In this case study of an English medical practitioner’s eighteenth century notebook from the Warwickshire area according to place names referenced in case-studies, it is possible to trace the input of a particular woman, Elizabeth Milward. Milward was clearly trained to write down recipes for a range of symptoms typical in the early modern household containing the usual range of ingredients found within a well-stocked apothecary cupboard. Milward adds to recipes written in what appears to be an earlier eighteenth century hand (possibly her fathers) alongside whom she was clearly permitted to work in the field, most likely because of a familial connection. Though she signs by the name of Milward, and ‘EM’, Elizabeth also reveals Milward is her married name, her ‘first name’ being ‘ES’. Milward’s appears to bring her own experience in dispensing remedies to cure patients. Was this an apothecary business, or a practicing physician’s notebook aided by his daughter? The addition of two charms at the end of the book suggests the latter. The evidence of Milward’s involvement in and contribution to this medical ‘business’ reveals fascinating insight into the expertise possible for a woman in late eighteenth century Britain.