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==The Situation by the 1870s==
General Order 550 of 1868 introduced some changes to the organisation of the Subordinate Medical Department and a revised and enhanced scale of pay and pensions. This appears to have been re-released in March 1869, no 1798 20 March 1868 ( should be 1869?) to state it also applied to Apothecaries and Assistant Apothecaries employed in the Civil Department. The main change was that the grade of Hospital Steward in the Bengal and Bombay Presidencies was abolished and replaced by the system in place in the Madras Presidency, where the purveying duties were undertaken by the Commissariat Department through Hospital Purveyors. The grade of second Apothecary at Madras was also abolished, the members being merged in that of Apothecary. Refer to the “Notes” below for full details.<ref> [http://books.google.com.au/books?id=jRUTAAAAYAAJ&pg=RA3-PA36 "Supreme Government Orders 1869"], page 36 from ''The Punjab Record or Reference Book for Civil Officers Volume 4 1869'' Google Books</ref> Some of the revised scales are set out in the following books by William Cornish.
The following information is from a book published in 1870 and relates to Madras. However, it would be expected that conditions would be much the same throughout India. By this time the course at Medical College (at least in Madras and Bombay) had been extended to three years, but there was still a two year period before college, when there were examinations every six months.
