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FIG. XIII.

Legs-Anterior and posterior-rubber stamp diagram.

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FIG. XIV.

Head, face and neck-Anterior and Lateral-rubber stamp diagrams.

Photographic reproduction of cards composing a complete account and record of case. No. 1, guide and ledger card, Nos. II and III, items of account and history of the case. No. V, urinalysis No. VI, memoranda of visits at hospital, No. VII visit at home, Nos. VIII, IX and X, record of payments closing account.

I always carry several copies of cards, Nos. II, III, IV and V in my pocket book, one side of which I have had made to carry about 20 cards. In this way one is always provided with the facilities for bookkeeping and record taking, no matter where called. If a patient accosts you on the

street and pays you money, it is only necessary to take out card No II, record the patient's name, the date, and the amount paid. On returning to the office these cards are simply put in their proper place in the filing cabinet.

To facilitate the balancing of accounts it is necessary to have a ledger card on which the various amounts are entered in order each day. In Fig. XVII is illustrated a complete account with its records. The first card is a ledger card, which also acts as the guide card in the cabinet. A part of this ledger card stands higher than the other cards and contains the name of the patient. These are arranged in alphabetical order in the drawer. Alphabetical guides are also used to facilitate finding names.

By examining this illustration (No. XVII) it will be seen that cards No. II, No. VI, and No. XIII have been used in recording this case and in keeping this account. These cards, including the ledger card, contain all the information necessary about this patient and close the account. There is nothing about this case which necessitates a voluminous record, and this is true of a majority of our cases. When extended record is necessary or desirable cards can be multiplied indefinitely. Fig. XVIII shows an open drawer with the ledger card containing the name standing up above the ordinary cards. One day card is exposed and well illustrates the appearance of ledger, day and record cards in the cabinet.

After an account is closed the cards, as matters of bookkeeping, are of no further use excepting to show that the patient has paid his account in full. But as a record of the case they are very instructive and important. Therefore, they are removed from the drawer continuing live accounts and placed in a transfer drawer, which contains records of past cases and

incidentally shows the result of the account. In this way our regular ledger drawers never become encumbered with dead accounts. As soon as an account is paid, or otherwise settled, it is removed from the ledger drawer to the drawer containing transferred records. It is just as accessible here and does not encumber live accounts. There is never a new ledger to be opened. The ledger is always new and live, and all accounts in it are either in the process of making or are supposed to be collectable. Fig. XIX illustrates the cabinet in which live accounts are kept. There are newer forms of cabinets for this purpose which are even more desirable, but this has answered my purpose very well. However, it must not be supposed that I began the card system by using this size cabinet. My first card cabinet is illustrated in Fig. XX, and provides for about two thousand cards with a sufficient number of guides. It is undesirable to begin with too large a cabinet The needs of each one will be somewhat different, and it is far better to grow into the use of the card system than to try to adopt it all at once. When one is fully acquainted with its advantages there is no danger of returning to cumbersome books.

The form on the cards illustrated is printed with the mimeograph. 1 do this myself, and can change the form from time to time, according to necessity or caprice. Printed forms would look better and would be plainer, but they necessitate frequent trips to the printer and make it more difficult to adopt new or special forms.

(TO BE CONTINUED.)