Silent Hill: Townfall — How to Reach the Medical Centre

Zoe’s northbound route through the St. Amelia Shorefront District finishes at locked gates beyond the Medical Centre, but the gate itself is not the puzzle. Entry depends on a note, a public telephone and a four-part automated questionnaire.

Quick answer: Inspect the Medical Security Note at the guard booth and save Dr. Glenn’s number, 496 0556, in your directory. Use the phone booth close by to call it, then enter 3, 2, 2, 1.

Get out of Mr. Stewart’s house first

The sequence starts indoors, and the back door stays locked until you find the key.

With the hallway dark, enter the wheelchair room on the left and continue into the bathroom beside it.

Open the washing machine and remove Mr Stewart’s Key. Before leaving, take the First Aid Kit from the shelf nearby.

Retrace your route through the kitchen and hall until you reach the glass door at the back. Unlock it, then go through the foggy yard and out to the street.

Crossing the Shorefront District to the gates

Bring up the map as soon as you step outside. In the Shorefront map, the Medical Centre is in the northern area at the top left, and the objective marker identifies it. Follow the alleys, fenced roads and covered-car rows toward the upper left, consulting the map regularly since multiple paths end abruptly and require you to turn back.

Map & Inventory — The Shorefront District map puts the Medical Centre in the north, top-left of the layout. Shown at 00:50 in WoW Quests’s video. Image: Screen Burn

Avoid battling the monsters on the route to the gates. The streets contain plenty of bricks and bottles; throw one toward a far wall to draw an enemy away from your path and pass safely.

Select a brick or bottle, use L2 to aim, and hit R2 to throw it.
A thrown object inflicts only slight damage, but it may stun an enemy or slow it for a moment.
Aim away from your path so enemies move toward the noise, not toward you.
Stay crouched. Sprinting makes more noise than the throw you just used.

There is an extra bottle in the bus shelter by the gates. Pick it up because the street outside the Medical Centre has patrols, and you need a distraction while standing still to read the note.

Read the Medical Security Note for Dr. Glenn’s number

Pulling on the main gate does nothing. Instead, step up to the guard booth window beside it, where a sheet of paper is taped to the glass. The Medical Security Note is signed by Dr. Glenn, the Medical Centre Chief, and it states that the grounds are closed to the public, that all appointments have been cancelled, and that staff needing access should contact him directly.

The number shown there is 496 0556. Inspect the note properly, and the confirmation message will say that a number has entered your directory; Dr. Glenn appears beside listings including the Tourist Centre and Zoe Ellis. If his entry is missing, you only examined the note instead of reading it.

Checking Map — The map marks both the Medical Centre and the phone booths you can call from. Shown at 00:21 in GosuNoob’s video. Image: Screen Burn

Call Dr. Glenn and answer the survey: 3, 2, 2, 1

Follow the road back to the red public phone booth at the Station Road and Commercial Road junction. Enter the booth, lift the receiver, dial 4960556, and choose OK. The automated survey then presents four keypad prompts.

Confirming Payphone Location — Checking the map beside the phone box confirms you are at the right booth. Shown at 00:46 in GosuNoob’s video. Image: Screen Burn

Prompt	Press
For the first prompt, choose 3 when the machine asks whether you are Zoe Ellis.	3
State your role within the St. Amelia Health Service	2
Condition of the patient at the Stewart Residence	2
“Who is to blame for the death of Mr. Stewart?”	1

Response two identifies Zoe as a nurse; response three says neglect caused the patient’s death; response four accepts responsibility for that death. Submit the four answers in sequence, and the call immediately transitions to a cutscene in which Zoe hears Dr. Glenn’s response.

The ensuing cutscene shows that the procedure succeeded. The Medical Centre gates open, the pager announces an all-staff callout to the Medical Centre, and afternoon changes to night. With more monsters on the street, use the route on the right when returning and sprint the final section to the gate instead of attempting to sneak all the way.

From the open gates to Accident & Emergency

After entering the grounds, follow the left-hand route to its small white door and open it. From there, the way is direct, so continue ahead without stopping.

You enter a rear car park occupied by monsters. Take the throwable from the garbage area and use it to lure one away, then raise the shutter doors on the left to reach the workshop.

Search the workshop shelves for gauze and alcohol, then go into the adjoining office and press the button on the console by the desk. That raises the side gate.

Leave through the fire exit into the ambulance bay, slip past the two creatures wandering among the parked ambulances, and open the Accident & Emergency doors. A cutscene closes out the approach.

Pick up both Medical Centre maps inside

There is no floor plan supplied at the start of the Patient chapter. Once Zoe is playable in the operating room, remove the St. Amelia Medical Centre map from the wall beside the whiteboard by using the Collect prompt while Dr. Glenn speaks over the intercom. The patient’s room is already marked when the map opens.

Collecting Medical Centre Map — The St. Amelia Medical Centre map, taken from the wall beside the whiteboard. Shown at 00:43 in PerfectParadox’s video. Image: Screen Burn

The building’s Otherworld layout uses a separate map. As Simon, climb from the vent, move across the bathroom’s tiles, and take the narrow corridor into the red-lit room, where a curved reception counter stands beside barred security gates.

Approaching Reception Desk — The Otherworld reception area, lit red and closed off by security gates. Shown at 00:30 in PerfectParadox’s video. Image: Screen Burn

A document with a Collect prompt sits on the counter. That is Medical Centre – Different, which lays out the floor and marks the Blood Transfusion room the level is heading toward.

Finding Map on Counter — The Medical Centre – Different map, collected from the reception counter. Shown at 00:37 in PerfectParadox’s video. Image: Screen Burn

Collect each map when it becomes available. Both buildings leave some routes unmarked, and navigating the Otherworld levels is especially difficult unless their layouts are in your inventory.