NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 43 )
COLONELGANJ BRANCH DISPENSARY.
Remaining under treatment on the 1st of January
In-door Patients admitted ...
...
...
...
Out-door Patients admitted ... ... ...
Total ... ...
1874.
38
50
5,430
5,518
1875.
26
34
6,216
6,276
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 ...
25
4,463
992
4
4
3
27
5,518
17
5,620
587
13
14
2
23
6,276
Daily attendance of In-door Patients ... ...
Do.
do.
Out-door Patients ... ...
Total ...
2.03
35.51
37.54
2.28
30.68
32.96
Surgical operations.
Surgical operations ...
Capital ... ... ...
Minor ... ... ...
Total
...
64
64
...
78
78
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ... ...
European Subscriptions ... ... ... ...
Native
ditto
...
...
Government Allowances ... ... ... ...
Other sources ... ... ... ... ...
Total ...
Rs. As. P.
...
...
...
804
360
l,164
0
0
0
0
0
0
Rs.
43
As.
6
P.
1
...
...
804
277
1,124
0
5
11
0
2
3
Disbursements.
DISBURSEMENTS.
Establishment ...
... ... ... ...
Dieting In-door Patients ... ... ... ...
Europe medicines ... ... ... ...
Bazaar medicines
...
...
...
...
Contingencies
...
...
...
...
...
Total ...
Cost of dieting each In-door Patient ... ...
804
33
0
10
0
8
804
24
0
14
0
10
Accounts not rendered.
75
207
1,120
0
12
2
9
0
11
4
11
7
75
220
1,124
0
11
0
11
0
10
7
3
6
NAWABGANJ BRANCH
DISPENSARY.
180. This branch dispensary was inspected by me on the 13th of
September last, during the rains, as I was anxious to make myself per-
sonally acquainted with its position and utility, and test the correctness
of the returns and the advisability of its continuing to afford in-door
relief. My visit was quite unexpected, and I was much pleased with
everything I saw, and have no reason to question the correctness of the
returns. The building is a suitable one and in good repair.
181. This is certainly one of the branch dispensaries where I
should continue to afford in-door relief. It is situated in a swampy neigh-
bourhood close to a large ganj near the banks of the Gogra and on the
main road between Gonda and Fyzabad. 85 in-door and 7,664 out-door
patients were treated during the year.
182. The operations were 69 of a minor character compared with
five in the year 1874.
183. The diseases were principally fevers, rheumatism, and goitre.
184. The financial state is as follows :—There was a balance of
Rs. 631-10-5 at the beginning of the year. The receipts were from Gov-
ernment Rs. 360, and Rs. 139-7-9 from Dispensary Funds, giving a total
of Rs. 1,131-2-2 : the expenditure balanced the receipts.
( 44 )
NAWABGANJ BRANCH DISPENSARY.
Remaining under treatment on the 1st of January
In-door Patients admitted ... ... ...
Out-door Patients admitted ... ... ...
Total ... ...
1874.
...
9
996
1,005
1875.
87
80
7,582
7,749
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
...
...
3
792
123
...
...
5
82
1,005
72
6,762
880
7
9
...
19
7,749
Daily attendance of In-door Patients ... ...
Do.
do
Out-door Patients ... ...
Total ... ...
3.8
58.9
62.7
5.74
56.4
62.4
Surgical operations.
Surgical operations ...
Capital
...
...
...
Minor ... ... ...
Total
...
...
...
5
5
...
69
69
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ...
European Subscriptions ... ... ... ...
Native
ditto ... ... ... ...
Government Allowances ... ... ... ...
Other Sources ... ... ... ... ...
Total ... ...
Rs. As. P.
...
...
...
45
804
849
0
0
0
0
0
0
Rs.
631
As.
10
P.
5
...
...
360
139
1,131
0
7
2
0
9
2
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ... ...
Dieting In-door Patients ...
...
...
...
Europe Medicines ... ... ... ...
Bazaar Medicines ... ... ... ...
Contingencies ... ... ... ... ...
Total
...
...
Cost of dieting each In-door Patient ... ...
90
3
0
15
0
0
814
72
14
14
0
8
Accounts not rendered.
10
112
217
0
6
15
5
0
10
9
8
7½
64
178
1,131
0
11
9
2
0
4
5
2
5½
BAHRAICH SADR DIS-
PENSARY.
185. I made my annual inspection of this institution, in company
with the Civil Surgeon Dr. Mulvany, on the 26th February 1876.
186. Dr. Mulvany succeeded Dr. Franklin of Bara Banki, who was
only in visiting medical charge, and entered on his duties as Civil Surgeon
on the 17th May 1875.
187. At the time of my visit there were 16 in-door patients, several
of which were important surgical cases The out-door patients' attend-
ance was that day 50.
188. Everything in connection with the dispensary with the excep-
tion of the latrine arrangements, which admit of improvement, was in
excellent order. The privies are too near the main building, and the
system of dry earth conservancy is not sufficiently attended to. In fact
the hospital, as a building, is not what could be desired for so important
and popular an institution, but as I wrote so fully on this subject last
year, and I believe it now occupies the attention of the authorities, I will
not recapitulate here.
189. The instruments were all complete and in good order, with the
exception of the electro-magnetic machine, hypodermic syringe, and a
case of eye instruments, which should be replaced.
( 45 )
190. During the past year the actual number admitted into the hos-
pital was 163, and the out-door attendance was 8,854, total 9,017, or
grand total 9,063 being in excess by 932 of 1874. Of the above 1,424
ceased to attend, result of treatment unknown, being 370 more than the
preceding year. There were 18 deaths in the Hospital, and four patients
are said to have died at their homes.
191. The daily average of in-door patients was 13.72, that of out-
door 61.73, showing a decided improvement since last report.
192. There were fewer surgical operations than in 1874. Of the
17 capital operations, 10 were performed by the Civil Surgeon, one by
Assistant Surgeon Hara Kanto Banerjee, and six by Assistant Surgeon
Nund Lall Banerjee. In 12 cases the operation was completely
successful ; in three the patient died, and in two the result was unknown.
Amongst the 192 minor operations are included reduction of dislocations
and setting fractures.
193. The principle causes of sickness which came under treatment
were as follows, in order of frequency : skin affections 1,488, fever 1,468,
abdominal affections 964, and rheumatism 589. Cholera was epidemic
throughout the district during May and June ; as many as 3,000 deaths
were reported as having occurred in less than three months. No case was
admitted into the dispensary for treatment, and the disease did not spread
in the Sadr ; there were about 50 cases only amongst the pilgrims who
were treated in tents outside the town by Assistant Surgeon Nund Lall
Banerjee in April last.
194. The financial state of the institution is satisfactory, the expendi-
ture being Rs. 79-10-7 under total receipts. The cost of dieting each
patient did not exceed as a rule 8 pies per diem.
195. The institution is under the charge of Third Grade Assistant
Surgeon Hara Kanto Banerjee, who received this his first charge of a
Dispensary from Third Grade Assistant Surgeon Nund Lall Banerjee,
transferred to Fyzabad on the 17th October last. He is reported of as
being attentive to his duties and possessing good qualifications.
196. The native medical pupils, Nadir Hossein and Khoda Bux,
have made fair progress in their studies, are attentive and their conduct
is said to be excellent.
BAHRAICH SADR DISPENSARY.
Remaining under treatment on the 1st of January ...
In-door patients admitted ... ... ...
Out-door patients admitted ... ... ...
Total ... ...
1874.
122
199
7,810
8,131
1875.
46
163
8,854
9,063
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 ... ... ...
153
6,861
1,051
17
15
31
8,131
131
7,447
1,424
18
4
11
28
9,063
( 46 )
Surgical operations.
Daily average attendance of In-door Patients ...
Do.
do.
Out-door Patients ...
Total ... ... ...
Surgical operations,
Capital ... ... ...
Minor ... ... ...
Total ... ... ...
1874.
13.50
55.19
68.96
15
349
364
1875.
13.72
61.73
75.45
17
192
209
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ... ...
European Subscriptions ... ... ... ...
Native
do. ... ... ... ...
Government Allowances ... ... ...
...
Other Sources ... ... ... ... ...
Total ... ... ...
194
79
565
1,296
151
2,286
12
0
12
0
4
12
11
0
9
0
0
11
110
107
316
1,296
708
2,538
1
0
3
0
15
4
9
0
10
0
3
10
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ... ...
Dieting In-door Patients ... ... ... ...
Europe Medicines ... ... ... ...
Bazaar Medicines ... ... ... ...
Contingencies ... ... ... ...
Total ... ... ...
Cost of dieting each In-door Patient ... ...
Rs.
1,626
270
A.
0
10
P.
0
5
Rs.
1,296
206
A.
0
1
P.
9
4
Account not rendered.
108
172
2,176
0
0
0
11
1
3
6
2
0
89
867
2,458
0
6
2
10
0
9
2
3
8
HISSAMPUR BRANCH
DISPENSARY.
197. The patients still receive medicines and medical attendance in
the same wretched mud huts, to which no out-offices are attached.
198. The daily increasing appreciation of this Branch Dispensary-
renders it necessary that it should be removed to its new locality on the
Bahraich road, about 3 miles from Hissámpur and near to Bahramghat.
The foundation of this new building has been completed, but a little extra
pressure is necessary to expedite completion as soon as possible.
199. The total number of patients admitted into Hospital since 1st
January 1875 was 70 ; two less than in 1874. Of the in-door patients 65
were more or less relieved.
Of 7,154 out-door patients 6,810 are
returned as relieved or cured, 228 ceased to attend (result of treat-
ment unknown), four died in Hospital, and 28 are recorded as having
died at their homes ; there remained at the close of the year 3 in and
89 out patients still under treatment.
200. The daily average of in-door patients was less by 1.09, and of
out-door more by 7.43 than in 1874, or in-door 2.26, out-door 61.57, as
compared with 3.35 and 54.19 in 1874.
201. There were no surgical operations of any great importance ;
293 minor were performed by First Class Hospital Assistant Shoo Rutton
Dass, who was in charge of the Dispensary, and whose conduct and qualifi-
cations are reported as good, and whose kindness and attention to the sick
have rendered the institution very popular.
( 47 )
HISSAMPUR BRANCH DISPENSARY.
Remaining under treatment on the 1st of January ...
In-door Patients admitted ... ... ...
Out-door Patients admitted ... ... ...
Total ... ...
1874.
80
72
6,237
6,389
1875.
76
70
7,081
7,227
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
... ...
66
5,914
330
1
2
3
73
6,389
65
6,810
228
4
28
3
89
7,227
Daily average attendance of In-door Patients ...
Do.
do.
Out-door Patients ...
Total ... ...
3.35
54.19
57.54
2.26
61.57
63.83
Surgical operations.
Surgical operations
Capital ... ...
Minor ... ...
Total ... ...
...
273
273
...
293
293
Receipts.
RECEIPTS.
* Excess in hand on 1st January ... ...
European subscriptions ... ... ...
Native
ditto ... ... ...
Government allowances ... ... ... ...
Other sources ... ... ... ...
Total ... ...
Rs.
As. P.
...
...
...
576 0 0
...
576 0 0
Rs.
*219
As.
5
P.
3
...
222
576
219
798
15
0
5
15
4
0
3
4
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ...
Dieting in-door Patients ... ... ...
Europe Medicines ... ... ...
Bazaar Medicines... ... ... ...
Contingencies ... ... ... ...
Total
... ...
Cost of dieting each In-door Patient ... ...
684
44
0
1
0
0
576
34
0
10
0
10
Accounts not rendered.
30
36
795
0
6
13
5
0
9
6
3
9½
31
137
798
0
3
0
15
0
7
11
4
8
BHINGA BRANCH
DISPENSARY.
202. This is a small Branch Dispensary, and owing to the want of out-
offices it is not adapted for receiving in-door patients for treatment ; the
want will be supplied by the Public Works Department, probably before
the setting in of the rains. The institution is under the charge of Third
Class Hospital Assistant Lootf Ali, who is well educated, keeps all his re-
cords in English, has a fair knowledge of his profession, and bears a good
character.
203. The total number of out-door patients who received medical at-
tendance was 2,479. Of these 2,349 were relieved or cured, 105 ceased to
attend, only 1 is reported as having died out of Hospital, and 24 remained
under treatment at the close of the year. The total number of cases
exceeded that of 1874 by 210. The daily average attendance was 25.9.
204. Seventy-five minor surgical operations were performed suc-
cessfully by the Hospital Assistant.
205. The chief causes of sickness were rheumatism, and chest and
bowel affections. 222 cases of cholera were treated in the surrounding
villages, but none in the Dispensary.
( 48 )
206. The financial state of this institution is on the whole satisfac-
tory, as the expenditure was less than the receipts by Rs. 169-10-10. The
native subscriptions amount only to Rs. 260, although the Talukdár of
Bhinga is said to subscribe Rs. 26 per mensem.
BHINGA DISPENSARY.
Remaining under treatment, on the 1st of Janaury ...
Out-door Patients admitted ... ... ...
Total ... ...
1874.
24
2,245
2,269
1875.
19
2,460
2,479
Relieved and cured ... ... ... ...
Ceased to attend ... ... ... ...
Died ... ... ... ... ...
Remaining ... ... ... ... ...
Total ... ...
2,066
180
4
19
2,269
2,349
105
1
24
2,479
Daily average attendance ... ... ...
Total ...
23.51
23.51
25.9
25.9
Surgical operations.
Surgical operations, Minor ... ... ...
Total
...
73
73
75
75
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ...
Native Subscriptions ... ...
Government
Allowances ... ...
Total ... ...
Rs. As. P.
260
576
836
0
0
0
0
0
0
Rs.
80
260
501
841
As.
6
0
0
6
P.
1
0
0
1
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ...
Bazaar Medicines ... ... ... ...
Contingencies ... ... ... ...
Total
...
...
Rs.
672
48
35
755
As
0
5
4
9
P.
0
6
5
11
Rs.
501
51
119
671
As.
0
8
2
11
P.
0
9
6
3
NANPARA BRANCH
DISPENSARY.
207. This branch dispensary is making marked improvement in the
number of attendants as out-patients, the returns showing 2,860 against
2,410 in 1874, which with the 10 cases remaining under treatment on
the 1st January 1875, give a total of 2,870. Of those 2,688 are returned
as cured or relieved, 128 ceased to attend, and 16 are reported to have
died at their homes. 38 remained on the rolls on the 31st December
1875.
208. The daily average of out-patients exceeded that of the previous
12 months by 15.35 being 31.55. There was only one minor surgical opera-
tion, which is a great falling off from 1874, when 200 cases were recorded.
An explanation has been called for. The principal causes of sickness
were rheumatism, chest and abdominal affections, and fevers.
209. Second Class Hospital Assistant Ali Buksh took over charge of
the institution from Third Class Hospital Assistant Ahmud Buksh. The
present incumbent, was not educated at any college, but has acquired know-
ledge from attention and experience in practice. His records are all kept
carefully in English, compiled by a friend of his, and all his patients seem
to be much pleased with his treatment and manner.
( 49 )
210. In the financial account the receipts were Rs. 604-6-4, being
Rs. 28-6-4 in excess of last report, but insufficient to meet the expenses of
the institution, the disbursements for the year being Rs. 677-12-1 or Rs.
73-5-9 more than the receipts. I regret however that the accounts of
this institution are not clear.
NÁNPÁRA DISPENSARY.
Remaining under treatment on the 1st of January ...
Out-door Patients admitted ... ... ...
Total
...
...
...
1874.
57
2,410
2,467
1875.
10
2,860
2,870
Relieved and cured, ... ... ...
...
Ceased to attend ... ... ... ...
Died, ... ... ... ...
Remaining, ... ... ... ...
Total ... ... ...
2.196
251
10
10
2,467
2,688
128
16
38
2,870
Do.
do.
...
...
...
...
Total ... ... ...
16.20
16.20
31.55
31.5
Surgical operations.
Surgical operations, Minor ... ... ...
Total ... ... ...
200
200
1
1
Receipts.
RECEIPTS.
Excess in hand on 1st January ... ... ...
European Subscriptions ... ... ... ...
Native
ditto ... ... ... ...
Government Allowances ... ... ... ...
Other Sources ... ... ... ... ...
Total ... ... ...
Rs. As. P.
Nil.
...
...
576 0 0
...
576 0 0
Rs.
194
As.
9
P.
8
...
78
526
195
604
0
0
0
6
0
0
0
4
Disbursements.
DISBURSEMENTS.
Establishment, ... ... ... ... ...
Europe Medicines ... ... ... ...
Bazaar Medicines ... ... ... ...
Contingencies ... ... ... ...
Total ... ... ...
672 0 0
526 0 0
Accounts not rendered.
68
30
770
2
6
9
9
11
8
52
98
677
14
13
12
6
7
1
IKAUNA BBRANCH
DISPENSARY.
211. This Branch Dispensary was established in 1873, and has ever
since been in the charge of Third Class Hospital Assistant Jan Mahomed.
He understands English and speaks the language fairly. His qualifications
are above the average of the Third class, but somehow I am inclined to
question the honesty of his returns, which show a daily average attendance
of 14.13 patients in 1874 and 15.24 in 1875, although the institution
is the smallest of all the Branch Dispensaries in the district, and when
visited by officers has appeared almost deserted.
I propose therefore to
test the correctness of the statistical records by placing another Hospital
Assistant in charge, and removing the present incumbent to another
station.
212. The total number of patients actually under treatment during
the period under review was 2,876 ; of these 2,708 are stated to have
recovered or been relieved, 152 ceased to attend, 2 died it is supposed at
their homes, and 14 still remain.
( 50 )
213. The minor surgical operations are recorded as 93.
214. The financial state of the institution appears satisfactory ; the
expenditure being less than the receipts by 11-8-2, although there were no
European subscriptions and only Rs. 78 from natives.
IKAUNA BRANCH DISPENSARY.
Remaining under treatment on the 1st of January ...
Out-door patients admitted ... ... ...
Total ... ... ...
1874.
8
2,600
2,608
1875.
10
2,866
2,876
Relieved and cured ... ... ... ...
Ceased to attend ... ... ... ...
Died ... ... ... ... ...
Remaining ... ... ... ... ...
Total ...
2,457
139
2
10
2,608
2,708
152
2
14
2,876
Daily average attendance of Patients
... ...
Total
14.13
14.13
15.24
15.24
Surgical operations.
Surgical operations, Minor ... ...
Total
115
115
93
93
Receipts.
RECEIPTS.
Balance in hand on 1st January ... ... ...
European subscriptions ... ... ... ...
Native
ditto ... ... ... ...
Government allowances ... ... ... ...
Other sources ...
... ... ...
Total ...
Rs. As. P.
...
...
286
576
0
0
0
0
...
862 0 0
Rs.
99
As.
14
P.
5
...
78
501
0
0
0
0
...
678 14 5
Disbursements.
DISBURSEMENTS.
Establishment ... ... ... ... ...
Europe Medicines ... ... ... ...
Bazaar Medicines ... ... ... ...
Contingencies ... ... ... ... ...
Total ...
672 0
0
501 0 0
Accounts not rendered.
49
40
762
9
8
1
2
5
7
40
125
667
10
11
6
6
9
3
RAE BARELI SADR
DISPENSARY 1875.
215. This dispensary is a fine building capable of containing 30
in-door patients. On the occasion of my visit in company with Doctor
Cameron, the Civil Surgeon, on the the 6th September, I was surprised
to see that the roof which was reported by me as unsafe in January
had not been attended to, and had consequently fallen in, the patients
being treated in the poor-house and adjacent buildings. Repairs are now
being executed, and I was assured by Captain Currie, the Deputy Com-
missioner, who appeared to take an interest in the institution, that he
would lose no time in putting the building in thorough repair and arrange
for a separate lunatic ward, which is much needed.
216. The out-offices attached to this institution are in fair order,
but there is great want of a dead-house which should be erected at some
little distance from the hospital.
The building at present used for
carrying on post-mortem examinations is so utterly unfitted for the
purpose, having no ventilation, with only one door, and that facing a
public foot-path, that it should be removed as soon as possible, not only
( 51 )
in consequence of its inadaptability for the purpose for which it was
intended, but also on account of its close proximity to the hospital wards.
217. No accommodation has as yet been provided for the hospital
establishment, who in consequence have to sleep in the wards.
Distinct
quarters should be found for them within the compound premises.
218. The total number of patients treated during the past twelve
months shew a slight increase on the former year, being 10,621 against
9,125 of 1874. Of these 347 in-door and 9,718 out-door patients were
relieved or cured, 467 ceased to attend, 34 died in hospital.
There
remained at the close of the year 22 in and 33 out patients. The daily
averages of in and out-door patients were much the same as in 1874,
being 29.67 and 44 against 29.72 and 45.79.
219. The number of capital operations was 16, eight of which were
performed by the Civil Surgeon, and the remainder by the Assistant
Surgeon : all were successfully performed with the exception of one case.
451 minor operations are recorded, being almost the same number as in
the preceding year.
220. The financial state of the dispensary is satisfactory, the
expenditure being much below the receipts, or Rs. 4,127-9-10 against
Rs. 8,347-13-3, a difference of Rs. 4,220-3-5.
221. The item under contingencies far exceeds that of 1874, which
is accounted for by the fact that Rs. 1,153-3-2 were paid to the Depart
ment Public Works on account of repairs, &c., to the building.
The
actual increase in the dispensary bills was only Rs. 85-1-6.
222. The unusual amount drawn for bazaar medicines, &c., has
formed the subject of enquiry, and an explanation of the cause of the
steady uniformity in the monthly expenditure, regardless of the number
of patients, has been called for.
223. The European subscriptions have decreased from 1874 by
Rs. 65-11-6, but those of the native exceeded by Rs. 827-11-4, those of
the previous year.
224. The actual balance in hand on the 31st December 1874 was
Rs. 3,997-9-5, an increase of Rs. 510-15-4 over the former close.
225. The average cost per head of dieting in-door patients was
much the same as in 1874, being Rs. 0-1-2¼ against Rs. 0-1-3⅔.
226. The Assistant Surgeon Rajcúmar Cúndú has been in me
dical charge throughout the period under review, and was reported on
favourably. This, I regret to say, I am unable to confirm inasmuch as
there has been great laxity in the supervision under the head of contin
gencies and bazaar medicines, and the reply to an explanation called for
was most unsatisfactory.
The whole subject is now under investigation
and arrangements have been made to preclude the possibility of extrava
gant expenditure or petty purloining for the future.
227. There are three native medical pupils attached to the dispensary,
Brijbasi
Lál, Nabi Bakhsh, and Baij Nath who are all reported