CM Punjab Stroke Management Programme — Free TNK Injection

Sharifa Bibi, a 70-year-old woman from Thokar Niaz Baig, was rushed to Services Hospital after a sudden stroke left the right side of her body paralysed. She couldn’t speak. She couldn’t move her hand. Her family feared the worst — that she may never fully recover.
Instead, within hours, she was speaking again. Her hand was moving again. What changed her story wasn’t a miracle — it was a single injection, given free of cost, through the CM Punjab Stroke Management Programme.
This programme, launched under Chief Minister Maryam Nawaz Sharif, is quietly saving lives across Punjab’s public hospitals — and in this article, we’ll explain exactly what it offers, how it works, and most importantly, how you or your family can access it if a stroke ever happens.
Quick Summary: Under the CM Punjab Stroke Management Programme, stroke patients get a free TNK (Tenecteplase) injection — normally costing Rs 300,000 to Rs 400,000 — at 14 stroke centres across Punjab. The injection works best if given within 4 hours of the stroke starting. Over 700 patients have recovered through this programme in the past year.
What Is the CM Punjab Maryam Nawaz Stroke Management Programme?
The CM Punjab Stroke Management Program is a public health initiative that provides free, urgent treatment to stroke patients at government hospitals across the province. At the centre of this programme is a clot-busting injection called TNK (Tenecteplase), a medicine that can dissolve the blood clot causing a stroke — but only if it’s given quickly.
Normally, this single injection costs somewhere between Rs 300,000 and Rs 400,000 — completely out of reach for most families in an emergency. Under this Punjab government health initiative, patients receive it at no cost at all, at designated stroke centres set up specifically for this purpose.
Why the 4-Hour Window Matters So Much
This is the single most important thing to understand about stroke treatment: time is everything. The TNK injection is most effective when given within 4 hours of a stroke occurring. CM Maryam Nawaz Sharif herself has emphasised this point directly, stating that if a stroke patient reaches the right hospital within four hours, it can not only save a life but also prevent permanent disability — exactly what happened with Sharifa Bibi.
This means recognising stroke symptoms fast and getting to a hospital immediately matters just as much as the free treatment itself. The common signs to watch for are sudden weakness on one side of the body, slurred or difficult speech, a drooping face, or sudden confusion.
Sharifa Bibi’s Recovery — A Real Example
Sharifa Bibi’s case shows exactly how this free stroke treatment is meant to work. After her stroke left her paralysed on one side and unable to speak properly, she was taken to the Chief Minister Stroke Management Centre at Services Hospital. Doctors there administered the free TNK injection without delay.

Within a few hours, she regained her speech. Her affected limbs recovered fully. Her son later said that if the injection hadn’t been given in time, his mother would likely have faced permanent disability. Sharifa Bibi herself said the treatment gave her a new lease on life.
How to Get the Free TNK Injection from CM Punjab Stroke Management Programme?
Here’s the most important part for you and your family to understand: you don’t need to apply for CM Punjab Stroke Management Program in advance. This isn’t a scheme with an online form or a registration process. It’s an emergency medical service — the moment you suspect a stroke, here’s exactly what to do:
1️⃣ Recognise the symptoms immediately — sudden weakness on one side, slurred speech, facial drooping, or sudden confusion
2️⃣ Rush to the nearest CM Stroke Management Centre without any delay — every minute matters
3️⃣ Tell hospital staff immediately that you suspect a stroke, so they can begin emergency evaluation right away
4️⃣ If the patient is confirmed to be within the critical treatment window, doctors will administer the free TNK injection on the spot, at no cost to the family
5️⃣ The patient is then monitored for recovery, as happened with Sharifa Bibi

The single most important thing to remember: Speed decides everything with stroke treatment. Don’t wait to “see if symptoms improve” — go straight to the nearest stroke centre the moment you notice signs or call the Rescue. Every hour that passes reduces the chance of full recovery.
Where Are the Stroke Centres Located?
On the directions of the chief minister, free stroke treatment is currently available at 14 stroke management centres across Punjab. Fully functional centres have been confirmed at:
- Services Hospital, Lahore
- General Hospital, Lahore
- Mayo Hospital, Lahore
- Nishtar Hospital, Multan
- Sheikh Zayed Hospital, Rahim Yar Khan
Stroke centres have also been established in Rawalpindi, Sialkot, Gujranwala, Narowal, Dera Ghazi Khan, and Layyah. That accounts for 11 of the 14 confirmed centres — the remaining locations weren’t specifically named in the official update, but instructions have already been issued to expand this free stroke treatment programme to more districts across Punjab.

The Numbers So Far
What Chief Minister Maryam Nawaz Sharif Said
“The health of every citizen is the government’s responsibility, and providing free, quality medical care remains its firm commitment. If a stroke patient reaches a relevant hospital within four hours, not only can a life be saved, but permanent disability can also be prevented.”
— CM Maryam Nawaz Sharif
Frequently Asked Questions
Do I need to apply or register in advance to get the free TNK injection?
- No. This is emergency treatment provided directly at the hospital when a stroke patient arrives — there’s no advance application or registration process.
How much does treatment cost under CM Punjab Stroke Management Program?
- The TNK injection, which normally costs Rs 300,000 to Rs 400,000, is provided completely free at the designated stroke centres.
What happens if I arrive after the 4-hour window?
- The official information available focuses on the importance of reaching within 4 hours for the best results. This wasn’t detailed further in the official update, so if more than 4 hours have passed, get to the nearest hospital immediately regardless — doctors can still assess and advise on the best available treatment.
Which hospitals currently offer this free stroke treatment?
- Confirmed centres include Services, General, and Mayo Hospitals in Lahore, Nishtar Hospital Multan, Sheikh Zayed Hospital Rahim Yar Khan, and centres in Rawalpindi, Sialkot, Gujranwala, Narowal, Dera Ghazi Khan, and Layyah, with more districts being added.
Is CM Punjab Stroke Management Programme only for a specific type of stroke?
- The TNK injection is a clot-busting medicine used for the type of stroke caused by a blood clot blocking blood flow to the brain. The official update did not specify treatment details for other stroke types, so it’s best to let hospital doctors assess and confirm the right treatment on arrival.
Final Words — From AllPrograms Pakistan
A stroke can change a family’s life in minutes — but as Sharifa Bibi’s story shows, so can fast action and the right treatment. The CM Punjab Stroke Management Programme exists to make sure that money is never the reason a family loses a loved one to a preventable disability. If you know someone with risk factors for stroke — high blood pressure, diabetes, heart disease, or older age — make sure they and everyone around them knows the signs, and knows to get to the nearest stroke centre immediately, not “wait and see.”
Please share this article. Knowing where your nearest stroke centre is, right now, before an emergency happens, could genuinely save someone’s life.
This article is based on official Punjab government updates and reported case details regarding the CM Punjab Stroke Management Programme. This content is for general information only and is not a substitute for professional medical advice — always seek immediate medical attention for any suspected stroke.
— Shaukat, AllPrograms.com.pk
