RRB Paramedical Syllabus 2026 — CEN 05/2026
Explore the professional syllabus for all nine notified posts and the common subjects listed in Annexure C of the official notification.

The RRB Paramedical syllabus has two parts: professional subjects relevant to the selected post and common general subjects. Study the professional syllabus for your own post, together with General Arithmetic, General Intelligence and Reasoning, General Awareness and General Science.

Professional Ability: Post-wise Syllabus

1. Nursing Superintendent

  • 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 and Statistics
  • Management of Nursing Services and Education

2. Dialysis Technician

  • Anatomy; Physiology
  • Biochemistry and Pharmacology
  • Introduction to Kidney Diseases
  • Principles and Practice of Dialysis

3. Health & Malaria Inspector Grade II

  • Food and Nutrition
  • Environmental Sanitation and Sanitary Engineering
  • Communicable and Non-Communicable Diseases: Prevention and Control
  • Health and Death Statistics

4. Audiologist & Speech Therapist

  • Speech and Language Development and Disorders
  • Basic Anatomy and Physiology related to Speech and Hearing
  • Diagnostic Audiology; Rehabilitation Audiology
  • Psychology related to Speech and Hearing; Basic Acoustics
  • Pathology of Hearing and Hearing System
  • Phonetics and Phonology electives
  • Speech Language Diagnostics and Therapeutics
  • Paediatric Audiology; Management of the Hearing Impaired
  • Voice and Laryngectomy
  • Hearing Conservation; Aural Rehabilitation and Instrumentation

5. Pharmacist (Entry Grade)

  • Human Anatomy and Physiology; Biochemistry; Pathophysiology
  • Pharmaceutical Analysis; Pharmaceutics; Physical Pharmaceutics
  • Pharmaceutical Inorganic Chemistry; Pharmaceutical Organic Chemistry; Medicinal Chemistry
  • Remedial Biology/Mathematics; Computer Applications in Pharmacy; Environmental Sciences
  • Pharmaceutical Microbiology; Pharmaceutical Engineering
  • Pharmacology; Experimental Pharmacology
  • Pharmacognosy and Phytochemistry; Herbal Drug Technology
  • Industrial Pharmacy; Pharmaceutical Jurisprudence
  • Biopharmaceutics and Pharmacokinetics; Pharmaceutical Biotechnology
  • Quality Assurance; Instrumental Methods of Analysis; Advanced Instrumentation Techniques
  • 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; Dietary Supplements and Nutraceuticals

6. Radiographer X-Ray Technician

  • Human Anatomy and Physiology
  • Radiology Physics; General Physics; Radiation Physics; Physics of Diagnostic Radiology
  • X-Ray Machines and Accessories; Maintenance
  • X-ray Film and Image Processing: Dark Room Techniques
  • Clinical Radiography and Positioning
  • Medical Ethics and Patient Care; Principles of Medical Emergencies
  • Equipment and Techniques of Modern Imaging Modalities
  • Contrast and Special Radiography Procedures
  • Quality Control in Radiology and Radiation Safety

7. ECG Technician

  • Anatomy; Physiology
  • Biochemistry; Pharmacology
  • Introduction to Cardiovascular Diseases
  • Basic Cardiovascular Investigations
  • Advanced Cardiovascular Investigations

8. Optometrist

  • Physical and Geometrical Optics; Optometric Optics; Visual Optics
  • General Anatomy and Physiology; Ocular Anatomy and Physiology
  • Basic Biochemistry; Nutrition; Principles of Lighting
  • Hospital Procedures; Clinics
  • Ocular Diseases; Glaucoma; Systemic Diseases
  • Pharmacology; Pathology; Microbiology
  • Optometric Instruments; Clinical Examination of the Visual System
  • Clinical Psychology; Binocular Vision
  • Low Vision Aids; Dispensing Optics; Contact Lens
  • Pediatric and Geriatric Optometry
  • Law and Optometry; Occupational Optometry
  • Epidemiology and Biostatistics; Public Health and Community Optometry

9. Lab Assistant Grade II

  • Anatomy; Physiology; Biochemistry
  • Fundamentals of Medical Laboratory Technology
  • Microbiology; Clinical Biochemistry
  • Pathology and Histopathology
  • Haematology; Blood Banking

Common Syllabus for All Posts

General Arithmetic

  • Number Systems; BODMAS; Decimals; Fractions
  • LCM and HCF; Square Root
  • Ratio and Proportion; Percentages
  • Profit and Loss; Simple and Compound Interest
  • Time and Work; Pipes and Cisterns
  • Time and Distance
  • Mensuration; Algebra; Geometry; Trigonometry
  • Elementary Statistics
  • Age Calculations; Calendar and Clock

General Intelligence and Reasoning

  • Analogies; Similarities and Differences; Classification
  • Alphabetical and Number Series
  • Coding and Decoding; Mathematical Operations
  • Relationships; Directions
  • Syllogism; Jumbling; Venn Diagrams
  • Data Interpretation and Data Sufficiency
  • Conclusions and Decision Making
  • Analytical Reasoning
  • Statements, Arguments and Assumptions

General Awareness

  • Current Affairs
  • Indian Geography
  • Indian Culture and History, including the 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
  • Life Sciences
  • Level: up to Class 10 CBSE syllabus

How to Use This Syllabus

Begin with the professional card for your selected post and make a chapter checklist from your qualification-level textbooks. Add the four common subject groups to your study plan. Topic names above have been grouped for readability; consult Annexure C for the official wording.

After each chapter, practise relevant objective questions and record recurring errors. Use mixed revision sets to check retention across professional and general subjects. The professional section has the largest indicative share of CBT marks, so it deserves substantial preparation time.

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.

Important Topics for Revision

Preparation guidance: The following priorities are suggested by Cosmo Classes from the notified syllabus. RRB has not assigned separate topic-wise marks or guaranteed questions from these topics. Complete the full syllabus before using this list for final revision.

Post / subject Suggested revision priorities
Nursing Superintendent Nursing foundations; adult medical-surgical nursing; maternal and child health; community health; pharmacology; infection-related microbiology.
Dialysis Technician Renal physiology; kidney diseases; principles and practice of dialysis; relevant pharmacology.
Health & Malaria Inspector Environmental sanitation; prevention and control of communicable diseases; food and nutrition; health statistics.
Audiologist & Speech Therapist Diagnostic audiology; speech and language disorders; paediatric audiology; rehabilitation and instrumentation.
Pharmacist Pharmacology; pharmaceutics; pharmaceutical chemistry and analysis; pharmacognosy; pharmacy practice; jurisprudence and quality assurance.
Radiographer X-Ray Technician Radiation physics; positioning; X-ray equipment; image processing; contrast procedures; radiation safety.
ECG Technician Cardiac anatomy and physiology; cardiovascular diseases; basic and advanced cardiovascular investigations.
Optometrist Optics and refraction-related principles; ocular diseases; binocular vision; clinical examination; contact lenses and low-vision aids.
Lab Assistant Grade II Haematology; clinical biochemistry; microbiology; pathology and histopathology; blood banking.
Arithmetic and Reasoning Percentages; ratio; profit and loss; time and work; series; coding-decoding; syllogism; data interpretation.
General Awareness and Science Current affairs; Indian polity and history; geography; Class 10 Physics, Chemistry and Life Sciences.