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Nineteenth century patient records for the King’s County Infirmary, consisting of one extern patient register used to record outpatients and three registers of patients to record patients admitted to the hospital. Patients who wished to seek treatment from the county infirmary as either an intern or extern patient had to present the institution with a ticket of referral. These tickets were managed by the governors or local landlords who paid an annual subscription to the infirmary. If a patient could not secure a ticket they paid the infirmary for their treatment. The hospital also allowed the presiding surgeon to make decisions regarding the treatment of patients in cases of emergency.