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M. B. Hartzell, a physician working in Philadelphia, Pennsylvania, maintained this memoranda and account book between 1878 and 1880. He kept notes on poisons and their antidotes, recorded patients' names, addresses, and number of physician visits, and documented charges and payments. He occasionally wrote notes about medical literature to read and what appears to be case notes and medicines prescribed. He tended wounds, abscesses, and burns, treated venereal diseases, performed gynecological and obstetrical services, and gave vaccinations, among other services.

M. B. Hartzell, a physician working in Philadelphia, Pennsylvania, maintained this memoranda and account book between 1878 and 1880. He kept notes on poisons and their antidotes, recorded patients' names, addresses, and number of physician visits, and documented charges and payments. He occasionally wrote notes about medical literature to read and what appears to be case notes and medicines prescribed. He tended wounds, abscesses, and burns, treated venereal diseases, performed gynecological and obstetrical services, and gave vaccinations, among other services.

At least two entries appear to be related to African American patients (October 9-10, 1878, and August 26-27, 1879). A blank prescription slip is laid into the volume, and notes at the end of the volume list out obstetrical cases, document children to be vaccinated, and provide recipes for prescriptions. A circular diagram is drawn on the rear paste down, with notations of calendar dates and a record of numbers for each month, possibly related to tallying medical cases for the year but further research is needed.