Cryptic crossword clue
Judge initially terribly proud about hospital in Indian city 7

The most common and most likely answer to this crossword clue is the 7 letter word JODHPUR

I've seen this crossword clue in The Daily Telegraph
J
O
D
H
P
U
R

Buddy explains!

The straight part
We know that "Indian city" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case indian city = jodhpur.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does JODHPUR mean?

JODHPUR noun
  1. Flared riding trousers of heavy cloth, fitting tightly from knee to ankle.

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