Description
Dental Ledger Odontogram Payment Record Form C. E. Sheppard Co. NYC 1920s. For credit. A faint brownish vertical smudge or stain is visible near the top right corner. This item is a vintage combination dental record and payment ledger, a pre-printed form manufactured by The C. E. Sheppard Company of New York. This side of the sheet is the financial ledger portion, designed to track patient payments and charges with printed column headers for Date, Chart Number, Time, Dr. for debit, and Cr. for credit. The form is entirely blank, with no handwritten entries, and was originally intended to be paired with an odontogram or tooth chart, which would have been present on the reverse side or a companion sheet. The printed manufacturer’s imprint reading “THE C. E. SHEPPARD CO., N. Y. B5582” places this item within the broader context of early twentieth-century professional office record-keeping, specifically for dental practices that maintained systematic patient ledgers. This type of form would have been used in a private dental office to record billing details alongside clinical treatment data, reflecting the standardized administrative practices of the era. The paper has aged to a uniform yellowish-tan tone, with a prominent vertical fold line running down the center and additional minor creases and wrinkles, particularly along the edges. The edges show some light raggedness and brittleness consistent with age and handling. Three circular punch holes are present along the right margin, indicating this sheet was stored in a binder, with some minor wear and slight tearing around the holes. A faint brownish vertical smudge or stain is visible near the top right corner. The item has been folded along its original crease and may remain folded when shipped. This blank ledger sheet is a representative example of early dental office ephemera, of interest to collectors of medical history, dental antiques, and professional office archive materials. Its clean, unused state allows for clear study of the period printing and form design, making it a useful specimen for researchers of early twentieth-century dental practice administration and record-keeping systems. PLEASE NOTE: This item may be shipped according to how it was originally folded.