DOTS (Directly observed treatment shortcourse) clinic was started at BPKIHS from 1st Bhadra 2057 BS as a main center of Dharan Municipality. This program is being run in association/collaboration with the National Tuberculosis program and involving Municipality of Dharan and District Health Office, Sunsari. The commitment of each stakeholder has been clearly spelt out. BPKIHS runs a DOTS clinic and provides facility for diagnosis, treatment and management of complications. It also facilitates to other DOTS sub-centres of Dharan Municipality for training and supervision. There are regular review meetings of the main centre with the sub centres, DHO and Dharan Municipality.
The DR TB management clinic was started from 2064 as main centre in BPKIHS. There are 3 sub centres in Siraha District Hospital, itahari PHC and Ramnagar Mirchaiya PHC.