- The recruitment in the cadre of the service shall be made in the following manner :(i)In the cadre of Director of Health Services, by direct recruitment through Commission ;(ii)In the cadre of Additional Director of Heath Services and Joint Director of Health Services in Class I (Senior Grade) of the service, by promotion in accordance with Rules 12 and 13 ;(iii)In the cadre of Chief Medical and Health Officer, Additional Chief Medical and Health Officer, Sub-Divisional Medical and Health Officer, Superintendent of Civil Hospital, Deputy Superintendent, Medical College Hospitals and CHCs in Civil Hospitals and Senior Medical and Health Officers in the Class I of the services, by promotion in accordance with Rules 12 and 13 ;(iv)In the cadre of Medical and Health Officer I Class I of the service, by direct recruitment against vacancies occurring in a year in accordance with Rule 6; provided that the Government may, for good and sufficient reasons, fill in any of the posts in these cadres and also in the cadre of Additional Directors of Health Services and Joint Director of Health Services for specialised schemes or work temporarily or in tenure, by transfer or on deputation from outside the service if it is satisfied that there is no suitable officer in the service available for filling up the vacancy.
