A printed Sarum Manual; f.4 has been ?replaced with a manuscript page, with music & text on verso only. The page takes the form of a classic Sarum Use memorial: antiphon, versicle + response, collect. The first item is the Magnificat antiphon at First Vespers on the feast of St Chad as used at Lichfield (Breviarium ad usum insignis ecclesiae Sarum, ed. F. Procter and C. Wordsworth, 3 vols. (Cambridge, 1879–86), iii, col. 194—standard Sarum Use simply stipulated the Common of Confessors). The collect for St Chad is the same as in the Sarum service books, except for the last word.
The antiphon has plainsong neumes together with ‘sights’ for singing in faburden. Since antiphons within the office were not sung in polyphony (though they might be played on the organ), this manuscript page must show a votive observance. It is duplicated a few pages earlier, but without music.
The manuscript page has been tipped into the middle of the aspersion service, where it does not belong - so is presumably misbound.