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During Hyderabad’s modernisation, the Afzalgunj Hospital was entirely demolished. In its place, OGH was constructed and completed by 1926. The towering Indo-Saracenic structure with its imposing hallways and huge circular dome was designed by the British architect Jerome Vincent Esch. Considered a modern and advanced healthcare centre for its time, OGH provided free public
Local legend holds that a watchman with a bugle was posted here during the time of Kempe Gowda, in order to signal the rest of the city and other watch towers.
Work on the RBOD-II project has not proceeded for the last five years.