This account book includes patient names and fees paid for medical treatment from 1851 to 1881. The author is unknown but might be in Ohio. There is some mention of the treatment performed and reason for visit such as: childbirth, prescriptions of medicine, treatment of wounds, and even some dental work. There are 23 pages of newspaper clippings from newspapers in Ohio (the clippings are sometimes glued over the medical information). The clippings include poems and short articles, many of which are written by Thomas C. Harbaugh, a writer from Ohio. The clippings are from 1895 to 1897. Several pages have been cut-out of the volume.