1280. He will enforce the proper hospital regulations to promote health and prevent contagion, by ventilated and not crowded rooms, scrupulous cleanliness, frequent changes of bedding, linen, &c.

1281. He will require the steward to take due care of the hospital stores and supplies; to enter in a book, daily (Form 6), the issues to the ward-masters, cooks, and nurses; to prepare the provision returns, and receive and distribute the rations.

1282. He will require the ward-master to take charge of the effects of the patients; to register them in a book (Form 7); to have them numbered and labelled with the patient's name, rank, and company; to receive from the steward the furniture, bedding, cooking-utensils, etc., for use, and keep a record of them (Form 8), and how distributed to the wards and kitchens; and once a week to take an inventory of the articles in use, and report to him any loss or damage to them, and to return to the steward such as are not required for use.

1283. The cooks and nurses are under the orders of the steward; he is responsible for the cleanliness of the wards and kitchens, patients and attendants, and all articles in use. He will ascertain who are present at sunrise, and sunset, and tattoo, and report absentees.

1284. At surgeon's call the sick then in the companies will be conducted to the hospital by the first sergeants, who will each hand to the surgeon, in his company-book, a list of all the sick of the company, on which the surgeon shall state who are to remain or go into hospital; who are to return to quarters as sick or convalescent; what duties the convalescents in quarters are capable of; what cases are feigned; and any other information in regard to the sick of the company he may have to communicate to the company commander.

1285. Soldiers in hospital, patients, or attendants, except stewards, shall be mustered on the rolls of their company, if it be present at the post.

1286. When a soldier in hospital is detached from his company so as not to be mustered with it for pay, his company commander shall certify and send to the hospital his descriptive list, and account of pay and clothing, containing all necessary information relating to his accounts with the United States, on which the surgeon shall enter all payments, stoppages, and issues of clothing to him in hospital. When he leaves the hospital, the medical officer shall certify and remit his descriptive list, showing the state of his accounts. If he is discharged from the service in hospital, the surgeon shall make out his final statements for pay and clothing. If he dies in hospital, the surgeon shall take charge of his effects, and make the reports required in the general regulations concerning soldiers who die absent from their companies.

1287. Patients in hospital are, if possible, to leave their arms and accoutrements with their companies, and in no case to take ammunition into the hospital.

1288. When a patient is transferred from one hospital to another, the medical officer shall send with him an account of his case, and the treatment.

1289. The regulations for the service of hospitals apply, as far as practicable, to the medical service in the field.

1290. The senior medical officer of each hospital, post, regiment, or detachment, will keep the following records, and deliver them to his successor; a register of patients (Form 9); a prescription book (Form 10); a diet book (Form 10); a case book; a meteorological register (Form 11); copies of his requisitions, annual returns, and quarterly reports of sick and wounded; and an order and letter-book, in which will be transcribed all orders and letters relating to his duties. 1291. He will make up the muster and pay rolls of the medical cadets, hospital steward, female nurses, and matrons, and of all soldiers in hospital, sick or on duty, detached from their companies, on the forms furnished from the Adjutant-General's office, and according to the directions expressed on them.

1292. He will make the rolls of the cooks and nurses for extraduty pay, which will be paid by the paymaster, in the absence of a medical disbursing officer, as in other cases of expenditures for the medical department (Form 12).

1293. The senior medical officer will select the cooks, nurses, and matrons (and, at posts where there is no hospital steward appointed by the Secretary of War, a soldier to act as steward), with the approval of the commanding officer. Cooks and nurses will be taken from the privates, and will be exempt from other duty, but shall attend the parades for muster and weekly inspections of their companies at the post, unless specially excused by the commanding officer.

1294. Ordinarily, hospital attendants are allowed as follows: to a General Hospital, one steward, one nurse as ward-master, one nurse to ten patients, one matron to twenty, and one cook to thirty; to a hospital where the command exceeds five companies, one steward and ward-master, one cook, two matrons, and four nurses; to a post or garrison of one company, one steward and ward-master, one nurse, one cook, and one matron; and for every two companies more, one nurse; at arsenals where the number of enlisted men is not less than fourteen, one matron is allowed. The allowance of hospital attendants for troops in the field will be, for one company, one steward, one nurse, and one cook; for each additional company, one nurse; and for commands of over five companies, one additional cook.

1295. Medical officers, where on duty, will attend the officers and enlisted men, and the servants and laundresses authorized by law; and at stations where other medical attendance cannot be procured, and on marches, the hired men of the army, and the families of officers and soldiers. Medicines will be dispensed to the families of officers and soldiers, and to all persons entitled to medical attendance; hospital stores to enlisted men.

1296. Medical officers, in giving certificates of disability (Form 13), are to take particular care in all cases that have not been under their charge; and especially in epilepsy, convulsions, chronic rheumatism, derangement of the urinary organs, ophthalmia, ulcers, or any obscure disease liable to be feigned or purposely produced; and in no case shall such certificate be given until after sufficient time and examination to detect any attempt at deception.

1297. In passing a recruit the medical officer is to examine him. stripped; to see that he has free use of all his limbs; that his chest is ample; that his hearing, vision, and speech are perfect; that he has no tumors, or ulcerated or extensively cicatrised legs; no rupture or chronic cutaneous affection; that he has not received any contusion, or wound of the head, that may impair his faculties; that he is not a drunkard; is not subject to convulsions; and has no infectious disorder, nor any other that may unfit him for military service.

1298. Medical officers attending recruiting rendezvous will keep a record (Form 14) of all the recruits examined by them. Books for this purpose will be procured by application to the SurgeonGeneral, to whom they will be returned when filled.

1299. As soon as a recruit joins any regiment or station, he shall be examined by the medical officer, and vaccinated when it is required.

1300. The senior medical officer of each hospital, post, regiment, or detachment, will make monthly to the medical director, and quarterly to the Surgeon-General, a report of sick and wounded, and of deaths, and of certificates for discharge for disability (Form 15), and transmit to him monthly a copy of the meteorological register (Form 11), and a copy of the "statement of the hospital fund" (Form 19).

1301. After surgeon's call, he will make a morning report of the sick to the commanding officer (Form 16).

1302. Every medical officer will report to the Surgeon-General and to the medical director the date when he arrives at a station, or when he leaves it, and his orders in the case, and at the end of each month whenever not at his station, whether on service or on leave of absence, and when on leave of absence his post-office address for the next month.

1303. The medical director will make to the Surgeon-General a monthly return of the medical officers of the command (Form 17), and a consolidated monthly report of the sick and wounded (Form 15) from the several reports made to him.

1304. When it is necessary to employ a private physician as medical officer, the commanding officer may do it by written contract, conditioned as in Form 18, at a stated compensation not to exceed $50 a month when the number of officers and men, with authorized servants and laundresses, is 100 or more; $40 when it is from 50 to 100, and $30 when it is under 50,

1305. But when he is required to abandon his own business, and give his whole time to the public service, the contract may be not to exceed $80 a month; and not to exceed $100, besides transportation in kind, to be furnished by the Quartermaster's Department, where he is required to accompany troops on marches or transports. But a private physician will not be employed to accompany troops on marches or transports, except by orders from the War Department, or in particular and urgent cases by the order of the officer directing the movement, when a particular statement of the circumstances which make it necessary will be appended to the contract.

1306. And when a private physician is required to furnish medicines, he will be allowed, besides the stipulated pay, from 25 to 50 per cent. on it, to be determined by the Surgeon-General.

1307. In all cases, a duplicate of the contract will be transmitted forthwith by the commanding officer to the Surgeon-General, and the commanding officer for the time being will at once discontinue it, whenever the necessity for it ceases, or the Surgeon-General may so direct.

1308. The physician's account of pay due must be sent to the Surgeon-General for payment, vouched by the certificate of the commanding officer that it is correct and agreeable to contract, and that the services have been duly rendered. But when it cannot conveniently be submitted to the Surgeon-General from the frontier or the field, it may be paid on the order of the commanding officer, not to exceed the regulated amount, by a medical disbursing officer, or a quartermaster.

1309. When medical attendance is required by officers or enlisted men on service, or for the authorized servants of such officers, and the attendance of a medical officer cannot be had, the officer, or, if there be no officer, then the enlisted man, may employ a private physician and a just account therefor will be paid by the medical bureau.

1310. The account will set out the name of the patient, the date of and charge for each visit and for medicines. The physician will make a certificate to the account in case of an officer, or affidavit in the case of an enlisted man, that the account is correct, and the charges are the customary charges of the place.

1311. The officer will make his certificate, or the enlisted man his affidavit, to the correctness of the account, that he was on service at the place, and stating the circumstances preventing him from receiving the services of a medical officer.

1312. When the charge is against an officer, he will pay the account if practicable, and transmit it to the medical bureau for reimbursement; in all other cases the account will be transmitted to the medical bureau for settlement.

1313. If the charge is against a deceased officer or enlisted man, the physician will make the affidavit, before required, to the account, and that he has been paid no part of it.

1314. No charges for consultation fees will be paid by the medi

cal bureau, nor will any account for medical attendance or medicines be paid, if the officer or enlisted man be not on service.

1315. A board of not less than three medical officers will be appointed from time to time by the Secretary of War, to examine applicants for appointment of assistant-surgeons, and assistant-surgeons for promotion. And no one shall be so appointed or promoted until so examined and found qualified.

1316. The board will scrutinize rigidly the moral habits, professional acquirements, and physical qualifications of the candidates, and report favorably, either for appointment or promotion, in no case admitting of a reasonable doubt.

1317. The Secretary of War will designate the applicants to be examined for appointment of assistant-surgeon. They must be between 21 and 28 years of age. The board will report their respective merits in the several branches of the examination, and their relative merit from the whole; agreeably whereto, if vacancies happen within two years thereafter, they will receive appointments and take rank in the medical corps.

1318. When an assistant-surgeon has served five years, he is subject to be examined for promotion. If he decline the examination, or be found not qualified by moral habits or professional acquirements, he ceases to be a medical officer of the army.

1319. An applicant for appointment failing at one examination, may be allowed a second, after two years; but never a third.

1320. Medical Cadets will be selected, from among the applicants who have been examined and approved by a Medical Board, by the Surgeon-General, who will assign them to duty at such places and in such numbers as the service may require. These candidates will be enlisted for the full term, by the Surgeon-General, or by a medical officer of the army authorized by him, who will at once cause to be administered to the Cadet the following oath :

I, appointed a in the army of the United States, do solemnly swear, or affirm, that I will bear true allegiance to the United States of America, and that I will serve them honestly and faithfully against all their enemies or opposers whatsoever; and observe and obey the orders of the President of the United States, and the orders of the officers appointed over me, according to the rules and articles for the government of the armies of the United States.

Sworn to and subscribed before me, at 186

this day of Justice of the Peace.

1321. Medical Cadets will have the rank and pay of the Cadets at the Military Academy, and be under the direction and control of medical officers alone. They will be entitled each to one room as quarters, and fuel therefor, as allowed a Sergeant-Major, and will take choice next after Brevet Second Lieutenants in the selection of quarters. Transportation will be allowed them as in cases of paymasters' clerks.