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4  Richmond Va  AA Surg E.H. Smith USA
Monthly Expenses of Med Department
Compensation six (6) Medical Officers at $100 each  600.00
Compensation of thirty three (33) Attendants & Employees  470.00
Total monthly expenses of the Med Department  1070.00

Sick & Wounded
Number remaining under treatment Sept 30th  1273
Number received under treatment Oct  2390
Number under charge in Oct  4163
Number discharged in Oct  3093
Number died in Oct  72
Loss  in Oct  3165
Remaining under care Oct 31st  998

Orphan Asylums
The two (2) Orphan Asylums under the care of the Bureau Dist Va are in fact wards of Howard Grove Hospital at Richmond.
Number of orphans in the Asylums Sept 30th  93
Number of orphans received in Asylums in Oct  10
Number under care in Oct  103
Number discharged in Oct  21