Box RG009-S01-B07 - (Oversized) Book of Forms, 1914-1915.


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(Oversized) Book of Forms, 1914-1915.



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Book containing examples of all business, medical, and dental forms and labels used in Barnes and its affiliated hospitals during the years 1914-1915.  Prices are included.  These forms were produced for the hospitals by Geo. D. Barnard & Co., Hoellmich Bros. and Nixon-Jones office supply houses. Forms in ledger include: Barnes Hospital agreement to furnish supplies; ambulance daily report; anesthesia chart; application for employment; baby record; blood and urine chart; certificate of release; clothing tag; complaint slip; critical condition notice; daily menu report form; daily request for food supplies; death notice; dental record; department of clinical pathology chart; diet list; dining room card; general ledger; head nurses daily report of dining room orders issues; labor record; metabolism chart; narcosis form; nurse time sheet; nursery record; operating room daily report; pathological report on sputum, stool, and stomach; patient census slip; patient chart; pay roll; pharmacy daily report; pregnancy record; puerperium record; purchase record; requisite for photographic exam; supply ordering form; supply requisition; telephone record; urinary chart; vestibular test chart; visitor permit; wage receipt; ward laundry; and x-ray card. Also included are Children’s Hospital patient chart and Washington University Training School for Nurses patient form.

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Preferred Citation:

Item description, Reference Code, Bernard Becker Medical Library Archives, Washington University in St. Louis.

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