 
UNITED STATES MARINE HOSPITAL SERVICE. 
United States 
Marine Hospital Service. 
Form, 23. 
Account-Current of Receipts and Disbursements. 
The United States Marine Hospital Fund in account-current with . 
. • at the port of , for the month of , 187-. 
(Under official bond, dated , 187-.) 
। Date. 
Amount. 
Date. 
Amount. 
To balance due custom e officer .. 
*To disbursements as per abstract 
herewith, (Form 22) 
By balance due United States .. 
By Treasury draft No. -, war- 
rant No. -, dated , 187-. 
" When there are not more than six separate disbursement accounts, they will be separately entere 
in the account-current, and the abstract (Form 22) dispensed with. 
I certify that the above account is correct. 
J 
Form 23. Cat. No. -. 
[Cut.] 
account-current. 
of 
RECEIPTS OF UNITED STATES 
MARINE-HOSPITAL FUND, 
(from'the Department,) 
and.of 
DISBURSEMENTS. 
Port of , month of , 187-. 
Collector. 
I Indorsement.] Al? I'ENDIX. 
A.-U. S. MARINE HOSPITAL MEDICAL SUPPLY TABLE. 
B.- OUTFIT LIST. 
C- DIET TABLES. 
D.- NOMENCLATURE OF DISEASES. A.-UNITED STATES MARINE HOSPITAL MEDICAL SUPPLY 
TABLE. 
Regular supply ; to be obtained semi-annually, on requisition, (Form 10.) Allowance for an 
average of 50 patients. [See paragraphs 84,85,86,87,88, U. S. Mar. Hosp. Reg.~\ 
I.-Materia Medica.-Regular Supply. 
Acacia, in bottle ounces.. 16 
powdered, in bottle do.... 16 
Acidum aceticum, in g. s. bottle do.... 8 
carbolicuni, pure, crystallized in g. s. bottles do.... 4 
commercial, 95 %, for disinfection, in g. s. bottles.... do.... 48 
citricum, in g. s. bottle do.... 16 
hydrochloricum, in g. s. bottle do.... 8 
nitricum, in g. s. bottle do. 8 
phosphoricum dilutum, in g. s. bottle do. 2 
sulphuricum, in g. s. bottle do. 8 
aromaticum, in g. s. bottle do.... 16 
tannicum,in 1-oz. bottles do.... 4 
tartaricum, in bottle do. 16 
JEther fortior, for anaesthesia, in 1-lb. g. s. bottles, and 1-lb. tins, soldered, do.... 128 
Alcohol, in demijohn gallons.. 8 
Aloe Socotrina, in bottle ounces.. 2 
Alumen, powdered, in bottle do.... 16 
Ammoniac carbonas, in g. s. bottle .' do. 16 
hydrochloras, in bottle do. 8 
Antimonii et potassae tartras, in bottle do.... 1 
Aqua ammoniac, in 1-lb. g. s. bottles do.... 80 
Argenti nitras, in 1-oz. g. s. bottle do.... 1 
fusa, in bottle do.... 2 
Bismuthi subnitras, in bottle do. 4 
Camphora, in g. s. bottle do.... 16 
Cantharis, powdered, in g. s. bottle do.... 2 
Capsicum, in bottle do.... 8 
Catechu, powdered, in bottle do. 8 
Cera alba do.... 16 
Ceratum adipis, in 1-lb. tins 1 do.... 4 
cantharidis, in earthen pot. do.... 16 
resinae, in 1-lb. tins pounds.. 2 
ChinoidineJ in 1-oz. rolls ounces.. 4 
Chloroformum purificatum, in 1-lb. g. s. bottles do.... q. s. 
Cinchona flava, powrdered, in bottle do.... 8 
Copaiba,in 1-lb. bottles do.... 32 
Creasotum,in g.s.bottles do.... 2 
Creta praeparata, in bottle < do.... 16 
Cupri sulphas, in bottle...* do.... 2 
Emplastrum resinae pounds., q. 8. 
Emplastrum plumbi, in rolls ounces.. 8 
Extractum belladonnas alcoholicum, in earthen pot do.... 1 
buchu fluidum, in bottle do.... 16 
colchici seminis fluidum, in bottle do. 16 
colocynthidis compositum, powdered, in bottle do.... 4 
conii, in earthen pot do. 1 
gentian ae fluidum, in bottle do.... 16 
glycyrrhizae, in paper do.... 64 
hyoscyami alcoholicum, in earthen pot do.... 1 
ipecacuanhas fluidum, in bottle do. 8 
nucis vomicae alcoholicum, granulated, in g. s. bottle do.... 1 
pruni Virginianae fluidum, in bottle do.... 16 
sennae fluidum do.... 16 
senegas alcoholicum, in earthen pot < do.... 2 
zingiberis fluidum, in bottle do.... 16 66 
UNITED STATES MARINE HOSPITAL SERVICE. 
Ferri et quinine citras, in bottle do.... 4 
sulphas, commercial, for disinfection pounds., q. s. 
Glycerina, in 1-lb. g.s. bottles , ounces.. 3g 
Glycyrrhiza, powdered, in bottle do.... g 
Hamulus pounds.. 4 
Hydrargyri chloridnm corrosivum, in g. s. bottle ounces.. 
Hydrargyri chloridnm mite, in bottle do.... 2 
iodidum viride, in 1-oz. black g. s. bottle do.... 2 
" ' oxidum rubrum, in bottle do.... 
Hydrargyrum ainmoniatuin do.... 2 
■ cum creta, Squibb's, in bottle do.... 
lodinium, in g. s. bottle do.... 2 
Ipecacuanha, powdered, in bottle do.... 
Lini farina pounds.. 17- 
Linum do.... In 
Liquor ferri subsulpbatis, in g. s. bottle ounces., 
plumbi subacetatis, in bottle do.... H 
potass® arsenitis, in g. s. bottle do.... 
sod® chlorinates, in 1-lb. g. s. bottles pounds.. 15 
Magnesias carbonas, in bottle... 1 ounces.. 
Magnesias sulphas, in tin pounds.. 2? 
Morphias sulphas, in 1-oz. bottles ounces.. 
Oleum cinnamomi, in g. s. bottle do.... 
liinonis, in bottle do.... 
lini, in bottle do.... 3^ 
menth® piperitas, in g. s. bottle do.... ? 
morrhu®, in 16-oz. bottles bottles.. 1., 
oliv®, in 16-oz. bottles do.... 
ricini, in 33-oz. bottles do...', 
terebinthin®, in 32-oz. bottles do.... 
tbeobrom® ounces.. 1^ 
tiglii, in bottle do.... 6 
Opium, powdered, in bottle do 1 
Pilul® camphor® et opii, in bottle dozen., q. «8 
cathartic® composit®, in bottle do.... 10. 
hydrargyri, in earthen pot ounces.. 8 
opii, in bottle dozen., q. 8. 
Plumbi acetas, in bottle ounces.. 16 
Potass® acetas, in bottle . do.... 16 
bicarbonas, in bottle do.... 16 
bitartras, in bottle do.... 16 
chloras, in bottle; do. 24 
et sod® tartras, in 1-lb. bottles do. 48 
nitras, in bottle do. 8 
permanganas, in g. s. bottle do.... 2 
Potassii bromidum, in bottle ' do.... 4 
iodidum, in 1-lb. bottles '. do.... 80 
Pul vis ipecacuanh® compositus, in bottle do.... 8 
Quini® sulphas, in 1-oz. bottles do. 20 
Rheum, powdered, in bottle do.... 4 
Sapo, white Castile pounds.. 4 
marbled Castile do.... 20 
Sinapis nigra, powdered, in tin do. 6 
8od® bicarbonas do.... 8 
boras, powdered, in bottle ounces.. 8 
Spiritus ®theris compositus, in g. s. bottle .- do.... 16 
nitrosi, in 1-lb. g.s. bottles do. 48 
ammoni® aromaticus, in g. s. bottle do. 8 
Strychni® sulphas, in 1-oz. bottle do.... f 
Sulphur lotum, in bottle do. 16 
Syrupus ferri iodidi, in g. s. bottle do. 8 
scill®, in 1-lb. bottles pounds.. 10 
Tinctura digitalis, in bottle ounces.. 4 
ferri chloridi, in 1-lb. g. s. bottles do.... 64 
opii, in bottle - do..., 16 
camphorata, in 1-lb. bottles do.... 32 
deodorata, in bottle do. 8 I 
sanguinari® do. 8 
veratri viridis, in bottle do.... 2 UNITED STATES MARINE HOSPITAL SERVICE. 
67 
Unguentum hydrargyri, in earthen pot do.... 16 
nitratis, in earthen pot do.... 8 
Virus vaccinum q.8. 
Zinci acetas, in bottle ounces.. 2 
oxidum, in bottle do. 1 
sulphas, in bottle do. - 8 
II.-Materia Medica.-Supplementary List.* 
Acidum arseniosum, in g. s. bottle ounces.. | 
benzoicum, in bottle do.... 1 
chromicum, in g. s. bottle do.... 1 
gallicum, in bottle do..'.. 1 
hydrocyanicum dilutum, in g. s. bottle do.... 1 
Ammonii bromidum, in bottle do.... 4 
Assafoetida, in g. s. bottle do-... 4 
Atropi® sulphas, in |-oz. g. s. bottle do.... £ 
Balsamum Tolutanum, in earthen pot do.... 8 
Brominium, in g. s. bottle do. 8 
Cera flava do.... 16 
Chloral hydras, Schering's, of Berlin, in g. s. bottles do.... 6 
Coilodium, in 1-oz. g. s. bottle do. 1 
cum cantharide, in 1-oz. g. s. bottle do.... 1 
Confectio senn®, in earthen pot do.... 8 
Cubeba, powdered, in bottle do.... 8 
Elaterium, Clutterbuck's, in |-oz. pot do.... 
Extractum cannabis purificatnm, in earthen pot do.... 1 
cimicifug® fluidum, in bottle do.... 8 
opii, in pot do.... 1 
physostigmatis, in bottle do. | 
stramonii alcoholicum, in earthen pot do. 1 
valerian® fluidum, in bottle..... do. 16 
veratri viridis fluidum, in bottle do.... 2 
Ferri et potass® tartras, in bottle do.... 4 
hypophosphitis, in bottle do. 2 
pyrophosphas, in bottle do. 4 
sulphas exsiccata, in bottle do. 4 
Ferrum redactum,in bottle do.... 2 
Guaiaci resina, in bottle do.... 4 
Hydrargyri iodidum rubrum, in g. s. bottle do. 
lodoformum, in g. s. bottle ....do. 1 
Liquor arsenici et hydrargyri iodidi, in g. s. bottle do.... 8 
Morphi® acetas, in |-oz. bottle ... . .do.... J 
Myrrha, in bottle do.... 4 
Oleo-resina piperis, in g. s. bottle do.... 1 
Oleum caryophylli, in 1-oz. bottle '. do. 1 
cubeb®, in bottle ; do.... 4 
thymi, in bottle do.... 2 
Pepsina, in bottle do.... 2 
Pix liquida, purified, in w. m. bottle do.... 8 
Plumbi carbonas, in bottle do. 2 
iodidum, in 1-oz. black g. s. bottle do.... 1 
Potassa, fused, in 2-oz. g. s. bottle do. 2 
Potassii cyanidum, granulated, in |-oz. bottle do.... | 
Quini® arsenitis, in bottle do.... | 
Resina podophylli, in bottle do.... 1 
Sod® sulphis, in bottle ounces.. 8 
Spiritus lavandul® compositus, in bottle do.... 16 
Tinctura aconiti radicis, in bottle do.... 4 
cantharidis, in bottle do. 1 
gelsemii, in bottle do.... 2 
do.... | 
III.-Hospital Stores. 
Arrow-root, in tin pounds.. 20 
Beef, Liebig's extract of, in jars do.... 6 
Brandy, in 32-oz. bottles bottles.. 20 
Cinnamon, ground, in bottle ounces.. 8 
* See paragraph 84, United States Marine Hospital Regulations. 68 
UNITED STATES MARINE HOSPITAL SERVICE. 
Corn-starch pounds.. 12 
Ginger, ground, in 1-lb bottles do.... 2 
Whisky, in 32-oz. bottles bottles.. 50 
Wine, port, in 32-oz. bottles do. 12 
sherry, in 32-oz. bottles .do.... 24 
IV.-Instruments. 
Probangs number.. 6 
Syringes, penis, glass do.... 12 
Trusses, single do.... q. 8. 
double do.... q. 8. 
V.-Dressings, Etc. 
Adhesive plaster,5 yards in a can yards., q. 8. 
Bandages, roller, assorted, in a pasteboard box-1 doz. 1 inch by 1 yard ; 
2 doz. 2 inches by 3 yards; 2 doz. 2£ inches by 3 yards; 1 doz. 3 
inches by 4 yards ; | doz. 3| inches by 5 yards; 1 doz. 4 inches by 6 
yards; $ doz. 4 inches by 8 yards dozen.. 32 
Binders' boards, 2f x 12 inches pieces.. 12 
4 x 17 inches do.... 12 
Cotton bats number.. 4 
Cotton wadding sheets.. 4 
Flannel, red,all wool yards.. 4 
Ichthyocolla plaster, 1 yard incase do.... 4 
Lint, patent, linen or flax pound.. 4 
picked, or scraped linen - do....' 2 
Muslin, bleached, unsized, 1 yard wide yards.. 40 
Oakum, fine picked pound.. 10 
Oiled muslin yards.. 4 
Oiled silk do.... 2 
Pencils, hair, assorted sizes number.. 12 
Pins papers.. 4 
Plaster of Paris, in tin... pounds.. 25 
Sheepskins, dressed, for plasters number.. 4 
Silk, saddlers', for ligatures ounces.. | 
Sinapism paper package.. 1 
Sponge, fine, small pieces do.... 12 
Suspensory bandages, cotton number.. 6 
Tape, cotton, or twisted stay binding pieces.. 3 
Thread, linen, unbleached ounces.. 2 
Tow pound.. 4 
Twine, one-half coarse ounces.. 16 
VI:- Books, Stationery, Etc. 
Blank-books, cap, half-bound, 4 quires number.. 5 
small, flexible covers do.... 4 
Elastic bands, assorted gross.. 2 
Envelopes, printed : official, 100; letter, 200 number.. 300 
Erasers . do.... 
India rubber pieces.. 2 
Ink, black,pint bottle. '. number.. 1 
red, 2-oz. bottle . do.... 1 
Inkstands do.... 2 
Letter balance do.- 1 
Mucilage bottles.. 2 
Paper, blotting quire.. £ 
filtering, round gray, 10 inches packages.. 
litmus, blue and red, of each sheets... 2 
turmeric do.... 1 
wrapping, white and blue quires.. 4 
writing : cap, 6 quires ; letter, 6 quires ; note, 8 quires do.... 20 
Pencils, lead number.. 6 
Penholders do.... 6 
Pens, steel number.. 48 
Portfolio, cap size do.... 1 
Regulations of the Marine Hospital Service copies.. 2 UNITED STATES MARINE HOSPITAL SERVICE. 
69 
Ruler number.. 1 
Sealing- wax sticks.. 2 
Boxes, paper pill, in nests dozens.. 6 
wooden ointment, in nests do.... 6 
Corks, assorted dozens.. 24 
Lamp-wicks number., q. 8. 
Matches gross.. | 
Rotten-stone, for polishing instruments ounces.. 8 
Tubing, glass, assorted sizes pound.. i 
Vials-8-ounce, six dozen; 4-ounce, twelve dozen ; 2-ounce, three 
dozen; 1-ounce, three dozen dozens.. 24 
VII.-Miscellaneous. 
B.-UNITED STATES MARINE HOSPITAL OUTFIT LIST. 
OUTFIT LIST OF INSTRUMENTS, BEDDING, HOSPITAL CLOTHING, FURNITURE, APPLI- 
ANCES, ETC. 
Not expendable. To be obtained on special requisition, (Form 11,) and renewed only as 
required. Allowance for an average of 50 patients. 
I.-Instruments. 
Atomizers, steam number.. 1 
Cupping-glasses, assorted sizes do.... 12 
-tins, assorted sizes do. q. 8. 
Electric apparatus do.... 1 
Inhalers do.... 2 
Irrigators do.... 1 
Pocket-cases do.... 1 
Post-mortem cases do. 1 
Razor, brush, and strop, in case do.... 1 
Scarificators do.... 1 
Scissors, large and small do.... 2 
Speculum for rectum do.... 1 
Sponge-holders for throat do.... 1 
Stethoscope ; do.... 1 
Syringes, enema, 16-ounce do.... 1 
hard rubber, 8-ounce j do.... 1 
hypodermic do.... 1 
penis, hard rubber do.... 3 
rubber, self-injecting do. 1 
Teeth-extracting case ..do.... 1 
Tongue-depressor, hinged do. 1 
General operating set .* do. 1 
Minor operating set do.... 1 
Thermometer, clinical do.... 1 
Urinometer '. do.... 1 
II.-Bedding, Etc. 
Bed-sacks number.. 75 
Blankets, white do.... 125 
Counterpanes do.... 75 
Cushions, rubber, for air, small _ do.... 4 
with open center do.... 2 
Gutta-perch a cloth yards.. 6 
Mattresses, hair or sponge number.. 50 
Mosquito-bars, when specially required do. 50 
Pillows, hair or feather do. 60 
Pillow-cases, white do. 150 
ticks do.... q. s. 
Sheets do.... 250 70 
UNITED STATES MARINE HOSPITAL SERVICE. 
Towels, huckaback dozens.. 5 
roller do.... 2 
Shirts number.. 100 
Drawers do.... 100 
Gowns, dressing do.... 25 
Slippers do.... 50 
III.-Hospital Clothing. 
Gowns, dressing. 
Slippers 
Bedsteads, iron number.. 60 
Earth-closet commodes, with fittings do. 4 
Refrigerator, size as required do.... 1 
Tables, bedside do.... q. 8. 
Tub, bath, portable do.... 1 
IV.-Furniture. 
V.-Books. 
Dispensatory copy.. 1 
Casebook number.. 1 
Diet and prescription book do.... 1 
Order and letter book do.... 1 
Register of patients do.... 1 
VI.-Miscellaneous. 
Basins, tin, small, for dressers number.. 6 
wash, hand do.... 10 
Bed-pans, delf, shovel-shape do.... 4 
Bed-ticket frames do.... 50 
Bowls, delf do. 60 
Buckets, wooden do.... 10 
Candlesticks do. q. s. 
Cleaver do.... 1 
Clothes-line feet... 500 
Colanders t. number.. 2 
Corkscrews do.... 2 
Cork-extractor do.... 1 
Cork-presser . do.... 1 
Cups and saucers, of each do. q. s. 
Dippers, tin, assorted . do.... 6 
Feeding-cups do. 4 
Funnels, glass, i-pint do.... 2 
tin, pint do.... 2 
Graters, nutmeg, and large Mo.... 2 
Gridirons do.... 2 
Hatchets do.:.. 2 
Hone do.... 1 
Kettles, iron do.... q. 8. 
Knives and forks, of each do.... 60 
carving, of each '. do. 3 
bread do.... 1 
butcher's do.... 1 
Ladles... do.... 4 
Lamps, for oil do.... q. 8. 
Measures, graduated, glass, 4 ounces do.... 2 
minim do. 2 
tin, pint to gallon, sets do.... 1 
Mill, coffee do.... 1 
spice do.... 1 
Mortars and pestles, wedgewood, 3.J to 8 inches do.... 3 
Mugs, delf do.... 60 
Pans, tin do.... q. 8. 
Pill machine do.... 1 
tiles, 5 to 10 inch do.... 2 
Pitchers, delf do.... q. 8. 
Plates, delf do.... 72 UNITED STATES MARINE HOSPITAL SERVICE. 
71 
Pots, chamber, delf do.... 16 
coffee, tin do.... 4 
mustard do.... 3 
pepper do.... 3 
tea, delf do.... 4 
Sadirons do.... q. s 
Salt-cellars do.... 8 
Saw, butcher's do.... 1 
wood do.... 1 
Scales and weights, prescription set.. 1 
apothecaries' do.... 1 
shop number.. 1 
platform do.... 1 
Slates, with pencils do.... 4 
Spatulas, 3-inch and 6-inch do.... 4 
Spirit lamp. do*... 1 
Spit-mugs, with tops do.... 10 
Spittoons do.... 24 
Spoons, table do.... 60 
tea do.... 60 
Steels do.... 2 
Tape-measure do.... 1 
Test-tubes, with rack do.... 6 
Thermometers do.... 5 
Trays, butler's do.... 4 
Tumblers, glass . .. do.... 60 
Urinals, glass do.... 4 
{Expendable.) 
Brooms number.. 12 
Brushes, scrubbing do.... 12 
Rubber scrubbers , do.... 4 72 
UNITED STATES MARINE HOSPITAL SERVICE. 
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Tuesday. 
Wednesday. 
Thursday. 
Friday. 
Saturday. 
Sunday. 
| BREAKFAST. 
Coffee pt. 1 
Bread oz. 6 
Butter oz. i 
Meat-hash, with veg- 
etables oz. 6 
Stewed fruit oz. 3 
Coffee pt. 1 
Bread oz. 6 
Butter oz. J 
Corned-beef hash, with 
potatoes oz. 6 
Coffee pt. 1 
Bread oz. 4 
Butter oz. i 
Fish-hash, with veg- 
etables oz. 6 
Coffee pt. 1 
Bread oz. 6 
Butter oz. J 
Meat-stew oz. 6 
Coffee pt. 1 
Bread oz. 6 
Butter oz. J 
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etables oz. 6 
Coffee pt. 1 
Bread oz. 6 
Butter oz. 4 
Mutton-chops ...oz. 6 
Fried potatoes .. oz. 3 
Chocolate pt. 1 
Bread oz. 6 
Butter oz. 1 
Meat-stew oz. 4 
Fruit-sauce oz. 3 
I SUPPER. I| DINNER. 
Vegetable-soup..pt. 1 
Beef, roast oz. 6 
Potatoes oz. 8 
Pudding, with sauce, 
oz 4 
Bread oz. 4 
Tea pt. 1 
Bread oz. 6 
Butter oz. i 
Fruit-sauce oz. 3 
Beef-soup pt. 1 
Beef, boiled oz. 6 
Fish, fresh oz. 6 
Vegetables oz. 8, 
Bread oz. 4- 
Fresh fruit oz. 4 
Tea pt. 1 
Bread oz. 6 
Butter oz. J 
Fruit, stewed oz. 1 
Mut ton-broth.... pt. 1 
Mutton, roast....oz. 6 
Potatoes ..oz. 8 
Rice-pudding, with 
sauce oz. 4 
Bread oz. 4 
Tea pt. 1 
Bread oz. 6 
Butter oz. i 
Cooked fruit oz. 4 
Soup, bouillon...pt. 1 
Beef, roast oz. 6 
Potatoes oz. 8 
Bread oz. 4 
Fruit oz. 4 
Tea pt. 1 
Bread 5 oz. 4 
Butter oz. 4 
Fruit-pudding. ..oz. 4 
Vegetable-soup., pt. 1 
Meat-stew oz. 8 
Fish oz. 6 
Bread oz. 4 
Vegetables oz. 8 
Fruit oz. 4 
Tea pt. 1 
Bread oz. 4 
Butter oz. J 
Cold meat oz. 4 
Barley-soup pt. 1 
Beef, boiled oz. 8 
Bread oz. 4 
V egetables oz. 10 
Tea pt. 1 
Bread oz. 4 
Butter oz. J 
Rice, with sauce or 
sirup oz. 4 
Soup pt. 1 
Beef, roast oz. 6 
Potatoes oz. 8 
Other vegetables .oz. 4 
Rice- or tapioca-pud- 
ding oz. 4 
Tea pt. 1 
Bread oz. 6 
Butter oz. J 
Mush and milk..oz. 12 
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I UNITED STATES MARINE HOSPITAL SERVICE. 
73 
II.-Extra Diet. * 
For breakfast, 
Mutton-chop, or 
Beef-steak 
.ounces. 
6 
Chicken, or 
Game 
Eggs number.. 2 
Dinner 
Ale or wine 
ounces 
6 
Supper 
Dry or dip toast - -.. • ounces.. 4 
III.-Milk Diet, t 
Breakfast 
Hominy, or 
Corn-meal mush 
. ounces 
14 
Milk do.... 16 
Dinner 
Rice or tapioca, (cooked) . ounces.. 12 
Milk do.... 16 
Sirup do.... I 
Bread do.... 4 
Butter do.... \ 
Cracked wheat, or 
Oaten grits 
when cooked 
ounces 
14 
Supper 
Toasted bread do.. .. 12 
Milk do.... 16 
* These articles of extra diet are in addition to the ordinary diet of the hospital, 
t Instead of ordinary diet. 74 
UNITED STATES MARINE HOSPITAL SERVICE. 
D.-UNITED STATES MARINE HOSPITAL NOMENCLATURE 
OF DISEASES. 
[The "Provisional Nomenclature" of the Royal College of Physicians of London, 
(Eng.,) is adopted by the United States Marine Hospital Bureau, as the nosologi- 
cal system to be observed by medical officers of the Service in their reports and com- 
munications. 
As this is too bulky to insert in a volume of Regulations, intended also for the 
guidance and information of others not concerned with the professional details of the 
Service, the Nomenclature is issued separately, and will be supplied to medical officers, 
on requisition, by the Bureau.] 
o