A fire in the electrical control room of Rangpur Medical College Hospital on Thursday morning injured at least 40 patients and relatives, most of them hurt as they hurried down darkened stairways to get out of the building.

The blaze started at about 6:15am on the ground floor, according to accounts from the hospital and the Fire Service. Smoke and flames spread quickly through the control room area, and news of the fire set off panic in wards on the second to fifth floors. One Fire Service unit reached the hospital and brought the fire under control in about half an hour, Dhaka Tribune Bangla reported.

The injuries came mainly during the evacuation rather than from the flames. Patients who could walk joined relatives in the rush for the stairs, while others were carried. In the nephrology ward on the second floor, at least 15 patients were hurt in the crush as people tried to get down, Bangla Tribune reported. One kidney patient, Safiul Alam, was being carried downstairs by two nephews when they fell; all three were injured.

The gynaecology ward faced the same scramble with mothers and newborn babies. Momtaz Begum, who had given birth five days earlier, said she was injured while carrying her daughter down the stairs after hearing about the fire.

The fire also cut the hospital's electricity supply. Officials said the whole building went dark and stayed without power for about six hours, and by 4pm several areas were still waiting for a full supply, including the director's office, cardiology, pathology, the skin and sexually transmitted disease ward, kidney dialysis and nephrology. Emergency operations and other treatment services were suspended for much of the day, leaving patients in wards without fans in the heat.

Dr Abdul Mokaddem, the hospital's acting director, said the fire had been caused by an electrical short circuit and that staff were working to restore connections. He did not give a damage estimate or say when normal services would resume.

The incident has drawn attention to the hospital's ageing electrical system. In September, Prothom Alo reported that 12 of the hospital's 40 wards had no emergency generator connection, and that doctors and nurses sometimes used mobile phone lights during load-shedding. A Public Works Department engineer said at the time that the hospital's six substations had capacity for about 5 megawatts against a demand of roughly 8 megawatts, and that generator connections were limited to operating theatres, intensive care and cabin wards.

Hospital authorities have not said whether the backup system worked as intended on Thursday, how much equipment was damaged, or whether any official investigation has been ordered. The exact number of injured people could also change; both outlets put the figure at at least 40, citing hospital sources, but no complete list has been released.

Rangpur Medical College Hospital is one of the main referral hospitals in northern Bangladesh, serving patients from several districts. Its dialysis and cardiac units are particularly busy, and even a few hours of lost power can interrupt treatment for people who depend on regular sessions.

The immediate task for the administration is to restore full electricity and resume emergency and dialysis services. Patients and their families will also want to know how a fire in the control room produced so much smoke, why the evacuation turned into a crush, and what will be done before the next outage or fire alarm.

The Fire Service and the hospital administration are expected to inspect the control room and the damaged switchboards. No death has been reported, and there has been no public statement yet from the health ministry about the incident.