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Facing a medical emergency in a train is frightening especially when the next station is an hour away and you don't know whom to ask. The good news: Indian Railways has a clear system for onboard medical emergencies, and it works if you know the right steps. This guide explains exactly what to do, whom to contact, what it costs, and what facilities exist on trains and at stations. Last Updated: 4 July 2026 Indian Railway is always take care of their passengers in a very good manner. The facilities of Medical Aid in trains provided by Railway is an example for this. Medical facilities provided by Indian Railway. Let's go through the details of that. Medical Facilities by Indian Railway In an emergency, do this first: Call 139 and press 1 (security & medical assistance). Tell the executive your train number, coach, berth and PNR. A doctor will be arranged at the next suitable station. If you can't call, inform the TTE or any onboard staff immediately. Table of Contents Step-by-Step: Getting Medical Help on a Moving Train What Does It Cost? First Aid on Trains and at Stations Doctors Travelling as Passengers Medical Facilities at Railway Stations Railway Hospitals and Health Schemes (Brief Overview) Important: Old Helpline 138 No Longer Works Practical Tips for Travelling with Health Concerns FAQ Step-by-Step: Medical Emergency in Train : How to Get Help Step 1 : Call 139, press 1. 139 is Indian Railways' integrated helpline (Rail Madad). It works 24×7 from any phone no smartphone needed and supports twelve languages. Pressing 1 connects you directly to an executive for medical and security emergencies. Share the patient's condition, train number, coach and berth number, and PNR. The control room alerts the stations ahead. Step 2 : Or inform the TTE / train staff. If your phone has no network, approach the Travelling Ticket Examiner (TTE), train superintendent or guard. They relay the message to the next station through the railway's own communication system this works even in zero-network zones. Step 3 : Doctor at the next station. Based on the alert, a railway doctor (or an empanelled/nearby private doctor) is arranged at the next suitable station and typically comes straight to your coach when the train halts. Station Masters maintain ready lists of railway, government and private hospitals, clinics and ambulance services near their station precisely for such situations. Step 4 : Serious cases: detraining and hospital. If the condition is serious, the patient can be detrained at a station with a hospital nearby, and an ambulance arranged. Trains can make unscheduled halts at intermediate stations in genuine medical emergencies the guard/TTE coordinates this. Other ways to raise the alarm: RailMadad portal/app : railmadad.indianrailways.gov.in, or via the UMANG app. SMS to 139 : send your issue by SMS if calling isn't possible. X (Twitter) : tag @RailwaySeva / @RailMinIndia with your PNR, coach and berth. Railway teams monitor these actively, but use it as a backup to 139, not a replacement. Back To Top ^ What Does It Cost? A nominal consultation fee (around ₹100) is charged when a doctor attends to a passenger on a train, and a first dose of medicine for common ailments is generally provided. Hospitalisation, ambulance and further treatment are charged as per the hospital concerned. Keep some cash handy on long journeys — small stations may not have digital payment options for such fees. (Fee amounts can be revised by Railways treat this as indicative.) Back To Top ^ First Aid for a Medical Emergency in Train and at Stations Every passenger-carrying train and every station is required to have first aid arrangements. Medical boxes — with contents recommended by an expert committee of AIIMS, New Delhi (constituted following Supreme Court directions) — contain a wide range of medicines, dressing materials, consumables, and items such as oxygen cylinders and delivery kits. On trains: the box is with the Train Superintendent or Guard. Premium trains (Rajdhani/Shatabdi and other nominated trains) carry augmented first aid boxes with a wider range of items. At stations: available with the Station Master / Station Superintendent. Trained staff: frontline staff TTEs, train superintendents, guards, station masters are trained in administering first aid. So even before a doctor arrives, basic care (wound dressing, common medicines, oxygen support) is available onboard. Ask any uniformed railway staff member. Back To Top ^ Doctors Travelling as Passengers In severe emergencies, Railways also seeks help from doctors travelling as co-passengers. Doctors who declare their profession while booking get a fare concession, and their presence is marked in the reservation chart with the TTE. If you hear an onboard announcement asking for a doctor, this system is why and if you're a doctor, responding to the TTE can save a life. Back To Top ^ Medical Facilities at Railway Stations Beyond first aid, larger stations have additional arrangements: Emergency Medical Rooms / paramedic arrangements at many major stations. Chemist/pharmacy stalls at important junctions. Ambulance access: Station Masters coordinate with railway hospital and state ambulance services. You can also dial national ambulance numbers (108/102) yourself for a station pickup. Wheelchair assistance: bookable via 139 (enquiry menu) or the IRCTC website for arriving/departing patients and elderly passengers. Back To Top ^ Railway Hospitals and Health Schemes (Brief Overview) Indian Railways runs one of the country's largest institutional healthcare networks — over a hundred railway hospitals and several hundred health units/polyclinics primarily for railway employees and their families. Some railway hospitals are also empanelled under Ayushman Bharat PM-JAY, where eligible cardholders from the public can avail cashless secondary/tertiary treatment up to the scheme's family coverage limit. The Lifeline Express, run with the Impact India Foundation since 1991, deserves a mention: it's the world's first hospital-on-wheels — a fully equipped train with operating facilities that travels to remote districts providing free surgeries and treatment to lakhs of patients. It's a service for communities the train visits, not an onboard facility for regular passengers. Back To Top ^ Important: Old Helpline 138 No Longer Works Older articles (and older versions of this page) mention 138 as the railway medical helpline. 138 has been discontinued. Indian Railways merged all passenger helplines into the single number 139 even the security helpline 182 was merged into 139 from 1 April 2021. If you remember only one number, make it 139. Back To Top ^ Practical Tips for Travelling with Health Concerns Carry your regular medicines in your hand luggage with a copy of the prescription the train's first aid box covers common ailments, not specialised medication. Travelling with a heart/BP/diabetic patient? Note down the 139 → press 1 flow before the journey and save the PNR where the attendant can find it. For elderly or unwell passengers, book lower berths (senior citizen quota) and consider stations with escalators/lifts. On long routes, note 1–2 major junctions en route in an emergency, detraining at a big junction means better hospitals. Keep some cash for the doctor's fee and incidentals. Back To Top ^ FAQ What is the railway medical emergency number? Call 139 and press 1. It works 24×7 from any phone, in twelve languages, and connects you to an executive who arranges a doctor at the next suitable station. Is 138 still the railway medical helpline? No. 138 has been discontinued. All railway helplines, including medical, security (182) and complaints, are merged into the single number 139. Is a doctor available on every train? No, trains do not carry a dedicated doctor. Instead, first-aid-trained staff and equipped medical boxes are onboard, and a doctor is arranged at the next suitable station when needed. Doctors travelling as passengers may also be requested to help in severe cases. Is medical help on a train free? First aid from railway staff is free. A doctor's consultation arranged en route carries a nominal fee (around ₹100), with a first dose of common medicines generally provided. Hospital treatment afterwards is charged normally. Can a train stop for a medical emergency? Yes. In genuine emergencies, trains can make unscheduled halts at intermediate stations so a patient can be attended to or detrained for hospital care. How do I get a wheelchair at a railway station? Wheelchair assistance can be requested via 139 or booked through the IRCTC website; coolies/staff at major stations assist with the arrangement. Disclaimer: TrainHelp is an independent information portal, not affiliated with Indian Railways or IRCTC. Procedures and fees are as announced by Railways and may change; in a life-threatening emergency also consider national emergency numbers 112/108. This page is informational and not medical advice. Buggy Services at Railway Stations Back To Top ^