Apply for Free Health Card

Applying as a public user. Login if you are an admin.

Full Name *

Gender *

Age *

Father/Husband Name *

Email *

Phone Number * 10-digit mobile number

Profile Photo * Accepted formats: JPG, PNG

Aadhaar Card Front * Accepted formats: PDF, JPG, PNG

Aadhaar Card Back * Accepted formats: PDF, JPG, PNG

Upload Screenshot Accepted formats: JPG, PNG, PDF (Optional)

Address *

District *

Block Name *

Gram Panchayat *

State *

Pincode *

Card Type *

I agree to the Terms and Conditions

Card Validity: 1 year from date of issue

Eligibility: Subject to verification of need

Cost: Free of charge

Application ID: You will receive a 12-digit ID starting with HC (e.g., HC1234567890)