Download ESIC Form 7B in Word & PDF Formats (Medical Acceptance Card)

Introduction

The Employees’ State Insurance Corporation (ESIC) Form 7B is a medical acceptance card issued to employees who are covered under the Employees’ State Insurance Act, 1948. This form is used to provide medical benefits to the insured employees and their dependents. It is important for the insured employees to fill out this form and submit it to the ESIC office in order to avail the medical benefits. This form is available in both Word and PDF formats, making it easy for the insured employees to download and fill out the form. This article provides an overview of the ESIC Form 7B, its purpose, and how to download it in Word and PDF formats.

Download ESIC Form 7B in Word & PDF Formats (Medical Acceptance Card)

ESIC Form 7B is a medical acceptance card issued by the Employees’ State Insurance Corporation (ESIC). It is issued to an employee who has been accepted for medical treatment under the Employees’ State Insurance Act, 1948. The form is used to record the details of the employee, the medical treatment provided, and the amount of compensation paid. The form is available in both Word and PDF formats.

Word Format:

The ESIC Form 7B in Word format can be downloaded from the official website of the Employees’ State Insurance Corporation. The form can be filled in and printed out for submission.

PDF Format:

The ESIC Form 7B in PDF format can be downloaded from the official website of the Employees’ State Insurance Corporation. The form can be filled in and printed out for submission.
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ESIC form 7B is known as medical acceptance card, it is required to get treatment in ESIC dispensary.  ESIC form 7B consists of details like your name, IP number, address, establishment name, etc. Insured members can get this form from their employer. If you want to know how a sample ESIC form 7B looks then download the below ESIC form 7B in Word and PDF formats. ( But it is always advisable to get ESI form 7B printout from your employer)

What is ESIC form 7B

ESIC form 7B also known as medical acceptance card.ESIC form 7B is a request form of the insured person to include him or her under a list of a particular doctor in ESIC hospital.

How to Fill ESIC Form 7B

ESIC Form 7B consists of Two parts in a single page. One part consists of insured person details and the other part consists of details of particular under whom the insured person wants to get treatment.

On ESIC form 7B write your name, relationship details like father name or husband name, residential address and insurance number.

ESIC Medical Acceptance Card needs signatures of both the insured person and doctor.

ESIC Form 7B Sample

Sample filled ESIC form 7B

Also Read: How to fill ESIC form 37

How to Download ESIC Form 7B Online

Only your employer can download your ESIC form 7B medical acceptance card in their employer ESIC portal.

Step 1:- To download ESIC form 7B login to employer portal with their establishment code and password at www.esic.in.

Step 2:- After login to this portal, now click on print counter foil under employee.

Step 3:- Now enter ESIC IP number of the insured person and click on the print counter file.

esic form 7b pdf download

Step 4:- Now employee print counterfoil will appear on the screen, at the top left side of the screen a link to download medical acceptance card pdf file or ESIC form 7B pdf download option of that particular employee will be available.

Step 5:- Now click on that link and download ESIC form 7B or ESIC medical acceptance card. Which contains insured person name, insured person’s father name, factory name, residential address of the insured person and IP number of the insured person.

What is The Use of ESIC Form 7B

1. In general ESIC pehchan card or temporary ID card (Print counterfoil) will be enough to get treatment in your ESIC dispensary.

2. But in some cases where the patient needs observation of an ESIC doctor for a long time then they need to submit ESIC form 7B.

Also Find:

What is ESIC Form 37 and How to Download it

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Download ESIC Form 7B in Word & PDF Formats (Medical Acceptance Card)

Employees’ State Insurance Corporation (ESIC) Form 7B is a medical acceptance card issued to an employee who is covered under the Employees’ State Insurance Act, 1948. This card is issued to the employee after the employer has made the necessary contributions to the ESIC. The card is valid for a period of one year and can be renewed annually. It is important for the employee to carry this card while visiting the ESIC hospital or dispensary for medical treatment.

The ESIC Form 7B is available in both Word and PDF formats. The employee can download the form from the official website of the ESIC. The form should be filled in with the necessary details and submitted to the ESIC office. The form should be signed by the employer and the employee. Once the form is submitted, the ESIC will issue the medical acceptance card to the employee.

The ESIC Form 7B is an important document for the employee as it serves as proof of medical coverage. It is important for the employee to carry this card while visiting the ESIC hospital or dispensary for medical treatment. The card also serves as a proof of identity for the employee.

It is important for the employee to keep the ESIC Form 7B safe and secure. The employee should also ensure that the form is renewed annually. This will ensure that the employee is covered under the Employees’ State Insurance Act, 1948.

Jaspreet Singh Ghuman

Jaspreet Singh Ghuman

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