Gajendra Narayan Singh Hospital (GNSH), Rajbiraj, Saptari, operates through a structured administrative and clinical management system led by the Medical Superintendent under the guidance of the Hospital Development Committee. The hospital’s organizational structure includes Clinical Services, Nursing Services, Diagnostic and Allied Health Services, Public Health and Patient Support Services, Administration and Human Resource Management, Finance and Revenue, Procurement and Logistics, Infrastructure Management, and Health Information Management. Each department works in coordination to ensure accessible, efficient, transparent, safe, and patient-centred healthcare services for the people of Saptari and surrounding districts.