Silent Hill Townfall Pharmacy Locker Code – 6539
Open the Pharmacy locker with 6539, restore the CRTV clue, match all four images, and collect the Prescription Dosage Error Note.
Updated:
Quick Answer
Set the four Pharmacy locker dials to 6539 from left to right, then open it and take the Prescription Dosage Error Note.
The Pharmacy locker looks like a simple four-digit lock, but the combination is hidden across a CRTV transmission and four pieces of information inside the building. The answer is 6539; the important part is preserving the order of the images rather than collecting four numbers and rearranging them afterward.
There is also one prerequisite that can stop you before the puzzle even begins. The Scalpel comes from Shorefront Family Clinic, not from the Pharmacy. Simon needs it as Part 1 opens the route toward this side of town.
Come Here After the Clinic Message
The intended lead starts at Shorefront Family Clinic.
Search Zoe’s room, take the Scalpel, then go to reception and call:
2896
The message waiting for Nurse Ellis says the Pharmacy on Main Street has received a prescription signed by her, but the dosage appears wrong. That is your reason to investigate the Pharmacy next.
If you reached this area earlier and cannot get through the blocked access, return to the Clinic first. The Part 1 Arrival walkthrough covers the route from Zoe’s house through the Clinic and into this section of St. Amelia.
Tune the Pharmacy CRTV Signal
Once inside, search until the CRTV picks up the local transmission.
This signal needs more adjustment than the earlier CRTV sequences. Lock onto the frequency, hold the device in the required position and continue correcting the picture until the four clue images can be read clearly.
The sequence is:
hands → prescription drugs → medicine consultation services → time
That order matters. The locker has four positions, and each image supplies the digit for the matching position from left to right.
Hands = 6
The first clue points to the hand-washing material.
There is no obvious password printed beside it. Count the fingers shown by the relevant hands instead:
6
Your locker code now starts with:
6 _ _ _
This is the clue most likely to make the puzzle feel incomplete, because the game expects you to read the illustration itself rather than copy a large printed digit.
Prescription Drugs = 5
The second CRTV image points to the prescription drugs information inside the Pharmacy.
The relevant value is:
5
The combination becomes:
65 _ _
Once this matches the second CRTV image, keep that number in the second position. Other medical paperwork in the room contains unrelated numbers, so pulling a digit from the wrong note will send the lock in the wrong direction.
Medicine Consultation Services = 3
The third image is medicine consultation services.
Match it with the corresponding Pharmacy information and use:
3
You should now have:
653 _
This is the easiest digit to lose track of if you have already walked around the Pharmacy collecting several medical numbers. The CRTV image is specifically pointing to the consultation-services material.
Time = 9
The last clue is the clock / time image.
Its value is:
9
The complete code is therefore:
6539
No second document or calculation is required once all four images have been matched.
Enter 6539 on the Center Row
Return to the four-dial locker and set the active row to:
6 – 5 – 3 – 9
If the lock stays closed even though you can see all four digits, check their vertical alignment before looking for another answer. The correct numbers must sit on the active center line; seeing 6539 across different rows does not solve the mechanism.
Open the locker once all four dials are aligned.
Take the Prescription Dosage Error Note
Inside is the Prescription Dosage Error Note for Mr. Stewart.
The attached note says his new dosage is far above the previous amount and asks for confirmation from Nurse Ellis. This directly explains the message that brought Simon from the Clinic to the Pharmacy.
Keep the note. It is one of the three objects used later in Zoe’s Clinic scales sequence.
At this point the Pharmacy locker itself is finished. There is no additional combination hidden behind the note.
Head Toward St. Amelia Park
Do not return to the Clinic scales yet. Simon still needs another medical object before that sequence can be completed.
Leave the Pharmacy and continue toward St. Amelia Park. The Scalpel is still relevant on the blocked route ahead, and the next chain eventually takes you through the buildings connected to Jess.
For the town route from the Pharmacy through the park and residential area, continue with the Part 1 Arrival walkthrough.
Once you later have the Broken Stethoscope as well as the Prescription Dosage Error Note and Zoe’s Keycard, return to Shorefront Family Clinic. The Clinic Scales puzzle covers the final placement and the meaning of the three objects.