RRB Paramedical Staff Syllabus 2026 Detailed Exam Pattern

RRB Paramedical Staff Syllabus 2026: The Railway Recruitment Board (RRB) has initiated the recruitment process for various Paramedical Staff positions under the centralized employment notice CEN No. 05/2026. Securing a position in the Indian Railways requires a strategic preparation plan aligned with the official examination guidelines. Aspirants must closely review the “RRB-Paramedical-Staff-CEN-05-2026-ExamPattern_Syllabus.pdf” to understand the selection framework, which primarily consists of a single-stage Computer-Based Test (CBT), followed by Document Verification and a Medical Fitness Test.

RRB Paramedical Staff Previous Year Question Papers

RRB Paramedical Staff Recruitment 2026: Overview

Organization	Railway Recruitment Board (RRB)
Notification Number	CEN No. 05/2026
Posts Covered	Nursing Superintendent, Pharmacist, Dialysis Technician, Radiographer, Lab Assistant, etc.
Selection Process	Computer-Based Test (CBT), Document Verification, Medical Examination
Exam Mode	Online Objective Multiple-Choice Test

RRB Paramedical Staff Exam Details & Selection Criteria

The selection for the Paramedical Staff categories hinges on a candidate’s performance in the Computer Based Test (CBT). Following the CBT, candidates equal to the number of vacancies will be shortlisted for Document Verification based strictly on merit.

To qualify for empanelment, candidates must secure the following minimum qualifying marks based on their community:

UR / EWS: 40%
OBC (NCL) / SC: 30%
ST: 25%
Note: A relaxation of 2 marks is applicable for PwBD candidates if there is a shortage of candidates against reserved vacancies.

In the event of a tie in CBT marks, the older candidate will be placed higher in merit. If the age is also the same, alphabetical order (A to Z) of the candidate’s given name will break the tie. Final appointment is subject to passing the requisite Medical Fitness Test conducted by the Railway Administration.

RRB Paramedical Staff Detailed Exam Pattern

The CBT is a single-stage examination comprising 100 objective-type questions with four options each. The standard of questions will align with the educational and technical qualifications prescribed for the respective posts.

Exam Duration: 90 minutes (120 minutes for eligible PwBD candidates utilizing a scribe).
Negative Marking: There is a penalty of $1/3$ of the marks allotted for every incorrect answer.

Subjects	Number of Questions	Marks
Professional Ability	70	70
General Awareness	10	10
General Arithmetic, General Intelligence & Reasoning	10	10
General Science	10	10
Total	100	100

Each correct answer awards 1 mark.
A penalty of 0.25 marks is applied for incorrect answers.
Duration: 90 Minutes

RRB Paramedical Staff Topic-wise Syllabus 2026

Common Subjects Syllabus

General Arithmetics: Number systems, BODMAS, Decimals, Fractions, LCM and HCF, Ratio and Proportion, Percentages, Mensuration, Time and Work, Time and Distance, Simple and Compound Interest, Profit and Loss, Algebra, Geometry, Trigonometry, Elementary Statistics, Square Root, Age Calculations, Calendar & Clock, Pipes & Cistern.
General Intelligence and Reasoning: Analogies, Alphabetical and Number Series, Coding and Decoding, Mathematical operations, Relationships, Syllogism, Jumbling, Venn Diagram, Data Interpretation and Sufficiency, Conclusions and Decision Making, Similarities and Differences, Analytical reasoning, Classification, Directions, Statement – Arguments and Assumptions.
General Awareness: Current affairs, Indian geography, culture and history of India including freedom struggle, Indian Polity and constitution, Indian Economy, Environmental issues concerning India and the World, Sports, General scientific and technological developments.
General Science: Physics, Chemistry and Life Sciences (up to 10th Standard CBSE syllabus).

Professional Ability Syllabus (Post-Specific)

Nursing Superintendent: Anatomy, Physiology, Nutrition, Biochemistry, Nursing Foundations, Psychology, Microbiology, Sociology, Pharmacology, Pathology, Genetics, Medical-Surgical Nursing, Community Health Nursing, Child Health Nursing, Mental Health Nursing, Midwifery and Obstetrical Nursing, Nursing Research & Statistics, Management of Nursing Services and Education.
Pharmacist (Entry Grade): Human Anatomy and Physiology, Pharmaceutical Analysis, Pharmaceutics, Pharmaceutical Inorganic Chemistry, Remedial Biology/Mathematics, Biochemistry, Pharmacology, Industrial Pharmacy, Pharmacy Practice, Biostatistics, etc..
Radiographer X-Ray Technician: Human Anatomy & Physiology, Radiology Physics, General Physics, Radiation Physics, X-Ray Machines & Accessories, Image processing Techniques, Clinical Radiography-Positioning, Techniques of modern Imaging Modalities.
Laboratory Assistant Grade II: Anatomy, Physiology, Biochemistry, Fundamentals of Medical laboratory Technology, Microbiology, Clinical biochemistry, Pathology & Histopathology, Haematology and Blood bank.

I will generate a topic-wise syllabus section formatted as a table, drawing from the provided PDF document and the verified information from Testbook and Adda247.

Plan:

Create a table for the “Common Subjects” (General Arithmetic, General Intelligence & Reasoning, General Awareness, General Science).
Create a table for the “Professional Ability” subjects (Nursing Superintendent, Pharmacist, Dialysis Technician, Radiographer, Lab Assistant, etc.). I will limit this to the most prominent posts to keep the table readable but comprehensive.
Apply Markdown table formatting.
Ensure no introductory fluff or conclusions. Just the tables as requested.### Topic-Wise Syllabus

The syllabus for the RRB Paramedical Staff CBT is bifurcated into a common section applicable to all candidates and a professional ability section specific to the applied post.

Part A: Common Subjects Syllabus

This section assesses general aptitude, reasoning, scientific knowledge, and current affairs.

Subject	Detailed Syllabus Topics
General Arithmetics	Number systems, BODMAS, Decimals, Fractions, LCM and HCF, Ratio and Proportion, Percentages, Mensuration, Time and Work, Time and Distance, Simple and Compound Interest, Profit and Loss, Algebra, Geometry, Trigonometry, Elementary Statistics, Square Root, Age Calculations, Calendar & Clock, Pipes & Cistern.
General Intelligence & Reasoning	Analogies, Alphabetical and Number Series, Coding and Decoding, Mathematical operations, Relationships, Syllogism, Jumbling, Venn Diagram, Data Interpretation and Sufficiency, Conclusions and Decision Making, Similarities and Differences, Analytical reasoning, Classification, Directions, Statement – Arguments and Assumptions.
General Awareness	Knowledge of Current affairs, Indian geography, culture and history of India including freedom struggle, Indian Polity and constitution, Indian Economy, Environmental issues concerning India and the World, Sports, General scientific and technological developments.
General Science	Physics, Chemistry, and Life Sciences (up to 10th Standard CBSE syllabus).

Part B: Professional Ability Syllabus (Post-Specific)

This section evaluates the technical and domain-specific knowledge required for the respective paramedical roles.

Paramedical Post	Core Syllabus Topics
Nursing Superintendent / Staff Nurse	Anatomy, Physiology, Nutrition, Biochemistry, Nursing Foundations, Psychology, Microbiology, Sociology, Pharmacology, Pathology, Genetics, Medical-Surgical Nursing (Adult including Geriatrics)-I, Community Health Nursing, Child Health Nursing, Mental Health Nursing, Midwifery and Obstetrical Nursing, Nursing Research & Statistics, Management of Nursing Services and Education.
Pharmacist (Entry Grade)	Human Anatomy and Physiology, Pharmaceutical Analysis, Pharmaceutics, Pharmaceutical Inorganic Chemistry, Remedial Biology/Remedial Mathematics, Pharmaceutical Organic Chemistry, Biochemistry, Pathophysiology, Computer Applications in Pharmacy, Environmental sciences, Physical Pharmaceutics, Pharmaceutical Microbiology, Pharmaceutical Engineering, Medicinal Chemistry, Pharmacology, Pharmacognosy and Phytochemistry, Industrial Pharmacy, Pharmaceutical Jurisprudence, Herbal Drug Technology, Biopharmaceutics and Pharmacokinetics, etc.
Radiographer / X-Ray Technician	Human Anatomy & Physiology, Radiology Physics, General Physics, Radiation Physics & Physics of Diagnostic Radiology, X-Ray Machines & Accessories, Maintenance, X-ray Film / Image processing Techniques (Dark Room Techniques), Clinical Radiography-Positioning, Medical Ethics and patient care, Principles of Medical Emergencies, Equipments, Techniques of modern Imaging Modalities, Contrast & Special Radiography procedures, Quality Control at Radiology & Radiation Safety.
Laboratory Assistant Grade II	Anatomy, Physiology, Biochemistry, Fundamentals of Medical laboratory Technology, Microbiology, Clinical biochemistry, Pathology & Histopathology, Haematology, and Blood bank.
Dialysis Technician	Anatomy, Biochemistry & Pharmacology, Physiology, Introduction to Kidney diseases, Principles and practice of Dialysis.
Health & Malaria Inspector Gr II	Food & Nutrition, Environmental Sanitation and Sanitary Engineering, Communicable and Non-Communicable Diseases (Prevention and Control), Health and Death Statistics.
ECG Technician	Anatomy, Physiology, Biochemistry, Pharmacology, Introduction to Cardiovascular Diseases, Basic Cardiovascular Investigations, Advanced Cardiovascular Investigations.
Optometrist	Physical and Geometrical Optics, General Anatomy and General Physiology, Ocular Anatomy and Ocular Physiology, Basic Biochemistry, Nutrition, Principles of Lighting, Hospital Procedures, Optometric Optics, Ocular Diseases, Visual Optics, Pharmacology, Pathology and Microbiology, Optometric Instruments, Clinical Examination of Visual System, Clinical Psychology, Clinics, Binocular vision, Glaucoma, Low Vision Aids, Dispensing Optics, Pediatric and Geriatric Optometry, Contact Lens, Systemic Diseases, Epidemiology, Public Health.

Syllabus for various posts in Paramedical Categories – CEN 02/2026
Cat. No	Post	Syllabus
1	Dietician	Introduction to Human Biology and Body Functions, Nutrients (Role and Significance), Understanding Nutrition (Basic diets for normal conditions/RDA) , Advanced Nutrition, Introduction to Nutraceuticals, Introduction to Special Conditions and Diet Therapy, Introduction to Clinical Nutrition, Food Microbiology, Recommended Approaches to Disease and Nutrition, Nutritional Biochemistry, Research Methods and Statistics, Medical Nutrition Management, Pathophysiology and Metabolism in Disease, Public Nutrition and Health, Pediatric and Geriatric Nutrition, Food Allergies and Diet Management
2	Staff Nurse	Anatomy, Physiology, Nutrition, Biochemistry, Nursing Foundations, Psychology, Microbiology, Sociology, Pharmacology, Pathology, Genetics, Medical-Surgical Nursing (Adult, including Geriatrics)- I, Community Health Nursing, Child Health Nursing, Mental Health Nursing, Midwifery and Obstetrical Nursing, Nursing Research & Statistics, Management of Nursing Services and Education
3	Dental Hygienist	Dental Hygiene AND Oral Prophylaxis, Community Health Dentistry, Operative Room Technique and Chir Side Assistance, Dental Ethics and Jurisprudence, Dental Materials, Anatomy (General & Dental), Physiology (General & Oral), Pharmacology (General & Dental), Pathology & Bacteriology (General & Dental), Dental Radiology
4	Dialysis Technician	Anatomy, Biochemistry & Pharmacology, Physiology, Introduction to Kidney diseases, Principles and practice of Dialysis
5	Extension Educator	Methodology and Perspectives of Social Sciences, The Essence of Sociology, Social Research Methods, Foundations of Sociological Thought, Social stratification, Environment and Society, Modern Sociological Theories, Perspectives on Indian Society, Culture and Personality, Industry and Society, Open course, Crime and Society, Gerontology, Sociology of Development, Tribal Society in India
6	Health & Malaria Inspector Grade III	Food & Nutrition, Environmental Sanitation and Sanitary Engineering, Communicable and Non- Communicable Diseases (Prevention and Control), Health and Death Statistics
7	Lab Superintendent Grade-III	Sociology & Psychology, PHYSIOLOGY, Basic Chemistry and Biochemistry, General Methodology, PHYSICS, Histopathology and cytology techniques, Clinical pathology & basic hematology, PARASITOLOGY &ENTOMOLOGY, Clinical biochemistry, Coagulation & transfusion medicine, Immunohaematology, VIROLOGY, MYCOLOGY, ADVANCED SEROLOGY
8	Optometrist	Physical and Geometrical Optics, General Anatomy and General Physiology, Ocular Anatomy and Ocular Physiology, Basic Biochemistry, Nutrition, Principles of Lighting, Hospital Procedures, Optometric Optics, Ocular Diseases, Visual Optics, Pharmacology, Pathology and Microbiology, Optometric Instruments, Clinical Examination of Visual System, Clinical Psychology, Clinics, Binocular vision, Glaucoma, Low Vision Aids, Dispensing Optics, Pediatric Optometry and Geriatric Optometry, Contact Lens, Law & Optometry and Occupational Optometry, Systemic Diseases, Epidemiology and Biostatistics, Public Health and Community Optometry

Syllabus for various posts in Paramedical Categories – CEN 02/2026
Cat. No	Post	Syllabus
9	Perfusionist	Basics of Anatomy, Basics of Physiology, Basics of Biochemistry, Basics of Bio-statistics, Basics of Pathology, Basics of Blood Banking, Basics of Microbiology, Basics of Central Sterilization Services, Hospital Awareness, Familiarization of different tables/tubes in surgical department, Surgical Awareness, preparation of patient for surgery, Patient related services, Anatomy, Physiology, Basics of Diagnostic techniques, Angiography, Oxygenators, Theory of Blood Pump, Gross Anatomy and Structural Features of Heart, Oxygenation, Monitoring, Instrumentation and measurements, Patho Physiology and Pharmacology & Perfusion Techniques, Adequacy of Perfusion, Applied Perfusion Technology, Introduction to Perfusion Technology, Perfusion Equipments, Biomedical Electronics, Perfusion problems during radio pulmonary bypass, Cardio Pulmonary By-Pass, Clinical Application of Bypass Techniques, Occupational Aspects of Perfusion, Postoperative Intensive Care unit Management, Instrumentation Study, Instrument Measurement & Critical Care equipment.
10	Physiotherapist	Psychology & Sociology, Anatomy, Physiology, Applied Physiology, Basic and Applied Physics for Physiotherapy, Basic Nursing & First Aid, Orientation to Physiotherapy, General Medicine/General Surgery/Paediatrics/ Geriatrics, Bio-mechanics, Applied Anatomy & Kinesiology, Exercise Therapy, Microbiology and Pathology, Electrotherapy(low & medium frequency), Electrotherapy (high freq & Actinotherapy), Community Medicine, Clinical Orthopaedics, Clinical Cardio-Respiratory Diseases, Bio Statistics & Research Methodology, Physical Modalities Maintanence, PT in Orthopaedics, PT in Neurology, Pt in Cardio Respiratory Conditions, Rehabilitation Medicine, Advanced Physiotherapeutics, Physical Education
11	Pharmacist Grade- III	Human Anatomy and Physiology, Pharmaceutical Analysis, Pharmaceutics, Pharmaceutical Inorganic Chemistry, Remedial Biology/Remedial Mathematics, Pharmaceutical Organic Chemistry, Biochemistry, Pathophysiology, Computer Applications in Pharmacy, Environmental sciences, Physical Pharmaceutics, Pharmaceutical Microbiology, Pharmaceutical Engineering, Medicinal Chemistry, Pharmacology, Pharmacognosy and Phytochemistry, Industrial Pharmacy, Pharmaceutical Jurisprudence, Herbal Drug Technology, Biopharmaceutics and Pharmacokinetics, Pharmaceutical Biotechnology, Quality Assurance, Instrumental Methods of Analysis, Pharmacy Practice, Novel Drug Delivery System, Biostatistics and Research Methodology, Social and Preventive Pharmacy, Pharma Marketing Management, Pharmaceutical Regulatory Science, Pharmacovigilance, Quality Control and Standardization of Herbals, Computer Aided Drug Design, Cell and Molecular Biology, Cosmetic Science, Experimental Pharmacology, Advanced Instrumentation Techniques, Dietary Supplements and Nutraceuticals
12	Radiographer	Human Anatomy & Physiology, Radiology Physics, General Physics, Radiation Physics & Physics of Diagnostic Radiology, X-Ray Machines & Accessories, Maintenance, X-ray Film / Image processing Techniques (Dark Room Techniques), Clinical Radiography-Positioning, Medical Ethics and patient care, Principles of Medical Emergencies, Equipments, Techniques of modern Imaging Modalities, Contrast & Special Radiography procedures, Quality Control at Radiology & Radiation Safety
13	Speech Therapist	Sound and Hearing, Anatomy and Physiology of ear, Hearing loss, Evaluation of hearing, Early identification and prevention, Speech & Language Pathology, Anatomy and physiology of speech mechanism, Disorders of speech and language, Assessment of speech disorders, Assessment of language disorders, Hearing aids and earmolds, Auditory learning, Speech reading, Education of children with hearing impairment, Rehabilitation, Disability issues, Management of speech disorders, Management of language disorders, Educational issues, General issues in management
14	ECG Technician	Anatomy, Physiology, Biochemistry, Pharmacology, Introduction to Cardiovascular Diseases, Basic Cardiovascular Investigations, Advanced Cardiovascular Investigations
15	Lady Health Visitor	Community Health Nursing, Health Promotion, Primary Health Care, Midwifery, Child Health Care Nursing, Health Center Management
16	Lab Assistant Grade II	Anatomy, Physiology, Biochemistry, Fundamentals of Medical laboratory Technology, Microbiology, Clinical biochemistry, Pathology & Histopathology, Haematology and Blood and bank

Common for all posts indicated in CEN 02/2026

Sl. No	Subject	Syllabus
1	General Arithmetics	Number systems, BODMAS, Decimals, Fractions, LCM and HCF, Ratio and Proportion, Percentages, Mensuration, Time and Work, Time and Distance, Simple and Compound Interest, Profit and Loss, Algebra, Geometry, Trigonometry, Elementary Statistics, Square Root, Age Calculations, Calendar & Clock, Pipes & Cistern
2	General Intelligence and Reasoning	Analogies, Alphabetical and Number Series, Coding and Decoding, Mathematical operations, Relationships, Syllogism, Jumbling, Venn Diagram, Data Interpretation and Sufficiency, Conclusions and Decision Making, Similarities and Differences, Analytical reasoning, Classification, Directions, Statement – Arguments and Assumptions etc.
3	General Awareness	Current Affairs Indian Geography Indian Polity & Constitution Indian Economy Indian History Environmental Issues Sports and Culture
4	General Science	Physics, Chemistry and Life Sciences (up to 10th Standard CBSE syllabus).