Follow this 4-step grievance process:

: Senior DMO/Director – after 4 years in Level 12.

Beyond mere promotions, the seniority list plays a pivotal role in the allocation of responsibilities and postings. Higher seniority often correlates with the opportunity to head major railway hospitals, lead specialized medical departments, or transition into policy-making roles within the Ministry of Railways. By providing a predictable career trajectory, the list helps maintain morale among medical officers, who often work in challenging and remote environments to ensure the operational safety of the rail network.

Top positions like the Director General of Railway Health Services (DG/RHS) are filled from the senior-most eligible officers. How to Access the IRHS Seniority List

No, it is an internal service document. However, an RTI can be filed to obtain redacted copies (names and ranks, excluding personal IDs).