NOTE.-Discharges on Surgeon's certificate, and deaths occurring among those of the command not on sick report, will be also reported, but separated from the others by a double line drawn across the page. The remarks will in each case specify the manner in which the disease originated, when it is known.

Date of death.

Remarks.

Form 16.

Return of the Medical Officers of the Regular Army, Volunteer Corps, and Militia, including Physicians employed under contract, serving in Department No. - for the Month of

185

No.

Names.

Rank.

Post or station.

With what troops
serving.

Surgeon.

NOTE.--The names will be arranged in the following order: 1st. Medical Officers of the Regular Army; 2d. Those of Volunteer Corps and
Militia; 3d. Private Physicians. In the column of "Remarks" will be noted all changes in the position of Medical Officers and Private Physi-
cians, whether on duty or on leave of absence; giving the number, date, and source of the order directing or authorizing such change, the time
of the departure of the officers from their posts, and the date of their return to duty. If to a new post, its position must be indicated by refer-
ence to some known point, as miles north from — river, town, or post-office. The remarks opposite the names of Private Physicians
will state, in addition to the above, the name and rank of the party making the contract, the date thereof, the monthly compensation, and the
date of their discharge from service.

The Medical Directors will require from the Medical Officers and Private Physicians in their respective Departments, monthly reports to
enable them to make out and transmit this Return to the Surgeon-General.

that for the consideration hereafter mentioned, the said Dr. promises and agrees to perform the duties of a medical offi

cer, agreeably to the Army Regulations, at (and to furnish the necessary medicines). And the said promises and agrees, on behalf of the United States, to pay, or cause to be paid, to the said Dr. the sum of dollars for each and every month he shall continue to perform the services above stated, which shall be his full compensation, and in lieu of all allowances and emoluments whatsoever (except that for medicines furnished, which shall be at the rate of — per cent. on his monthly pay, to be determined by the Surgeon-General). This contract to continue till determined by the said doctor, or the commanding officer for the time being, or the Surgeon-General.

Signed, sealed, and delivered

in presence of

}

[SEAL.]

[SEAL.]

I certify that the number of persons entitled to medical attendance,

agreeably to regulations, at

is

physician can be obtained at a lower rate.

and that no competent

Commanding Officer.