This collection consists of a journal kept by H. W. Santelle. It records the medical treatment of three patients he attended from 1863-1864. He notes their rank, age, regiment, company, injury, and battle where the injury was sustained. Each soldiers' health and treatment are documented, and the journal includes a post mortem examination report. The three soldiers were: Clarance L. Coulter, a twenty-four year old corporal in Company G, 123 New York Volunteers; Thomas Ruffin, a thirty-seven year old colonel in the 1st North Carolina Cavalry; and N. P. Bush, a twenty-nine year old private in the 1st Massachusetts Cavalry, Company F. Also included in the journal are prescriptions for various problems including coughs, toothaches, upset stomach, small pox, diarrhea, and scarlet fever. The end of the journal contains information such as unidentified farm work accounting and genealogy for an individual identified as David Hazard.