What was the significance of the single coughing fit Balaram experienced after his asthma was cured?

The single, isolated coughing fit Balaram experienced after his miraculous cure was a profound sign from Sai Baba. Chapter 51 explains that after being cured of his six-year asthma by smoking the chillim, Balaram was completely healthy. However, one day he had a sudden fit of coughing, which amazed everyone. Upon later inquiry, it was discovered that this occurred on the very same day that Sai Baba had given up His body. The scripture presents this as a final, personal sign given by the Master to his devotee, Balaram, to mark His passing. After that one instance, Balaram never had a cough again for the rest of his life.