This image shows a double-sided manuscript leaf, likely an illustrated medical text. The background is a faded yellow, and the illustrations are rendered in a folk art style with green, brown, and black pigments. **Top Panel:** Features a series of plants and trees, each accompanied by text written in a script that appears to be Tibetan or a related language. The plants are depicted in a stylized, almost naive manner, with rounded leaves and simplified forms. There's a variety of plant types, including leafy greens, flowering plants, and trees with rounded canopies. **Bottom Panel:** This panel also features plants and trees with accompanying text. However, it also includes depictions of animals. A prominent black bull is positioned centrally, and a coiled snake is visible near the bottom left. The plants in this panel are similar in style to those in the top panel, with a focus on rounded shapes and simplified forms. The text appears to be written in neat, vertical lines alongside each illustration, likely providing descriptions or medicinal properties of the depicted plants and animals. The overall impression is of a historical document with both artistic and scientific value, showcasing traditional knowledge of botany and zoology.