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An incident connected with the opening of the first ever medical school at Chudderghat in September 1846, is worth remembering. It is said that his Highness Nawab Nazir-ud-Dowalah, the Nizam of Hyderabad, fell ill in 1843 and he did not recover for quite sometime under the treatment of the Unani hakims. The then British Resident in Hyderabad. Mr.Fraser, recommended treatment of the ailing Nizam by the Residency Surgeon Dr. William Campbell Maclean. The Nizam recovered. The Western system of medicine went high in Royal esteem and he ordered the establishment of a school for teaching it in Hyderabad with Dr. Maclen as its Superintendent A note from the Resident to Siraj-ul-Mulk Bahadur, dated 18th July, 1846, stated.