(1) The following levels of health services will be upgraded as follows:- Sr.No. Current level to be upgraded Service in the relevant level Last two financial years Service level in remote areas Period to be done Period to be done in performance appraisal Marks to be obtained 1 4th 5th 5 years At least preferably at least one year in extreme remote areas or two years in remote areas 2. Fifth
(a) Initial appointment or 6th 5th year at least best 5th grade at least one year after promotion to 5th level. (b) Internal competition at the fifth level for those who have completed the minimum educational qualification for the level in extremely remote areas or two years in remote areasA Promotion by Examination Sixth Eight years At least Best At least one year beyond that level for that level Remote or two years difficult Those who do not have minimum educational qualifications in the gum sector. 3. Sixth
(a) Completing the process of Public Service Commission at the sixth level Seventh automatically appointed - (b) Upgrading to the sixth level Seventh five years                                                                                                                                                                                                                  Inaccessory sevenths of the sevenths of eveiles in remote areas have at least five days of ethiles in the second at least one of the sixth levels of the highest at least five days, and two years of remote areas <2 years of remote areas <2 years. (a) Medical Officer, Dental Officer, Ayurvedic Doctor, Integrated Medicine Eighth Automatic – Officer or other similar medical officer (b) Except for Clause (a) appointed in the sixth level and then appointed in the seventh level                                                                                                                                                                                                                                                                                                         Eighth              Three Years      The other authorized employees who have been appointed in the remote remote area of ​​the unattached or two-year in remote areas 5th tenths at least two years at least -
(2) If the employee mentioned in sub-section (1) does not work in the area mentioned in that sub-section for the period mentioned in that sub-section, such employee will be promoted only after he has been present and worked in that area for the said period. However, if an employee cannot be assigned to such an area due to lack of position or rank, there will be no obstacle to upgrading such employees to a higher level, subject to the other sub-sections of this section.
(3) The upgraded employees will be grouped in the respective groups on the basis of merit. If the employee who has been classified as such is not in good health due to any reason, the post he/she is holding will automatically be cancelled.
(4) An employee who has been upgraded to a higher level, in accordance with sub-section (3) of section 17 of the Act or section 9B. He will have to work at the same level from which he has been upgraded until he is appointed as per the above.
(5) Other arrangements related to upgrading shall be as prescribed.