Original circa 1880s Victorian trade card featuring a sepia-toned illustration of a young girl playing with a cat and ball of yarn. Below the image is the caption "My Little Kitten" and a small printed number "304".

The reverse is an extraordinary piece of medical advertising history — a promotional notice from H.C. Farquhar of Zanesville, Ohio, inviting individuals with chronic diseases to consult him at the American House hotel in Somerset, Perry County on July 12th, 1882. It warns not to discard the card and emphasizes that he is "no travelling quack," offering monthly visits throughout the year.

This is a striking combo of: