Getting selected for prestigious institutions like AIIMS or ESIC is a proud moment for any candidate. But before the final joining letter is issued, every selected candidate must clear one crucial stage:
The Medical Examination Test
This medical test often creates anxiety—
- What will they check?
- Is the test difficult?
- Can I get rejected?
Don’t worry. This complete blog explains every step of the medical test conducted during joining at AIIMS, ESIC, and similar central government hospitals.
Must-Know Before You Go: Fasting Is Mandatory
The most important instruction:
You must be on an empty stomach for 10–12 hours on the day of the medical test.
This means:
- No food after dinner the previous night
- You may drink only water
- No tea, coffee, milk, juice, or snacks
- Report to the medical test with minimum 10–12 hours fasting
Why fasting?
Some food items can alter blood test results, especially sugar and metabolic parameters.
Where Will Your Medical Test Take Place?
Your entire medical test will be conducted inside AIIMS/ESIC hospital.
Candidates are rarely sent outside, and if they are, it is only to a government hospital for specialized tests.
No private hospital tests are accepted.
List of Medical Tests Conducted
Every selected candidate must undergo approximately eight major tests, and female candidates have one additional test.
Mandatory Tests
- Blood Test
- Urine Test
- Chest X-Ray (PA View)
- ECG
- Orthopedic Examination
- General Surgery Examination
- Eye Test (Vision + Eye Health + Colour Blindness)
- ENT Test (Hearing, Nose, Throat)
For Female Candidates
- Gynecology Examination + Pelvic Ultrasound
Let’s break down each one.
1. Blood & Urine Test (Pathology Department)
This is usually the first test you should do, because it takes the longest for results to arrive.
Blood Test Includes:
- Complete Blood Count (CBC)
- RBC, WBC, Platelet count
- Random Blood Sugar
- Renal Function Test (RFT)
- Hemoglobin & general infection markers
Urine Test Checks:
- Infection
- Sugar
- Protein
- General urinary health
These tests help assess your overall fitness.
2. Chest X-Ray (PA View)
Done in the Radiology Department.
What doctors check:
- Lung health
- Heart size and shape
- Chest abnormalities
- Tuberculosis or any past infection signs
Procedure:
- Stand facing the X-ray plate
- Hold still for a few seconds
- Completely painless and over within seconds
3. ECG (Electrocardiogram)
ECG checks your heart’s electrical activity and rhythm.
Procedure:
- You lie down on a bed
- Electrodes are attached to your chest, arms, and legs
- A gel may be applied (harmless)
- Machine records heart signals
No pain, no shock—totally safe.
4. Gynecology Test (Only for Female Candidates)
Female candidates must undergo a Gynecology examination.
Includes:
a) Medical History Review
- Menstrual cycle
- Past surgeries
- Any chronic health issues
b) Pelvic Ultrasound
- Checks uterus, ovaries
- Detects cysts, abnormalities
- Done to rule out reproductive health issues
Candidates may be asked to drink water before the ultrasound for better imaging.
5. Orthopedic Examination
An orthopedic specialist checks your bones, spine, joints, and body movement.
What is checked:
- Spine alignment
- Walking balance
- Joint movements
- Past fractures
- Bone deformities
Simple physical examination—no pain, no procedures.
6. General Surgery Examination
A surgeon checks for basic medical conditions.
They look for:
- Hernia
- Varicose veins
- Swollen veins
- Abnormal lumps
- Any condition that may limit future work
This is a standard clinical checkup.
7. Eye Test (Most Sensitive Test)
The eye test is often considered the most crucial because some candidates may struggle with colour blindness tests.
Eye Examination Includes:
a) Vision Clarity
Reading alphabets or numbers from a distance (standard eye chart).
b) Torchlight Examination
Eye health and pupil response.
c) Colour Blindness Test
Using Ishihara Plates:
- Consists of coloured dots
- A number is hidden in each circle
- You must identify the number
Colour Blindness Issue
If you fail the Ishihara test:
You will be given another chance through the Lanthony Test
This advanced test is conducted only at specialized centres, such as SMS Hospital Jaipur.
So don’t panic—there is a second opportunity.
8. ENT Examination
The ENT specialist examines:
- Nose
- Throat
- Ears
But the main focus is the Hearing Test (Audiometry).
Hearing Test Procedure:
- You sit inside a soundproof cabin
- Wear headphones
- Press a button when you hear beeps
- Beeps vary in frequency and volume
This checks your hearing capability.
Can You Fail the Medical Test?
Rejection is very rare.
Only severe medical conditions that can affect your future job performance will lead to disqualification.
Candidates may face difficulty if they have:
- Severe colour blindness (varies by post)
- Major heart rhythm abnormalities
- Serious orthopedic disability
- Active TB or contagious infections
For most conditions—treatable or mild—you will not be rejected.
What To Carry on Medical Test Day
- Aadhaar card / ID
- DV (Document Verification) slip
- 2–3 passport-size photos
- Any previous medical documents
- Water bottle (especially for ultrasound)
Helpful Tips for a Smooth Medical Examination
- Get proper sleep
- Follow fasting instructions strictly
- Wear loose, comfortable clothing
- Reach early
- Stay calm—every test is routine and painless
Final Thoughts
The AIIMS & ESIC medical test is the last step before you officially join your dream job. Every test is standard, simple, and designed only to check your basic fitness for government service.
There is no need to panic. If you follow the instructions and stay relaxed, you will clear the medical exam without any issues.
I am a Registered Pharmacist under the Pharmacy Act, 1948, and the founder of PharmacyFreak.com. I hold a Bachelor of Pharmacy degree from Rungta College of Pharmaceutical Science and Research. With a strong academic foundation and practical knowledge, I am committed to providing accurate, easy-to-understand content to support pharmacy students and professionals. My aim is to make complex pharmaceutical concepts accessible and useful for real-world application.
Mail- Sachin@pharmacyfreak.com