Thousands of Pakistanis apply for Gulf work visas every month, and one of the first expenses they encounter is the GAMCA medical test. Most applicants know the test is mandatory, but far fewer know exactly how much it costs in their city, why the prices differ across the country, or what the fee actually covers.
Paying more than you should, travelling to another city because of misinformation, or budgeting incorrectly for your Gulf visa preparation are all avoidable mistakes. The GAMCA test fee structure is not publicly standardised at a national level, which means the rate you pay in Karachi can be meaningfully different from what an applicant in Peshawar or Multan pays at their local approved centre.
This guide gives you a verified, city-by-city breakdown of GAMCA medical test fees across Pakistan in 2026, along with what is included in the fee, what triggers additional charges, how urgent processing pricing works, and practical tips to avoid overpaying.
Why GAMCA Test Fees Vary Across Pakistan
Before diving into the city-level data, it helps to understand why GAMCA medical test costs are not uniform across the country. Several factors drive the price variation:
1. Centre Operating Costs
Medical centres in metropolitan areas such as Karachi and Lahore face significantly higher rent, staffing, and operational costs compared to centres in smaller cities. These costs are partially passed on to applicants, which is one reason urban centres often charge slightly more than their counterparts in secondary cities.
2. Laboratory Partnerships
Some GAMCA-approved centres run their own in-house laboratories, while others outsource blood work and urinalysis to third-party diagnostic labs. Centres with in-house labs generally have better control over pricing, whereas outsourcing arrangements can add a cost layer that is reflected in the total fee.
3. Destination GCC Country
The fee charged is also linked to the destination Gulf country. Tests for Saudi Arabia and Qatar often cost more than tests for Bahrain or Oman because those countries require additional screening panels or more complex documentation. The same approved centre in Lahore may charge differently for a Saudi visa versus a Kuwaiti visa.
4. Applicant Category
Professional applicants such as healthcare workers, engineers, and food handlers may attract higher fees because their visa categories require supplementary testing beyond the standard GAMCA panel. Domestic workers and unskilled labour applicants typically pay the base rate.
5. Urgency of Processing
Standard processing delivers results within 48 to 72 hours. Urgent processing, which returns results within 24 hours, carries an additional surcharge that varies by centre. This surcharge is a significant contributor to fee variation, particularly in high-demand urban centres.
GAMCA Medical Test Fees by City in Pakistan 2026
The following fee ranges represent current pricing at GAMCA-approved medical centres across major Pakistani cities in 2026. These are indicative ranges compiled from publicly available centre information and community-reported data. Always confirm the exact fee directly with your chosen approved centre before your appointment, as rates are subject to change without notice.
| City | Standard Fee (PKR) | Urgent Processing (PKR) | Notes |
| Karachi | 7,000 to 9,500 | 9,500 to 12,000 | Multiple approved centres; fees vary by centre and GCC country |
| Lahore | 6,500 to 9,000 | 9,000 to 11,500 | Highest volume city; some centres offer group/agency rates |
| Islamabad | 7,000 to 9,500 | 9,500 to 12,000 | Twin city centres in Rawalpindi also serve Islamabad applicants |
| Rawalpindi | 6,500 to 8,500 | 8,500 to 11,000 | Shared coverage with Islamabad; slightly lower rates than F-sector centres |
| Peshawar | 6,000 to 8,000 | 8,000 to 10,500 | High demand due to KPK Gulf worker volume |
| Quetta | 5,500 to 7,500 | 7,500 to 10,000 | Fewer centres; confirm availability before booking |
| Multan | 5,500 to 7,500 | 7,500 to 10,000 | Competitive pricing; growing centre capacity in 2026 |
| Faisalabad | 6,000 to 8,000 | 8,000 to 10,500 | Industrial city with solid centre availability |
| Sialkot | 5,500 to 7,500 | 7,500 to 10,000 | Limited centres; some applicants opt for Lahore or Gujranwala |
| Gujranwala | 5,500 to 7,500 | 7,500 to 10,000 | Growing availability; verify 2026 approved status |
| Hyderabad | 5,500 to 7,500 | 7,500 to 10,000 | Primarily serves Sindh interior applicants |
| Abbottabad | 5,500 to 7,000 | 7,000 to 9,500 | Limited centre options; KPK applicants also use Peshawar |
| Note: All fees above are in Pakistani Rupees (PKR) and reflect 2026 estimates. GCC country-specific surcharges and supplementary test fees are not included in the base ranges above. Contact your preferred GAMCA-approved centre directly to get an exact quote for your destination country and applicant category. |
City-by-City GAMCA Fee Guide: What You Need to Know
Karachi — GAMCA Medical Test Fees 2026
Karachi has the highest number of GAMCA-approved medical centres in Pakistan, which in theory creates competitive pricing but in practice leads to a wide fee range because centre quality and service standards vary considerably. The city handles a disproportionately large share of UAE and Saudi Arabia-bound applicants from Sindh.
Standard GAMCA fees in Karachi sit between PKR 7,000 and PKR 9,500 for most GCC countries. Urgent 24-hour processing can push the total to PKR 12,000 or more at premium centres. Centres in the SITE area and Korangi industrial zones tend to cater to blue-collar applicants at the lower end of the range, while centres in Clifton and Defence Housing Authority areas serve professional applicants at the higher end.
Lahore — GAMCA Medical Test Fees 2026
Lahore is the highest-volume GAMCA testing city in Punjab, processing large numbers of applicants for Saudi Arabia, UAE, and Qatar each week. Competition among approved centres has kept fees relatively competitive, with standard rates ranging from PKR 6,500 to PKR 9,000.
Recruitment agencies in Lahore frequently negotiate group rates with specific approved centres, which can reduce the per-person cost by PKR 500 to PKR 1,500 for applicants travelling in batches. If you are being sent to the Gulf through a registered recruitment company, ask whether a group rate applies to your booking.
Islamabad and Rawalpindi — GAMCA Medical Test Fees 2026
The twin cities are served by several GAMCA-approved centres, with some located in Islamabad proper and others in Rawalpindi’s Saddar and Raja Bazaar areas. Islamabad-based centres, particularly those in the F and G sectors, tend to charge at the higher end of the national range given the capital city cost structure.
Rawalpindi centres offer comparable testing quality at rates roughly PKR 500 to PKR 1,000 lower than their Islamabad counterparts. For applicants in the twin city region, comparing rates between a Rawalpindi centre and an Islamabad centre is worthwhile before committing to a booking.
Peshawar — GAMCA Medical Test Fees 2026
Peshawar and the wider Khyber Pakhtunkhwa region produce a high volume of Gulf-bound workers, particularly for Saudi Arabia and UAE construction and hospitality sectors. This demand has supported a solid network of approved centres in Peshawar, keeping standard fees in the PKR 6,000 to PKR 8,000 range.
Applicants from districts such as Mardan, Swabi, Nowshera, and Charsadda generally travel to Peshawar for their GAMCA test rather than relying on centres in smaller towns, where centre availability is limited and appointment slots can be scarce.
Quetta — GAMCA Medical Test Fees 2026
Quetta has a smaller number of GAMCA-approved centres than the major Punjab and KPK cities, which means appointment availability can be more limited, particularly during peak Gulf hiring seasons. Standard fees in Quetta range from PKR 5,500 to PKR 7,500, making it one of the more affordable cities for the medical test.
Applicants in Quetta should book appointments well in advance, especially between February and May when Gulf recruitment activity intensifies. Walk-in capacity at Quetta centres is significantly more restricted than in Karachi or Lahore.
Multan — GAMCA Medical Test Fees 2026
Multan serves as the primary GAMCA testing hub for south Punjab, drawing applicants from Bahawalpur, Dera Ghazi Khan, Rahim Yar Khan, and surrounding districts. Standard fee ranges in Multan sit between PKR 5,500 and PKR 7,500, reflecting the lower cost base of a secondary city.
Centre capacity in Multan has grown in recent years in response to rising Gulf worker demand from the south Punjab region. Most major GAMCA centres in Multan now offer online appointment booking, reducing the need for in-person queuing.
Faisalabad — GAMCA Medical Test Fees 2026
As Pakistan’s third-largest city and a major industrial hub, Faisalabad generates substantial Gulf worker traffic, particularly in textile and manufacturing labour categories. GAMCA medical test fees in Faisalabad range from PKR 6,000 to PKR 8,000 for standard processing, with the city’s industrial economy keeping rates competitive.
Sialkot, Gujranwala, and Other Punjab Cities — GAMCA Medical Test Fees 2026
Cities such as Sialkot and Gujranwala have a growing number of approved centres, though they remain smaller markets compared to Lahore and Faisalabad. Standard fees in these cities generally fall between PKR 5,500 and PKR 7,500. Some applicants in these cities opt to travel to Lahore for their GAMCA test, particularly if same-week appointments are unavailable locally or if they prefer a centre with a faster processing track record.
What Does the GAMCA Medical Test Fee Actually Cover?
Understanding what is included in the quoted fee prevents unexpected charges at the centre on your appointment day. A standard GAMCA medical test fee in Pakistan covers the following:
- Physical examination by a licensed GAMCA physician, covering general health, vision, hearing, and musculoskeletal assessment
- Chest X-ray for tuberculosis and pulmonary disease screening
- Blood draw and laboratory analysis including HIV, Hepatitis B, Hepatitis C, syphilis (VDRL), complete blood count, and blood group typing
- Urine analysis including dipstick testing and microscopy
- Blood glucose (fasting sugar) screening
- Digital entry of results into the GAMCA portal and MOFA verification system
- Issue of the official GAMCA fitness certificate upon a FIT result
The following are typically not included in the base fee and may attract additional charges:
- Drug screening (urine-based narcotics panel) for certain GCC countries
- Pregnancy test for female applicants applying for domestic worker visas
- Stool examination required by some Gulf countries for food handlers
- Additional serology tests required for healthcare professional visa categories
- Urgent processing surcharge for 24-hour result turnaround
- Re-examination fee if you are retesting after an earlier UNFIT result
| Important: Always ask the centre representative for a full itemised fee breakdown before confirming your appointment. Reputable GAMCA-approved centres will provide this information transparently without pressure. |
GCC Country-Specific Fee Variations: How Destination Affects Your Cost
Your destination Gulf country is one of the biggest factors in determining your final GAMCA test fee in Pakistan. Some countries require a more extensive screening panel, which translates directly into higher costs. The table below shows the typical fee differential by destination country at a Lahore or Karachi centre in 2026:
| Destination Country | Base Panel Fee (PKR) | Additional Panel Surcharge (PKR) | Total Estimated Range (PKR) |
| Saudi Arabia | 6,500 to 8,500 | 500 to 1,500 | 7,000 to 10,000 |
| United Arab Emirates | 6,000 to 8,000 | 0 to 1,000 | 6,000 to 9,000 |
| Qatar | 7,000 to 9,000 | 1,000 to 2,000 | 8,000 to 11,000 |
| Kuwait | 6,000 to 8,000 | 0 to 1,000 | 6,000 to 9,000 |
| Bahrain | 5,500 to 7,500 | 0 to 500 | 5,500 to 8,000 |
| Oman | 5,500 to 7,500 | 0 to 500 | 5,500 to 8,000 |
Qatar consistently has the highest additional testing requirements among the six GCC nations, particularly for professional and healthcare worker categories. Saudi Arabia’s requirements for domestic workers frequently include a drug panel and pregnancy test for female applicants, which add to the base cost. UAE and Kuwait tend to have the most straightforward standard panel requirements for general labour categories.
Urgent Processing Fees: When Speed Costs More
Standard GAMCA medical test processing in Pakistan takes 48 to 72 working hours from the date of examination. If your visa deadline is tight, most major GAMCA-approved centres offer an urgent processing option that delivers results within 24 hours, sometimes even within the same working day at select centres.
The urgent processing surcharge in Pakistan ranges from PKR 1,500 to PKR 3,500 on top of the standard fee, depending on the city and centre. The table below shows estimated total costs with urgent processing included:
| City | Standard Total (PKR) | Urgent Total (PKR) | Same-Day Availability |
| Karachi | 7,000 to 9,500 | 9,500 to 12,500 | Selected centres only |
| Lahore | 6,500 to 9,000 | 9,000 to 12,000 | Selected centres only |
| Islamabad | 7,000 to 9,500 | 9,500 to 12,500 | Selected centres only |
| Rawalpindi | 6,500 to 8,500 | 8,500 to 11,500 | Limited availability |
| Peshawar | 6,000 to 8,000 | 8,500 to 11,000 | Limited availability |
| Multan | 5,500 to 7,500 | 7,500 to 10,500 | Not widely available |
| Quetta | 5,500 to 7,500 | 7,500 to 10,000 | Not widely available |
| Faisalabad | 6,000 to 8,000 | 8,000 to 10,500 | Limited availability |
Same-day GAMCA results are generally only available at high-capacity urban centres in Karachi, Lahore, and Islamabad, and only when the examination is completed in the morning session. Afternoon appointments typically deliver results the following business day regardless of whether urgent processing is selected.
How to Avoid Overpaying for Your GAMCA Medical Test in Pakistan
With fee ranges varying by hundreds to thousands of rupees across centres in the same city, taking a few simple steps before your appointment can save you meaningful money:
Compare at Least Two to Three Approved Centres
Call two or three GAMCA-approved centres in your city before booking. Ask for the exact fee for your specific destination country and applicant category. Confirm whether the quoted fee is all-inclusive or whether additional panels or administrative charges apply.
Ask About Agency or Group Rates
If you are travelling to the Gulf through a registered recruitment agency, the agency may have a preferred centre arrangement that reduces your individual cost. Always ask your recruitment company whether they have a group rate arrangement before booking independently.
Book Well in Advance to Avoid Urgency Premiums
One of the biggest reasons applicants end up paying the urgent processing surcharge is poor advance planning. Book your GAMCA appointment as soon as your employer or sponsor sends you the visa demand letter. Standard processing is significantly cheaper, and the 48 to 72 hour timeline is perfectly adequate if you plan ahead.
Only Use GAMCA-Approved Centres
Fraudulent or unregistered medical centres occasionally advertise GAMCA testing at below-market rates. Paying a lower fee at an unapproved centre wastes your money entirely because the results will not be accepted by GCC embassies. Always verify approval status on the official GAMCA portal before paying any fee.
Understand What Is and Is Not Included
Before finalising your booking, ask the centre to itemise what is included in the quoted fee and what additional charges may apply based on your destination country. This avoids surprise charges on the day of your appointment.
GAMCA Re-Examination Fees in Pakistan 2026
If you receive an UNFIT result and are subsequently cleared for re-application by a medical professional, you will need to pay a re-examination fee. Re-examination fees in Pakistan are generally lower than the initial test fee, though this varies by centre.
Typical GAMCA re-examination fee ranges in Pakistan:
| City | Re-Examination Fee (PKR) | Notes |
| Karachi | 4,000 to 6,500 | Dependent on which tests are repeated |
| Lahore | 4,000 to 6,000 | Some centres charge full fee for retest |
| Islamabad | 4,500 to 6,500 | Confirm retest scope with centre before booking |
| Other Cities | 3,500 to 6,000 | Varies based on centre policy and repeat panel scope |
Note that not every UNFIT result requires repeating the entire panel. If your UNFIT result was caused by a single condition such as elevated blood glucose, the re-examination may only require repeating the blood sugar test alongside a physician review, rather than the full screening protocol. Confirm the required re-examination scope with the centre and your destination country’s medical authority before paying.
Frequently Asked Questions About GAMCA Test Fees in Pakistan
Is the GAMCA medical test fee the same across all approved centres?
No. The GAMCA organisation sets the testing protocol but does not impose a fixed national fee. Each approved centre sets its own pricing within a general market range. This is why fees vary between cities and even between different centres within the same city.
Do GAMCA test fees in Pakistan differ by Gulf country?
Yes. The destination GCC country affects the total fee because different countries require different screening panels. Qatar and Saudi Arabia typically cost more than Bahrain or Oman because their medical requirements include additional tests.
Can I get a receipt or invoice for my GAMCA test fee?
Yes. All legitimate GAMCA-approved centres are required to issue a payment receipt or official invoice upon collection of fees. Always request and retain this receipt, as it may be required by your employer or recruitment agency as part of your visa expense documentation.
Are GAMCA test fees refundable if my visa is rejected?
In virtually all cases, GAMCA medical test fees are non-refundable regardless of the outcome of your visa application. The fee covers the medical examination and certificate issuance, not the visa decision itself. This is why it is important to confirm your visa demand before proceeding with the test.
Is there a way to reduce the GAMCA test cost in Pakistan?
The most effective way to reduce your total cost is to book standard processing well in advance and avoid paying urgency surcharges. Comparing rates across two or three approved centres in your city before booking also helps. If you are being sent by a recruitment agency, asking about group rates can lead to meaningful savings per applicant.
What is the cheapest city to get a GAMCA test in Pakistan?
Based on 2026 data, secondary cities such as Multan, Quetta, Hyderabad, Sialkot, and Abbottabad tend to have the lowest GAMCA test fees in Pakistan, typically ranging from PKR 5,500 to PKR 7,500 for standard processing. However, these cities also have fewer approved centres and more limited appointment availability, which may require booking further in advance.
Final Thoughts
GAMCA medical test fees in Pakistan in 2026 are not standardised at a national level, which means the amount you pay depends significantly on your city, your chosen approved centre, your destination Gulf country, and whether you need urgent processing. Understanding these variables before you book puts you in a much better position to manage this unavoidable cost effectively.
The practical advice is simple: verify your centre’s GAMCA approval status, call ahead to get an itemised fee quote for your specific destination and applicant category, and book your appointment as early as possible after receiving your job offer to avoid urgency premiums.
For the most current and centre-specific fee information, always check directly with your chosen approved GAMCA centre or visit the official GAMCA portal. Fee structures can change between seasons and are not always updated promptly on third-party sources.