Bill of health

A bill of health is a document issued by the consul or the public authorities of the port which a ship sails from, descriptive of the health of the port at the time of the vessel’s clearance. A clean bill of health certifies that at the date of its issue no infectious disease was known to exist either in the port or its neighbourhood -Wikipedia.

“ … having procured a bill of health (without which there is no admission at any town in Italy),” (From Thursday 12 October 1644)

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Background from Wikipedia