To the trustees of the Westminster Hospital in St. James-Street, Westminster : N.B. deliver this before ten of the clock the Wednesday morning, otherwise the patient cannot be admitted.

Admissions form (circulated to local doctors by the hospital?) for referral of patients to Westminster Hospital in the 1760s. It asks people suffering from asthma and consumption to attend as out-patients and terminally ill patients not to be referred as it would use up funds and resources which could be better used on those who would get well again.