NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
SECT. XI.] MEDICAL STORES. 267
the indent of the Executive Medical Officer, of fresh instruments from the
Stores.
50. HALF-YEARLY RETURNS.—" Half-yearly Returns of Surgical Instru-
ments" are to be dated 1st April and 1st October. The
Returns are to be forwarded to the Examiner of Medical
Accounts, through Deputy Inspectors General of Divisions,
who are particularly requested to inform the Examiner, when all the returns
due from their respective circles, have been transmitted to him. Blank
printed forms will be sent by the Examiner to Deputy Inspectors General
for distribution in their respective divisions.
51. MEDICAL OFFICERS TO SEE THAT THEY DO NOT RECEIVE DAMAGED OR IM-
PERFECT INSTRUMENTS.—Executive Medical Officers will carefully examine all
cases of instruments, and surgical appliances on receipt of
issues from Store Depots. Medical Store-keepers will, in the
event of receiving damaged or imperfect cases of instruments,
immediately procure full explanation from the returning officer, and submit
the same for the orders of the Inspector General before attaching it to the
receipt forwarded to the Examiner of Medical Accounts.
Carriage of Stores.
52. CARRIAGE OF STORES.—The carriage of all reserve stock of military
hospital stores including medicines and instruments, will be provided for by
the Commissariat department, at the expense of Government, upon indents
countersigned by a Deputy Inspector General of Hospitals, or, in his absence,
by the Officer Commanding. Duplicates of these indents shall be forwarded by
the Deputy Inspector General to the head of that branch of the Medical Depart-
ment, to which the indenting officer belongs ; and the responsibility will rest
upon the indenting officer until his requisition has received the sanction of that
authority. The duplicate indent, when sanctioned, shall be returned to the
Deputy Inspector General, for the purpose of being delivered to the Com-
missariat Officer, and will be the proper voucher for the supply.
53. CIVIL DEPARTMENTS.—Medical Store-keepers indent upon the Com-
missariat Department for the carriage of all civil Stores. The cost
of carriage of civil medical stores is provided for in the civil estimates,
and will be disbursed to the Commissariat Department by Medical Store-
keepers.
54. BOXES.—Whenever it becomes necessary to indent for boxes for the
carriage of medicines on carts, boxes of the dimensions
of a six dozen chest, as noted in the margin, with padlocks
and hinges, shall invariably be indented for, as being more
easily procurable.
Cir. 456 of 3rd
Feb. 1868.
Cir. 880 of 5th
March 1868.
Ft. In.
Length ...
3 9
Breadth ...
1 6
Depth ... 1 6
268 MEDICAL STORES. [SECT. XI.
55. INDENTS FOR CARRIAGE.—Indents for carts or coolies for the carriage
of medicines, &c., submitted to the Inspector General of the British or Indian
Medical Department for sanction, must be prepared agreeably to the form
laid down for indents on the Commissariat Department in Section XIII., and
Administrative Medical Officers are prohibited from forwarding indents,
which are not in strict accordance with that form.
56. When detachments march from the Presidency or other stations,
where public depôts of medicines are maintained, the duty of indenting for
carriage is to be performed by the Surgeon, or Assistant Surgeon, proceeding
in charge of the detachment ; or, in cases where Apothecaries or Hospital
Assistants are to be in charge, by the Garrison or other Surgeon, who may
have been in previous charge of the troops about to march.
57. Indents for coolies for detachments of regiments should bear upon
them the particular duty of each cooly employed, and the nature and weight
of carriage conveyed by him.
58. SUPPLIES TO DETACHMENTS.—Detachments of troops, moving from
station to station, will be supplied with medicines from the Depôts of Medical
Stores at the Presidency and out-stations, packed in portable medicine boxes,
agreeably to fixed scales furnished to the Principal and Deputy Medical Store-
keepers. Detachments of corps proceeding short distances only, or journeying
by rail or steamer should be supplied with the necesrary medicines, &c.,
from regimental Stores.
59. CARRIAGE OF MEDICINE CHESTS.—All Regiments, European andNative,
are provided with field medicine chests which, in marching or on active service,
are to be carried by public bearers. Bearers for the conveyance of field
Medicine chests, or coolies for carrying Medicines with detachments, are to
be included in the general indent for carriage furnished by the Corps about
to march, to the Commissariat.
60. COOLIES FOR CARRIAGE OF MEDICINE BOXES.—Coolies shall be provided
for the carriage of medicines, with all parties of European or Native Troops,
less than a complete Corps, moving from station to station, but which are suffi-
ciently large to be under the charge of a Medical Officer, in the following
proportions, viz. : with all detachments consisting of
Europeans.
Natives.
Coolies.
25 to 75
50 to 150
1
75 to 250
150 to 400
2
250 to 350
.........
3
61. The above coolies to be supplied in the same manner, and under
the same forms, as prescribed for the carriage of the portable medicine chests
attached to Corps, in G. O. G., No. 280 of 15th July 1862.
SECT. XI.]
MEDICAL STORES.
269
62. In detachments, either European or Native, less than the above,
proceeding by ordinary marches, one cooly for the carriage of medicines shall,
when necessary, be supplied.
63. DISPOSAL OF MEDICINES, &C., PROVIDED FOR A MARCH. — (a.) On the
arrival of detachments at their respective destinations, the boxes, with the
remains of the supply of medicines, will be delivered over to the Principal or
Deputy Medical Store-keeper, as the case may be, or, at stations where there
may be no Depot of Medical Stores, to the senior Medical Officer present. These
medicines to be brought on the hospital books of the Medical Officers by
whom they are received, and accounted for under the head " received by
transfer from detachments."
(b.) Medical Subordinates returning medicines into Store are invariably
Cir. No. 3,117 of to enter in the list, the particulars of the troops, and
1st September 1865
name of ship, when travelling by sea.
64. RAILWAY TO BE USED FOR DESPATCHING STORES, WHEN PRACTICABLE.—
Medical Store-keepers are to avail themselves of the Railway or coasting
Cir. No. 3,663 of steamer in forwarding Medical Stores, when this can be
5th September 1866.
done with economy, and to facilitate the dispatch of
stores to out-stations which are easily reached from the Presidency, the follow-
ing arrangements are ordered :-
(a.) In the Southern Districts, the following stations will be supplied direct
from the Presidency Depôt. Indents having been checked by the Deputy
Inspector General of the Southern Districts, will be sent to the Principal
Medical Store-keeper for compliance :—
Tripatore, Salem, Coimbatore, Pollachy, via Coimbatore, Neilgherry Hill
Stations, Paulghaut.
(b.) In the Ceded Districts, the following stations will be supplied from
the Presidency Stores direct :—
Cuddapah, Ghooty.
(c.) In the Mysore Division, the station of Calicut will be supplied from
the Presidency. Medicines for Oossoor will be despatched from the Bangalore
Depot.
(d.) Masulipatam, and Upper Godavery Establishments in the Northern
Districts, will be supplied from Madras.
65. Officers in charge of Medical Store Depots will, as a rule, avail
themselves of the most expeditious and economical mode of carriage at hand,
whether this be by water, or land.
SECTION XII.
HOSPITAL SUPPLIES.
I.—Purveyor's duties.
II.—Diets, European Hospitals.
III.— Do.Native do.
IV. —Bazaar Medicines.
V.—Hospital Necessaries.
VI.—Bedding and Clothing.
VII.—Hospital Miscellanies.
V1II.—Hospital Servants.
I.—Purveyors.
1.
HOSPITAL SUPPLIES PROVIDED BY COMMISSARIAT DEPARTMENT.—The vari-
ous duties of the hospital branch of the Commissariat Department are carried
on under the Executive Officer of that Department by an establishment of
Store-keepers, Purveyors, and menial servants, supervised, when necessary,
by the Warrant and Non-Commissioned Officers of the department.
2.
COMMISSARIAT STORE-KEEPERS.—Store-keepers, whether European or
Native, are attached to the Commissariat Office, and have charge of the reserve
stock, of clothing, bedding, furniture, wines, spirits, and medical comforts,
issuing from time to time to Hospital Purveyors on receipt, a sufficient quantity
to replenish their stocks. The Store-keeper is responsible for the due preser-
vation of the articles under his charge and will see that the established
allotment is always kept complete. He will receive over all surplus and
unserviceable articles returned into Store by the Purveyors, and bring to the
notice of the Executive Officer any instance in which stores so returned appear
to have been wantonly damaged.
3.
Duties of Purveyors,—In the same manner as the Store-keeper has
sole charge of the hospital stock, so also has the Purveyor the undivided res-
ponsibility of all the executive duties of supply of the hospital to which he is
SECT. XII.]
HOSPITAL SUPPLIES.
271
attached. In addition to the diets, he will have the entire charge of supplying
the clothing, bedding, wines, spirits, &c., to the hospital under his charge; and
for this purpose a sufficient stock of these articles will be issued to him on
receipt, and will be kept in a store-room adjacent to the hospital for issue as
required. They will be brought on his monthly return, which should be sub-
mitted for the inspection of the Commissariat Officer on the 5th of each
month, the amounts received being credited, and the liquor, &c., issued to
the sick, in accordance with the daily abstracts, being duly struck off.
4.
MONTHLY BILLS FOR DIETS, &c.—His bills for diets, monthly and occa-
sional supplies, supported by the prescribed vouchers, should be presented for
examination and payment immediately on the expiration of the month to which
they pertain.
5. To ATTEND UPON MEDICAL OFFICERS.—He will attend at the hospital
at such hours as may be fixed by the Medical Officer to receive his instruc-
tions regarding the diet of sick ; he will also make his report to the Commis-
sariat Officer as often as may be considered necessary.
6. Whenever any articles of diet are ordered, which may appear to him
unauthorized by regulations, it will be his duty to point this out in a respect-
ful manner to the Medical Officer, who will be responsible for any overcharge,
should he still direct the issue of the doubtful supply.
7. To MARCH WITH CORPS. —He will accompany the corps on the march,
performing the same duties as in Cantonment, and exercising a general super-
vision over the hospital attendants. He will receive an advance of cash, stores,
and clothing sufficient for the probable requirements of the march, and will,
on arrival at his destination, deliver over the surplus to the local Commis-
sariat Officer, and adjust his accounts in the usual manner.
IL—Diets. (European Hospitals.)
8.
EUROPEAN SICK.—The authorized diet, clothing, bedding, servants,
wine, and whatever may be required for the use of Military sick in hospital,
will be provided at the expense of Government, under the management of the
Commissariat Department.
9. DIETs.—The following diets are authorized for
European Military Hospitals in the Madras Presidency :—
G. 0. G. No.
422 of 1865.
273
SECT. XII.]
HOSPITAL SUPPLIES.
BREAKFAST.
Spoon.
Tea.
Beef Tea.
Low Milk.
Tea
... 1 pint. Tea
... 1 pint Tea
... 1 pint. Tea
...
... 1 pint.
Sugar ... ¾ oz. Bread
... 3 oz. Bread
... 4 oz. Arrowroot in Jelly 1 oz.
Milk
... 3 oz. Sugar ... 1 oz. Sugar ... ¾ oz. Sugar
... ... ¾ oz.
Milk
... 3 oz. Milk
... 3 oz. Milk
... ... ½ pint.
Milk.
Chicken.
Low with Pudding.
Low.
Tea
... 1 pint. Tea
... 1 pint. Tea
... 1 pint. Tea
... ... 1 pint.
Milk
... 1 pint. Bread ... 2 oz. Bread
... 3 oz. Bread
... ... 4 oz.
Bread ... 4 oz. Butter ... ¼ oz. Butter ... ¼ oz. Butter ... ... ½ oz.
Sugar ... ¾ oz.
Half.
Fish.
Full.
Infant.
Tea
... 1 pint. Tea
... 1 pint. Tea
... 1 pint. At the discretion of the
Surgeon.
Bread ... 6 oz. Bread ... 6 oz. Bread
... 6 oz.
Butter ... ½ oz. Butter ... ½ oz. Butter ... ½ oz.
DINNER.
Spoon.
Tea.
Beef Tea.
Low Milk.
Sago in Jelly 2 oz. Tea
... 1 pint Beef Tea ... 12 oz. Arrowroot in Jelly 1 oz.
Sugar
...
¾ oz. Bread ... 3 oz. Bread ... 8 oz. Sugar ... ... 1½ oz.
Sugar ... 1 oz.
Milk
. . . ...
½ pint.
Milk
... 3 oz.
Chicken ... ... 8 oz.
Arrowroot. 4 oz.
Bread
... ... 4 oz.
Milk.
Chicken.
Low with Pudding.
Low.
Rice. 2 oz.
In
Rice
Milk
Chicken ... 8 oz. Mutton Broth 1 pint Mutton Broth ... 1 pint.
Milk. 1 pint.
Bread ... 8 oz. Bread
... 6 oz. Bread
... ... 8 oz.
Bread 4 oz.
Custard Pudding. Rice Pudding.
Sugar ¾ oz.
Or Soojie 4 oz. in
lieu of rice.
Half.
Fish.
Full.
Infant.
Mutton in Broth, Fish
... 8 oz. Broth or Soup 1 pint At the discretion of the
Surgeon.
1 pint. Bread ... 4 oz.
or, Meat
or,
Potatoes ... 8 oz.
roasted. 12 oz.
Meat roasted
Butter ... 1 oz. Bread ... 4 oz.
or fried ... 10 oz.
Potatoes ... 12 oz.
Bread
... 4 oz.
Potatoes ... 8 oz.
SUPPER.
Spoon.
Tea.
Beef Tea.
Low Milk.
Tea
. . . 1 pin Tea
... 1 pint. Tea
... 1 pint. Tea
...
... 1 pint.
Sugar ... ¾ oz. Bread ... 2 oz. Bread
... 4 oz. Arrowroot
... 1 oz.
Milk
... 3 oz.
Sugar ... 1 oz. Sugar
... ¾ oz. Sugar ...
... ¾ oz.
Milk
... 3 oz. Milk
... 3 oz. Milk ...
... ½ pint.
Milk.
Chicken.
Low with Pudding.
Low.
Tea
... 1 pint. Tea
... 1 pint. Tea
... 1 pint. Tea
...
... 1 pint.
Bread ... 4 oz. Bread ... 2 oz. Bread
... 3 oz. Bread ...
... 4 oz.
Butter ... ½ oz. Butter ... ¼ oz. Butter
... ¼ oz. Butter ...
... ½ oz.
K K
274
HOSPITAL SUPPLIES.
[SECT. XII.
SUPPER.—(Continued.)
Half.
Fish.
Full.
Infant.
Tea
... 1 pint. Tea
... 1 pint. Tea
... 1 pint. At the discretion of the
Surgeon. b
Bread ... 4 oz. Bread ... 6 oz. Bread
... 6 oz.
Butter ...1/2oz. Butter ...½ oz. Butter ... ½ oz.
10. REMARKS ON DIET TABLES.—( a.) Barley-water, rice-water and lemonade
G. O. G., No. 422 of will be furnished for common drink, according to the dis-
1865. cretion of the Surgeon, and may be ordered with any diet.
They are to be accounted for by the Surgeon initialing the expenditure daily
in the abstract. Barley or rice will be allowed for making " Barley-water"
or " Rice-water", at the rate of 2 ozs. for 5 pints, and sugar in like proportion.
For making Lemonade one, or if necessary, two limes (according to their
size), and ¾ oz. of sugar will be allowed for each pint. The issue of lime–
juice for diet purposes is prohibited. Eggs may be prescribed in addition to
any of the diets, as the Surgeon in charge may deem necessary ; the number
expended being entered in a column for the purpose in the daily abstract, and
initialed as in the case of the drinks above-mentioned.
(b.) Children under five years of age are to be placed on infant's diet,
with extras as required. Those between five and eight years on half ; between
eight and fourteen years on two-thirds; and above fourteen years on the full
quantity allowed for adults in the diet scale.
(c.) The meat for the various diets must be in the raw state, exclusive of
bone, of the weights specified in the table : an addition at the rate of one-
fourth of a pound mere for full diet, and a proportionate quantity in the other
diets, will be considered an equivalent, when meat is issued with bone. The
meat in the several diets may be curried at the discretion of the Medical
Officer. In sach cases rice (four ounces) will be allowed, and the onions,
barley, and flour excluded. The number of diets curried during the month
should be shown in a note at the foot of the monthly statement. • •
(d.) Draught Beer from the Canteens, or that bottled in local Commis-
sariat godowns, is authorized to be issued for the use of patients in Hospital.
The measure for milk is to be the Imperial pint of 20 ounces.
(c.) Spice powder* will be furnished on special indent by the Commis-
G 0. G., No. 119 of sariat for flavouring puddings, sago, arrowroot, &c. The
1863. canisters are always to be in the Purveyor's custody, and
the expenditure daily recorded. From 10 to 15 grains are ample for each
pudding, &c.
* N O T E , — S p i c e p o w d e r c o n s i s t s o f — g i n g e r , 5 ½ p a r t s ; c i n n a m o n , 1 ; n u t m e g , 1 ; a n d
cloves, 1 part, to be well ground and mixed, and put into tin boxes holding from 2 to 4 ozs.
SECT. XII.]
HOSPITAL SUPPLIES.
275
G. O. G., No. 149
of 1863.
( f.) For diets into which meat enters, black pepper will be issued at
the rate of 1 oz. for 48 diets, or one-third of a drachm
for each diet. The salt to be " good, white."
(g.) Rations are issued to the Soldier on the day of admission, and
hospital diet on the day of discharge from hospital. Extras may, in special
cases, be ordered on the day of admission and in such cases are to be shown
in the diet sheet of that day in the usual way.
(h.) The bread and provisions of every description furnished to the
sick are invariably to be of the best quality ; should it happen in the field, or
during the march of troops, that any of the articles specified in the diet table
cannot be procured, the best substitutes are to be provided by the Commis-
sariat in lieu of them, in communication with the Officer Commanding and
the senior Medical Officer present.
G. O. G., No. 422
of 1865.
G. O. G., No. 149
of 1863.
11. Extra diet.—With the exception of malt liquor, wine, spirits, and
effervescing liquids, the issue of extras will be restricted
to patients on spoon, tea, beef-tea, and infant diets. All
expenditure extra to the authorized diet should be
accounted for in the diet sheet (bed-head ticket.)
( Commissariat _Form No. 158).
G. O. G., No. 149
of 1863.
G. O. G., No. 422
of 1865.
12. ABSTRACTS AND DIET BILLS.—A daily abstract ( Commissariat Form
No. 160,) of the diets and liquors will be prepared by the
Apothecary from the bed-head tickets, and by him made
over to the Commissariat Purveyor. The abstract must
be signed by the Medical Officer. The diet roll ( Commis-
sariat Form, No. 159,) will be retained in hospitals for the inspection of super-
vising Medical Officers. A monthly statement as below will be prepared from
the daily abstracts, and forwarded by the Medical Officer through the Deputy
Inspector General to the Commissariat Officer, to be attached as a voucher to
his accounts.
13. DIET SHEETS OF EXTRAS.—With the monthly Statement, the Diet
Sheets (Form No. 158) for all patients for whom any extra article has been
ordered must be sent. These Diet Sheets should show distinctly the kind of
extras prescribed, distinguishing the description of Malt Liquor, Wine, or
Spirits.
The Diet Sheets of patients, for whom no extra articles have been
ordered, are not required to be sent.
14. DIET OF MEN BELONGING TO OTHER PRESIDENCIES.—In the event of
patients not belonging to Regiments or Departments in the Madras Presidency
being dieted in Hospital during the month, an entry must be made on the back
276
HOSPITAL SUPPLIES.
[SECT. XII.
of the Monthly Abstract, showing the Regiment or Department to which such
patients belong, their name, rank, general number, date of admission, and
discharge, in order that the cost of their diet may be correctly debited.
Monthly Abstract of Diets in, the Hospital of——for the month of——
Diets.
Drinks.
S p o o n .
T e a .
Beef Tea.
L o w M i l k .
M i l k .
C h i l d r e n .
L o w , w i t h
P u d d i n g .
L o w .
Half. F i s h .
F u l l .
I n f a n t .
E g g s .
B a r l e y
w a t e r .
R i c e w a t e r .
L e m o n a d e .
Pints. Pints. Pints.
Men
...
Women
...
Children ...
Total...
Monthly Abstract of Liquors consumed in, the Hospital of——for the
month of——
Wines.
Spirits.
Malt.
oz.
o z .
o z .
Port Wino
...
. . .
Sherry do.
...
...
Brandy ...
...
...
Arrack ...
...
...
Beer
...
...
...
Porter ...
...
...
Total...
Surgeon in charge.
Deputy Inspector General of Hospitals,
Division.
G. O. G., No. 149
of 1863.
15. WINES AND SPIRITS.—The Hospital Purveyor is furnished with a
small stock of wines and spirits for issue, in accordance
with the entries in the diet sheets. Measures tested and
stamped will be issued to European hospitals ; those for wine will be double
and constructed to hold two fluid ounces at one end, and one fluid ounce at
the other. A quart bottle is computed to hold 22½ ounces. Malt liquor
SECT. XII.]
HOSPITAL SUPPLIES.
277
is to be accounted for as bottles, and half bottles, not as quarts and pints.
Medical Officers are to consider carefully the requirements of every case in
the ordering of wine and spirits for the sick. Expenditure to be accounted
for monthly as above.
16. EXPENDITURE OF WINES, &C., TO BE ENTERED IN WORDS AS WELL AS
FIGURES.—In the monthly abstracts the expenditure of Wine, &c., in words
as well as figures is to be entered, all erasures and alterations made in their
indents or other documents connected with Hospital expenditure should be
initialed by Medical Officers previous to despatching them.
G. O. G., No. 149
of 1863.
G. O., No. 1,552 of
1861, M. D.
G. O., No. 2,446 of
8th July 1859, M. D.
G. O., No. 3,797 of
30th Oct. 1869, M. D.
17. RESTRICTION IN THE USE OF LIQUORS.—When arrack is prescribed
in lieu of brandy, it should be not less than three years old.
Champagne, Claret, and aërated drinks will not be sup-
plied by the Commissariat, but will be procured by
Medical Officers, and the charges for the same recovered
by contingent bill on the Pay Department. Champagne
is allowed only in cholera cases; Claret in cases where
the more stimulating Port or Sherry cannot be used, and aërated drinks
only in such cases as the ordinary diluent drinks may be unsuited for. Malt.
liquor is to be prescribed only when it may be deemed essentially necessary to
the welfare of the patient. Contingent bills for Champagne, Claret and
aërated drinks require to be supported by a nominal return and Indent, with
a certificate attached, signed by the Deputy Inspector General of the Circle,
and the indent to be sanctioned by the Inspector General. (See forms in
Appendix).
G. O. C. C., No. 8
of 1865.
18. F I R E W O O D . — I n a l l o r d i n a r y c a s e s w h e r e t h e n u m b e r o f p a t i e n t s ,
is twelve or more, the allowance of firewood shall be
restricted to 4 lbs. per man per diem. When the number
of patients is less than twelve, or at Hill stations or other places where the
firewood supplied is not tolerably dry and good, 5 or even 6 lbs. may be
allowed if required, but the cause which renders the increase necessary must
be certified by the Medical Officer at the time, and the reason why better fuel
cannot be, or is not supplied, should be stated. During outbreaks of epidemic
disease or other extraordinary circumstances no fixed limits can be either
assigned or observed, but in such cases the principal Medical Officers will
certify to the necessity of the extra expenditure.
19. FUEL FOR WARMING BARRACKS AND HOSPITALS.—The subjoined
scale of fuel for barrack and hospital fire-places is also applicable to
guard-rooms and all buildings attached to European lines, in which fire-places
are constructed. It is not necessary that the full scale of fuel should each
day be issued without reference to local circumstances, and therefore, the