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Bureau R.F. and A. Lands Dist Va
Office Surgeon in Chief Dist. 
Richmond Va. May 1st 1868

Brig Genl O. Brown
Asst Commr Bureau &c
Dist Va

General
I have the honor to present the report which follows, of the Sanitary condition of freedmen under charge of the Bureau R.F. & A Lands Dist Va during, and at the close, of the month of April 1868.
But two hospitals are in operation in the Dist of Va - at Richmond, and Hampton - no change in the number having occurred since the last report.
At the close of March there were in these Hospitals five hundred and six two (562) patients. On Apl 30th the number remaining was five hundred and seventy nine (579). The number of Sick & Wounded in Hospitals and Quarters under Medical care in the District March 31st was 1052

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