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V*  vycavXavy    \  ifcVU  V , 

The  following   Order  from  tlie   \\  ur  jArp.u'uueni    is  respectfully  furnished  for  your 
information  and,  guidance, 


E.Y  OJtPE#  OF  THE  ACTING  SURGEON  GENERAL,: 


O.     If  .    CHAN  E, 

Surgeon.  J  .  S.  Army. 


WAR     DEPARTMENT, 
d  cjw-f.-i  i     Orctcrs,  F  Adjutant   General's  Office, 

No.    1  -"'.  •  Washington,  March  20,  186#, 

I.  Medical  Directors  of  Departments  will  establish  a  General  Hospital,  at  sonic  convenient  point  within  their  respccirv<>< 
Departments,  for  the  reception  and  treatment  of  sick  and  wounded  officers,  but  no  expenditures  for  the  construction  of  new  hospitals 
for  this  purpose  will  be  incurred  without  special  authority.  They  will  detail  a  Surgeon-in-Charge,  who  will  make  requisitions  upon 
the  Medical  Purveyor  for  medicines,  hospital  stores,  furniture,  &c,  according  to  the  standard  Supply  Table  of  the  -Medical  Department, 
and  will  hire  the  nurses,  cooks,  and  laundresses  required.  Hospital  Stewards  assigned  to  Officers;  General  Hospitals  will  be  paid  on 
the  regular  muster  and   pay  rolls. 

II.  On  the  recommendation  of  the  Medical  Director  of  the  Department,  a  commissioned  medical  officer  will  be  detailed  to  act 
permanently  as  Treasurer  for  each  Officers-'  General  Hospital,  who  shall  not  be  removed  without  sufficient  cause.  The  Treasurer  shall 
have  the  custody  of  the  funds  of  the  Hospital,  and  shall  perform  such  duties  in  relation  to  collecting,  disbursing,  and  accounting  for 
the  same,  and  such  other  duties  as  may  be  prescribed  by  the  Surgeon  General. 

III.  On  the  last  day  of  each  calendar  month,  and  immediately  on  leaving  the  Hospital,  by  return  fco  duty,  furlough  or  otherwise, 
each  officer  -hall  pay  to  the  Treasurer  the  sum  of  one  dollar  for  each  and  every  day  he  has  been  in  the  Hospital,  and  for  which  he  has 
not  already  paid  as  herein  provided.  When  an  officer  has  employed  a  special  attendant,  he  .-.hall  pay  thirty  cents  a  day  additional  for 
each  day  such  attendant  was  subsisted  in"the  Hospital.  Company  officers  of  volunteers,  while  in  such  Officers's  General  Hospital. 
shall  be  considered  as  "on  detached  service  without  troops."  for  the  purpose  of  drawing  their  pay  and  settling  their  indebtedness  t  > 
the  Hospital,  and  may  be  paid  on  separate  pay  accounts,  instead  of  on  the  muster  and  pay  rolls. 

IV.  When  an  officer  is  not  provided  with  money,  and  is  unable  to  obtain  it.  be  will  give  a  certificate  of  indebtedness,  in 
triplicate,  to  the  Treasurer  of  the  Hospital,  in  such  form  as  shall  be  prescribed  by  the  Surgeon  General.*  for  the  amount  due  from 
him  to  the  Hospital.  The  Treasurer  shall  immediately  forward,  for  stoppage,  two  copies  of  the  certificate  Xo  the  Chief  Paymaster 
of  the  Pay  District  in  which  the  Hospital  may  be  located,  retaining  the  remaining  copy  for  his  own  reference  and  security.  '  When 
an  officer  is  discharged  from  the  Hospital  to  return  to  a  regiment  serving  beyond  the  limits  of  the  Pay  District  in  which  such  Hospital 
is  located,  the  Treasurer  shall  forward  the  certificates  of  indebtedness  which  the  officer  may  have  given  to  the  proper  Chief  Paymaster, 
if  known  to  him;   otherwise,  to  the  Paymaster  General,  for  such  reference. 

V.  The  Chief  Paj  master  of  the  Pay  District  will  immediately  cause  the  certificates  of  indebtedness  to  be  placed  in  the  hands 
of  the  Paymaster  of  the  Hospital,  (or  of  the  regiment,  should  the  officer  have  left  the  Hospital.!  with  instructions  t*  stop  the  amount-. 
on  the  first  payment  of  the  officers  by  whom  the  certificates  were  given.  The  Paymaster  will  take  the  receipt  of  each  officer  for  the 
full  amount  of  his  pay  account,  and  transmit  the  deducted  sums  to  the  Treasurer  of  the  Hospital  to  which  they  arc  due,  who  will 
endorse  receipt  therefor  upon  the  duplicate  certificates  in  the  Paymaster's  bands,  or  furnish  duplicate  abstracts  of  receipts  signed  by 
him,  and  embracing  in  one  receipt  the  names  of  all  the  officers  on  whose  accounts  the  sums  have  been  remitted.  The  Paymaster  will 
also  forward  monthly  an  abstract  of  certificates  thus  paid  to  the  Surgeon  General. 

V  I.  Officers  of  the  Subsistence  Department  will  make  separate  abstracts  of  the  sales  to  each  Officers'  General  Hospital  during 
each  calendar  month,  and  will  re-port  the  same  to  the  Commissary  General  of  Subsistence  in  the  manner  provided  by  regulations  in 
relation  to  sales  to  officers.  Payment  for  stores  thus  purchased  of  the  Subsistence  Department  shall  be  made  by  the  Treasurer 
monthly,  and  in  cash,  when  practicable;  but  when  the  Treasurer  has  not  money  on  hand  sufficient  to  liquidate  the  entirer  indebtedness  of 
the  Hospital  f>>  the  Subsistence  Department,  he  shall  give  to  the  Commissary  accountable  for  the  stores  sold  a  certificate  of  indebtedness, 
in  duplicate,  for  the  amount  remaining  unpaid,  which  certificate  shall  be  a  valid  claim  against  the  Hospital,  and  be  paid  from  the! 
first  money-  received  thereafter  by  the  Treasurer,  and  until  pa,id  shall  be  considered  as  »  sufficient  cash  voucher  to  Lhc  Commissar 
for  the  amount  stated  therein.  When  the  Treasurer  pay.-  this  certificate  of  indebtedness  be  shall  take  the  receipt  of  the  Conimi 
for  the  amount  thus  paid  him,  and  shall  report  hi1-  action  in  this  matter  to  rhe  Commissary  General  of  Subsistence,  slatipg  tin 
and  amount  of  each  cerlilica.te  thu«  canceled,  the  name  of  the  (  (he  iiyney  th<Tefor.  Ac. 


± 


VII.  Medical  Directors  of  Armies  in  the  field,  when  nectary,  will  establish  temporary  Hospitals  in  th£  mar  of  such  armies, 
jo  be  governed  by  the  above  regulations.  Medical  Directors  of  Armies  and  of  Departments  ami  Medical  Inspectors  will  frequently 
inspect  Officers'  General  Hospitals,  and  in  addition  to  the  usual  course  of  hospital  inspection,  they  will  investigate  the  manner  in 
which  the  Treasurer  performs  his  duties,  and  promptly  report  any  neglect  on  his  part  to  the  Surgeon  General. 

VIII.  No  officer  whose  certificate  of  indebtedness  to  a  Hospital  remains  unpaid  by  him  shall  receive  pay  without  deducting 
therefrom  the  amount  of  this  indebtedness  and  leaving  it  in  the  hands  of  the  Paymaster,  who  shall  give  him  duplicate  receipts 
therefor,  one  of  which  the  officer  shall  immediately  forward  to  the  Treasurer  of  the  Hospital  for  which  the  stoppage  is  made.  A 
violation  of  this  paragraph  will  subject  the  officer  so  offending  to  court  martial  for  disobedience  of  orders. 

IX.  When  an  officer  dies  in  Hospital,  the  Treasurer  shall  immediately  ascertain  the  amount  of  his  indebtedness  to  the  Hospital. 
and  prepare  an  account  thereof  in  triplicate,  which  shall  ha  certified  to  be  correct  by  both  the  Treasurer  and  the  Surgeon-in-Charge , 
One  copy  of  this  account  shall  be  retained  by  the  Treasurer,  and  the  remaining  two  copies  be  forwarded  to  the  Second  Auditor  6f 
the  Treasury,  in  order  that,  upon  the  final  settlement  of  the  officer'-:  accounts,  the  amount  of  his  indebtedness  may  be  deducted  from 
tmv  pay  due  him,  and  remitted  to  the  Treasurer  of  the  Hospital. 


}">?    Oilier    of   th<v    Seopetary     ni'    Wa 


K.  D.  TOWNSEND, 

Assistant  Adjutant  G'enrnil, 


FORM    or    A    TRIP LIC ' AT K    R1XEIPT. 


ft 


(Officers'  gugjutal, 


.180. 


I  hereby  Certify   that   there   is  dut  from    me   to   the    Tfospital, 

For  days"  hoard  from  ., to  inclusive,     ----.$. 

/■'"/■  days1  subsistcnci    of  servant, S. 


'  TRIPLICATE.* 


/    CERTIFY   that  the  sum  of stated  above  h  the  total  amount  due  tfm   Hospital 

from remaining  to  be  accmintcd  for. 


Officer?'   Hospital,  Ttxamrcn  Hospital.