The Income Tax Department has released a detailed set of FAQs on Form No. 25, offering clarity on its applicability, maintenance and legal importance for medical professionals.
The FAQs aim to streamline record-keeping practices and strengthen transparency in professional income reporting, especially in the healthcare sector.
What is Form 25?
Form No. 25 is a prescribed daily case register mandated under Rule 46 of the Income Tax Rules, 2026. It requires medical practitioners to maintain a systematic record of patient-related transactions and professional receipts.
The register acts as a primary document supporting income declarations and enables verification by tax authorities during assessments.

Who Needs to Maintain Form 25?
As per the FAQs, the requirement applies to a wide range of professionals in the medical field, including:
- Doctors and surgeons
- Dentists and specialists
- Pathologists and radiologists
- Practitioners of traditional medicine (vaids, hakims, etc.)
However, the obligation is triggered only when gross receipts exceed Rs 1.5 lakh in any of the preceding three years or are expected to cross this threshold for new practitioners.
Mandatory but Not Filed
A key clarification is that Form 25 does not need to be submitted with the Income Tax Department. Instead, it must be:
- Maintained on a daily basis
- Produced only when demanded by the Assessing Officer
This positions the form as a compliance and audit document, rather than a filing requirement.
What Details Must Be Recorded?
The FAQs specify that Form 25 should capture:
- Date and serial/case number
- Patient name
- Nature of services rendered
- Fees charged and received
- Date of receipt
The structured format ensures accurate tracking of professional income on a real-time basis.
Digital Maintenance Allowed
Recognising modern practice needs, the department permits electronic maintenance of Form 25, subject to conditions:
- Records must be accessible in India
- Data should be updated daily
- Proper backups must be maintained on local servers
This move aligns compliance with digital record-keeping trends in healthcare practices.
Retention Rules
Medical professionals are required to preserve Form 25 records for at least seven years from the end of the relevant tax year. In cases involving reassessment, documents must be retained until proceedings are completed.
Why Form 25 Matters
The Income Tax Department has emphasized that Form 25 plays a crucial role in:
- Ensuring accurate income reporting
- Preventing underreporting of professional receipts
- Facilitating scrutiny and audit processes
It essentially strengthens the compliance framework under provisions relating to maintenance of books of account.
Conclusion
The release of Form 25 FAQs reflects the government’s continued push toward greater transparency and accountability in professional income reporting. For medical practitioners, maintaining this register is not just a statutory requirement, it is a critical safeguard against tax disputes and compliance risks.
With clearer guidelines now available, professionals are expected to align their record-keeping practices to avoid penalties and ensure smooth assessments.

