While no specific medical certificate is needed to undertake the Yatra, those suffering from heart, breathing or similar ailments are advised to proceed with the Yatra only after due medical checkup and advice. Cardiac, asthmatic and orthopedic problems are known to get aggravated due to the strenuous climb. In any case, these patients are strongly advised against using the stairs. To cater to the medical needs of the yatries there is a block hospital at Katra as well as a 24 hours charitable dispensary run under the aegis of the Shrine Board. Emergency needs can be taken care of by basic medical facilities at Banganga, Adkuwari, Sanjichhat and Bhawan. Oxygen cylinders and emergency drugs are also available. A dispensary and 24-hr ICU is also available at Bhawan. Specialized and advanced medical treatment is however available only at Jammu.