NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
68
STATEMENT showing the Financial Condition of
DISTRICT.
NUMBER OF PATIENTS.
Average
Attendance.
INCOME.
O u t - d o o r .
I n - d o o r .
Total .
Amount alloted to
Hospitals according
to Budget Estimate.
Out - door .
I n- door .
Rs. a. p.
Kurrachee .........
1871-72 ...... 6,736
442 7,178 95.6 25.0
17,601 0 0
1872-73 ...... 8,293
472 8,765 71.9 24.3
17,387 0 0
Kotri ............
1871-72 ...... 2,291
330 2,621 670
15.0
7,626 0 0
1872-73 ...... 3,658
261 3,919 57.4 12.4
8,466 0 0
Haidarabad ......
1871-72 ...... 14,337
697 15,034 91.1 28.8
11,344 0 0
1872-73 ...... 15,102 1,218 16,320 106.3 30.6
11,261 0 0
Shikarpur .........
1871-72 ...... 1,447
180 21,67
7.6
5.3
7,210 0 0
1872-73 ......
957
178 1,135 16.0
4.8
7,420 0 0
Sukkur .........
1871-72 ...... 2,574
117 2,691 31.3
14.2
5,414 0 0
1872-73 ...... 2,533
165 2,698 32.1
5.4
5,804 0 0
69
CIVIL HOSPITALS in the SIND DIVISION.
EXPENDITURE.
E s t a b l i s h m e n t .
D i e t a n d M e d i c i n e .
C o n t i n g e n t .
T o t a l .
C o s t p e r h e a d .
Rs. a. p. Rs. a. p. Rs. a. p.
Rs. a. p. Rs. a. p.
14,074 0 0 3,649 6 5 1,846 15 9 19,570 6 2
2 11 7
13,967 0 0 4,926 1 10 1,362 7 10 19,967 10 0
2 4 6
5,943 8 8 1,378 7 6 450 8 8
7,772 8 10 2 15 5
6,117 15 7 1,820 11 9
661 11 1
8,600 6 5 2 3 1
7,829 0 0 2,269 1 1
283 9 4 10,381 10 5 0 10 11
7,995 0 0 2,571 8 4 357 2 2 10,923 10 6 0 10 8
5,909 9 6 2,048 15 3
129 4 9
8,087 13 6
4 1 5
6,526 5 4
711 0 6 462 0 0
7,699 5 10 6 12 6
4,428 0 0
567 12 2
210 12 2
5,206 8 4
1 14 11
4,568 14 9
949 9 11
168 15 7
5687 8 3 2 1 8
STATISTICS showing the Sex and Caste of Patients treated in CIVIL HOSPITALS.
Europeans.
Native Christians.
Mahomedans.
Hindus.
Others.
M a l e s .
F e m a l e s .
C h i l d r e n .
M a l e s . F e m a l e s .
C h i l d r e n .
M a l e s .
F e m a l e s .
C h i l d r e n .
M a l e s .
F e m a l e s .
C h i l d r e n .
M a l e s .
F e m a l e s . C h i l d r e n .
In-door......................... 1871-72 . . . . . 1,786 532 ... 1,257 372 ... 5,417 1,403 ... 6,473 1,534 ...
636 175
. . .
Do. ......................... 1872-73
. . . . . 1,812 546 ... 1,253 409 ... 4,608 1,154
7 8,408 1,501
2 751 224
. . .
Out-door ..................... 1871-72 ..... ...
...
... 4,532 1,859 2,839 28,937 8,324 13,224 59,254 16,796 27,609 3,968 2,284 3,571
Do.
1872-73
. . . . . 505 267 162 4,651 1,824 2,351 30,334 8,29 13,19S 52,199 15,119 25,627 4,170 1,667 2,744
70
SUMMARY STATEMENT of DISEASES treated.
1N-DooR
1872-73.
Number of Cases.
P e r c e n t a g e o f r e c o v e r i e s .
p e r c e n t a g e o f d e a t h s .
Eruptive fevers
...
...
...
...
664
90.36
9.63
Continued do.
...
...
...
...
630
98.41
1.58
Malarious do.
. . .
. . .
...
... 3,033
93.80
6.19
Malignant Cholera
...
...
...
...
9 9
4 5 . 4 5
5 4 . 5 4
Other diseases of this class...
...
...
...
70
92.85
7.14
Rheumatic affections
...
...
...
...
788
98.35
1.64
Syphilis
. . .
...
...
. . . 935 98.07
1.92
Scurvy ...
...
. . .
...
...
174
91.95
8.04
Dropsies
...
...
...
...
...
116
67.24
32.75
Other diseases of this class
...
...
...
968
79.44
20.55
Diseases of the Nervous System
. . .
...
...
483
78.88
21.12
Insanity
...
...
...
...
...
158
96.83
3.16
Diseases of the Eye
...
...
...
...
263 100.
. . . . . .
Ditto
Heart
...
...
...
. . . 67
62.68
37.31
Ditto
Lungs
...
. . .
...
... 1,136
80.36
19.63
Diarrhœa
...
...
...
...
. . .
749
68.09 31.90
Dysentery
...
...
...
. . . ... 1,017
69.91
30•08
Other diseases of this class...
...
...
. . .
601
95.34
4.65
Diseases of the Liver
. . .
...
...
...
295
80.67
19.32
Ditto
Spleen
...
...
...
...
207
94.68
5.31
Gonorrhœa
...
...
. . .
. . . ...
289
99.65
0.34
Abscess
...
. . .
. . .
...
...
247
93.92
6.07
Dracunculus ...
...
...
...
...
118
98.30
1.69
Ulcers
...
...
. . .
...
...
911
92.20
7.79
Skin disease ...
...
. . .
...
...
526
99.61
0.38
Other diseasss of this class
. . .
...
... 1,543
91.76
8.23
Old age and debility
...
...
...
...
579
78.75
21.24
Poisons
...
. . .
. . .
...
...
509
94.89
5.10
Snakebites
...
. . .
. . .
...
...
9
88.88
11.11
Injuries and blistered feet ...
...
...
... 1,747
92.15
7.84
Punishment ...
...
. . .
...
... .....
......
.....
Surgical operations
...
...
...
... 1,744
96.84
3.15
73
in CIVIL HOSPITAL, PRESIDENCY.
PATIENTS.
OUT-DOOR PATIENTS.
1871-72.
1872-73.
1871-72.
N u m b e r o f C a s e s .
P e r c e n t a g e o f r e c o v e r i e s .
P e r c e n t a g e d e a t h .
N u m b e r o f C a s e s .
N u m b e r o f C a u s e s .
341
91.78
8.21
63
115
532
98.30
1.69
3,606
2,214
3,092
94.95
5.04
33,349
35,006
38
60.52
39.47
3 9
41
46
82.60
17.39
1,363
1,307
966
99.37.
0.62
7,106
8,103
1,067
97.
2.99
3,288
3,204
231
90.90
9.09
884
964
109
66.05
33.94
205
234
814
76.28
23.71
2,244
2,254
495
81.41
18.58
'
2,300
2,469
178
97.19
2 . 80
28
51
340
99.70
0.29
5,656
6,241
75
‫٭08‬
‫٭02‬
154
151
1,136
‫٭68‬
13.99
10,450
10,998
715
71.88
28.11
5,518
4,490
855
70.99
‫٭92‬
3,485
3,333
1,161
96.46
3.53
24,676
27,582
313
82.74
17.25
894
792
231
97.40
2 . 5 9
1,731
1,681
340
99.70
.29
2,685
3,394
287
95.47
4.53
3,441
3,792
. . . . . . .
. . . . . .
......
187
......
1,025
94.14
5.85
6,562
6,772
635
99.21
.78
20,228
25,847
1,587
93.50
6.49
13,378
12,813
471
78.76
21.23
1,729
1,016
423
9 2 . 6 7
7.32
540
640
. . . . . .
.. ...
. . . . . .
2 8
......
1,918
94.62
5.37
6,070
7, 589
1
. . . . . .
. . . . . .
. . . . . .
. . . . . .
163
92.02
7.97
1,224
98
10 MD
74
SECTION VI.
DISPENSARIES.
PRESIDENCY CIRCLE.
1.
Increase.— In the Presidency Circle there have been three new
grant-in-aid dispensaries opened during the year
—Bassein, Kelvi-Mahim, and Panwel ; and the
dispensaries at Bushire and Muscat have been
included in the returns of the circle for the
first time.
2. In-patients and Out-patients.—305 in-patients have been treat--
ed, with 44 deaths or 14.4 per cent., and 105,269 out-patients.
3. Total Treated.— Of the total treated
the number shows a decrease of 6,225 pa--
tients during the year, as compared with
1871-72.
4. If the total treated at the 5 new dispensaries be deducted, as
they must be to admit of a compari
-son being made of the attendance at
dispensaries, during the past and
previous years, the falling off in the
number of patients will be still more
serious, amounting to 15,602.
5. The whole decrease of attendance may be considered to be due
to the action of the " payment system."
6. Principal diseases and number treated.—The principal
diseases treated were as follows :—
Malarious fever . . .
22,667
Rheumatism . . .
4,067
Disease of lungs . . .
6,952
Diarrhœa . . .
4,031
Dysentery . . .
2,672
Slight affection of the stomach and bowels . . .
15,779
Skin diseases . . .
12,030
Others of this class . . .
6,845
Syphilis . . .
979
Gonorrhœa . . .
1,200 Died.
Poisons . . .
112
3
Snakebite . . .
27
2
Injuries . . .
2,720
8
Surgical operations . . .
3,080
Dispensaries.
1871-72 . . .
24
1872-73 . . .
29
Increase
5
1871-72 . . . 111,799
1872-73 . . . 105,574
Deorease
6,225
Decrease . . .
6,225
Treated at the NewDispsnsa-
ries . . .
9,377
Total 15,602
Dispensaries.
1871-72 . . .
26
1872-73 . . .
32
Increase
New Dispensaries
6
POONA CIRCLE.
7. In the Poona Circle 6 new dis
- p e n s a r i e s h a v e b e e n o p e n e d d u r i n g t h e
year, viz., Parola, Sirur, Sapur, San-
gamnair, Mudhol, and Asirghar.
75
8. In-patients and Out-patients .—329 in-patients have been treated
with 64 deaths or 19.4 per cent., and 75,777 out-patients with 272
deaths.
9. Total treated—comparison with previous
year.—The whole number treated during the
past year was larger than in the previous one
by 4,261.
10. Increase explained.—Nearly the whole of this increase may be
assigned to the additional dispensaries which have been at work dur
-
ing the year, and not to a general increase of attendance.
11.
Progress arrested—The progress of the dispensaries in this
Circle has received a check from the operation of the payment system.
12. Principal diseases and number treated.—The principal diseases
have been as follow with the number of cases:—
Malarious fever . . .
14,740
Rheumatism . . .
2,877 Died.
Disease of Nervous System . . .
1,738 18
Do. of the eye . . .
4,393
Do. of the lungs . . .
3,555
Diarrhœa . . .
2,300 13
Dysentery . . .
1,458 27
Slight affections of the stomach and bowels. 12,232
Guinea-worm . . .
406
Diseases of the skin . . .
10,838
Others of this class . . .
5,509
Poisons . . .
470
2
Snakebite . . .
18
Injuries . . .
2,658 15
Operations . . .
1,146
NORTHERN CIRCLE.
13. There has been no change in the
number of dispensaries in the Northern Cir
-
cle during the year.
14. 1n-patients and Out-patients .—1,272 in-patients have been
treated during the year with 123 deaths or 9.6 per cent. and 115,429
out-patients.
15. Total treated. — T h e r e h a s b e e n a c o n s i d e r a b l e f a l l i n g o f f i n t h e
aggregate number treated
during the past year, as
compared with 1871-72,
when the payment rules
were not in force.
Total Treated
1871-72 . . . 71,845
1872-73 . . . 76,106
Dispensaries
1871-72 . . .
20
1872-73 . . .
20
Large falling off in
attendance during the
past year.
Total Treated
1871-72
1,34.600
1872-73
1,16,701
The subject examined.
Decrease 17,699
76
16. In the Kaira Zillah Dispensaries.— The Civil Surgeon, Khaira,
reporting on the six dispensaries in the Kaira Zillah states:—"The
attendance at the different dispensaries appears to depend almost
entirely on whether payment system is in force or not; where it is in
force the number of patients daily does not exceed a dozen as a rule,
while, where medicines are given free of charge, the number may rise
to 40 or 50."
17. As a rule there is but little trouble taken by the members of
the Dispensary Committee, either individually or collectively, to su
-
p e r v i s e t h e w o r k i n g o f t h e d i s p e n s a r y , a s r e q u i r e d b y t h e r u l e s ; a n d
thus the working of the institution comes to be left almost entirely in
the hands of the Hospital Assistant in charge.
18. At Kupperwunj the members of the committee are beginning
to take an interest in the dispensary, and have appointed certain
m e m -
b e r s o r v i s i t o r s . I t w o u l d b e w e l l i f a s i m i l a r p l a n w e r e f o l l o w e d i n
all the dispensaries.
19. And in the Ahmadabad Zillah Dispensaries.— The Civil Sur
-
geon of Ahmadabad reporting on the eight dispensaries in the Ahma
-
d a b a d Z i l l a h , g i v e s t h e f o l l o w i n g t a b l e , e x p l a n a t o r y o f a d m i s s i o n s a n d
daily attendance:—
T o w n s a n d D i s p e n s a r i e s .
P o p u l a t i o n
T o t a l a d m i s s i o n s f o r t h e y e a r 1 8 7 2 - 7 3 .
A v e r a g e d a i l y a t t e n d a n c e .
R a t i o p e r c e n t . o f a d m i s s i o n s t o p o p u l a t i o n .
R a t i o p e r c e n t . o f a v e r a g e d a i l y a t t e n d a n c e t o p o p u l a t i o n .
Hutteesing
. . .
A h m a - d a b a d .
7 , 3 7 1
66.6
Baichardass . . .
116,873 9,532
80.6
26.5
0.27
Raipore . . .
14,021 173.9
Sanand . . .
7,226
1,871 ,
24.8
25.9
0.34
Veerumgaum . . .
19,661
2,637
18.8
13.4
0.10
Prantej . . .
8,083
3,024
1 8 . 3 6
37.4
0.23
Dholka . . .
19,516
6,133
90.3
31.4
0. 46
Dhundooka . . .
9.396
1, 967
19.9
20.9
0.21
Dhollera . . .
10,480 4,597
33.6
43.9
0.32
20. The largest attendance relatively is at Dhollera, where nearly
half of the community appears to have been treated.
21. Verumgaum shows the smallest percentage of attendance; no
doubt this is mainly due to the payment rule, the admissions for the
past official year being less by half than in 1871-72.
77
22. The payment rule was in force in 3 of the local funds and in
1 of the Municipal dispensaries for 8 months of the official year, hav--
ing been introduced at the beginning of June, and discontinued at the
end of January.
23. The marginal table
shows the number of admis--
sions in each of these insti--
tutions for the past and
previous years, as well as
the total realizations from
fees.
24. There can be no
doubt that the decline in
attendance shown in the
Veraumgaum, Prantej, and
Sanand dispensaries is
mainly due to the unpopularity of payment, as it has rallied consider--
ably since the rule was discontinued.
25. At Dhunduka, although the fees recovered were insignificant
in amount, the attendance actually increased over 1871-72.
26. This, however, was solely due to the personal character of the
hospital assistant who has held charge since November, as contrasted
with the disesteem in which his predecessor was held, payment being
quite as much objected to at Dhunduka, as it is elsewhere.
27. No fees whatever were realized at Prantej, the Assistant
stating in explanation that the rich only had been called upon but
that they left rather than pay.
28. Principal diseases and number treated.— The principal di--
seases and number treated were:—
Deaths.
M a l a r i o u s f e v e r . . .
22,601
Rheumatism . . .
4,101
S y p h i l i s . . .
1,772
Diseases of nervous system . . .
2,449
9
Do. eye . . .
6,502
D o . l u n g s . . .
5,333
15
2,726
24
Diarrhœa . . .
Dysentery . . .
2,145
17
Slight afflictions of stomach and bowels . . .
12,012
Gonorrhœa . . .
1,404
Abscess . . .
4,785
Ulcer. . .
5,781
Disease of the skin . . .
24,921
Others of this class . . .
9,091
Towns and
Dispensaries.
Admissions.
Realized Fees.
1872-73.
1 8 7 1 - 7 2 .
R s . a. p.
Sanand . . .
1,871
3,191
45
0
6
Prantej . . .
3,024
4,077
. . .
. . .
. . .
Dhundooka . . .
1,967
1,877
5 13 0
Verumgaum . . .
2,637
5,596
94
9 9
Total . . .
9,499
14,741
144
7 3
78
Deaths.
Poisons . . .
392
3
Snakebite . . .
33
4
Injuries . . . 2,973
23
Operations . . .
2,321
4
SIND DISPENSARIES.
29. Sind Circle Dispensaries.— There has been no change in the
number of dispensaries during the year.
30. There has
been an increase
in the number of
in-patients of 47
compared with
the previous year,
whilst there has
been an increase of
15,451 in the num
- b e r o f o u t - p a t i e n t s .
31. Mortality excessive.—There is no account given of the morta
- l i t y o f t h e s e l a s t , b u t t h e D e p u t y S u r g e o n G e n e r a l s t a t e s i n h i s r e p o r t ,
that there is abundant evidence from the returns of the several Col
- l e c t o r s a n d t h e P o l i t i c a l A g e n t , T h a r a n d P a r k a r , t h a t i t h a s b e e n
excessive during the past year.
32. Fatal Diseases.— The principal casualties amongst the in-pati
- e n t s w e r e m a l a r i o u s f e v e r 2 3 , d i s e a s e o f l u n g s 3 0 , d i a r r h œ a a n d
dysentery 36, and injuries 28.
33. Surgical operations.— Surgical operations numbered 119, and
of these 99 were performed at the 3 dispensaries of Jacobabad, Sakkur,
and Allyarka Tanda—78 were cases of Lithotomy ; in the whole num
- b e r o f o p e r a t i o n s t h e r e w e r e 7 c a s u a l t i e s o r a b o u t 6 p e r c e n t .
34. Syphilis.—The Deputy Surgeon General notes that there are
a larger number of cases of syphilis at the Meerpur Buttorah Dispen
- s a r y , t h a n a t a n y o t h e r d i s p e n s a r y i n S i n d .
35. Inspection.—The inspection of the various dispensaries has
been very carefully conducted, and steps have been taken to effect
such changes in the medical charge of some of them as seemed to be
required. On the whole, the working has been equal to what has
obtained in previous years.
36. Principal diseases and the number of cases treated.— The
principal diseases and number of cases were as follow:—
Died.
Malarious fever . . .
26,403
37
Rheumatism . . .
2,978
Syphilis . . .
955
In pati ents.
Total Treated. Died. Percentage of deaths.
1872-73
1421
129
9
1871-72
1374
88
6.4
increase . . . 47
Outpatients.
1872-73
83,846
1871-72
68,395
Increase. . .15,451
79
Disease of Nervous System. . . .
Died.
1,477
13
8,721
Do. eye . . .
Do. lungs . . .
3,789
45
Diarrhœa . . .
1,737
27
Dysentery . . .
1,626
27
Other of this class . . .
7,060
Gonorrhœa . . .
912
Abscess . . .
2,224
2
Ulcers . . .
6,178
5
Disease of the skin . . .
6,104
Others of this class . . .
7,090
16
P o i s o n s . . .
352
Snakebite . . .
71
3
Injuries . . .
2,856
17
Operations . . .
749
7
Years.
Number of
Dispensaries
1868 . . .
6 9
1 8 69 . . .
84
1870. . .
92
1871-72 . . .
93
1872-73 . . .
9 8
Dispensaries 1872-73.
37. Number of Dispensaries .—The
number of dispensaries open at the close of
each of the past five years is marginally
given, and shows an increase of 39 dis-
pensaries in 1872-73, as compared with
1868, and of 15 over the previous year.
38 H ow supported.—Of the 108 dispensaries under report —
1 for Asirghar there is no fixed arrangements,
6 are supported by Native States,
1 is self-supporting,
27 are wholly supported by Government, but 14 of these
in Sind are now under process of revision,
4 have no fixed grant,
34 Government pays for salaries and contingent allowance,
35 have a fixed Government grant.
108
39.
Working of the rules of 1871.—I have carefully considered
all that has been said, by revenue officers and officers of the Medical
Department, on the subject of the working of the rules of 1871.
40. There are two main points upon which Government has asked
for a report
—
1st, the result of the inspection of dispensaries by civil
Surgeons ;
2nd, the working of the " payment system " as it is called, that
is of rules 20 to 23 of 11th November 1871.
80
41. Inspection of Dispensaries by Civil Surgeons.—On the first
point I have to report that, although the rules were not long in opera
-
tion, there was ample evidence to show, that the inspection was not
always of a kind to improve the hospital assistant or his work.
42. In theory it did seem that the civil surgeon would be the
fittest person to visit and inspect the dispensaries in his district, and
watch over and supervise the work done in them, and to give a much
n e e d e d s t i m u l u s t o t h e h o s p i t a l a s s i s t a n t s i n c h a r g e t o k e e p u p a n d
improve their medical knowledge and acquirements.
43. But to effect all this some time must be spent at the dispensary,
and as three or four hours is the usual period given to the inspection,
much can hardly be expected to come of it.
4 4 . I t i s n o t p o s s i b l e f o r a n i n t e l l i g e n t m e d i c a l o f f i c e r t o s p e n d a
few hours even, at a dispensary, without doing some good; and if such
an arrangement could be carried out economically, I should be pre
-
pared strongly to recommend it.
45. But, financially, these inspections by a civil surgeon are very
expensive, for not only had he to draw his usual pay and the pay of
any extra charge he may have held, as also the inspection fee and
travelling allowances, but the officer acting for him expected to be
paid for the work he did as well.
46. Considering the costliness of the plan, and the small amount
of good effected, I am of opinion that the result of the inspection of
dispensaries by civil surgeons was not such as to render a continuance
of the plan advisable.
47. Payment System.—The " payment system rules 20 to 23 of
November 1871 has been discussed by Deputy Surgeons General in
their reports, specially by Dr. Johnstone of the Presidency Division, who
has considered the subject with much care, and has set forth his views
at some length.
48. These rules have been every where unpopular, and their opera
-
tion has certainly reduced in a very marked way the attendance at
dispensaries. Such results might very fairly have been anticipated.
49. But beyond these immediate results, the history of the move
-
ment plainly shows that, although the intentions of Government with
respect to the poor were transparently clear, they have not been com
-
prehended, and the poor have suffered, both from their ignorance and
from the unfavourable influence of those who were affected by the
rules, and disliked them after having been accustomed to receive all
the benefits of the dispensary gratuitously.
50. If it could be possible to secure—1st, that the intentions of
Government should be carried out in their integrity neither more nor
less ; 2nd, that the members of the Dispensary Committee should zeal
-
ously concern themselves in the success of the institution, according
81
to the rules ; and 3rd, that the hospital assistants in charge should all
be men of sterling character and qualifications, then these rules, being
founded on a just principle, might have been successfully introduced.
And they certainly have tended to the advantage of some of the
pensaries financially ; in the Presidency Circle, the sum of Rs. 872-10-9
having been received principally from the sale of medicines and
from subscriptions.
51. But the experience of the year proves that generally all the
three essentials above named have been wanting, and that, in fact, at
all the dispensaries where the payment system has bee
n introduced,
there has been such a f a l l i n g o f f i n a t t e n d a n c e , a s t o m a k e i t c e r t a i n
that the poor have lost the benefits which they were especially i
n - t e n d e d t o r e t a i n , i n m u c h g r e a t e r p r o p o r t i o n t h a n t h e f u n d s o f t h e
dispensary have been improved by the fees of the well-to-do.
52. The principal points observable in the working of the pay
-meat system in the Presidency Circle are the following, stated gener
- a l l y : -
1st, a large falling off in attendance for some months ;
2 nd, a corresponding increase in the receipts made up prin
-cipally by the sale of medicines and by subscriptions ;
3rd, subsequently an improvement in the attendance ;
4th, and such a falling off in the receipts as to amount in some
cases to a practical abrogation of the rules, as at Anklesur, Bardole,
H a n s o t e , M a n d v i , a n d P e n ;
5th, in those dispensaries where there is an unusually popular
and clever sub-assistant surgeon or hospital assistant in charge, the
payment system appears to have had little influence on the pros-
perity of the institution, as exemplified by the numbers who seek
relief.
53. It would scarcely be wise to decide the question as to the
working of the rules of 1871 from the experience of one or two dis-
pensaries in the charge of exceptionally good men ; but, on looking at
the whole subject, the history of the system in the Northern and
Poona Circles, as well as the Presidency, it is certain that the rules
have been very generally misunderstood, and are unpopular, whilst
financially they have not been successful.
54. As marked instances of this last statement, the dispensary of
Mahoodah in the Northern Circle, may be mentioned, in which the
attendance, during eight months of the payment system, was less by
5,043 compared with the same period of the previous year ; whilst
the receipts were only Rs. 25-9-7 ; and in the Poona Circle Rs. 294-14-0
was the sum received, the rules having been in operation in some of
11 M D