UPSC CMS Exam 2026: UPSC CMS stands for UPSC Combined Medical Service, conducted by the Union Public Service Commission. The official 2026 notification was officially released on March 11, 2026, on the official UPSC portal. The official 2026 notification was released on March 11, 2026, opening a 20-day application window that successfully concluded on March 31, 2026.
A total of 1,358 vacancies have been announced for Category-I and Category-II Medical Officers this year. Those looking to join as prestigious central medical officers should be familiar with the One-Time Registration (OTR) process—a permanent profile system for all UPSC exams—and the updated 2026 examination layout to track their ongoing exam journey effectively.
| Particulars | Details |
|---|---|
| Name of Organization | Union Public Service Commission (UPSC) |
| Exam Name | Combined Medical Services Examination (CMSE) 2026 |
| Total Vacancies | 1,358 Posts (Category I & II) |
| Frequency | Once a year (Annual) |
| Exam Level | National Level Recruitment |
| Official Website | upsc.gov.in |
Based on the latest official notification and the UPSC Annual Calendar 2026, candidates must adhere to this official timeline for the 2026 recruitment cycle:
The UPSC CMS 2026 syllabus strictly follows the standard MBBS curriculum approved by the National Medical Commission (NMC). The computer-based examination is split into two distinct papers conducted on a single day:
| Subjects & Weightage | Focus Areas |
|---|---|
| General Medicine (Paper I) 96 Questions / 200 Marks |
Cardiology, Infectious diseases, Neurology, Psychiatry, Gastroenterology, Respiratory systems, and emergency medical procedures. |
| Paediatrics (Paper I) 24 Questions / 50 Marks |
Newborn care, growth and development milestones, immunization schedule, and common childhood medical emergencies. |
| Surgery (Paper II) 40 Questions / 83.3 Marks |
General Surgery, Orthopaedics, Ophthalmology, ENT, Anesthesiology, Traumatology, and Pre/Post-Operative Care. |
| Gynaecology & Obstetrics (Paper II) 40 Questions / 83.3 Marks |
Ante-natal care, normal and complicated labor management, family planning, abortions, and reproductive health neoplasms. |
| Preventive & Social Medicine (Paper II) 40 Questions / 83.3 Marks |
Epidemiology, Health Statistics, Communicable/Non-Communicable Diseases, Environmental Health, Nutrition, and National Health Programs (such as Ayushman Bharat). |
Candidates preparing for the 2026-27 session must meet the detailed eligibility standards laid down by the commission:
The UPSC Combined Medical Services application process is conducted strictly online and consists of two primary modules. Candidates should apply well in advance, as exam centers are allotted on a “first-apply-first-allot” basis.
If you have already created an OTR profile for any other UPSC exam in 2026, you can skip directly to Part 2.
Mode of Payment: Fees can be settled digitally via Net Banking, Debit/Credit cards, or UPI. Alternatively, applicants can choose the offline “Pay by Cash” mode by generating an SBI E-Challan during step 4 and depositing cash at any nearby SBI branch before the closure window.
The selection process consists of two primary evaluation tiers: a Computer Based Test (CBT) carrying 500 marks total, followed by a 100-mark Personality Test/Interview at the UPSC headquarters in New Delhi. For the written paper, a negative marking penalty of 1/3rd (0.33 marks) is deducted for every incorrect objective response. If you select multiple options for a single question, it will be treated as an incorrect answer and penalized accordingly.
A total of 1,358 Group-A and Group-B vacancies have been officially announced across Category-I and Category-II health departments for this cycle:
Recruited medical officers join under Level 10 of the 7th Pay Commission Pay Matrix. The baseline starting pay is ₹56,100. When combined with the restricted Non-Practicing Allowance (NPA), Dearness Allowance (DA), and House Rent Allowance (HRA), the gross monthly in-hand salary for 2026 ranges between ₹95,000 and ₹1,10,000 depending on the class tier of the city posting.
Selected medical officers must pass strict physical and clinical fitness protocols. Certain departments, particularly the Indian Railways (for the ADMO post), enforce stricter vision thresholds alongside a mandatory Service Bond (e.g., a commitment up to 5 years or an early exit financial penalty of ₹5 Lakhs).
The commission uploads e-Admit cards directly to upsc.gov.in approximately 2 to 3 weeks before August 2, 2026. You can download the hall ticket by entering your OTR Registration ID or Roll Number along with your Date of Birth. Following the exam, the official written result PDF will be uploaded to the portal under the “Written Results” tab. You can instantly check your qualification status by using the Ctrl+F function to trace your specific roll number inside the official selection layout.
1. Can I request a change in my exam center after final submission?
No. UPSC strictly follows a “first-apply-first-allot” policy for exam centers. Once a center capacity is full, it is frozen. The commission does not entertain any subsequent requests for changing the written exam center under any circumstances.
2. Can BDS, BAMS, or BHMS graduates apply for the UPSC CMS exam?
No. The UPSC Combined Medical Services examination is strictly tailored for western medicine practitioners. Only candidates holding an MBBS degree or those currently finishing their final-year MBBS exams from a recognized National Medical Commission (NMC) institution are eligible to apply.
3. I am currently working in a state government hospital. Do I need an NOC?
Yes. If you are already employed in a permanent or contractual capacity with a Government, Quasi-Government, or Public Sector Undertaking (PSU), you must submit a No Objection Certificate (NOC) from your employer during the Detailed Application Form (DAF) stage before the interview.
4. How long does UPSC keep the CMS reserve/waiting list active?
The UPSC maintains a consolidated reserve list alongside the primary merit list. This reserve list typically remains valid for up to one year from the date of the final result declaration, or until the next consecutive notification is announced, to fill seats vacated by candidates who decline their joining orders.
5. What happens if a candidate fails the strict visual or physical standard test?
If a candidate does not meet the specified medical criteria (especially the rigorous visual limits required for the ADMO cadre in Railways), they are not automatically disqualified from the entire exam. Instead, they are reconsidered for alternative services within the cycle (such as CHS or municipal corporations) whose medical and visual thresholds match their medical reports.
6. Is there a provision to withdraw the application after the registration window closes?
No. UPSC has discontinued the application withdrawal facility. Once your application form is submitted and the fee is processed before the March 31 deadline, it cannot be canceled or retracted, and the application fee is non-refundable.