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Which medical tests do I need?

The list of investigations for a DGCA Class 1 medical changes with your age and whether it is your first exam or a renewal. Pick your status and age to see the exact tests DGCA requires, straight from the official circular. This tool complements the examiner finder: that one tells you where to go, this one tells you what to expect.

The initial Class 1 can be done from age 17, and you need a valid Class 2 first.

Required investigations

Initial (first-ever) Class 1

Blood & urine
Haemoglobin (Hb%)Total leucocyte count (TLC)Differential leucocyte count (DLC)Urine routine & microscopyBlood sugar (fasting & post-prandial)HbA1cLiver function test (LFT)Blood ureaSerum creatinineSerum uric acidLipid profile
Heart
Resting ECG
Imaging
Chest X-ray (PA view)Ultrasound (USG) abdomenUltrasound (USG) pelvis
Eyes
Dilated fundus examination (eyes)
Hearing
Pure tone audiometry (PTA)
Tests marked LAB (TMT, 2D echo, PSA) must be done at a NABL/NABH/ISO-accredited lab and uploaded to eGCA. Routine blood, urine, ECG and audiometry reports are valid for 1 month; USG, X-ray, TMT and echo for 2 months.
This is the standard schedule. Based on your history and the clinical exam, the examiner can always require additional investigations. On the day: report empty stomach, clean your ears of wax, and carry your last CA-35, photo ID, and spectacles with a fresh prescription.
See the full DGCA age schedule
Initial (first-ever) Class 1
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy, Blood sugar (fasting & post-prandial), HbA1c, Liver function test (LFT), Blood urea, Serum creatinine, Serum uric acid, Lipid profile, Resting ECG, Chest X-ray (PA view), Pure tone audiometry (PTA), Ultrasound (USG) abdomen, Ultrasound (USG) pelvis, Dilated fundus examination (eyes)
Milestone renewal at 25
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy, Ultrasound (USG) abdomen, Ultrasound (USG) pelvis, Pure tone audiometry (PTA), Resting ECG
Yearly renewal (under 30)
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy
Milestone renewal at 30
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy, Ultrasound (USG) abdomen, Ultrasound (USG) pelvis, HbA1c, Lipid profile, Blood sugar (fasting & post-prandial), Pure tone audiometry (PTA), Resting ECG, Dilated fundus examination (eyes)
Yearly renewal (30 to 39)
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy, Resting ECG
Milestone renewal at 35 or 40
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy, Blood sugar (fasting & post-prandial), HbA1c, Liver function test (LFT), Blood urea, Serum creatinine, Lipid profile, Serum uric acid, Ultrasound (USG) abdomen, Ultrasound (USG) pelvis, Pure tone audiometry (PTA), Dilated fundus examination (eyes), Treadmill stress test (TMT)
Milestone renewal at 45, 50 or 55
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy, Blood sugar (fasting & post-prandial), HbA1c, Liver function test (LFT), Blood urea, Serum creatinine, Lipid profile, Serum uric acid, Ultrasound (USG) abdomen, Ultrasound (USG) pelvis, Pure tone audiometry (PTA), Dilated fundus examination (eyes), Treadmill stress test (TMT)
Yearly renewal (40 to 59)
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy, Resting ECG, Pure tone audiometry (PTA)
Milestone renewal at 60
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy, Blood sugar (fasting & post-prandial), HbA1c, Liver function test (LFT), Lipid profile, Blood urea, Serum creatinine, Serum uric acid, Serum PSA (prostate specific antigen), Ultrasound (USG) abdomen, Ultrasound (USG) pelvis, Pure tone audiometry (PTA), Chest X-ray (PA view), 2D echocardiography, Treadmill stress test (TMT)
Milestone renewal at 61 or 63
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy, Blood sugar (fasting & post-prandial), HbA1c, Lipid profile, Resting ECG, Pure tone audiometry (PTA), Treadmill stress test (TMT)
Milestone renewal at 62 or 64
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy, Blood sugar (fasting & post-prandial), HbA1c, Lipid profile, Blood urea, Serum creatinine, Serum uric acid, Liver function test (LFT), Serum PSA (prostate specific antigen), Ultrasound (USG) abdomen, Ultrasound (USG) pelvis, Pure tone audiometry (PTA), Treadmill stress test (TMT), 2D echocardiography
6-monthly renewal (after 60)
Haemoglobin (Hb%), Total leucocyte count (TLC), Differential leucocyte count (DLC), Urine routine & microscopy, Resting ECG, Pure tone audiometry (PTA)

Source: DGCA FCL Circular 03 of 2025 (Rev 2, 02 Jul 2025): General Instructions for Class 1 Medical Examinations. Parsed 9 Jul 2026. DGCA revises this circular; confirm the current version before your exam. Find your centre with the examiner finder.

New to the medicals? Read the Class 1 medical guide, then find your centre with the examiner finder.

How it works

  1. 01

    Choose your status

    First-ever initial Class 1, or a renewal at your current age.

  2. 02

    See your exact tests

    The required blood work, cardiac, imaging, eye and hearing investigations for your case.

  3. 03

    Prepare and book

    Note the lab-only tests and report validity, then find your centre with the examiner finder.

Common questions

At what age can I do the initial Class 1 medical?+

From 17 years and above, per DGCA FCL Circular 03 of 2025. You need a valid Class 2 medical first. The initial schedule is the most extensive, covering blood work, ECG, chest X-ray, ultrasound, audiometry and a dilated eye exam.

How long does the Class 1 medical take?+

DGCA says the examination takes 1 to 3 days depending on the investigations required and the clinical findings. Report empty stomach, and clean your ears of wax beforehand.

Which tests must be done at an outside lab?+

TMT (treadmill stress test), 2D echocardiography and serum PSA must be done at a NABL, NABH or ISO-accredited laboratory and uploaded to eGCA. Many other investigations can be done at the IAF Boarding Centre, but for civil centres and examiners you upload accredited-lab reports.

How long are my test reports valid?+

Per the circular, routine blood and urine tests, blood biochemistry, resting ECG and pure tone audiometry are valid for 1 month; USG, X-ray, TMT, 2D echo, CT, MRI and coronary angiography for 2 months. So do not get them done too far ahead of your exam date.

Does this tool include the fees?+

No, by design. The DGCA circular lists CGHS rates, but fees vary by centre and change, and paying is a separate step on Bharatkosh. This tool answers only which investigations you need. For a full budget, use the cost calculator.