NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
OFFICE OF THE SURGEON-GENERAL
WITH THE GOVERNMENT OF MADRAS,
OOTACAMUND. 24th June 1884.
No. O/179.
From
W. R. CORNISH, ESQ., F.R.C.S., C.I.E.,
Surgeon-General with the Government of Madras,
To
THE HONORABLE E. F. WEBSTER,
Chief Secretary to Government,
Judicial Department.
SIR,
I HAVE the honor to forward, for the information of the Right Honorable the
Governor in Council, the reports on the lunatic asylums of this Presidency for the
official year ending 31st March 1884.
2. As pointed out in previous reports, there is a steady increase in the demand
for asylum accommodation, due in part to the accumulation of criminal lunatics,
and in part to greater activity of the police in arresting wandering lunatics. The
Madras asylum, in regard to certain classes of patients, and especially of criminal
lunatics, will require increased accommodation, while Government have already
approved of additions to the Calicut asylum, which during the past year has been
inconveniently overcrowded.
3. GENERAL RESULTS.—The number of lunatics of all classes remaining in
asylums on 31st March 1883 was 434, the numbers admitted during 1883-84
were 218, the total of all classes treated was 652. Of these were discharged cured
98, 37 civil lunatics were discharged or transferred to the care of friends, 26
died (2 criminal and 24 civil); and the number remaining under treatment at the
end of the year was 493, or 59 in excess of the number remaining in the previous
year.
4. It will be observed that the number of insane, both of the civil and criminal
classes, shows a tendency to increase. The three asylums at present afford accom-
modation for nearly 600 patients of all classes, and Government have already
sanctioned an enlargement of the accommodation at Calicut and an increased
provision for criminal lunatics in Madras. Fortunately, the lands in connection
with the several asylums afford the means of greatly extending buildings, as they
may be required from time to time, without danger of overcrowding or making
the asylums unhealthy.
5. The daily average of lunatics present in the asylums during the year was
475 against 424 in the previous year.
6. The past year has been one of the most satisfactory on record both in
regard to the proportion of recoveries to admissions, and in the low rates of
mortality. In the former year there had been a tendency to scurvy in the Madras
asylum, but with attention to diet this passed off, and the general physical con-
dition of the insanes much improved. The Superintendent of the Calicut asylum
notices that many of the people who come into the asylum bear evidence of
privation, and that the regular food and life in the asylum soon produces an
amendment in their physical and mental condition. The following table shows the
4
ANNUAL REPORT ON LUNATIC ASYLUMS.
proportion of recoveries to admissions, and of deaths to average daily strength
for a series of years :—
Years.
l877-78
...
...
...
...
...
1878-79
...
...
...
...
...
1879-80
...
...
...
...
...
1880-81
...
...
...
...
...
1881-82
...
...
...
...
...
1882-83
...
...
...
...
...
1883-84
...
...
...
...
...
Percentage of
recoveries to
admissions.
64.66
46.02
41.86
41.20
37.71
30.00
44.95
Percentage
of deaths to
daily average
strength.
22.86
21.73
13.45
12.81
9.02
10.14
5.05
7. Criminal Lunatics.—Thirty-six criminal lunatics were received during the
year (33 males and 3 females). The number discharged was 19 (males 15,
females 4): 2 died, leaving the number at the end of the year 102—males 89,
females 13. The criminal lunatics are steadily increasing from year to year, as
shown in the following table :—
Years.
1880-81 ... ...
1881-82 ... ...
1882-83 ... ...
1883-84 ... ...
Admitted.
Males.
32
25
38
33
Females.
1
3
5
3
Total.
33
28
43
36
Total treated.
Males.
84
81
101
106
Females.
8
10
15
17
Total.
92
91
116
123
Discharged.
Males.
19
14
24
15
Females.
1
...
1
4
Total.
20
14
25
19
Died.
Males.
9
4
4
2
Females.
...
...
...
...
Total.
9
4
4
2
Remaining.
Males.
56
63
73
89
Females.
7
10
14
13
Total.
63
73
87
102
8. The distribution of the criminal lunatics in the three asylums is shown in
the following abstract:—
Asylums.
Madras ... ...
Waltair
...
...
Calicut ... ...
Total ...
Remained.
Males.
50
11
12
73
Females.
12
...
2
14
Total.
62
11
14
87
Admitted.
Males.
24
4
5
33
Females.
2
...
1
3
Total.
26
4
6
36
Total treated.
Males.
74
15
17
106
Females.
14
...
3
17
Total.
88
15
20
123
Discharged.
Males.
14
...
1
15
Females.
4
...
...
4
Total.
18
...
1
19
Died.
Males.
2
...
...
2
Females.
...
...
...
...
Total.
2
...
...
2
Remaining.
Males.
58
15
16
89
Females.
10
...
3
13
Total.
68
15
19
102
9. The admissions from the civil population have been nearly identical in
numbers with those of the former year, viz., 218 against 220 in 1882-83. Of these
170 were males and 48 females. There have been comparatively few admissions
in the past year of Europeans from the army.
The following table shows the numbers received from the several classes of
the population :—
Caste.
Europeans and East Indians...
Hindus ... ... ... ...
Mahomedans ... ... ...
Native Christians... ...
Other castes ... ... ...
Total ...
Males.
17
103
23
13
14
170
Females.
3
25
11
9
...
48
Total.
20
128
34
22
14
218
10. The following table classifies the ages of patients on admission. It seems
that the largest numbers are admitted during adult life—between the ages of 20
and 40.
ANNUAL REPORT ON LUNATIC ASYLUMS.
5
Age.
Under 20 years
...
...
20 to 40 years
...
...
40 to 60 years ... ...
Upwards of 60 years ...
Sex.
Males... ...
Females... ...
Males... ...
Females... ...
Males... ...
Females... ...
Males... ...
Females... ...
Total admissions ...
Admitted.
9
7
108
48
31
14
1
...
218
Ratio per cent.
to total
admissions.
7.33
71.56
20.64
0.45
...
11. The proportion of recoveries to total treated for the various forms of
insanity is shown in the following abstract: —
Acute mania ... ... ... ... ... ...
Chronic do. ... ... ... ... ... ...
Acute dementia ... ... ... ... ... ...
Chronic do. ... ... ... ... ... ...
Melancholia ... ... ... ... ... ...
21.42
10.70
15.38
3.33
15.62
12. The proximate causes of insanity are never ascertained in this country
with any great precision. Frequently nothing is known of the friends of the insane
who could give a clear account of their antecedent history. There is no doubt,
however, that the abuse of narcotics is a common cause of insanity. The causes
alleged to have produced insanity have been recorded in the following instances, as
stated :—
Physical causes.
Narcotic drugs ... ... ... ...
Hereditary ... ... ... ...
Congenital ... ... ... ...
Epilepsy ... ... ... ...
Intemperance... ... ... ...
Starvation... ... ... ...
Other causes... ... ... ...
Puerperal... ... ... ...
Fever
... ... ... ... ...
Concussion... ... ... ...
Blow on the head ... ... ... ...
Sunstroke... ... ... ...
Privation... ... ... ...
Syphilitic... ... ... ...
Fall
...
...
...
...
...
Over study
...
...
...
...
Total ...
37
17
19
19
7
15
8
4
4
3
3
1
4
1
1
1
144
Moral causes.
{
Grief ... ... ... ...
Misfortune... ... ... ...
Fear
...
...
...
...
Family quarrel ... ... ... ...
Religion ... ... ... ... ...
Love and jealousy... ... ... ...
Domestic trouble... ... ... ...
Desertion of husband or wife ...
Infidelity... ... ... ...
Confinement in jail... ... ...
Disgrace... ... ... ...
Vicious habits ... ... ... ...
Disappointment... ... ... ...
False belief
...
...
...
...
Total ..
14
9
9
4
6
6
...
4
1
1
1
1
2
1
59
13. Mortality.—As already stated, the mortality in the Madras asylums has
been singularly low during the past year. No epidemic disease has appeared in
any of them, and there has been comparatively little bowel disease, which often
proves so fatal in the weakly and delicate. The causes of death are shown
below:—
Causes.
Phthisis pulmonalis... ... ...
Erysipelas... ... ... ... ...
Apoplexy
...
...
...
...
Dysentery ... ... ... ... ...
Diarrhœa ...
...
...
...
...
General debility ...
Males.
2
3
6
2
2
...
Females.
...
...
1
...
1
3
Total.
2
3
7
2
3
3
14. The following table shows the general results for each asylum sepa-
rately :—
2
6
ANNUAL REPORT ON LUNATIC ASYLUMS.
Asylums.
Madras ...
Vizagapatam...
Calicut ...
Total ...
Remained 31st March 1883.
Males.
221
33
63
317
Females.
84
10
23
117
Total.
305
43
86
434
Admitted during 1883-84.
Males.
116
21
33
170
Females.
34
2
12
48
Total.
150
23
45
218
Total treated.
Males.
337
54
96
487
Females.
118
12
35
165
Total.
455
66
131
652
Discharged.
Cured.
Males.
49
8
18
75
Females.
17
1
5
23
Total.
66
9
23
98
Transferred to friends.
Improved.
Males.
18
...
...
18
Females.
7
...
...
7
Total.
25
...
...
25
Not improved.
Males.
...
1
1
2
Females.
...
...
2
2
Total.
...
1
3
4
Otherwise.
Males.
4
...
...
4
Females.
2
...
2
4
Total.
6
...
2
8
Total.
Males.
71
9
19
99
Females.
26
1
9
36
Total.
97
10
28
135
Asylums.
Madras ...
Vizagapatam ...
Calicut ...
Total ...
Died.
Males.
16
...
3
19
Females.
3
2
...
5
Total.
19
2
3
24
Remaining
31st March 1884.
Males.
250
45
74
369
Females.
89
9
26
124
Total.
339
54
100
493
Daily average strength.
Males.
240.75
40.25
72.22
353.22
Females.
87.75
9.26
24.94
121.95
Total.
328.50
49.51
97.16
475.17
Daily average sick.
Males.
8.60
1.43
2.86
12.89
Females.
4.10
1.15
0.87
6.12
Total.
12.70
2.58
3.73
19.01
Percentage of
Cured to daily
average strength.
Males.
20.35
2.00
25.00
21.25
Females.
19.37
11.11
20.00
18.85
Total.
20.09
18.36
23.71
20.63
Deaths to daily
average strength.
Males.
6.64
...
4.17
5.38
Females.
3.41
22.22
...
4.09
Total.
5.78
4.08
3.03
5.05
Cured to admissions.
Males.
42.24
38.09
54.54
44.12
Females.
50.00
50.00
41.66
47.90
Total.
44.00
39.13
51.11
44.95
Deaths to admissions.
Males.
13.79
...
9.09
11.18
Females.
8.88
100.00
...
10.42
Total.
12.66
8.69
6.66
11.01
ANNUAL REPORT ON LUNATIC ASYLUMS.
9
ANNUAL MEDICAL REPORT
OF THE
LUNATIC ASYLUM, MADRAS,
FOR THE YEAR 1883-84.
I HAVE the honor to submit the report on the Government Lunatic Asylum, Madras,
for the year 1883-84.
I.—BUILDINGS.
Most of the buildings are out of repair and will be put in order during the
present year. Two bathing places, for males and females, have been built; a five¬
foot wall screens the bathers from observation and a roof shelters them. Part of
the old wall of the female enclosure fell down and was re-built. More has fallen,
and is to be rebuilt. It will be thoroughly put in order.
The quarters for Assistant Matron and two Second-class European Attendants
have been estimated for and plans have been made and approved of. These
quarters are much needed.
II.—FINANCIAL.
(a.) The average monthly cost, excluding the Superintendent's pay, for each
patient has been as follows for the last three years :—
Years.
1881-82
...
...
...
...
1882-83...
...
...
...
1883-84... ... ... ...
Europeans and
East Indians.
RS.
18
19
19
A.
9
14
6
P.
8
10
2
Natives.
RS.
9
11
11
A.
12
10
3
P.
10
7
5
(b.) Total annual cost of an insane under the various headings :—
—
Establishment... ... ...
Diet ... ... ... ...
Clothing ... ... ... ...
Bazaar medicines ... ...
Contingencies ... ... ...
Hospital miscellanies ... ...
European medicines ... ...
Total ...
1882-83.
RS.
78
92
6
*11
0
188
A.
6
3
4
4
10
12
P.
0
9
10
1
2
10
1883-84.
RS.
71
87
6
5
2
†5
0
178
A.
12
5
1
2
4
11
6
12
P.
1
9
0
10
6
7
11
8
Remarks.
*Includes bazaar medicines,
contingencies, and hospi-
tal miscellanies.
† Increase is due to the
purchase of furniture and
tell-tale clocks.
(c.) Expenditure and receipts—
—
Expenditure ... ... ...
Receipts ... ... ... ...
1882-83.
RS.
57,967
15,088
A.
14
15
P.
10
8
1883-84.
RS.
58,595
15,936
A.
7
3
P.
0
2
3
ANNUAL REPORT ON LUNATIC ASYLUMS.
11
The new system of tell-tale clocks works well and will be extended to the
female enclosure hereafter.
The washing is very bad. The dhoby receives only Rs. 20 a month for the
washing of more than 300 people.
IV.—THE PATIENTS.
(a.) Remained on the 31st March 1883—
—
Males
...
Females ...
Total ...
Grand Total ...
Europeans and
Eurasians.
51
28
79
Natives.
170
56
226
305
During the year the following were—
Admitted ... ... ... ... ... ... ...
Discharged
...
...
...
...
... ... ... ...
Died ... ... ... ... ... ... ... ...
Escaped
...
...
...
...
...
...
...
...
150
97
19
...
Total treated.—Europeans and Eurasians 72, Natives 383. The maximum
reached on any one day was 347, and the average daily strength was 328 ½.
—
Males
...
...
...
Females... ... ...
Total ...
Grand Total ...
Remained 31st March 1884.
Europeans and
Eurasians.
45
27
72
Natives.
205
62
267
339
(b.) Admissions.—Europeans and Eurasians 18, Natives 132.
Re-admissions.—Four were re-admitted within the year, and 3 had been under
treatment here before.
The admissions were—
European males—
Military
...
...
...
...
...
...
...
...
...
Civil ... ... ... ... ... ... ... ... ...
Criminal (Military) ... ... ... ... ... ... ... ...
European females ... ... ... ... ... ... ... ...
Eurasian males—
Military
...
...
...
...
... ... ... ...
Civil
...
...
...
...
...
Criminal ...
...
...
...
...
...
... ... ...
Eurasian females ... ... ... ... ... ... ... ...
Native males—
Military
...
...
...
...
...
...
...
...
...
Civil ... ... ... ... ... ... ... ...
Criminal ...
...
...
...
... ... ... ...
Native females—
Civil
...
...
...
...
... ... ...
Criminal...
...
...
...
...
...
...
...
...
3
2
1
1
1
7
...
3
7
67
24
32
2
There was a great falling off in the number of soldiers admitted.
12
ANNUAL REPORT ON LUNATIC ASYLUMS.
The large number of native admissions, raising the number of inmates to 347,
the highest number yet reached, is, I believe, due to increased energy on the part of
the police in taking up wandering lunatics.
The diseases of the European patients were as follows :—
Diseases.
Acute mania ... ... ...
Chronic mania... ... ...
Melancholia... ... ...
Observation
...
...
European males.
Military.
...
1
1
1
Civil.
2
...
...
...
Criminal.
...
...
...
1
European females.
Military.
...
...
1
...
Civil.
...
...
...
...
Criminal.
...
...
...
...
Two criminals (murderers) have been reported on as showing no signs of
insanity.
(c.) Types of insanity—
Acute mania ... ... ... ... ... ...
Chronic mania (of whom 5 were epileptics)... ... ...
Melancholia ... ... ... ... ... ...
Acute dementia ...
...
... ... ... ...
Chronic dementia ... ... ... ... ... ...
Idiotcy, congenital ... ... ... ... ... ...
Puerperal mania ... ... ... ... ... ... ...
Observation (of whom 2 were epileptics) ... ... ...
Total ...
3
97
25
1
2
1
1
20
150
(d.) Causes.—The following list, which may be relied on, shows in how few
cases the cause can be assigned with any trustworthiness.
Causes.
Physical.
Narcotic drugs... ...
Epilepsy... ... ...
Heredity... ... ...
Congenital ... ... ...
Intemperance... ... ...
Privation... ... ...
Sunstroke ... ... ...
Moral.
Misfortune ... ... ...
Religion... ... ...
Love... ... ...
Total ...
Europeans.
...
...
...
2
...
...
1
...
...
1
4
Eurasians.
...
1
1
...
...
...
...
...
1
...
3
Natives.
12
3
2
1
2
2
...
1
...
...
23
Total.
12
4
3
3
2
2
1
1
1
1
30
making a total of 30. Of the remaining 120 nothing is known.
(e.) Age—
12 patients were under 20 years of age.
103 patients were between 20 and 40 years.
35 patients were between 40 and 60 years.
(f.) Caste—
Europeans and Eurasians... ... ... ... ...
Hindus ... ... ... ... ... ...
Muhammadans ... ... ... ... ... ...
Brahmins ...
...
...
...
...
...
Native Christians ... ... ... ... ... ... ...
Other castes ... ... ... ... ... ...
17
93
16
2
16
6
ANNUAL REPORT ON LUNATIC ASYLUMS.
13
(g.) Recoveries—
Disease.
Acute mania... ... ...
Chronic mania... ... ...
Do.
dementia * ... ...
Melancholia... ... ...
Observation... ... ...
Imbecility (with epilepsy) †...
Number.
5
35
1
12
12
1
Percentage to
Admissions.
166.66
36.08
50
48
60
...
Total
treated.
20.90
12.83
2.702
21.05
35.29
...
Remarks.
* This was a case admitted as
chronic dementia during my
absence on leave.
† This case only recovered suffi-
ciently from epilepsy to allow
of her discharge to the Civil
Orphan Asylum.
Years.
1882-83
...
...
...
1883-84
...
...
...
Number.
49
66
Percentage
to total
treated.
10.74
14.505
(h.) Escapes.—Two men escaped over the hedge during my absence on leave.
They were recaptured.
(i.) Suicides.—There were no suicides during the year.
(j.) Births.—There were no births during the year.
(k.) Sickness and Mortality.—There has been an improvement in the health of
the patients this year. The asylum has most fortunately escaped the cholera and
small-pox prevalent in the town of Madras.
Of the 150 admissions, 89 were received in bad health.
Causes of death—
Pleurisy
...
...
...
...
...
...
... ...
Phthisis
... ... ... ... ... ... ... ...
Apoplexy (serous), (2 were epileptics) ... ... ... ...
Peritonitis (an epileptic cripple; cause of peritonitis unknown
as there was no post-mortem examination)... ... ...
Diarrhœa ... ... ... ... ... ...
privation (admitted in an exhausted state and died next day)...
General debility
...
...
...
...
...
...
Erysipelas (troublesome cases, knocking themselves about, and
very dirty)
...
...
...
...
...
...
...
...
Total ...
1
2
7
1
2
1
2
3
19
Of these, many were admitted in a bad state of health. Erysipelas is a common
asylum complaint.
As was noticed last year, most of the deaths were due to low wasting diseases,
to which insanes are so liable.
—
Treated in hospital ...
Died... ... ...
1881-82.
176
17
1882-83.
196
30
1883-84.
227
19
Percentage of deaths to average daily strength of those treated in hospital—
—
Strength... ...
Deaths
...
...
1881-82.
16.25
104.61
1882-83.
15
200
1883-84.
12.70
149.606
4
14
ANNUAL REPORT ON LUNATIC ASYLUMS.
Death-rate per cent. to average strength—
Europeans and Eurasians
...
... ... ... ...
Natives
(Civil)...
...
...
...
...
...
...
Do. (Criminal)
...
... ... ... ... ...
6.53
6.45
3.03
(l.) Treatment.—The treatment has consisted in giving the patients as much
liberty as possible and in occupying them. This is the third annual report written
since the open-door system has been entirely carried out. The result has justified
its introduction, as the patients are happier and quieter.
V.—OCCUPATION AND AMUSEMENT.
(a.) Occupation.—The bedding and clothing are manufactured by native men,
and are made up by Eurasian and native women with the help of two paid tailors.
Gardening and keeping the place in order afford work for many.
A printing press has been bought lately to do the asylum printing.
Some of the patients help the asylum carpenter in his work.
During the next year the asylum will probably do its own washing.
(b.) Amusement.—The asylum library is used by a few. Cricket and other
games only flourish when there are soldiers here. Some patients amuse them-
selves by making toys and fans : others have books and slates.
Once a month the patients are amused with fireworks, jugglers, &c.
At Christmas they have a treat on a larger scale, with presents; and on New
Year's day a dinner. The annual treat and dinner are paid for by subscriptions.
A pair of dissolving view lanterns and slides are coming from England.
Generally speaking, I think that the asylum staff have done their best to make
the patients happy.
VI.—THE OFFICIAL VISITORS.
Have visited the asylum monthly.
VII.—VACCINATION.
Has been performed when necessary.
I certify that the orders respecting the custody of poisonous drugs issued by
the Inspector-General, Indian Medical Department, dated 23rd January 1863, were
carefully carried out.
S. L. DOBIE, Surgeon-Major,
Superintendent, Lunatic Asylum.
MADRAS,
9th May 1884.
ANNUAL REPORT ON LUNATIC ASYLUMS.
15
ANNUAL REPORT
OF THE
LUNATIC ASYLUM, WALTAIR,
FOR THE YEAR 1883-84.
Remained ...
...
...
...
... ... ... ...
Admitted ... ... ... ... ... ... ... ...
Re-admitted... ... ... ... ... ... ... ...
Total treated... ... ... ... ... ... ... ...
Discharged cured ... ... ... ... ... ... ... ...
Discharged otherwise ... ... ... ... ... ... ...
Disease changed ... ... ... ... ... ... ... ...
Transferred... ... ... ... ... ... ... ...
Died
...
...
...
...
...
...
...
...
Remaining... ... ... ... ... ... ... ...
43
21
2
66
9
1
...
...
2
54
I HAVE the honor to submit the report for the Waltair Lunatic Asylum for the
year 1883-84.
During the year under review 56 males and 10 females were under treatment.
Of these, 35 males and 8 females remained from the previous year.
Admissions.—There were 23 admissions, including 2 re-admissions, of which
number, 21 were males and 2 females. The 2 cases of re-admission were previously
under treatment as criminal insanes. Of the males, 4 were criminals, and the
crimes committed by them are shown in the subjoined table. The criminal who
committed grievous hurt exhibited symptoms of mental alienation while under-
going his sentence in the Central Jail, Rajahmundry.
Of the 4 criminals admitted, the cause of insanity in 1 was epilepsy and the
remaining 3 unknown; of the 19 civil patients, 2 were from gunjah and the
remaining 17 unknown.
The subjoined table will show the name, age, occupation, &c., of the 4 criminal
lunatics admitted during the year :—
Name.
Borono
...
...
...
S. Kannigadu... ...
Pangimoddu... ...
P. Narasimham ... ...
Age.
YEARS.
30
30
30
37
Sex.
Male ...
Do.
...
Do. ...
Do.
...
Caste.
Hindu
Pariah
Hindu.
Do.
Occupation.
Cowherd ...
Chuckler
...
Ryot ...
Goldsmith ...
Crime.
Mischief by fire.
Murder.
Do.
Grievous hurt.
The duration of mental disease prior to admission in those admitted was—
—
Under 6 months... ...
Between 6 and 12 months...
Do.
1 and 5 years ...
Do.
5 and 10 do. ...
Over 10 years ... ...
Unknown ...
...
...
Total ...
Criminals.
Males.
...
...
1
...
...
3
4
Females.
...
...
...
...
...
...
...
Civil.
Males.
5
1
.,
1
1
9
17
Females.
...
...
...
...
...
2
2
Military.
Males.
...
...
...
...
...
...
...
Females.
...
...
...
...
....
...
...
ANNUAL REPORT ON LUNATIC ASYLUMS.
17
and a rough stone wall constructed around it. The vegetables grown are sold to
the contractor, and realized Rs. 29-9-5.
Amusement.—At Christmas and Pongul the lunatics had a treat given them
at the expense of the Superintendent, consisting of a dinner of fowl-curry and rice,
various kinds of sweetmeats, cakes and fruits, and were afterwards permitted to
amuse themselves by dancing and singing, which they enjoyed heartily.
Financial.—(a.) The average monthly cost, including the Superintendent's
allowance, for each patient has been as follows for the past three years :—
Years.
1881-82 ... ... ... ... ... ... ...
1882-83
...
...
...
...
...
... ...
1883-84
...
...
...
...
...
... ...
Natives.
RS.
13
14
12
A.
14
6
14
P.
0
9
6
(b.) Total annual cost of an insane under the various headings :—
Establishment ... ... ...
Diets ... ... ... ...
Clothing and bedding... ...
Europe medicines ... ... ...
Bazaar medicines ...
...
...
Perishables and contingencies
...
1882-83.
RS.
100
58
4
1
0
8
A.
2
7
7
11
0
4
P.
4
5
6
2
2
7
1883-84.
RS.
92
52
4
0
0
4
A.
10
10
7
14
0
2
P.
8
6
1
8
3
6
(c.) Expenditure and receipts—
—
Expenditure... ... ...
Receipts... ... ... ...
1882-83.
RS.
6,922
6,922
A.
13
13
P.
0
0
1883-84.
RS.
7,668
7,668
A.
10
10
P.
0
0
(d.) Financial statement—
—
Medical Officer's allow-
ance.
Medical Subordinates'
salary.
Servants' wages...
Dieting sick
...
...
Clothing and bedding ...
Europe medicines...
Bazaar medicines...
Perishables and contin-
gencies.
Total ...
1882-83.
RS.
600
1,800
1,605
2,338
178
67
0
331
6,922
A.
0
0
11
8
12
15
5
8
13
P.
0
0
10
8
0
2
0
4
0
1888-84.
RS.
600
2,092
1,896
2,607
220
45
0
206
7,668
A.
0
0
6
8
2
6
10
12
10
P.
0
0
8
4
6
9
0
9
0
Increase.
RS. A. P.
...
292
290
268
41
0
10
10
6
0
10
8
6
...
0 5 0
...
893 1 0
Decrease.
RS. A. P.
...
...
...
...
...
22 8 5
...
124
147
11
4
7
0
Remarks.
Owing to the increased salary
sanctioned in G.O. No. 1529,
dated 9th June 1883.
Do.
do.
Owing to increase of patients.
Do.
do.
Less stores received.
Owing to no expenditure in¬
curred on account of white¬
washing.
The whole of the civil male and female lunatics have been maintained by the
various Municipal and Local Fund Boards of the districts, and the criminals by
Government. No private-paying or military patients were admitted during the
year, and none remained over from the previous one.
Buildings.—The hospital has been furnished with iron-barred doors, and the
terrace roof replaced by a tiled one. The building was completed and handed
over for occupation in February, and at the suggestion of the Official Visitors,
the criminals were removed into it, as the cottage occupied by them had to be
vacated for repairs.
5