Otoshi Clinic, located in Kashiwagi-cho, Itami City, Hyogo Prefecture, is a community-based internal medicine clinic. The clinic operates on a two-session schedule on weekdays, from 9:00 AM to 12:00 PM in the morning and 4:30 PM to 7:00 PM in the evening, making it accessible for working adults and those who find it difficult to visit during daytime hours. The clinic is closed on Sundays, public holidays, and during the year-end and New Year period (December 29 through January 4), serving as a cornerstone of everyday healthcare for local residents. One notable feature of this clinic is its ability to provide consultations in English. It is equipped to see patients who have difficulty communicating in Japanese, making it a viable option for those seeking an English-speaking internal medicine clinic in and around Itami City. The clinic also offers on-site parking, accommodating patients who travel by car or have limited access to public transportation. As an internal medicine practice, it is expected to handle a wide range of conditions including colds, fever, and lifestyle-related diseases, fulfilling its role as a primary care provider for the local community.