The Wafid Medical Test, widely known in Kerala by its older name GAMCA medical, is a pre-employment health check that many Indian workers must complete before getting a work visa for Gulf countries. The system is managed through the Wafid platform of the GCC Approved Medical Centres Association, which authorises selected medical centres in India and other labour-sending countries to examine applicants. The results are uploaded online, and Gulf authorities use them to decide whether a worker is medically fit to receive a residence visa.
Every year, thousands of Malayalis visit approved centres in Kochi, Kozhikode, Thiruvananthapuram and other cities for this test. Yet many of them are confused about booking, fees, documents and what happens if the result is “unfit”. This guide explains the Wafid Medical Test step by step: which tests are done, how to book an appointment, how to check your Wafid medical status, validity, common reasons for an unfit result and practical tips to pass.

Wafid Medical Test – Quick Facts
| Item | Details |
|---|---|
| Earlier name | GAMCA medical |
| Managed by | GCC Approved Medical Centres Association through the Wafid portal |
| Purpose | Pre-employment medical fitness check for Gulf work visas |
| Booking | Online through wafid.com |
| Registration fee | About USD 10, paid online (converted to rupees) |
| Medical centre fee in India | Roughly ₹7,500 – ₹8,500 (varies; check at booking) |
| Results | Fit, Unfit or Pending, viewable online |
| Validity of report | Generally two months from issue |
Why the Gulf Requires a Pre-Employment Medical
Gulf countries host millions of foreign workers who live and work closely together in labour camps, shared accommodation, hospitals, hotels, construction sites and homes. To protect public health and ensure that workers are physically able to do their jobs, these countries require medical screening before issuing residence visas. Screening in the worker’s home country saves time and money for everyone: a worker who is found unfit at home avoids the expense and disappointment of being sent back after arrival, and employers avoid losing visa and travel costs.
For the worker, the GAMCA medical is also a useful health check. Many people discover conditions such as diabetes, high blood pressure or anaemia for the first time during this test and get timely treatment.
Which Countries Use the Wafid System?
The Wafid system is used for medical screening of expatriate workers heading to member states of the Gulf Cooperation Council. In practice, Indian workers going to Saudi Arabia, Kuwait, Oman and Bahrain on employment visas are commonly asked to complete the GAMCA medical through Wafid before visa stamping. Requirements can differ by country and visa type. For example, Qatar work visa applicants from India usually complete medical tests and biometrics at Qatar Visa Centres, and the UAE generally conducts medical fitness tests after arrival for most residence visas. Always confirm with your employer or recruiting agency which medical process applies to you.
Tests Included in the GAMCA Medical Test
| Category | Tests |
|---|---|
| General examination | Height, weight, blood pressure, vision, general physical and mental status check |
| Blood tests | HIV, Hepatitis B surface antigen, Hepatitis C antibody, syphilis, malaria and microfilaria, blood sugar, complete blood count, blood group |
| Radiology | Chest X-ray to check for tuberculosis and other lung conditions |
| Urine and stool | Kidney function indicators, sugar, parasites and infections |
| Additional tests | Pregnancy test for women as per destination rules, and other tests if required |
The exact panel can vary slightly by destination country and centre. The aim is to detect infectious diseases and serious medical conditions that could make a worker unfit for employment or pose public health risks.
How to Book the Wafid Medical Test – 6 Easy Steps
- Get your visa details: Collect your passport and the visa or job details from your employer or agency.
- Open the official portal: Visit wafid.com and choose the option to book a medical examination appointment.
- Select country and city: Choose India as the examination country, your preferred city (for example Kochi or Kozhikode) and the destination Gulf country.
- Enter your details: Fill in passport number, name, date of birth, nationality, profession and other details exactly as in your passport.
- Pay the registration fee: Pay the appointment fee online using a debit or credit card. The system then assigns an approved medical centre.
- Download the slip: Download and print the appointment slip, which shows the allotted centre. Visit the centre within the slip’s validity period.
The system usually allocates a centre automatically, and you may not be able to choose a specific centre. If there is an error in your slip, contact the allotted centre for correction as per Wafid procedures.

Wafid Medical Test for Different Job Categories
| Job Category | Points to Note |
|---|---|
| Nurses and healthcare workers | May require additional vaccination records or tests as per the employer and destination |
| Drivers | Vision and colour vision are important; carry your spectacles if you use them |
| Food handlers and hotel staff | Stool and infection screening are especially important for food safety |
| Construction and industrial workers | Chest X-ray and general fitness are checked carefully |
| Domestic workers | Additional safeguards and checks may apply as per destination rules |
Documents to Carry to the Medical Centre
- Original passport
- Printed Wafid appointment slip
- Passport-size photographs as required by the centre
- Copy of visa or job offer, if requested
- Payment for the medical centre fee
- Previous medical reports, if you have any chronic condition under treatment
On the Day of the GAMCA Medical Test
Reach the centre early in the morning, because many centres process applicants in batches and blood samples are often collected in the morning. Some centres ask applicants to come after fasting for accurate blood sugar results; follow the instructions on your slip or from the centre. The process includes registration with photo and fingerprint capture, physical examination, blood and urine sample collection and chest X-ray. The full process usually takes a few hours.
Wear comfortable clothes that make it easy to take an X-ray and blood sample. Women should inform staff if they are pregnant or suspect pregnancy.
Women Applicants – Points to Remember
Women applicants go through the same basic tests, along with a pregnancy test where required by the destination country and visa type. Many Gulf countries do not issue certain work visas to pregnant applicants. Women should also check haemoglobin levels in advance, as anaemia is common and can affect fitness. Centres usually have female staff for examinations; if you have concerns, you can request a female attendant. Carry any gynaecological or medical records if you are under treatment.
Checklist Before You Leave for the Medical Centre
- Original passport and a photocopy
- Printed Wafid appointment slip
- Photographs as instructed
- Money for the centre fee (cash or card, as accepted)
- Spectacles, if you wear them
- List of regular medicines and prescriptions
- Water bottle and a light snack for after blood collection
How to Check Wafid Medical Status
- Visit wafid.com and open the section for checking medical status or viewing medical reports.
- Enter your passport number and nationality, or the Wafid slip number, as requested.
- Complete the captcha and submit.
- Your status appears as Fit, Unfit or Pending.
Results typically appear within a few working days, though some take longer. Your employer and the visa processing system can also see the result. Keep a screenshot or printout of your Wafid medical status for your records.
Understanding “Pending” Status
A pending Wafid medical status means that the centre has not yet uploaded the final result, or some reports are awaiting review. This is common in the first few days after the test. If the status remains pending for longer than the time the centre told you, contact the centre with your slip number. Do not pay any agent who offers to “speed up” results for extra money.
Validity of the Medical Report
A Wafid medical report is generally valid for about two months from the date of issue. If your visa stamping or travel is delayed beyond this period, you may need to repeat the test. Plan your medical close to your visa processing date, in coordination with your agency, so that the report does not expire.

Managing Common Health Conditions Before the Test
High Blood Pressure
Raised blood pressure on the day of the test can be due to stress, lack of sleep or caffeine. If you have hypertension, take your medicines regularly as prescribed, reduce salt intake, avoid tea or coffee just before the test and rest well the night before. Carry your prescription to show that the condition is under treatment.
Diabetes
Uncontrolled blood sugar is a common reason for concern. Get your fasting sugar and HbA1c checked a few weeks before the medical, follow your doctor’s advice on diet and medicines, and keep your readings under control. Well-controlled diabetes is usually less of a problem than very high readings.
Anaemia
Low haemoglobin, especially among women, can lead to problems. A simple blood test can identify anaemia early. With iron-rich food and supplements prescribed by a doctor, haemoglobin can improve within weeks.
Past Tuberculosis
Old scars from previously treated TB may appear on a chest X-ray. If you had TB in the past, carry treatment records and consult a chest physician before the medical. Rules regarding old scars vary, so seek proper medical guidance.
Medical Tests After Arrival in the Gulf
Passing the Wafid Medical Test does not always mean the end of medical checks. Many Gulf countries require another medical examination after arrival for issuing or renewing the residence permit. For example, residence visa processing in Saudi Arabia and the UAE includes a local medical fitness check. These tests usually focus on infectious diseases and chest X-ray. Keep yourself healthy after arrival as well, because an unfit result in the destination country can lead to cancellation of the visa.
Common Reasons for an Unfit Result
| Type | Examples |
|---|---|
| Infectious diseases | HIV, Hepatitis B, Hepatitis C, active or past tuberculosis signs on X-ray, malaria, microfilaria, leprosy, syphilis (as per rules) |
| Chronic conditions | Uncontrolled diabetes or hypertension, kidney failure, liver failure, heart failure |
| Other | Certain cancers, serious psychiatric or neurological disorders, disabilities that prevent work, very low haemoglobin, pregnancy for certain visa types |
Some conditions such as raised blood pressure or high blood sugar may be controllable with treatment. If you have a known condition, consult your doctor well before the test and bring it under control.
What to Do If You Are Found Unfit
- Ask the centre for the reason and request a copy of relevant reports.
- Consult a qualified doctor to confirm the finding and start treatment if needed.
- Check whether a re-examination or appeal is possible under Wafid procedures for your case.
- Inform your agency or employer honestly; do not try to use fake reports or proxies.
Using fake medical certificates or sending another person for the test is a serious offence and can lead to visa bans and legal action.
Tips to Pass the Wafid Medical Test
- Get a general health check-up a few weeks before the test, including blood sugar, blood pressure and haemoglobin.
- Follow fasting instructions if given, and avoid alcohol and heavy meals before the test.
- Sleep well the night before to keep blood pressure normal.
- Carry your regular medicines and prescriptions if you have a chronic condition.
- Book only through the official Wafid portal and avoid agents who promise “guaranteed fit” results.
Role of Your Recruiting Agency
In most cases, your recruiting agency or employer tells you when to book the GAMCA medical test and may help you with booking. A responsible agency will explain the process, the expected fee and the timeline, and will not ask you to pay inflated charges. It should also coordinate the medical date with visa processing so that your report does not expire before stamping. If an agency asks you to take the medical before you have a confirmed job offer and visa details, ask why, because an unnecessary test wastes money.
Keep copies of all receipts, the Wafid slip and the medical result. If something goes wrong later, these documents help you prove that you followed the correct process.
Approved Medical Centres in Kerala
Kerala has several Wafid-approved medical centres, mainly in cities with large numbers of Gulf workers, such as Kochi, Kozhikode, Thiruvananthapuram, Thrissur, Malappuram and Kannur. The official list of approved centres is available on the Wafid portal under the medical centres section, where you can select India and your city. Only centres on this list can conduct valid examinations; reports from other laboratories are not accepted for visa purposes.
Because centres are allotted automatically, you may be assigned a centre in a nearby city instead of your first choice. Plan travel accordingly, especially if you need to reach early in the morning.
Beware of Medical Test Scams
Some agents and touts ask for extra money to “fix” results or offer fake Wafid slips. The official process is completely online, and results are recorded directly by approved centres. Do not pay anyone who promises to change a result. If you face such demands, report them to the authorities and your recruiting agency. Our guide on overseas job fraud warning signs lists more red flags.
Next Steps After a Fit Result
Once your Wafid medical status shows Fit, your agency proceeds with visa stamping and, for ECR passport holders, emigration clearance. Read our guide to eMigrate registration to understand clearance rules, and our Saudi work visa process guide if you are heading to Saudi Arabia.
Frequently Asked Questions
Is GAMCA medical the same as Wafid Medical Test?
Yes. GAMCA medical is the older name; the process is now handled through the Wafid platform.
How much does the Wafid Medical Test cost in Kerala?
There is a small online registration fee of about USD 10 and a medical centre fee that is roughly ₹7,500 to ₹8,500. Fees can change, so confirm at the time of booking.
How long does it take to get the result?
Usually a few working days. Check your Wafid medical status online using your passport number.
Can I choose my medical centre?
The system generally assigns a centre automatically based on your selected city.
How long is the GAMCA medical report valid?
Generally about two months from the date of issue.
Can I travel if my status is pending?
No. Visa processing usually requires a Fit status first.
Do family members on dependent visas need the Wafid test?
Requirements for dependants vary by country and visa type. Many dependants complete medical checks in the destination country. Confirm with the sponsor or the relevant immigration authority.
What if I lose my Wafid slip?
You can usually retrieve your appointment details on the Wafid portal using your passport number. Contact the allotted centre if you need help.
Is the Wafid Medical Test required for a visit visa?
Generally, pre-employment medical through Wafid is linked to employment and residence visas, not short visit visas. Requirements may change, so verify with official sources before travel.
Can I repeat the test if I was unfit due to high blood pressure?
Possibilities for re-examination depend on Wafid procedures and the condition. Get treatment, control your blood pressure and ask the centre or your agency about the correct process.
Conclusion
The Wafid Medical Test is a key step for many Indian workers heading to Gulf countries. Book only through the official portal, prepare your health in advance, carry the right documents and check your Wafid medical status online. If you are found unfit, seek proper medical advice and follow official procedures. For booking and status, use the official Wafid portal. Follow Kerala Job News for more Gulf job guides.