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the fourth attached hospital of nanchang university medical college
You said that so many first affiliated hospitals are actually one hospital. It's just that each stage has a different name. It turned out that Jiangxi Medical College was called the First Affiliated Hospital of Jiangxi Medical College when it was independent, and it was customarily called the First Affiliated Hospital or the Provincial First Affiliated Hospital. Later, Jiangxi Medical College was merged into Nanchang University, so it is now called the First Affiliated Hospital of Nanchang University, also known as the First Affiliated Hospital of Nanchang University.

The hospital that was originally the teaching base of Jiangxi Medical College was also taken over by Nanchang University. Now it is called:

The First Affiliated Hospital of Nanchang University and the Second Affiliated Hospital of Nanchang University were originally affiliated hospitals of Jiangxi Medical College.

The Third Affiliated Hospital of Nanchang University (also known as Nanchang First People's Hospital, formerly known as Nanchang Workers, Peasants and Soldiers Hospital) and the Fourth Affiliated Hospital of Nanchang University (formerly known as Nanchang Railway Bureau Central Hospital, also known as Railway Hospital).