By flight: Take a flight from Patna to Madurai, Tiruchirappalli, or Chennai, then continue to Rameshwaram by train, bus, or taxi
By train: Take a train from Patna to Madurai or Ramanathapuram, then travel to Rameshwaram by road or local train if available
By bus: Travel by long-distance bus from Patna to a major South Indian city such as Chennai, Madurai, or Tiruchirappalli, then take a connecting bus to Rameshwaram
By car: Drive from Patna to Rameshwaram via major highways through central and southern India
By train and road: Take a train from Patna to Madurai or Chennai, then use a bus or taxi to reach Rameshwaram
By flight and road: Fly from Patna to Madurai or Chennai, then take a taxi, bus, or train to Rameshwaram