RRB Paramedical Salary and Pay Level 2026
CEN 05/2026 lists nine paramedical posts across Pay Levels 3 to 7 of the 7th CPC. The notified initial basic pay ranges from ₹21,700 to ₹44,900 per month.

Salary depends first on the post and its pay level. The notification gives the initial basic pay for each post. Gross earnings and the amount credited to an employee’s bank account depend on applicable allowances and payroll deductions.

Post-wise RRB Paramedical Salary 2026

Post 7th CPC pay level Initial monthly basic pay
Nursing Superintendent 7 ₹44,900
Dialysis Technician 6 ₹35,400
Health & Malaria Inspector Grade II 6 ₹35,400
Audiologist & Speech Therapist 6 ₹35,400
Pharmacist (Entry Grade) 5 ₹29,200
Radiographer X-Ray Technician 5 ₹29,200
ECG Technician 4 ₹25,500
Optometrist 4 ₹25,500
Lab Assistant Grade II 3 ₹21,700

These figures are the initial basic pay stated in CEN 05/2026. They should not be presented as guaranteed gross or in-hand salary.

Pay Levels Explained

Level 7 — ₹44,900

  • Nursing Superintendent
  • Highest initial basic pay among the nine posts notified in this CEN.

Level 6 — ₹35,400

  • Dialysis Technician
  • Health & Malaria Inspector Grade II
  • Audiologist & Speech Therapist

Level 5 — ₹29,200

  • Pharmacist (Entry Grade)
  • Radiographer X-Ray Technician

Level 4 — ₹25,500

  • ECG Technician
  • Optometrist

Level 3 — ₹21,700

  • Lab Assistant Grade II
  • Lowest initial basic pay among these notified posts.

A pay level is the salary classification assigned to a post in the pay matrix. It does not describe the difficulty level of the recruitment examination. Posts in the same level have the same notified starting basic pay, while their duties, qualifications and other conditions may differ.

Basic Pay, Gross Salary and In-hand Salary

Term Meaning
Basic pay The fixed pay component. The post-wise table shows the notified starting amount.
Gross salary Basic pay plus allowances and other earnings admissible to the employee.
Deductions Applicable employee contributions, tax and other payroll recoveries.
In-hand salary Gross salary minus applicable deductions; this is the net amount credited.

Gross salary = Basic pay + Admissible allowances and earnings
In-hand salary = Gross salary − Applicable deductions

Allowances and Other Salary Components

Railway payroll includes components such as Dearness Allowance (DA), House Rent Allowance (HRA) and Transport Allowance. Their admissibility and amounts are governed by the relevant Railway orders and the employee’s circumstances. Special duty-related or post-specific allowances apply only where the relevant rules permit them.

Component What candidates should check
Dearness Allowance (DA) The rate applicable for the relevant salary period.
House Rent Allowance (HRA) Posting location, accommodation status and applicable entitlement rules.
Transport Allowance The applicable pay-level, location and entitlement conditions.
Other allowances Whether the particular post and duties satisfy the governing order.

No current DA percentage, HRA percentage or fixed allowance amount is assumed here. CEN 05/2026 provides initial basic pay but does not prescribe a single take-home amount for every new appointee.

Why In-hand Salary Can Differ

Two employees with the same starting basic pay may receive different net pay because of admissible allowances, housing circumstances, employee contributions, tax and individual recoveries. An online estimate is useful only when its rates, location and deduction assumptions are stated.

For example, a Pharmacist and a Radiographer both start at Level 5 with ₹29,200 basic pay. That shared basic pay does not, by itself, establish an identical final bank credit for both employees.

Salary Comparison: Key Points

Comparison Notified position
Highest starting basic pay Nursing Superintendent — Level 7, ₹44,900
Level 6 starting basic pay ₹35,400 for three notified categories
Pharmacist and Radiographer Level 5, ₹29,200 each
ECG Technician and Optometrist Level 4, ₹25,500 each
Lab Assistant Grade II Level 3, ₹21,700
Difference between highest and lowest initial basic pay ₹23,200 per month

Pay Growth and Career Progression

The amounts above describe entry basic pay. Later pay fixation, increments and promotion benefits follow applicable service rules and orders. The recruitment notification does not guarantee a particular promotion date or a fixed future in-hand salary.

When comparing posts, check the required qualification, professional registration, medical standard and actual role alongside the starting pay level.

Official Notification

Download CEN 05/2026 — Official English Notification | Official RRB updates

Source: Railway Recruitment Boards, CEN 05/2026. Information checked on 17 October 2026. Read the detailed notification and subsequent RRB notices for applicable conditions and updates.

Additional reference: Indian Railways IPAS — Allowances and Recoveries manual. This explains payroll components; individual entitlements remain subject to the applicable orders.