The Chattogram Railway General Hospital, located in the CRB area, has been opened to the general public but continues to face major challenges in providing comprehensive healthcare. Despite operating both outpatient and inpatient departments, the hospital suffers from shortages of specialist doctors, nurses, health workers, and modern equipment. Patients report delays in receiving treatment and limited diagnostic facilities. Hospital authorities say services will expand once recruitment and equipment upgrades are completed.

The hospital was renamed and opened to all following a memorandum of understanding between the Ministry of Railways and the Health Services Division during the interim government. It was previously restricted to railway employees and tuberculosis treatment. Currently, about 350–360 outpatients and around 10 emergency patients are treated daily, with 83 inpatient beds almost always occupied. However, only 13 of 40 approved doctor positions and 5 of 16 nursing posts are filled.

Officials said financial constraints have delayed the launch of full pathology services, though plans are underway to add surgery, dental, ENT, and radiology facilities. Limited transport access to the CRB area also discourages some patients from visiting, further complicating service delivery.