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for Harper's Ferry there is some need of Officers at the other points but with present needs they cannot be supplied. An Effort has been made to contract with local Physicians [of] at these replaced [Daudville] [Witheville] & others it could be effected in all of them at a moderate rate. But they cannot take the required oath.
Witheville
There has been no medical officer on duty at this place or within the District. The necessity for one has not been pressing up to the present time. It is very likely it may become a necessity soon as no arrangements can be made there with Physicians as they cannot take the oath.
Gordonville
A medical officer has just been ordered to Gordonville for duty. A Hospital will be immediately established with fifty beds which is now needed there. The surgeon in charge of it will take care of [Senators] & [Camp] the hospital buildings are ready at this place. 
Bed frames and hospital & medical [] on their way.
Cases absolutely requiring hospital attendance will be sent there for the present from Charlottesville.

Transcription Notes:
Names and locations are hard to decipher.