Free Medicine / Diagnostic Scheme Enrollment Form
Form used to enrol patients under state free medicine and diagnostic schemes in government hospitals.
Quick Actions
Application Closed
Before You Start
Fee
Free / Nominal
Estimated Time
15–20 mins
Mode
Online
Difficulty Level
Easy
Last Updated:07/01/2026
About This Form
Form used to enrol patients under state free medicine and diagnostic schemes in government hospitals.
Who Can Apply (Eligibility)
Patients visiting government hospitals
Form Fields
Hospital Name
text
What to enter: Hospital where enrollment is done.
Example:
District Civil HospitalHow to Apply
- 01
Enroll under scheme
Register at hospital scheme counter.
Required Documents Checklist
Identity proof
MandatoryHospital OPD/IPD slip
MandatoryFAQs
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