Doctor relocating from Kerala to Rampur, UP. What should I realistically expect?

A friend from Kerala has been offered a position in Rampur, UP and is seriously considering it. This move would involve leaving behind family, familiar culture, language, and an established social life, so we’re trying to evaluate whether the transition would be worth it.

If you’ve lived, worked, or studied in Rampur, could you share your experience regarding:
Cost of living
Housing and neighborhoods
Safety
Food and lifestyle
Weather extremes
Language barriers
Opportunities for social life and recreation
Overall quality of life for an outsider

Most online information feels outdated or generic. I’d much rather hear from real people who’ve actually spent time there.

What would your honest review of Rampur be on a scale of 1-10, and why?