 To promote the practice of Tibb-i-Unani or Unani medicine, his grandfather had set up the "Sharif Manzil" hospital-cum-college known throughout the subcontinent as one of the best philanthropic Unani hospitals where treatment for poor patients was free.He completed his Unani studies under Hakeem Abdul Jameel of "Siddiqui Dawakhana", Delhi.On qualifying in 1892, Hakim Ajmal Khan became chief physician to the Nawab of Rampur.