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swasthya sathi forms

Swasthya Sathi Form PDF Download 2024 – Form A, B, C, & D

You might sometimes need to correct your name on your Swasthya Sathi card, add members to your card, or maybe apply for a new Swasthya Sathi card.

The Government Of West Bengal has made it easier to apply for various card-related services by downloading the Swasthya Sathi forms PDF online. The forms are available on the official website of Swasthya Sathi Prakalpa (swasthyasathi.gov.in).

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In this article, you will get to know the following details about the Swasthya Sathi forms in West Bengal.

Let’s see about each of these points in detail.

Swasthya Sathi Card forms download (PDF)

You can download the PDF of Swasthya Sathi Prakalpa forms from the official website swasthyasathi.gov.in.

You can also download it directly from the links below.

SWASTHYA SATHI FORMObjectiveDOWNLOAD (PDF)
FORM ANew member addition after receiving cardDownload Form A
FORM BNew registrationDownload Form B
FORM CSwasthya Sathi card name correctionDownload Form C
FORM DDeletion of the member after receiving cardDownload Form D

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New member addition in Swasthya Sathi card (FORM A)

swasthya sathi form A
FORM A

You need to submit form A in case you want to add the name of a new family member to your Swasthya Sathi card.

It also needs to be submitted in case the name of one of the members of your family or beneficiaries is missing from your Swasthya Sathi card.

To add a new member name to your Swasthya Sathi card,

  1. Download Swasthya Sathi form A.
  2. Fill up all the necessary details like address, beneficiary name, URN number, etc.
  3. Add the names and details of the members that need to be added.
  4. Submit the form along with the required documents at your nearest Duare Sarkar camp when it resumes.

In case you don’t remember your URN number, you can check the article below.

Click to know the steps to know your Swasthya Sathi card URN number.

Swasthya Sathi card application form (FORM B)

swasthya sathi form B
FORM B

You need to fill up and submit form B to apply for a Swasthya Sathi card in West Bengal.

You can read the eligibility and other details about the Swasthya Sathi Prakalpa in the article given below.

Click to know about the Swasthya Sathi Prakalpa.

To apply for a new Swasthya Sathi card,

  1. Download Swasthya Sathi form B.
  2. Fill up all the necessary details like, address, caste, and other details properly.
  3. Next, fill up the names and details of all the members/beneficiaries in your family.
  4. Submit the form along with the required documents at your nearest Duare Sarkar camp when it starts again

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You can also apply for new Swasthya Sathi card online through their official website.

Click to know the steps to apply for Swasthya Sathi card online.

Swasthya Sathi card name correction (FORM C)

swasthya sathi form C

In case you have received your Swasthya Sathi card or checked your name in the name list you might find a wrong or misspelled name.

The West Bengal government has released form C to help you correct your or any of your family members’ names in the Swasthya Sathi card.

To correct the names of you/members in your Swasthya Sathi card,

  1. Download Swasthya Sathi form C.
  2. Fill up all the necessary details like address, beneficiary name, URN number, etc.
  3. Enter the names that need to be corrected.
  4. Submit the form along with the required documents at your nearest Duare Sarkar camp when it resumes.

You can read the article below to know when the Duare Sarkar camp will resume.

Click to know when the Duare Sarkar camps will start again.

Deletion of member in Swasthya Sathi card (FORM D)

swasthya sathi form D

Sometimes there may be the wrong member addition in your Swasthya Sathi card. Or there may be some other reasons for which you need to delete a member/beneficiary from your card.

The West Bengal government has released form D to remove the name of a member from your card.

To remove or delete a member’s name from your Swasthya Sathi card,

  1. Download Swasthya Sathi form D.
  2. Fill up all the necessary details like address, beneficiary name, URN number, etc.
  3. Enter the names of the members that need to be deleted.
  4. Submit the form along with the required documents at your nearest Duare Sarkar camp when it restarts.

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These are the forms that you can fill up and submit to apply for a new Swasthya Sathi card or make modifications to your existing card.


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Disclaimer: The Information provided above is for educational purposes only. The images used are for representative purposes only.