Balrampur Hospital founded in 1869 is the oldest, largest and the most reputed govt. hospital of Uttar Pradesh. The year 2016 was extremely challenging for the hospital due to dengue epidemic. In contrast year 2017 was year of upgradation A 10-beded dialysis unit, ramp in new building, state of art fire fighting system were added to hospital infrastructure. Major equipments such as portable digital radiography machine, portable ultrasound machine RUG x-ray unit, modern state of art dental chair, C-arm Audiometry and PFT machines were acquired by the hospital for public benefit. In patient interest readjustment of beds in super specialty wards was done to accommodate more number of patients in AC general ward.Ward 3 playground was refurnished with new toys and swings .For future plans of dental and dermatology departments were sent to govt for approval and purchase of equipments .Hospital is being prepared for upgradation as teaching institute and DNB seats are being applied for from DNB Board .Dr Rajeev Lochan Director lead from the front in giving new image and uplifting the status of the hospital.