Clinic registration fees by state in India Provisional, permanent and renewal fees for a single-doctor OPD, from official schedules.

Short answer: clinic registration fees in India are small next to rent and salaries, and every state sets its own. A single-doctor OPD pays nothing in Uttarakhand, ₹100 provisional and ₹500 permanent in an urban area of Uttar Pradesh, ₹1,000 and ₹2,000 in Gujarat, ₹3,100 in Karnataka and ₹5,000 in Tamil Nadu, according to the official schedules we fetched on 26 October 2026. The table below covers 17 states and union territories; Jammu and Kashmir has separate schedules for Jammu and for Kashmir. For anywhere else, the district Chief Medical Officer or registering authority has the current figure.

What does a single-doctor OPD clinic pay in each state?

States not listed: we could not find an official fee schedule online on 26 Oct 2026; ask the district CMO/registering authority. That includes Bihar, which is on the central Act list but has no schedule on the Ministry's fee page, and Kerala, West Bengal, Goa, Maharashtra, Madhya Pradesh, Punjab and Odisha, where we found no published amount for a clinic on an official site.

A few cells need a word. Uttar Pradesh's schedule leaves the metro permanent fee blank for an OPD clinic. Andaman and Nicobar prints "NA" in the permanent column. Arunachal Pradesh and Karnataka print one amount for the category with no provisional or permanent split. Tamil Nadu's Rules set one fee, "a sum of rupees five thousand", for every application, paid by demand draft or treasury challan, and its Act makes a certificate valid for five years.

Where does the schedule list no fee for an OPD clinic?

Uttarakhand belongs in this conversation too, for the opposite reason. Its schedule says: "No fees for outpatient care and Clinical Establishments upto 50 beds but registration under Clinical establishment Act is compulsory for every Clinical establishment". Nil fee does not mean no registration. Delhi's 2011 rules set the bed-based fee for three years, with a late fee of ten per cent of the renewal fee "per month or part thereof" and refusal of renewal if you are more than six months late.

Why your category changes the fee

Most schedules price by what the clinic does, so the same doctor can pay double by ticking the wrong box. Karnataka's KPME portal lists ₹3,100 for "Clinic/Polyclinic Only Consultation" and ₹6,300 each for a clinic with diagnostic support, with a dispensary or with observation. Telangana charges a polyclinic of group practitioners ₹3,000 provisional in a metro area against ₹2,000 for a solo practitioner. Gujarat puts a clinic, consulting room and polyclinic in one band at ₹1,000 and ₹2,000, and an establishment of up to 15 beds at ₹2,000 and ₹8,000.

Labs inside a clinic are treated differently from state to state. Uttar Pradesh, Kashmir and Uttarakhand say no separate registration is needed when a laboratory or diagnostic centre is part of an establishment providing out-patient or in-patient care. Telangana's schedule says the opposite: "separate registration is required". If you run even a small pathology corner, read your state's note before you file.

How do renewal and late fees work?

Under the central Act the clock is the same everywhere it applies. Provisional registration is valid "to the last day of the twelfth month from the date of issue" (section 17), renewal is due thirty days before expiry, and a late renewal is allowed "on payment of such enhanced fees, as may be prescribed" (section 22). A permanent certificate is valid for five years (section 30(2)) and its renewal is due within six months before expiry (section 30(4)). The procedure, documents and timelines are in our clinic registration guide.

Who sets the fee, and why there is no national figure

The Clinical Establishments Act, 2010 never names an amount. Section 14(1) asks for an application "along with the prescribed fee", section 24 says a permanent application is "accompanied by such fees, as may be prescribed", and section 35 says "The State Government may charge fees for different categories of clinical establishments". The Ministry's FAQ puts it plainly: the fee is "as determined by the State Government". States with their own laws do the same; Tamil Nadu's Act caps its fee at "five thousand rupees" and leaves the exact sum to the rules.

What other recurring costs come with registration?

The registration fee is rarely the only government payment in the first year. These are the ones tied to it, with the mechanism and without amounts, because the amounts are set locally.

• Bio-medical waste authorisation. Rule 10 of the Bio-Medical Waste Management Rules, 2016 requires every occupier handling bio-medical waste, "irrespective of the quantity", to apply in Form II to the State Pollution Control Board or Pollution Control Committee. For a non-bedded clinic the authorisation is one time, and it "shall be deemed to have been granted" if the board does not object within ninety days. The Rules themselves set no fee, so ask your board for its current charge. You also pay a common bio-medical waste treatment facility for collection; that is a contract price. Our bio-medical waste guide has the details.
• Trade or health licence. Some municipal bodies license clinics as a trade or under a health bye-law. Whether you need one, and what it costs, depends on the municipality and the premises; ask the local body's health or licence department.
• Duplicates and changes. Schedules charge for a duplicate certificate and for a change of owner, management or name: ₹100 for a change in Uttar Pradesh and Uttarakhand, ₹5,000 in Telangana, ₹2,000 in Dadra and Nagar Haveli and Daman and Diu, and half the registration fee in Gujarat. Tamil Nadu charges ₹300 for a duplicate certificate.
• Appeals. If registration is refused, the appeal also carries a fee: ₹100 in Uttar Pradesh, ₹1,000 in Kashmir and in Gujarat for a clinic, ₹5,000 for a "special appeal" in Telangana.

How to pay the right fee the first time

1. Confirm which law applies in your state and whether a bedless clinic is covered. Haryana's adopted Act, for example, reaches establishments above 50 beds and diagnostic labs.
2. Pick the category that matches what you actually do on day one. If you will dispense medicines or run tests, say so; changing category later can mean a fresh fee.
3. Check the location band. Urban, rural and metro are defined by the state; ask the office which band your ward or village falls in.
4. Apply before you open, or within the window your state allows. A late application doubles the fee in most schedules above.
5. If you practise more than one system of medicine, check whether each needs its own application. Tamil Nadu's rule 7(2) requires a separate application for each.
6. Pay through the channel the office names (portal, treasury challan or demand draft) and keep the receipt with the application acknowledgement. Diary the renewal date on the day you receive the certificate.