Complete guide · 10 min read

How to start a new clinic in India: the complete 90-day checklist.

Opening a clinic in India involves licenses, registrations, equipment, software, and patient acquisition — all in the right order. This is the sequential checklist that gets you from "I want to open a clinic" to "seeing 10 patients on day 1."

In this guide
  • The pre-launch 60 days (paperwork)
  • The 30-day pre-opening (setup)
  • Day 1 to Month 3 (patient acquisition)
  • Common mistakes new doctors make

Pre-launch: Days -60 to -30 (paperwork)

  1. 1 MCI/NMC registration verification — Ensure your registration is active in your practice state
  2. 2 Clinic registration — Register under Clinical Establishments Act (state-specific)
  3. 3 GST registration — Mandatory if annual revenue projected above ₹20 lakh
  4. 4 PAN/TAN application — For clinic (if operating as separate entity)
  5. 5 Shop & Establishment license — Local municipal requirement
  6. 6 Bio-medical waste management authorization — Required from state pollution board
  7. 7 Fire safety NOC — For premises
  8. 8 Signage license — For clinic board display

Pre-launch: Days -30 to 0 (setup)

  1. 1 Premises finalization — Reception, waiting area, 1-2 consult rooms, restroom
  2. 2 Interior setup — Furniture, examination table, patient chairs
  3. 3 Basic medical equipment — BP monitor, weighing scale, thermometer, stethoscope, torch
  4. 4 Prescription pads — With clinic name, doctor details, MCI number
  5. 5 Clinic software setup — Choose and onboard (DhiDoc or alternative)
  6. 6 Payment infrastructure — UPI QR, cash drawer, receipt printer
  7. 7 Staff hiring — Receptionist and/or nurse (if applicable)
  8. 8 WhatsApp Business number — Fresh number for clinic
  9. 9 Google Business Profile — Free listing with location, timings, photos

Launch: Day 1 to Month 3 (patient acquisition)

  1. 1 Soft launch — Family, friends, neighbors as first patients (Day 1-14)
  2. 2 Local awareness — Flyers in immediate area, pharmacy referrals (Day 15-30)
  3. 3 Google reviews — Ask every satisfied patient for a review (ongoing)
  4. 4 WhatsApp Business status — Post opening days, clinic hours regularly
  5. 5 Referral relationships — Connect with local specialists for two-way referrals (Month 2)
  6. 6 First case study — Get testimonial from first happy patient (Month 3)
  7. 7 Local health camps — Free blood pressure or diabetes screening (Month 3+)

Common mistakes new doctors make

The one-line advice

Get the paperwork done before hunting for a location. Nothing kills a new clinic faster than delays waiting for licenses that should have been secured months earlier.

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