19th April 1861
I certify that I have given Medical attendance on W. Chapman from 3 April to the date of his Voyage from Hong Kong to England, and have treated him for Paralysis of left side. The Manner in which he has progressed slowly, I commend him to leave.
Crowthe
14440
178
M.R.C.S. (presumably a medical qualification, though the expansion is not directly provided in the snippet)
E.
I
Fun State
Crowthe
14440
178
19th Aferel 1861
I certify that I Ma
Medical attendance on
M
R$
in
W. Chapman from. & James
186). Fill 3 April to th
Voyage from ban thong to England, and
and from Ration of his Complant Paralysis of left side" aux The Manner in which he he,
progreped shout
Il commend him lean
V
DE
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