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

Brig Genl O. Brown
Assist. Commr. Bureau R.F. & A.L. Dist Va

General,
I have the honor to present the report which follows of the Sanitary condition of freedmen in the District of Vaginia during and at the close of the month of September 1868. viz:
Number of freedmen remaining under treatment Augt 31st    1626.
Number of freedmen received under treatment in Sept       4099.
Total number under charge in - Sept                         5725
Number discharged in Sept -                               4348
Number died in Sept -                                      104
Remaining under treatment Sept 30th -                     1273
A decrease as compared with Augt 31st of -                 347.
Orphan Asylums
Number of Orphans in the two asylums Augt 31st              82.
Number of Orphans received in September -                   18
Total number under charge in September -                   100
Discharged during the month of September -                   6
Died during the month of September                           1
Total loss during the month of September                     7.