The clinic, which had six beds, a dispensary, a storeroom, and an outpatient section, initially employed only one medical assistant and one attendant.

After funding was approved, the clinic was demolished and rebuilt with a wooden structure and stone pillars, using a government class F twin-house design.

In 1953, a medical officer from Brunei Town (now Bandar Seri Begawan) was assigned to the clinic on a rotating basis, visiting once a week.

To replace the old facility, the government of Brunei constructed a new hospital in the Tutong District, named Pengiran Muda Mahkota Pengiran Muda Haji Al-Muhtadee Billah Hospital in honour of Prince Al-Muhtadee Billah's proclamation as crown prince.

During the ceremony, Prince Al-Muhtadee Billah planted a tree, signed the opening plaque, and later toured the hospital’s various sections after viewing an exhibition showcasing local developments.

[1] In order to accommodate COVID-19 patients, the hospital in Tutong temporarily moved and reduced some services starting on 12 March 2020.

These doctors are assigned full-time duties in outpatient services, accident and emergency, internal medicine, obstetrics and gynaecology, pediatrics, and dentistry.