Section 4
class And Class Adjustment
(1) There shall be the following classes in the health service:
Officer Assistant
Twelfth Fifth
Eleventh Fourth
Tenth Third
Ninth
Eighth
Seventh
Sixth
(2) Notwithstanding anything contained in Sub-section (1), if the third class does not have any employee, that class shall lapse.
(3) The employees serving in the first and second classes of the  Nepal health service at the time of commencement of this Section shall be adjusted to the third class.
(4) The non-gazette third class employees appointed pursuant to the Civil Service Act, 2049 (1993) prior to 14 Jestha 2054 shall be adjusted to the fourth class.