At the Lower Ward clinic beside the warm-water hall, Issen Thal keeps the midyear count file beside a slate schedule with a blank space where the second night healer should be. The two details are easy to miss in a summary: one is a line in a ledger, the other is the condition that decides whether the line is useful.
Issen Thal is the night physician at the lower clinic. On this deep winter visit, the work begins with the night roster, medicine cupboard log and referral slips; only after the entry is checked can the crew say what the rule asks of the people below.
9 unfilled clinic hours were entered this cycle, compared with 12 in the prior file. The figure is one part of a longer handoff. Runa Ash checked the night roster, medicine cupboard log and referral slips against the field notes. The method is to separate available stock from stock that can reach a patient in time; it confirms the entries, but not every interpretation attached to them.
The office counts a filled post when a substitute is named; patients count the hours between the first call and an arrival. The current record does not settle that disagreement. Residents closest to the work describe the difference as a route, a wait or a shift that cannot be moved on a slate. Their accounts have been attached to the docket rather than folded into the total.
The clerk has matched the claim to its source register and named the missing record. The entry belongs to the midyear count file at the Lower Ward clinic beside the warm-water hall. The health table will compare roster gaps with arrival times for the same nights. The next visit will show whether the revision travels beyond the office that wrote it.
