The East India Company first created the Medical Department for training assistants and native doctors, which later became the Royapuram Medical School though the locals disparagingly called it the Kanji Thotti hospital because it stood on the site of Monegar Choultry, which distributed gruel to the poor. Thirty years later, an alumnus, who by then was Hon’ble TSS Rajan, Minister for Public Health of Madras, would inaugurate it after upgrading it as the Stanley Medical College.