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Ladakh Gazette · Ladakh Administration

SO 122 The UT of Ladakh Health and Medical (Subordinate) Service Recruitment (Amendment) Rules 2025.

Published 25 November 2025

Ministry
ADMINISTRATION OF UNION TERRITORY OF LADAKH
Gazetteid
SG-LD-E-25112025-1651
Issuedate
2025-11-10
Identifier
in.gazette.ladakh.2025-11-25.1651
Languages
English, Hindi
Published at
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भारत सरकार

GOVERNMENT OF INDIA

एस.जी.-एल.डी.-अ.-25112025-1651

SG-LD-E-25112025-1651

xxxGIDHxxx

xxxGIDExxx

असाधारण

EXTRAORDINARY

प्राधकिार से प्रकाशति

PUBLISHED BY AUTHORITY

लद्दाख, 25 नवंबर, 2025

LADAKH, TUESDAY, NOVEMBER, 25, 2025

Part II - Section 3

के न्द्र-शासति प्रदेश लद्दाख प्रशानि ADMINISTRATION OF UNION TERRITORY OF LADAKH

Health and Medical Education Department UT Ladakh.

Notification

Ladakh, the 10th of November, 2025

S.O. 122—In exercise of the powers conferred by the proviso to Article 309 of the Constitution of India, read with S.O. 282(E) dated 21.01.2020, issued by the Ministry of Home Affairs, Government of India, the Lieutenant Governor of Union territory of Ladakh hereby makes the following rules, further to amend the "Union Territory of Ladakh Health & Medical (Subordinate) Service Recruitment Rules, 2021" (hereinafter referred to as the 'said Rules') notified vide S.O. 38 dated:10.09.2021, namely. —

1. Short title and commencement: (1) These rules may be called the Union Territory of Ladakh Health & Medical (Subordinate) Service Recruitment (Amendment) Rules 2025.

(2) These rules shall come into force from the date of their publication in the Official Gazette.

2. Amendment to Schedule -I: The "Schedule - I" to the said Rules shall be substituted by the following Schedules, namely: —

S.No. Designation of the Post Pay Level & Structure No. of Posts
1 Matron Level-9 (52700-166700) 2
2 Senior Principal/Nursing officer Level-9 (52700-166700) 2
3 Senior Community Health Officer Level-9 (52700-166700) 6
4 Senior Physiotherapist Level-9 (52700-166700) 2
5 Principal/Nursing officer Level-8 (47800-151000) 1
6 Chief Amchi Level-7 (44900-142400) 1
7 Section Officer Level-7 (44900-142400) 3
8 Assistant account officer Level-7 (44900-142400) 1
9 S.O Planning Level-7 (44900-142400) 3
10 Physiotherapist Level-7 (44900-142400) 10
11 Warden Level-7 (44900-142400) 1
12 District Mass education officer Level-7 (44900-142400) 4
13 Food Inspector Level-6F (40800-129200) 1
14 Health Equipment/ Service Engineer Level-6F (40800-129200) 1
15 Blood Bank Organizer Level-6E (35900-113500) 1
16 Junior Community Health Officer Level-6E (35900-113500) 15
17 Theatre Supervisor Level-6E (35900-113500) 1
18 Assistant Matron Level-6E (35900-113500) 1
19 Sister / Nursing Supervisor Level-6E (35900-113500) 12
20 Bacteriologist Level-6E (35900-113500) 1
21 Treatment Organizer Level-6E (35900-113500) 2
22 Head Pharmacist Level-6E (35900-113500) 26
23 Nursing Supervisor Level-6E (35900-113500) 2
24 Head Dental Tech Level-6E (35900-113500) 2
25 Head Lab Tech Level-6E (35900-113500) 2
26 Head Theatre Technician Level-6E (35900-113500) 2
27 Head Ophthalmic Tech Level-6E (35900-113500) 2
28 Head X-Ray Tech Level-6E (35900-113500) 2
29 Legal Assistant Level-6E (35900-113500) 1
30 Supervisory Pharmacist Level-6D (35800-113200) 30
31 Radiographer Level-6D (35800-113200) 7
32 Sanitary Inspector Level-6D (35800-113200) 8
33 Supervisory Dental Tech Level-6D (35800-113200) 6
34 Supervisory Theatre Tech Level-6D (35800-113200) 4
35 Supervisory X-Ray Tech Level-6D (35800-113200) 4
36 Sr. X-Ray Tech Level-6D (35800-113200) 8
37 Supervisory Ophthalmic Tech Level-6D (35800-113200) 4
38 Supervisory Lab Tech Level-6D (35800-113200) 4
39 Chauffer Level-6C (35700-113100) 10
40 Accountant Level-6B (35600-112800) 1
41 Head Assistant Level-6B (35600-112800) 7
42 Statistical Assistant Level-6B (35600-112800) 8
43 Junior Stenographer Level-6B (35600-112800) 2
44 Blood Bank Tech Level-6 (35400-112400) 2
45 District Store Keeper Level-6 (35400-112400) 2
46 Jr. Physiotherapist Level-6 (35400-112400) 14
47 ECG Technologist /ECG Technician Level-6 (35400-112400) 9
48 Sr. Health Inspector Level-6 (35400-112400) 3
49 Extension Educator Level-6 (35400-112400) 3
50 Dy. MEIO Level-6 (35400-112400) 4
51 P ublic Health Nurse L evel-6 (35400-112400) 8
52 Sr. Anaesthesia Technician Level-6 (35400-112400) 1
53 Lady Th. Assistant Level-6 (35400-112400) 2
54 Ophthalmic Technician Level-6 (35400-112400) 1
55 X-Ray Technician Level-6 (35400-112400) 6
56 Health Educator Level-6 (35400-112400) 32
57 TB Health Visitor Level-6 (35400-112400) 4
58 Senior Theatre Assistant Level-6 (35400-112400) 5
59 BCG Team Leader Level-6 (35400-112400) 4
60 Sr. Nurse Level-6 (35400-112400) 34
61 Lady Health Visitor Level-6 (35400-112400) 28
62 Senior Para Medical Assistant Level-6 (35400-112400) 2
63 Laboratory Technician Level-6 (35400-112400) 13
64 District Health Supervisor Level-6 (35400-112400) 1
65 Sister Tutor Level-6 (35400-112400) 13
66 Projectionist Level-6 (35400-112400) 1
67 Refrigerator Mechanic Level-6 (35400-112400) 2
68 Nursing Tutor Level-6 (35400-112400) 2
69 Senior Pharmacist Level-6 (35400-112400) 210
70 Para Medical Assistant Level-6 (35400-112400) 6
71 Junoir Anaesthetist Asstt. Level-6 (35400-112400) 6
72 Sr. Dental Tech Level-6 (35400-112400) 10
73 Sr. Laboratory Tech Level-6 (35400-112400) 8
74 Sr. Theatre Tech. Level-6 (35400-112400) 6
75 Sr. Ophthalmic Tech Level-6 (35400-112400) 6
76 Extension Educator/Dy. MEIO Level-6 (35400-112400) 2
77 Hospital Manager Level-6 (35400-112400) 1
78 Assistant Store Manager Level-6 (35400-112400) 1
79 Deputy Nursing Superintendent /Supervisor Level-6 (35400-112400) 1
80 LDR Level-6 (35400-112400) 1
81 Medical Lab. Technologist /Laboratory Technician Level-6 (35400-112400) 3
82 Senior Assistant Level-5 (29200-92300) 31
83 Senior Assistant/ Linenkeeper Level-5 (29200-92300) 1
84 Senior Assistant/ Typist Level-5 (29200-92300) 1
85 Junior Statistical Assistant' Level-5 (29200-92300) 1
86 Account Assistant Level-5 (29200-92300) 5
87 Refrigerator Mechanic Level-5 (29200-92300) 2
88 CSSD Assistant Level-4 (25500-81100) 2
89 Dialysis Therapy Technologist /Dialysis Technician Level-4 (25500-81100) 2
90 PFT Technician Level-4 (25500-81100) 1
91 O.T Technologist /O.T Technician Level-4 (25500-81100) 4
92 Optometrist /Ophthalmic Assistant /Vision Technician Level-4 (25500-81100) 1
93 Assistant Dietician Level-4 (25500-81100) 1
94 Audiologist Level-4 (25500-81100) 1
95 Dresser for plaster/procedure room Level-4 (25500-81100) 1
96 Steno Typist Level-4 (25500-81100) 3
97 Store Keeper Level-4 (25500-81100) 1
98 Lady Theatre Assistant Level-4 (25500-81100) 1
99 Junior Pharmacist Level-4 (25500-81100) 114
100 Junior Health Inspector Level-4 (25500-81100) 5
101 Junior Health Inspector (computer) Level-4 (25500-81100) 3
102 Dental Assistant Level-4 (25500-81100) 34
103 Laboratory Assistant Level-4 (25500-81100) 44
104 X-Ray Assistant Level-4 (25500-81100) 44
105 Jr. Theatre Assistant Level-4 (25500-81100) 20
106 Accounts Assistant Level-4 (25500-81100) 1
107 Ophthalmic Assistant Level-4 (25500-81100) 15
108 Amchi Librarian Level-4 (25500-81100) 1
109 Health and FW Assistant Level-4 (25500-81100) 1
110 Projectionist Level-4 (25500-81100) 2
111 Para Medical Assistant Level-4 (25500-81100) 9
112 Medical Record Technician Level-4 (25500-81100) 6
113 Anaesthesia Assistant Level-4 (25500-81100) 13
114 Electrician Level-4 (25500-81100) 6
115 Carpenter Level-4 (25500-81100) 1
116 Junior Nurse Level-4 (25500-81100) 112
117 Steward Level-4 (25500-81100) 2
118 Tin Smith Level-4 (25500-81100) 1
119 Lady Health Visitor (lower Grade) Level-4 (25500-81100) 1
120 Health Educator (Lower Grade) Level-4 (25500-81100) 1
121 Dhobi Level-4 (25500-81100) 1
122 Junior Assistant Level-4 (25500-81100) 36
123 Tehvildar Level-4 (25500-81100) 3
124 Cashier Level-4 (25500-81100) 1
125 Generator Operator Level-4 (25500-81100) 2
126 Plumber Level-4 (25500-81100) 2
127 Instructor Level-4 (25500-81100) 1
128 Junior ECG Tech Level-4 (25500-81100) 1
129 Vocational Counselor/Medical Social Worker/Social Worker Level-4 (25500-81100) 2
130 Junior Staff Nurse. Level-4 (25500-81100) 153
131 Nursing Mid Wife Level-4 (25500-81100) 10
132 Jr. Dental Tech Level-4 (25500-81100) 16
133 Clerk Level-4 (25500-81100) 1
134 Jr. Lab Tech Level-4 (25500-81100) 10
135 Jr. X-Ray Tech Level-4 (25500-81100) 10
136 Jr. Theatre Tech Level-4 (25500-81100) 10
137 Junior Ophthalmic Tech Level-4 (25500-81100) 8
138 Basic Health Worker Level-4 (25500-81100) 29
139 Driver Grade –I Level-4 (25500-81100) 14
140 Driver Grade –II Level-2 (19900-63200) 17
141 Library Assistant Level-2 (19900-63200) 1
142 Barber Level-2 (19900-63200) 1
143 Basic Health Worker Level-2 (19900-63200) 46
144 Dhobi Level-2 (19900-63200) 6
145 BCG Technician Level-2 (19900-63200) 8
146 FMPHW Level-2 (19900-63200) 314
147 MPHW(male) Level-2 (19900-63200) 15
148 Electrician Level-2 (19900-63200) 4
149 Carpenter Level-2 (19900-63200) 1
150 Barber Level-2 (19900-63200) 1
151 Computer Operator/Storekeeper cum Record Clerk/Record keeper cum Computer Operator /Storekeeper /Record Clerk/Store Keeper cum clerk /Coding Clerk cum Computer operator Level-2 (19900-63200) 4
152 Projectionist Level-2 (19900-63200) 2
153 Cook Level-2 (19900-63200) 3
154 Senior Nursing Orderly Level-SL3 (16900-53500) 4
155 Physiotherapist boy Level SL-2 (15900-50400) 1
156 Ward boy Level SL-2 (15900-50400) 1
157 X-Ray boy Level SL-2 (15900-50400) 6
158 Laboratory boy Level SL-2 (15900-50400) 3
159 Theatre boy Level SL-2 (15900-50400) 2
160 Cook Level SL-2 (15900-50400) 7
161 Dental boy Level SL-2 (15900-50400) 2
162 Dhobi Level SL-2 (15900-50400) 3
163 Linen Keeper Level SL-2 (15900-50400) 1
164 Physiotherapist boy Level SL-1 (14800-47100) 1
165 BB Attendant Level SL-1 (14800-47100) 1
166 Attendant Level SL-1 (14800-47100) 6
167 Dark Room Attendant Level SL-1 (14800-47100) 1
168 Cleaner Level SL-1 (14800-47100) 3
169 Chest Carrier Level SL-1 (14800-47100) 2
170 Ward Boy Level SL-1 (14800-47100) 6
171 Cook Level SL-1 (14800-47100) 4
172 Aaya Level SL-1 (14800-47100) 3
173 Packer Level SL-1 (14800-47100) 2
174 Gardener Level SL-1 (14800-47100) 8
175 Field Worker Level SL-1 (14800-47100) 16
176 Nursing Orderly Level SL-1 (14800-47100) 324
177 Orderly Level SL-1 (14800-47100) 32
178 Chowkidar Level SL-1 (14800-47100) 51
179 Lab Attendant Level SL-1 (14800-47100) 1
180 Barber SL 1 Level SL-1 (14800-47100) 1
181 Sanitary Orderly Level SL-1 (14800-47100) 1
182 Domestic Staff Level SL-1 (14800-47100) 12
183 Orderly/ Chowkidar Level SL-1 (14800-47100) 10
184 Safaiwala/ Sweeper Level SL-1 (14800-47100) 193
185 Amchi Amchi @ 300 PM 70
186 Community Health Worker CHW @ 1000 PM 46
TOTAL 2722

3. Amendment to Schedule – II (A): — The Schedule – II (A) to the said Rules shall be substituted by the following Schedule, as follows, namely, —

"Schedule – II (A)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-7 (44900- 142400) Section Officer - 100% by promotion from Head Assistant having not less than three (03) years substantive service as Head Assistant.
Level-6B (35600- 112800) Head Assistant - 100% by promotion from Senior Assistant/Linen Keeper having not less than three (03) years substantive service as Senior Assistant and also having p a s s e d S e c r e t a r i a t A s s i s t a n t Training Course Examination; Provided that 25% of posts to be filled up in a calendar year shall be earmarked for promotion of those Senior Assistant, who have not qualified the Secretariat Assistant Training Course Examination, but have crossed the age of 50 years as on 1st January of the year in which such promotion is being considered: Provided further that in case of Senior Assistants who have qualified the Secretariat Assistant Training Course Examination during his/her period of probation as Junior Assistant shall not be required to qualify the said examination again.
Level -5 (29200- Senior Assistant - 100% by promotion from Junior Assistant/Tehvildar/Cashier/Clerk in
92300) /Linen keeper order of seniority, having not less than three (03) years substantive service as Junior Assistant/Tehvildar/ Cashier/ Clerk and also having qualified Secretariat Assistant Training Course Examination.
Level -4 (25500- 81100) Junior Assistant / Tehvildar / Cashier/Cler k Graduate from any recognized University with minimum 200 hrs six-month Certificate Course in Computer Applications from any government recognized institute and to qualify type test with speed of not less than 35 words per minute on computer key board. (i) 75% by direct recruitment. (ii) 25 % by promotion from all category of Class IV in order of seniority, prepared in manner to be notified by the department, having not less than three (03) years substantive service as such on the recommendation of DPC, and to qualify type test with speed of not less than 30 words per minute. Provided that a person appointed by direct recruitment or by promotion shall have to undergo and qualify the Secretariat Assistant Training Course Examination /Training during the period of probation.
Level -SL 1 (14800- 47100) Orderlies / Chowkidar Minimum Matric and maximum 10+2 100% Direct Recruitment"

4. Amendment to Schedule-II(H):— The Schedule - II(H) to the said Rules shall be substituted by the following Schedule, as follows, namely,—

"Schedule - II(H)

Pay Level &Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-6F (40800- 129200) Health Equipment/Service Engineer Matric or above qualification and having Degree/ Diploma in / Electrical / Electronics Engineering from any recognised Institute. 50 % by direct recruitment and 50% by promotion from Projectionist pay level-6 (35400-112400) and Electrician pay level-4 (25500- 81100) having not less than Four (04) and Seven (07) years respectively with Certificate / Diploma / Degree in Electronics Engineering from any recognized Institute.
Level -6 (35400- 112400) Projectionist 100% by promotion from Junior Projectionist having not less than five (05) years of substantive service.
Level -4 (25500- 81100) Jr. Projectionist 10+2 with minimum one year diploma in Computer Hardware & Network Maintenance/Diploma in Cinematography Course from ITI or any other recognized Institute. 100% by direct recruitment.
Level -4 (25500- 81100) Electrician L4 - 100% by promotion from electrician L2, having not less than three years substantive service.
Level -2 (19900- 63200) Electrician L2 Two years National Trade certificate/State Trade Certificate in electrician awarded by NCVT/SCVT 100% direct recruitment."

5. Amendment to Schedule-II(M):— The Schedule-II(M) to the said Rules shall be substituted by the following schedule, as follows, namely—

" Schedule-II(M)

Pay Level & Structure Designation Minimum qualification for recruitment Method of recruitment
Level-9 (52700- 166700) Matron 100% promotion from Assistant Matron/Sister/ Nursing Supervisor on the basis of common seniority, having not less than three (03) years substantive service as Assistant Matron/Sister/ Nursing Supervisor.
Level-6E (35900- 113200) Assistant Matron/Sister/Nursing Supervisor 100% by promotion from Senior Nurse having not less than five (05) years substantive service as Senior Nurse
Level-6 (35400- 112400) Senior Nurse / Deputy Nursing Superintendent/Supervisor 100% by promotion from Junior Nurse/Staff Nurse /Nursing Mid Wife having not less than ten (10) years of substantive service. Note: The eligibility criteria for the Jr. Nurse who are in the feeder grade for the recruitment to the post of Senior Nurse, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 05 years of substantive Service as Junior Nurse.
Level-6 (35400- 112400) Lady Health Visitor 100% by promotion from Lady Health Visitor (Lower Grade) with five (05) year substantive service and FMPHW with Seven (07) years substantive service on the basis of common seniority prepared in the manner to be notified by the department. Further in respect of FMPHW Six (6) months extra training to be conducted by the department in order of seniority is mandatory for promotion.
Level-4 (25500- 81100) Lady Health Visitor (Lower Grade) 100% by promotion from FMPHW having not less than five (05) years of substantive service
Level-4 (25500- 81100) Junior Nurse /Junior Staff Nurse/Nursing Mid Wife Minimum 10+2 with Diploma in General Nursing and Mid Wifery (GNM) or a Degree in Bachelor of Science (B.Sc) Nursing from an Institution reorganized by the Indian Nursing Council (INC) or a State Nursing Council (i) 90% by direct recruitment (ii) 10% by promotion from FMPHW who possesses diploma in Nursing with having not less than five (05) years substantive service. Provided that in case of non- availability of persons having Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment.
Level-2 (19900- 63200) Female Multi Purpose Health Worker (FMPHW) Matric with diploma in Female Multipurpose workers training course (FMPHW) from SMF or any other recognized Institute. (i) 90% by direct recruitment. (ii) 10% by promotion from all category of Class IV, on the basis of common seniority prepared in the manner to be notified by the department, having diploma Female Multipurpose Health Worker. Provided that in case of non- availability of persons having Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment.

6. Amendment to Schedule-II(N) : — The Schedule-II(N) to the said Rules shall be substitute by the following Schedule, as follows, namely,—

" Schedule-II(N)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-6E (35900- 113500) Head Dental Technician 100% by promotion from Supervisor Dental Technician pay level-6D (35800-113200) having not less than three (03) years substantive service.
L evel-6D (35800- 113200) S upervisor Dental Technician 1 00% by promotion from Senior Dental Technician pay level-6 (35400-112400) having not less than three (03) years substantive Services.
Level-6 (35400- 112400) Senior Dental Technician 100% by promotion from Dental Assistant/Junior Dental Technician having not less than ten (10) years of substantive service. Note: The eligibility criteria for the Dental Assistant who are in the feeder grade for the recruitment to the post of Senior Dental Technician, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 05 years of substantive Service as Dental Assistant.
L evel-4 (25500- 81100) D ental Assistant /Junior Dental Technician 1 0+2 Science (Medical) having Biology & chemistry as subjects with diploma in Dental Assistant. Course from SMF or any other recognized institute (i) 90% by direct recruitment category of Class IV on the basis of common seniority prepared in the manner to be notified by the department, with having Diploma required for direct recruitment. Provided that in case of non- availability of persons having Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment."

7. Amendment to Schedule-II(O) :— The Schedule-II(O) to the said Rules shall be substituted by the following Schedule, as follows, namely,—

" Schedule-II(O)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-9 (52700- 166700) Senior Principal/ Nursing Officer 100% by promotion from Principal / Nursing Officer pay level-8 (47600- 15100) having not less than two (02) years substantive service.
Level-8 (47600- 151100) Principal/Nursing Officer 100% by promotion from Sister Tutor / Public Health Nurse with M.Sc. Nursing in Community Health Nursing with 3 years of teaching experience or B.Sc. Nursing (Basic) / Post Basic with 5 years of teaching experience in Community Health Nursing Specialty.
Level-7 (44900- 142400) Warden Bachelor Degree in Hotel management from any recognized institute OR Graduate with minimum two years diploma in Hotel Management from any recognized Institution. 100% Direct Recruitment.
Level-6 (35400- 112400) Sister Tutor/ Public Health Nurse/Nursing Tutor B.Sc. Nursing (Basic/Post Basic) with 2 years of professional experience in Community Health Nursing Specialty. 70% Direct Recruitment. 30% by promotion from Scheduled - II (M)Junior Nurse / Junior Staff Nurse / Nursing Mid Wife having not less than ten (10) years of substantive service. Provided that in case of non- availability of persons having Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment."

8. Amendment to Schedule-II(Q) :— The Schedule-II(Q) to the said Rules shall be substituted by the following Schedule, as follows, namely:—

"Schedule-II(Q)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-9 (52700- 166700) Senior Physiotherapist Officer 100% by promotion from Physiotherapist pay level-7 (44900-142400) having not less than three (03) years substantive Service
Level -7 (44900- 142400) Physiotherapist Bachelor's degree in Physiotherapy (BPT) from any recognized Institute. 100% by promotion among Jr. Physiotherapist having not less than five (05) years substantive service.
Level-6 (35400- 112400) Junior Physiotherapist Bachelor's degree in Physiotherapy (BPT) or 10+2 with Diploma in Physiotherapy (DPT) from any recognized Institute. 100% Direct Recruitment
Level-6 (35400- 112400) Senior Para Medical Asstt / Para Medical Assistant 100% by promotion from Para Medical Assistant / Health &FW Assistant having not less than Ten (10) years of substantive service. Note: The eligibility criteria for the Para Medical Assistant / Health &FW Assistant who are in the feeder grade for the recruitment to the post of Senior Para Medical Assistant, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 05 years of substantive service as Para Medical Assistant / Health &FW Assistant.
Level -4 (25500- 81100) Paramedical Asstt/ Health & FW Assistant. 100% by promotion from MPHW (Male) / FMPHW having not less than five (05) years substantive service.
Level-2 (19900- 63200) MPHW (Male)/FMPHW Matric with diploma in Multipurpose workers training course (MPHW) from SMF or any other recognized Institute (i) 90% by direct recruitment. (ii) 10% by promotion from all category of Class IV on the basis of common seniority prepared in the manner to be notified by the department, with having diploma required for direct recruitment. Provided that in case of non-availability of persons having Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment.

9. Amendment to Schedule-II(R): — The Schedule -II(R) to the said Rules shall be substituted by the following Schedule, as follows, namely, —

"Schedule-II(R)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level- 6E (35900- 113500) Blood Bank Organizer/ Bacteriologist / Head Laboratory Technician. 100% by promotion from Supervisory Laboratory Technician pay level-6D (35800-113200) having not less than three (03) years substantive Services.
level-6D (35800- 113200) Supervisory Laboratory Technician 100% by promotion from Senior Laboratory Technician / Laboratory Technician / Blood Bank Technician pay level-6 (35400-112400) having not less than three (03) years substantive services.
Level-6 (35400- 112400) Laboratory T e c h n i c i a n / Senior Laboratory Technician / Blood Bank technician Medical Lab Technologists. / 100% by promotion from Laboratory Assistant/Junior La b Technician having not less than ten (10) years of substantive service. Note: The eligibility criteria for the Laboratory Assistant who are in the feeder grade for the recruitment to the post of Laboratory Technician, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 05 years of substantive Service as Laboratory Assistant.
Level-4 (25500- 81100) Laboratory Assistant /Junior Lab Technician 10+2 Science (Medical)having biology and chemistry as subjects, with diploma in Laboratory Assistant/ Medical Laboratory Technology from SMF or any other recognized Institute. 90% by direct recruitment. 10% by promotion from all category of Class IV on the basis of common seniority prepared in the manner to be notified by the department, with having qualification/Diploma required for direct recruitment. P rovided that in case of non- availability of persons having Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment.

10. Amendment to Schedule-II (S): - The Scheule II (S) to the said Rules shall be substitute the following Schedule, as follows, namely: -

Schedule-II (S)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-6E (35900- 113500) Head Pharmacist - 100 % promotion from Supervisor Pharmacist having not less than 5 years substantive Service.
Level-6D (35800- 113200( Supervisory Pharmacist - 100 % promotion from Senior Pharmacist having not less than 5 years substantive Service.
Level-6 (35400- 112400) Senior Pharmacist - 100 % promotion from Junior Pharmacist having not less than 5 years substantive Servic.
Level- 4(25500- 81100) Junior Pharmacist Minimum 10+2 with Science and a Degree /Diploma in Pharmacy Course/Medical Assistant from any Government – recognized Institute. 9 0% by direct recruitment. 1 0% by promotion from all categories of Class IV on the basis of common seniority prepared in the manner to be notified by the Department, having qualification required for direct recruitment. Provided that in case of non-availability of persons having Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment.

11. Amendment to Schedule-II (T): - The Schedule-II(T) to the said Rules shall be substitute by the following Schedule, as follows, namely, -

Schedule-II(T)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-6E (35900- 113500) Head Theatre - Technician /Theatre Supervisor 100% by promotion from Supervisor Theatre Technician pay level-6D (35800-113200) having three (03) years substantive service.
level-6D (35800- 113200) Supervisor Theatre Technician 100% by promotion from Senior Theatre Assistant / Lady Theatre Technician pay level-6 (35400- 112400) having three (03) years substantive service
Level-6 (35400- 112400) Senior Theatre - Assistant. / Lady Theatre Technician. 100% by promotion from Junior Theatre Asst./Lady Theatre Asstt/Theatre Technician/OT Technologist/OT Technician having not less than ten (10) years of substantive service. Note: The eligibility criteria for the Junior Theatre Asst./Lady Theatre
Assistant who are in the feeder grade for the recruitment to the post of Senior Theatre Assistant. / Lady Theatre Technician, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 05 years of substantive Service as Junior Theatre Asst./Lady Theatre Assistant.
Level-4 (25500- 81100) Junior Theatre Asst./Lady Theatre Asst/Theatre Technician/OT Technologist/OT Technician. 10+2 Science (Medical) having biology and chemistry as subjects, with diploma/Degree in Operation Theatre Technology/ Theatre Assistant from SMF or any other recognized institute (i) 90% by direct recruitment (ii) 10% by promotion from all category of Class IV on the basis of common seniority prepared in the manner to be notified by the department, with having qualification required for direct recruitment. P rovided that in case of non- availability of persons having Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment.

12. Amendment to Schedule-II(U):- The Schedule-II(U) to the said Rules shall be substitute by the following Schedule, as follows, namely, -

Schedule-II(U)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
level-6E (35900- 113500) Head X-Ray Technician 100% by promotion from Radiographer / Supervisory X- Ray Technician pay level-6D (35800- 113200) having three (03) years substantive service
Level-6D (35800- 113200) Radiographer / Supervisory X- Ray Technician 100% promotion from X-Ray Tech. having not less than 5 years substantive service.
Level-6 (35400- 112400) X-Ray Technician 100% by promotion from X-Ray Assistant/Junior X-Ray Technician having not less than ten (10) years of substantive service. Note: The eligibility criteria for the X-Ray Assistant who are in the feeder grade for the recruitment to the post of X-Ray Technician, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 05 years of substantive Service as X-Ray Assistant.
Level-4 (25500- 81100) X-Ray Assistant /Junior X-Ray Technician 10+2 Science (Medical) having biology and chemistry as subjects, with diploma in X-Ray Asstt/X- Ray Technician from SMF or any other recognized institute. (i) 90% by direct recruitment (ii) 10% by promotion from all category of Class IV on the basis of common seniority prepared in the manner to be notified by the department, with having qualification required for direct recruitment.
Provided that in case of non- availability of persons having Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment.

13. Amendment to Schedule-II(W) :- The Schedule-II(W) to the said Rules shall be substitute by the following Schedule, as follows, namely, -

Schedule-II(W)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-6 (35400- 112400) ECG Technician 10+2 Science (Physic, Chemistry, Biology/ Mathematics) from reorganized Board with minimum 2 years Degree/Diploma in ECG Technician from a recognized University/ institute. (i) 90% by Direct Recruitment (ii) 10% by promotion from Junior ECG Technician having not less than ten (10) years of substantive service. Note: The eligibility criteria for the Junior ECG Technician who are in the feeder grade for the recruitment to the post of ECG Technician, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 05 years of substantive Service as X-Ray Assistant.
Level-4 (25500- 81100) Junior ECG Technician 10+2 Science (Physic, Chemistry, Biology/ Mathematics) from reorganized Board with minimum 2 years Degree/Diploma in ECG Technician from a recognized University/ institute. 100% by direct recruitment.

14. Amendment to Schedule-II(X):- The Schedule-II(X) to the said Rules shall be substitute by the following Schedule, as follows, namely, -

Schedule-II(X)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-6 (35400- 112400) Anaesthesia Technician 100% by promotion from Anesthesia Assistant having not less than ten (10) years of substantive service. Note: The eligibility criteria for the Anesthesia Assistant who are in the feeder grade for the recruitment to the post of Senior Anaesthesia Technician, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 05 years of substantive Service as Anesthesia Assistant.
Level-4 (25500- 81100) Anaesthesia Assistant. 10+2 Science (Medical) having biology and chemistry as subjects, with diploma in Anaesthesia from SMF or any other recognized institute (i) 90% by direct recruitment (ii) 10% by promotion from all category of Class IV on the basis of common seniority prepared in the manner to be notified by the department, with having qualification required for direct recruitment. Provided that in case of non- availability of persons having Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment.

15. Amendment to Schedule-II(Y) :- The Schedule-II(Y) to the said Rules shall be substitute by the following Schedule, as follows, namely, -

Schedule-II(Y)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level- 6E (35900- 113500) Head Ophthalmic Technician 100% by promotion from Supervisory Ophthalmic Technician pay level-6D (35800-113200) having three (03) years substantive service.
Level -6D (35800- 113200) Supervisory Ophthalmic Technician 100 % by promotion from Senior Ophthalmic Technician /Ophthalmic Technician pay level-6 (35400-112400) having three (03) years substantive service
Level-6 (35400- Ophthalmic Technician/ 100% by promotion from
112400) Senior Ophthalmic Technician Ophthalmic Asst / Junior Ophthalmic Technician /Optometrist /Vision technician having not less than ten (10) years of substantive service. Note: The eligibility criteria for the Ophthalmic Assistant who are in the feeder grade for the recruitment to the post of Ophthalmic Technician, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 05 years of substantive Service as Ophthalmic Assistant.
Level-4 (25500- 81100) Ophthalmic Assistant/ Junior Ophthalmic Technician /Optometrist/ Vision Technician 10+2 Science (Medical) having biology and chemistry as subjects, with diploma in Ophthalmic Assistant from SMF or any other recognized institute. (i) 90% by direct recruitment (ii) ) 10% by promotion from all category of Class IV on the basis of common seniority prepared in the manner to be notified by the department, with having qualification required for direct recruitment. Provided that in case of non- availability of persons having Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment .

16. Amendment to Schedule-II(Z) : - The Schedule-II(Z) to the said Rules shall be substitute by the following Schedule, as follows, namely, -

Schedule-II(Z)

Pay Level & structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-9 (52700- 166700) Senior Community Health Officer 100% by promotion from Junior Community Health Officer pay level- 6E (35900-113200) having not less than nine (08) years substantive Service.
Level-6 E (35900- 113200) Junior Community Health Officer - 100% by Promotion from following on the basis of common seniority prepared in the manner to be notified by the department, having not less than 5 years substantive service: i. Sanitary Inspector: Schedule-II (V) ii. Public Health Nurse: Schedule- II(O) iii. Extension Educator/Health Educator: Schedule-II (Z) Treatment Organizer: Schedule- II (Z) v. Lady Health Visitor: Schedule-II (M) vi. District Health Supervisor /Senior Health Inspector/BCG Team Leader/TB Health Visitor: Schedule-II (Z) iv. Sr. Para Medical Assistant: Schedule-II (Q).
L evel-7 (44900- 142400) District Mass Education Officer. - By promotion from Dy. Mass Education & Information Officer having not less than five (5) years substantive service.
Level -6E (35900- 113200) Treatment Organizer - 100% by promotion from TB Health Visitor having not less than five (5) years substantive service.
L evel -6 (35400- 112400) S r. Health inspector / District Health Supervisor - 1 00% by promotion from Junior Health Inspector / Vocational counsellor/ Medical Social Worker/Social Worker having not less than ten (10) years of substantive Service. Note: The eligibility criteria for the Junior Health Inspector who are in the feeder grade for the recruitment to the post of Senior Health Inspector, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 05 years of substantive Service as Junior Health Inspector.
Level -6 (35400- 112400) BCG Team Leader/TB Health Visitor - 100% by promotion from BCG Technician having not less than ten (10) years of substantive services. Note: The eligibility criteria for the BCG Technician who is in the feeder grade for the recruitment to the post of BCG Team leader/TB Health Visitor, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 07 years of substantive Service as BCG Technician.
L evel-6 (35400- 112400) Dy. Mass Education Information Officer Graduate with Degree/Diploma in Mass Communication, Journalism or Development Communication from a recognized university. 100% by direct recruitment.
Level -6 (35400- 112400) Ext. Educator/ Health Educator 10+2 with a minimum one- year Diploma in Health Promotion and Education (DHPE) from any Government- recognised institution or an institution recognised by the Institute of Population Sciences (IIPS), or 10+2 with a minimum one-year I) 90% by direct recruitment. 1 0% by promotion from Jr. Health inspectors /Health Educator Lower grade on the basis of common seniority prepared in the manner to be notified by the department, having not less than 5 years substantive service. Provided that in case of non- availability of persons having
Diploma in Nutrition and Health Education from any Government recognized institution. Diploma to fill up the post by promotion, the posts shall be filled up by direct recruitment, in a year of recruitment.
L evel -4 (25500-81100) J r. Health inspectors /Health Educator Lower grade/ Instructor/ /Basic Health workers 1 0+2 with a minimum one-year Diploma in Health Promotion and Education (DHPE) from any Government- recognised institution or an institution recognised by the Institute of Population Sciences (IIPS), or 10+2 with a minimum one-year Diploma in Nutrition and Health Education from any Government recognised institution 5 0% direct recruitment 50% by promotion from Basic Health Workers in Pay Level-2 who have rendered not less than five years of substantive service as Basic Health Workers.
Level -4 (25500-81100) Medical Social worker/Social worker / vocational Counselor Bachelor's Degree in Social Work or Sociology from a recognized University/Institution; OR Degree in any discipline with a minimum one-year Diploma in Social Work from a recognised University/Institution 100% by direct recruitment
Level-2 (19900-63200) Basic Health Workers - 100% by promotion from all category of Class IV on the basis of common seniority prepared in the manner to be notified by the department, with Three (3) year substantive service.
Level-2 (19900- 63200) BCG Tech. - 100% by promotion from all category of Class IV on the basis of common seniority prepared in the manner to be notified by the department, with Three (3) year substantive Service and BCG, trained.

17. Amendment to Schedule-II(Z-1):— The Schedule -II(Z-1) to the said Rules shall be substituted by the following Schedule, as follows, namely, -

"Schedule-II(Z-1)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level -4 (25500- 81100) Medical Record Technician 10+2 with diploma in Medical Record Technician 100% by Direct recruitment
level-6 (35400- 112400) Refrigerat or Mechanic 100% by promotion from Refrigerator Mechanic pay level-4, having not less than ten (10) years of substantive service. Note: The eligibility criteria for the Refrigerator Mechanic pay level-4, who are in the feeder grade for the recruitment to the post of Refrigerator Mechanic, on the date of notification of Ladakh Health & Medical (Subordinate) Recruitment Rules, 2021, shall be 05 years of substantive Service
as Refrigerator Mechanic pay level-4.
Level-4 (25500- 81100) Refrigerator Mechanic One year National trade certificate in Refrigeration awarded by NCVT/SCVT 100% by Direct Recruitment.
Level -4 (25500- 81100) Steward 10+2 with diploma in Food & Beverages Service from Food Craft Institute or any other recognized institute 100% by Direct Recruitment
Level -4 (25500- 81100) Tin Smith One year National trade certificate in Sheet metal awarded by NCVT/SCVT 100% by Direct recruitment
Level-4 (25500- 81100) Generator Operator One year National trade certificate in mechanic awarded by NCVT/SCVT 100% by direct recruitment.
Level-4 (25500- 81100) Plumber One year National trade certificate in plumber awarded by NCVT/SCVT 100% by direct recruitment.
Level -2 (19900- 63200) Telephone Operators 12th pass with minimum 6th month certificate course in Electronic Private Automatic Branch Exchange (EPABX). 100% by direct recruitment.
Level -2 (19900- 63200) Library Assistant Bachelor's degree in Library Science or Graduation with minimum one year Diploma in Library Science. 100% by direct recruitment.
SL1 (14800- 47100) Gardener 10th pass with one year Certificate Course in Basic Horticulture Training (BAT) from any recognized Institute. 100% by direct recruitment.
SL1 (14800- 47100) Cleaner Minimum Matric and maximum 10+2 100% by direct recruitment."

Amendment to Schedule-II (Z-2) A & B: (1)The Schedule-II (Z-2) A & B to the said Rules shall be substituted by the following Schedule, as follows, namely, - "Schedule-II (Z-2)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
SL-3 (16900- 53500) Senior Nursing Orderly 100% by promotion from all category of Class IV (SL2) on the basis of Common Seniority if not available from SL1 on common seniority basis.
SL 2 (15900- 50400) X-ray Boy/Theatre Boy/Laboratory Boy/Dental boy/Ward boy/ Physiotherapist boy/linen keeper 100% by promotion from all category of Class IV (SL1) on the basis of common seniority prepared in the manner to be notified by the department with three (3) year substantive service.
SL-1( 14800- 47100) BB Attendant /Attendant /Dark Room Attendant / Chest Carrier/Junior ward Boy/Aaya/ Picker/Field Worker /Nursing Orderly/ Lab. Attendant / Domestic Staff Minimum Matric and Maximum 10+2 50 % by Direct Recuritment 50% Adjustment by Safaiwala

(2) After Schedule -II (Z-2) , the following Schedules shall be inserted , namely,-

" Schedule-II(Z-3)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-6E (35900- 113500) Legal Assistant 100 % by deputation from Ladakh Legal (Subordinate) Service.

Schedule-II(Z-4)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
L evel-6 (35400- 112400) H ospital Manager M inimum Bachelor of Hospital Management or BHM from recognized Institute/University 100% b y d irect recruitment

Schedule-II(Z-5)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-6 (35400- 112400) Assistant Store Manager 100% by promotion from Computer Operator/ Storekeeper cum Record Clerk/Record keeper cum Computer Operator /Storekeeper /Record Clerk/Store Keeper cum clerk /Coding Clerk cum Computer operator having not less than Ten (10) years of substantive Service.
L evel-2 (19900- 63200) Computer Operator/ Storekeeper cum Record Clerk/Record keeper cum Computer Operator /Storekeeper /Record Clerk/Store Keeper cum clerk /Coding Clerk cum Computer operator G raduation with six months Certificate Course in computer Application from any recognized University / Institution. 7 5% by direct recruitment 2 5% by promotion from Z-2

Schedule-II(Z-6)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-6 (35400- 112400) Labour Delivery and Resuscitation (LDR) 100 % by promotion from Nursing unit schedule-II (M) of S.O. 38 i.e from Junior Nurse/Junior Staff Nurse/Nursing Mid Wife, having not less than (10) years of substantive service as Junior Nurse/Junior Staff Nurse/Nursing Mid Wife.

Schedule-II(Z-7)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-4 (25500- 81100) Central Sterilization Supply Department Assistant (CSSD) Graduation in Microbiology or B.Sc with Diploma in Theatre Technology and Training Course in Central Sterile Service Department (CSSD) Assistant from a recognised institution; or 10+2 with science from a recognised Board/University with a Certificate or Diploma in CSSD/Sterilization T e c h n i q u e s o f minimum one-year duration 100% by direct recruitment

Schedule-II(Z-8)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-4 (25500- 81100) Dialysis Therapy Technologist/Dialysis 10+2 with science or above qualification with diploma in Dialysis Technician / Degree in Renal Dialysis from any Recognized Institution / State Medical Faculty / JK Paramedical council 100% direct recruitment

Schedule-II(Z-9)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-4 (25500- 81100) Pulmonary Function Test Technician (PFT) 10+2 Science with a Diploma in Pulmonary Function Technology. 100% by direct recruitment

Schedule-II(Z-10)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-4 (25500- 81100) Assistant Dietician B.Sc Dietician / Nutrition from recognized Institute 100 % by direct recruitment

Schedule-II(Z-11)

Pay Level Structure Level-4 (25500- 81100) & Designation Audiologist Minimum qualification for direct recruitment recruitment 10+2 with Science or above qualification with Degree/Diploma in audiometry or speech therapy Course from any recognized Institute/ UT/State Medical Faulty. Method of recruitment 100 % by direct recruitment

Schedule-II(Z-12)

Pay Level & Structure Designation Minimum qualification for direct recruitment Method of recruitment
Level-4 (25500-81100) Dresser for plaster / procedure room Minimum 10+02 with Science and having Degree / Diploma in Medical Assistant from any recognized Institute. 100% by Direct recruitment.

By order of the Lieutenant Governor (Administrator), UT of Ladakh.

Sd/- Sanjeev Khirwar (IAS) Principal Secretary

Health and Medical Education Department Copy to the: -

1. Joint Secretary, J&K and Ladakh, Ministry of Home Affairs, GOI

2. All the Administrative Secretaries, UT Ladakh.

3. Additional Director General of Police (ADGP), UT Ladakh.

4. Deputy Commissioner/CEO LAHDC, Leh.

5. Deputy Commissioner/CEO LAHDC, Kargil.

6. All Head of the Departments, UT Ladakh.

7. OSD to Hon'ble Lieutenant Governor, Union Territory of Ladakh for information of Hon'ble LG.

LADAKH GAZETTE : EXTRAORDINARY 36

8. District Informatics Officer, NIC, Ladakh for uploading on the UT Website.

9. Private Secretary to Chief Secretary, UT of Ladakh for the information of Chief Secretary.

10. PA to Principal Secretary, Health and Medical Education Department, UT of Ladakh for the information of Principal Secretary.

11. I/C Archives, Archaeology and Museums.

12. Office/Order File.

Jigmet Angchuk (JKAS)

Under Secretary Health and Medical Education Department "No legal responsibility is accepted for the contents of publication of advertisements/publications in this part of The Ladakh Gazette. Persons notifying the advertisements/public notices will remain solely responsible for the legal consequences and also for any other misrepresentation etc."

Cite this issue. Ladakh Gazette, Ladakh Administration, 25 November 2025. Indian Gazettes, https://egazette.servantsofknowledge.in/details/in.gazette.ladakh.2025-11-25.1651/. Archive identifier in.gazette.ladakh.2025-11-25.1651.