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11W/fireSealdah/westBengal/2024/PMDFile No.: 11W/fireSealdah/westBengal/2024/PMDI/2156447/202524012025To, All MS, ESIC Hospitals/ Model Hospitals/ Super Speciality Hospitals, All Medical Superintendents
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How to fill out esic hospitals and dispensaries

01
Obtain the ESIC application form from your nearest ESIC office or download it from the official ESIC website.
02
Fill in the required personal details, including your name, age, and contact information.
03
Provide information regarding your employer, including the company name and address.
04
Attach the necessary documents such as your employment ID, identity proof, and address proof.
05
Submit the completed application form and documents at your local ESIC office.
06
Once registered, receive your ESIC card which grants access to hospitals and dispensaries.
07
For medical services, visit any ESIC hospital or dispensary and present your ESIC card.

Who needs esic hospitals and dispensaries?

01
Employees working in factories or establishments covered under the ESIC Act.
02
Workers earning below a certain wage ceiling as specified by the ESIC guidelines.
03
Their dependents, including family members such as spouse and children.
04
Individuals seeking affordable healthcare services provided by ESIC hospitals and dispensaries.
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ESIC hospitals and dispensaries are healthcare facilities that provide medical services to employees covered under the Employees' State Insurance (ESI) scheme in India, aimed at ensuring health care for workers and their families.
Employers with establishments employing 10 or more employees are required to register under the ESIC scheme and file the relevant information regarding their employees.
To fill out the ESIC hospitals and dispensaries forms, employers need to provide accurate information about their employees, including personal details, employment information, and contributions made to the ESIC.
The purpose of ESIC hospitals and dispensaries is to provide medical care and assistance to insured persons and their dependents, ensuring access to healthcare and financial protection in case of illness, injury, or maternity.
Information that must be reported includes the employee's name, father’s/husband’s name, address, age, wage details, contribution details, and any other information required by the ESIC authorities related to medical treatment and hospital services.
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