NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 52 )
as attentive, conduct good, but progress in their professional studies slow
and unsatisfactory, which bears out the opinion already expressed by me
in my letter transmitting this report regarding medical subordinates
generally.
RAE BARELI SADR DISPENSARY.
Remaining under treatment on the 1st of January ... ...
In-door Patients admitted ... ... ... ...
Oat-door Patients admitted ... ... ... ...
Total ...
1874.
63
404
8,658
9,125
1875.
61
409
10,151
10,621
Relieved and cured
In-door Patients ... ... ...
Out-door Patients ... ... ...
Ceased to attend ... ... ... ... ...
Died
Remaining
In-door patients ... ... ...
Out-door ... ... ... ...
In-door Patients ... ... ...
Out-door Patients ... ... ...
Total ...
346
8,248
444
29
......
26
35
9,125
347
9,718
467
34
......
22
33
10,621
Daily attendance of In-door Patients ... ... ...
Ditto
ditto
Out-door Patients ... ... ...
Total ...
29.72
45.79
75.51
29.67
44
73.67
Surgical operations.
Surgical operations
Capital ... ... ... ...
Minor ... ... ... ...
Total
19
427
416
16
451
467
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ... ... ...
European subscriptions ... ... ... ...
Native
ditto ... ... ... ... ...
Government allowances ... ... ... ...
Other sources ... ... ... ... ...
Total ...
Rs.
3,486
462
1,830
1,296
400
7,474
As.
10
0
4
0
0
14
P.
1
0
0
0
0
1
Rs.
3,997
396
2,657
1,296
As.
9
4
15
0
P.
5
6
4
0
......
8,347 13 3
Disbursements
DISBURSEMENTS.
Establishment ... ... ... ... ...
Dieting In-door Patients ... ... ... ...
Europe Medicines ... ... ... ...
Bazaar Medicines ... ... ... ...
Contingencies ... ... ... ... ...
Total ...
Cost of dieting each In-door Patient ... ... ...
1,776
852
36
285
526
3,477
0
0
5
12
14
4
4
1
0
1
0
8
11
8
3⅔
1,777
831
43
322
1,153
4,127
0
4
6
4
8
3
9
1
0
5
0
3
2
10
2⅓
JÁIS BRANCH DIS-
PENSARY.
228. This 3rd class Branch Dispensary, which was opened on the
12th September last in the Rae Bareli district, consists of a small
thatched hut formerly used as a thanah. This answers the purpose as a
temporary arrangement, but is not adapted for the treatment of in-door
patients, though a few mild cases were admitted.
229. Third Class Hospital Assistant Muzhurus Subhan, in charge
of the dispensary, is favourably reported on by the Civil Surgeon.
The
natives generally eagerly resort to the hospital as shown from the
number who have availed themselves of it since its institution, namely
11 in-door and 1,592 out-door patients.
The chief admissions
were for skin diseases 431, abdominal diseases 199, and chest
complaints 166. 11 in-door and 1,491 out-door patients were either
cured or relieved, 64 ceased to attend, and only one is reported to
have died ; thirty-six. remained at the close of the year. The daily
average of in-door attendance was 0.39 and of out patients 58.88 out of
a total of 59.27 ; one capital and 65 minor surgical operations are re-
( 53 )
corded. The financial state of the institution is satisfactory, the expendi-
ture being Rs. 466-7-2 less than the receipts, although the items under
bazaar medicines and contingencies are high.
230. On the whole I am well satisfied with the working of the
institution under its present disadvantages, and trust I shall be able to
submit a more favourable report for the current year.
JÁIS BRANCH DISPENSARY.
Remaining under treatment on the 1st of January ... ... ... ...
In-door Patients admitted ... ... ... ... ... ...
Out-door Patients admitted ... ... ... ... ... ...
Total ... ...
1875.
......
11
1,592
1,603
Relieved and cured
In-door Patients ... ... ... ... ...
Out-door Patients ... ... ... ... ...
Ceased to attend ... ... ... ... ... ... ...
Died
...Out-door Patients ... ... ... ... ...
Remaining
...Out-door Patients
... ... ... ... ...
Total ... ...
11
1,491
64
1
36
1,603
Daily attendance of In-door Patients ... ... ... ... ...
Ditto
ditto
Out-door Patients ... ... ... ... ...
Total ... ...
.39
58.88
59.27
Surgical operations.
Surgical operations
Capital ... ... ... ... ... ...
Minor ... ... ... ... ... ...
Total ... ...
1
65
66
Receipts.
Receipts.
Balance in hand on 1st January ... ... ... ... ... ...
European Subscriptions ... ... ... ... ... ... ...
Native
ditto ... ... ... ... ... ...
Government Allowances ... ... ... ... ... ...
Other Sources ... ... ... ... ... ... ...
Total ... ...
Rs. a. p.
......
......
658
52
0
13
0
1
......
710 13 1
Disbursements.
DISBURSEMENTS.
Establishment
...
...
...
...
...
...
...
...
Europe Medicines ... ... ... ... ... ... ... ...
Bazaar Medicines ... ... ... ... ... ... ... ...
Contingencies ... ... ... ... ... ... ... ...
Total ... ...
142 5 11
Accounts not rendered.
28
42
244
11
7
5
0
0
11
DALMAU BRANCH
DISPENSARY.
231. This branch dispensary only consists at present of a small
room, rented for the purpose in the serai, and although it is unable to
afford accommodation for the treatment of in-door patients, it is the means
of providing a considerable amount of out-door relief.
232. The institution is supported by local funds, Government con-
tributing half the salary of the hospital assistant.
233. I regret to state that the Civil Surgeon has paid but little
attention apparently to this portion of his charge, as there are no records
forthcoming of his ever having visited it, but this was most probably
owing to his failing health. Seeing that there has been but little check
on the working of this branch, I am sceptical as to the correctness of the
figures recording the numbers of patients attending, and of operations
performed, the aggregate of which appears unusually high.
234. The number of persons who presented themselves for treat-
ment is stated as 2,195, of these 1,045 were relieved, 1,131 ceaed to attend,
( 54 )
only one is reported to have died. There remained at the close of the year
18. The daily average attendance in recorded as 24.77. This is very
creditable for so recent an institution if the figures are reliable. Amongst
the chief causes of sickness which came under treatment were fevers
446, skin diseases 374, abdominal complaints 332, and rheumatism 212.
235.
Seven capital surgical operations are said to have been
performed and all consisted of paracentesis abdominis, three of which were
successful, and the results of four are unknown. There were eighty-five
of minor degree, results not recorded.
236. With regard to the financial state of the institution it is satis-
factory to find the expenditure far below the actual annual receipts
i.e., Rs. 280-3-4, against Rs. 712-0-3. The items under bazaar medicines
and contingencies have been unusually high, and an explanation has there-
fore been asked for and has formed the subject of a separate correspon-
dence.
237. Ever since the dispensary has been opened, it has been under
the charge of Third Class Hospital Assistant Luchmee Pershad, who was
reported on favorably by the late Civil Surgeon, Dr. Cameron.
DALMAU BRANCH DISPENSARY.
Remaining under treatment on the 1st of January ... ... ...
Out-door Patients admitted ... ... ... ... ... ...
Total
...
...
1875.
......
2,195
2,195
Relieved and cured, ... ... ... ... ... ... ...
Ceased to attend ... ... ... ... ... ... ... ...
Died, ... ... ... ... ... ... ... ...
Remaining, ... ... ... ... ... ... ... ...
Total ... ...
1,045
1,131
1
18
2,105
Daily average attendance of Patients ... ... ... ... ... ...
Total ... ...
24.77
24.77
Surgical operations
Surgical operations.
Capital ... ... ... ... ... ...
Minor ... ... ... ... ... ...
Total ... ...
7
85
92
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ... ... ... ... ...
European Subscription ... ... ... ... ... ... ...
Native
ditto ... ... ... ... ... ... ...
Government Allowances ... ... ... ... ... ... ... ...
Other Sources
...
...
...
...
...
...
...
...
Total
...
...
Rs. As. P.
......
......
658
54
0
0
0
3
......
712 0 3
Disbursements.
DISBURSEMENTS.
Establishment. ... ... ... ... ... ... ... ...
Europe Medicines ... ... ... ... ... ... ... ...
Bazaar Medicines ... ... ... ... ... ... ... ...
Contingencies ... ... ... ... ... ... ... ...
Total
...
...
150 10 3
Accounts not rendered
34
86
280
3
5
3
0
4
4
PARTABGARH SADR
DISPENSARY.
238. In my report for 1874 I gave an account of this building, and
it now remains for me to state that in every respect the hospital is com-
( 55 )
plete, and that the following accommodation has been added during the
year 1875 :—
1.—Out-offices to Assistant Surgeon's quarters.
2.—Out-offices for all the Hospital servants.
3.—A separate building for contagious disease.
The ground on which these buildings are situated has been formally
made ours, the proprietor receiving an equivalent elsewhere.
239. With the exception of a few tiles requiring relaying no other
repairs were required ; the whole of the wards were whitewashed twice
during the year.
240. The latrines have been kept in good order, and are freely
used by the sick, the refuse being buried in shallow trenches on ground
requiring manure.
241. The cook-house is used for the preparation of hospital diets,
but there are some castes who prefer to cook their own diet.
242. In the dispensary compound there is a good pakka well with
a sufficient supply of water, which is considered of good quality.
243. Arrangements have been made at the wells for patients to
bathe, a place having been partitioned off for the females ; this is freely used
in the hot weather. There is an ablution room attached to the hospital
building but it is seldom used, patients preferring to wash outside.
244. The daily average sick in-door patients during 1875 has been
18.87 and out-door 29.66, and the total number of new patients admit-
ted 299 and out-door patients 9,169: in the latter there has been a
decrease of 557 from that of the preceding year ; this decrease, I believe,
was owing to the year being a prosperous one, the harvest was very good
and food-stuffs cheap, so that there was a marked absence of diseases
caused by privation.
245. Cholera in an epidemic form visited the district in February
1875 and while Dr. Hart was out in camp, making some enquiries about
cattle disease at the request of the Commissioner, he came across several
cases in the vicinity of his camp. There were 40 cases attended to as out-
patients, and of this number 14 died, of four cases treated as in patients,
three recovered, and one died, while in the district the disease caused the
deaths of 869 persons.
246. Small-pox has been in the district throughout the year, and
caused the deaths of 852 persons ; there were only two cases admitted
into hospital, one died and one recovered; 11 cases of measles were treated,
six out and five in patients and all recovered.
247. The following capital operations were performed during the
year :—
( 56 )
By Civil Surgeon.
Removal of calculi 1 male 1 female, both recovered.
Ditto
tumours
Reduction of fracture
Turning of vectis
2 ...
1 ...
1 ...
Amputation of upper extremity 1
Paracentesis abdominis
Ligature of artery
1 ...
1 ...
Total
2 recovered.
1 „
1 died.
1 recovered.
1 recovered.
1 remaining.
9,
7 recovered, 1 died,
1 remaining.
By Assistant Surgeon.
Removal of calculi ...
Ditto tumour ...
Reduction of fracture ...
Amputation of upper extremity
Reduction of dislocation ...
Paracentesis abdominis ...
Total ...
5 ...
1 ...
2
...
1 ...
1 ...
2
...
12 ...
5 recovered.
1 „
2 „
1 „
1 „
1 relieved, 1 died,
10 recovered, 1 re-
lieved, 1 died.
Total 21 capital operations with two deaths. Most of these opera-
tions were interesting in themselves, but there is nothing in a surgical
point of view to call for special remarks regarding them. The 361 minor
operations performed during the year were of the usual kind, consisting
of extraction of teeth, opening boils, abscesses, and cathertism, &c.
248. The subscriptions were rather more than in 1874, while the ex-
penditure was less, and although the expenditure, Rs. 4,697-2-7, slightly
exceeded the year's income, Rs. 4,341-6-8, the financial condition may be
said to be good.
249. Third Grade Assistant Surgeon Abinash Chunder Gupto has
been attached to this dispensary since the 24th of April 1872, and he has
not only maintained his former good character both as to conduct and
efficiency, but has made great advances as a skilful surgeon.
250. Native medical pupil Bhugwan Dass is a willing and well
behaved lad, and has made fair progress in his pre-collegiate studies.
251. This institution was inspected by me on the 15th September
1875. I found the books, instruments, medicines, and records all carefully
kept and in good order. The circular sheets and circular orders Indian
Medical Department are complete and bound up to end of 1874.
( 57 )
PARTABGARH SADR DISPENSARY.
Remaining
under treatment on the 1st of January ... ...
In-door Patients admitted ... ... ... ...
Out-door Patients admitted ... ... ... ...
Total ...
Relieved and cured
In-door Patients ... ... ...
Out-door Patients ... ... ...
Ceased to attend ... ... ... ... ...
Died
...
Remaining
...
In-door Patients ... ... ...
Out-door Patients ... ... ...
In-door Patients ... ... ...
Out-door Patients ... ... ...
Total ...
Daily attendance of In-door Patients ... ... ...
Do.
ditto
Outdoor Patients ... ... ...
Total ...
1874.
49
278
9,726
10,053
213
9,264
502
13
1
25
35
10,053
18.72
28.77
47.49
1875.
60
299
9,169
9,528
252
8,402
812
14
14
16
18
9,528
18.87
29.66
48.53
Surgical operations.
Surgical operations
Capital ... ... ... ...
Minor ... ... ... ...
Total ..
28
302
330
21
361
382
Receipts.
RECEIPTS
Balance in hand on 1st January ... ... ... ...
European Subscriptions ... ... ... ... ...
Native
ditto ... ... ... ... ...
Donation for a new Dispensary ... ... ... ...
Government Allowances ... ... ... ... ...
Other sources ... ... ... ... ...
Total ...
Rs.
1,405
224
1,108
421
1,296
2,500
6,955
As.
11
0
4
7
0
0
7
P.
6
0
0
9
0
0
3
Rs.
1,500
250
1,151
As.
11
1
10
P.
11
3
6
......
1,296
1,639
5,841
0
15
6
0
0
8
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ... ...
Dieting In-door Patients ... ... ... ... ...
Pay of Assistant Surgeon and Compounder ... ... ...
Europe Medicines ... ... ... ... ...
Bazaar Medicines ... ... ... ... ...
Contingencies ... ... ... ... ... ...
Total ...
Cost of dieting each In-door Patient
330
428
1,296
0
5
0
0
9
0
395
344
1,296
14
14
0
8
1
0
Accounts not rendered
93
3,306
5,454
0
11
10
11
1
0
7
4
0
89
2,571
4,697
0
0
5
2
0
0
10
7
9
PATTI BRANCH
DISPENSARY.
252. Dr. Hart reports as follows :—" The same hut has been in
" occupation during the year, it required the usual annual repairs ; a new
" building has been sanctioned for this branch and will be erected during
"the year.1876-77.
" The water from a pakka well near the hut is good and abun-
" dant.
" 1,811 new out patients were treated at this branch dispensary,
" being a steady increase over previous years. Fevers gave rise to the
" most admissions, and 46 cases of cholera were treated by the Hospital
"Assistant, nine only terminating fatally.
" 128 minor operations were performed during the year.
"The income from local rate fund amounted to Rs. 615-7-8, and
" the expenditure was the same.
" I visited this branch dispensary twice during the year, and on
" each occasion I found a good attendance ; the medicines and instruments
" were in good order, and the books brought up to date. Third Class Hos-
( 58 )
" pital Assistant Ramzán Alí is a very good man, his professional abilities
" are good, and he is very popular with the inhabitants ; although he can
" read and write English and speak it fairly, he has not that confidence in
" himself to appear before me for his English examination."
PATTI BRANCH DISPENSARY.
Remaining under treatment on the 1st of January ...
Out-door Patients admitted ... ... ... ...
Total ...
Relieved and cured, ... ... ... ... ...
Ceased to attend ... ... ... ... ...
Died, ... ... ... ... ... ...
Remaining, ... ... ... ... ... ...
Total ...
Daily average attendance of Patients ... ... ...
Total ...
1874.
7
1,557
1,564
1,422
128
5
9
l,564
11.18
11.18
1875.
9
1,811
1,820
1,648
146
17
9
1,820
14.59
14.59
Surgical operations
Surgical operations
Capital ... ... ... ...
Minor ... ... ... ...
Total ...
...
134
134
...
128
128
Receipts.
RECElPTS.
Balance in hand on 1st January ... ... ... ...
European Subscriptions ... ... ... ... ...
Native
ditto ... ... ... ... ...
Government Allowances ... ... ... ...
Other Sources ... ... ... ... ...
Total ...
Rs. As. P.
...
...
...
648 14 2
...
618 14 2
Rs. As. P.
...
...
...
615 7 8
...
615 7 8
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ... ...
Pay of Hospital Assistant ... ... ... ...
Europe Medicines ... ... ... ...
Bazaar Medicines ... ... ... ...
Contingencies ... ... ... ...
Total ...
189
240
78
51
88
648
0
0
14
15
15
14
0
0
6
10
10
2
204
240
59
59
52
615
0
0
14
7
2
7
0
0
0
8
0
8
KUNDA BRANCH
DISPENSARY
253. Dr. Hart reports as follows :—" The temporary structure
"erected in 1874 has been in use throughout the year; it has answered
" the purpose of a dispensary fairly, the new hospital will be finished this
"month (February), when there will be quarters provided for the Hos-
"pital Assistant and the servants attached to the dispensary.
" 2,334 patients were treated as new cases during the year ; of this
" number only 431 were cases of fever; the attendance at the hospital
" is on the increase, and there were 78 minor operations performed by
" the Hospital Assistant, almost double that of 1874.
"The receipts from local rate fund amounted to Rs. 680-7-11, and
" the expenditure was the same.
" 1 visited this branch dispensary twice during the year and found
" medicines and instruments in good order and books up to date. Jehan-
" geer Khan's conduct has been good and his professional abilities fair."
( 59 )
KUNDA BRANCH DISPENSARY.
Remaining under treatment on the 1st of January
Out-door Patients admitted ... ... ... ...
Total ...
Relieved and cured, ... ... ... ... ...
Ceased to attend ... ... ... ... ...
Died, ... ... ... ... ... ...
Remaining, ... ... ... ... ... ...
Total ...
Daily average attendance of Patients ... ... ...
Total ...
1874.
...
2,166
2,166
2,123
26
4
13
2,166
912
912
1875.
13
2,334
2,347
2,232
98
3
14
2,347
18.25
18.25
Surgical operations.
Surgical operations
Capital ... ... ... ...
Minor ... ... ... ...
Total ...
...
47
47
...
78
78
Receipts
RECEIPTS.
Balance in hand on 1st January ... ... ... ...
European Subscriptions ... ... ... ...
Native
ditto. ... ... ... ...
Government Allowances ... ... ... ...
Other Sources ... ... ... ... ... ...
Total ...
Rs. As. P.
...
..
...
624 6 6
...
624 6 6
Rs. As. P.
...
...
...
680 7 11
...
680 7 11
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ... ...
Pay of Hospital Assistant ... ... ... ...
Europe Medicines ... ... ... ... ...
Bazaar Medicines ... ... ... ... ...
Contingencies ... ... ... ... ...
Total ...
192
240
78
60
53
624
0
0
14
0
7
6
0
0 6
6
6
6
204
300
59
74
44
680
0
0
14
13
12
7
0
0
0
3
8
11
SULTANPUR SADR
DISPENSARY.
254. This dispensary was inspected by me on the 16th September
1875. The buildings and the nature of the accommodation were de-
scribed in last year's report. No additions or alterations were made during
the year.
255. A quantity of furniture and bedding having been purchased
during the previous year none was required during the year under report.
256. The annual supply of European medicines, hospital necessaries,
&c., was received about the middle of January, and was sufficient for the
requirements of the year. A few new instruments, including catheters,
metallic bougies, scalpels, &c, were obtained from the depôt on annual
indent.
257. The dispensary is supported partly by a Provincial grant of
the Hospital Assistant's and Compounder's salaries and of European
medicines and instruments, partly by private subscriptions supplemented
by a grant from the Local Cess Fund.
258. The balance in hand at the end of 1874 was Rs. 74-3-8.
Private subscriptions collected during the year amounted to Rs. 479.
about Rs. 30 more than in the previous year. European subscriptions
decreased by Rs. 105, while native subscriptions rose from Rs. 67 to Rs.
205. The grant from the Local Cess Fund was Rs. 106.
259. The total expenditure, excluding the cost of European medi-
cines, &c., supplied from the Medical Depôt was Rs. l,870-12-0 compared
with Rs. 1,520-15-9 in 1874. The pay of the establishment amounted to
(
60
)
Rs. 308-8-0 more than in the previous year. The increase was owing to
the entertainment of a clerk on Rs.20 a month and the appointment of
two medical pupils paid from Provincial Funds.
260. Dieting of in-door patients cost Rs. 190-7-4 compared with
Rs. 174-10-5 the year before ; the difference is due to the increase in the
number of in-door patients last year, the cost of dieting per head of in-door
patient being only 8 pie against 9 pie in 1874. The cost of bazaar medi-
cines was Rs. 102-9-5, an increase of Rs. 18 over that of 1874. Contin-
gencies cost Rs. 132-3-1 compared with Rs. 124-11-10 the year before.
261. The total number of patients treated during the year was
4,811, of whom 411 were in-door and 4,400 out-door. Compared with
the previous year these numbers show an increase of 89 in-door and a
decrease of 121 out-door patients. The number of the latter was, how-
ever, still considerably above the average of the previous five years, as
will be seen from the following statement:—
1870
...
...
...
1871
...
...
...
1872
...
...
...
1873
...
... ...
1874 ... ... ...
1875 ... ... ...
In-door patients.
331 ...
361
...
316 ...
278
...
314 ...
403 ...
Out-door patients.
4,336
4,554
3,869
3,533
4,477
4,356
It is proper to remark in connection with the attendance that there was
no Civil Surgeon in the station during three months of the year.
262. The daily average number of in-door patients was 15.36.
263. One in patient was a Eurasian, 74 were Musalmans, and 336
Hindús.
264. A number of cases of leprosy were treated with Gurjun oil,
some of them successfully.
265. Of the 4,400 out-door patients treated, 3,438 were cured or
relieved, the result in 935 cases was unknown, two patients only are known
to have died, and 55 remained under treatment on the 31st of December.
266. The number of surgical operations performed during the year
was 362. Of these 22 are classed as major and 340 minor operations.
Compared with 1874 the major operations were one less in number, the
minor 16 more. The major operations included the removal of four non-
malignant tumours (one of them a very large tumour of the female
breast weighing 10 pounds), the removal of three epithelial cancers, two
operations for stone in the bladder, two operations for cicatrices, three
tappings for ascites, setting and management of compound fractures, &c.
267. These operations were all successful except one case of fracture
of the pelvis, in which suppuration took place around the seat of injury,
and a case of a aseites in which death was not due to the operation but to
the original disease.
The minor operations comprehended, as usual,
opening of abscesses, drawing teeth, tapping of hydrocele, circumcision
for phymosis, &c. &c. Most of the major operations were performed by