Healthcare services by doctors and clinical establishments are exempt from GST, so a doctor or clinic offering only medical treatment does not need GST registration. Registration becomes relevant when the practice also earns taxable income, such as cosmetic procedures, retail pharmacy sales or renting out space.
Diagnosis, treatment and care for illness, injury, deformity, abnormality or pregnancy, by a doctor or a clinical establishment such as a clinic, nursing home or diagnostic centre, are exempt. Consultation fees, OPD procedures, surgery and diagnostic tests fall in this category. A doctor paid by a hospital for consultations is also providing exempt healthcare. A person supplying only exempt services is not required to register.
Aggregate turnover includes exempt supplies. A dermatology clinic with Rs. 30 lakh of consultation fees and Rs. 8 lakh of cosmetic procedures has aggregate turnover of Rs. 38 lakh, so it must register even though most income is exempt. If the pharmacy is run by a different person, such as a family member under their own PAN, its turnover is tested separately.
Once registered, the clinic charges GST only on taxable items. Input tax credit has to be split, because credit on inputs used for exempt healthcare is not available.
Bill cosmetic procedures and pharmacy sales separately from consultations so the exempt and taxable parts are clear. Keep case records that show the medical purpose where a procedure could look cosmetic. A professional can assess whether your mix of services needs registration and set up billing that keeps the exempt part clean.
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This guide explains the law in general terms as of October 2026. Time limits and requirements can depend on the facts of your case and on the notice you received.
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