Hi sorry, my reply didn't go through earlier!

The medical treatment is generally on par with what's offered at Xistentia. After a few treatments, a character who was severely injured would be at full health again. Era would notice several unique machines that seem to be in development as well.

And the ceremony is unique to Panultima, but does bear some resemblence to Earth ceremonies, including a presiding agent who makes the new contractual arrangement official.