I hereby certify that I have attended Mr. B. C. S. La C. Jammal from the 14th of August 1960, to the present date, for severe attacks of ague, and congestion of the Liver and spleen, diseases produced by his residence in China and although much benefited by the active treatment he has undergone, I am fully persuaded his health is not sufficiently re-established, to justify his return to the tropical climes. I would therefore strongly advise a delay until the fall of the year on the ground that his arrival would be at a more healthy season, and his Constitution fortified in the interval by prosecution of that treatment, which of late has improved his sanitary condition.
I feel it my duty to add that the repeated attacks of Ague that Mr. Jammal has been subject to, have damaged his constitution and I am confident that a premature return to the clime that engendered his maladies, could not fail to be productive of very serious Consequences, and I fully concur in the opinion I have expressed that it is doubtful whether he ever will enjoy health in China.
January 20, 1916
State Perkins
V and I at the end appear to be extraneous marks or unrelated content and are not included in the reconstructed text as they do not form part of the coherent medical certificate. Similarly, the initial A, вишит, bescens, Mal, and other initial fragments are not incorporated as they seem to be OCR artifacts or unrelated text not belonging to the main document.
A
вишит
bescens any portion of Salung during
Renal.
Mal
advise a
225
If the undemquex tereby certify that I have attended In Forth of fate from th 1960, to the present date, for August 14 severe attacks of age, and congestion of the Liver and spleen, diseases produced by his residence China and althé much henefited by the stive treatment he has im
depone, I am fully persuaded his health is not sufficiently tablishes, to justify his return to the ropical clinds, I would therefore strongly
delay until the fall of the
-year o the
ground flat his arrival would at a more healthy season, and his Com- stitution fortified in the interio; by prosecution of that treatment, which las of late improvere his sanatory condition_
feel it
to add that the repeated attocks of Agullic in Forth has been subject to, have damaged his com stitution and I an
confident For premature a return to the clime that Engendered his maladies, could not fail to be productive of very serious Consequences, and I fully concur in _ the opinion & peper bis 5r have that it is doubtful whether he men will Enjoy health in China
my
duty
réter
Jannel. January 2016/ Mr. B. C. S.&.LA.C.
Jammal State Perkins
I
V
E
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