Kabir Paharia, a Scheduled Caste (SC) candidate with congenital benchmark disabilities (PwBD) involving multiple missing fingers and a foot deformity (assessed at 42%), aspired to join the MBBS undergraduate course. Despite scoring exceptionally well in the NEET UG 2024 examination (542 marks, SC/PwBD rank 176), he was repeatedly denied admission. Initial medical assessments by Vardhman Mahavir Medical College-Safdarjung Hospital and later by AIIMS (mandated by the Delhi High Court) deemed him ineligible “as per NMC/MCI guidelines,” primarily due to “BILATERAL UPEER LIMB INVOLVEMENT”. The Delhi High Court’s Single Judge and then its Division Bench dismissed his petitions, affirming his ineligibility. The Supreme Court was approached after these rejections.
Law Involved:
Rights of Persons with Disabilities Act, 2016 (Act of 2016): Emphasises concepts of assistive devices and reasonable accommodation for persons with disabilities.
Constitution of India: Articles 14 (Equality before law), 16 (Equality of opportunity in matters of public employment), and 21 (Protection of life and personal liberty) were invoked to assert fundamental rights1314. Article 41 (Right to work, to education, and to public assistance in certain cases) was also referenced.
National Medical Commission (NMC)/Medical Council of India (MCI) Guidelines: The existing norms under which the appellant was initially deemed ineligible6….
Supreme Court Precedents: Om Rathod v. Director General of Health Sciences (2024) and Anmol v. Union of India & Ors. (2025) were cited as establishing the entitlement of disabled candidates to medical education with reasonable accommodations.
Reasoning: The Supreme Court determined that the previous denials of admission were “grossly illegal, arbitrary and violative” of the appellant’s fundamental rights.
Flawed Assessments: The Court criticised earlier medical boards and High Court judgments for failing to consider “assistive devices and reasonable accommodation” as mandated by the Act of 2016 and previous SC rulings. They had “totally glossed over” the appellant’s academic excellence and high NEET merit.
Precedential Weight: The Court highlighted that the appellant’s physical attributes were “much better” than candidates in Om Rathod (who lacked both hands) and Anmol (who had severe locomotor and speech disabilities), both of whom were ultimately held eligible for MBBS with accommodations16….
SC-Directed Reassessment: A five-member AIIMS Medical Board, specially constituted by the Supreme Court, observed that the appellant “successfully demonstrated skilled techniques” required for a doctor, including complex procedures like chest compressions, intubation, and suturing, by functionally adapting his existing digits19…. The only “minor challenge” noted was putting on sterilised gloves, which the Court deemed a “trivial aberration” and no basis for denying admission.
Challenging Mindset and Discrimination: The Court emphasised a need for a “mindset must change” to overcome institutional bias and systemic discrimination against PwBD1322. It asserted that “substantive equality demands that person with disabilities… be afforded reasonable accommodations rather than subjected to exclusionary practices based on unfounded presumptions”. Reasonable accommodation is a “fundamental right flowing from Articles 14, 16, and 21,” not charity, and assessments must be “individualised, evidence-based, and free from stereotypical assumptions”.
Lower Merit Candidate Admitted: The fact that a candidate with a significantly lower NEET rank (159816) than the appellant (147946) had already been admitted to AIIMS under the same SC PwBD category further underscored the arbitrary nature of the appellant’s denial.
NMC Guideline Revision: While acknowledging NMC’s ongoing process to revise guidelines in light of prior judgments, the Court refused to defer the appellant’s case, stating that denying immediate relief would be “totally unjustified”2728.
Holding: The Supreme Court set aside the impugned order of the Delhi High Court dated 12th November 2024. The Court allowed the appeal and issued the following directions:
The appellant, Kabir Paharia, shall be allocated a seat in the MBBS UG course against the Scheduled Castes PwBD quota in the All-India Institute of Medical Sciences (AIIMS), New Delhi, for the forthcoming 2025-2026 academic session.
He shall not be required to undergo the NEET-UG 2025 examination.
The National Medical Commission (NMC) is directed to complete the revision of its guidelines within two months, and definitely before the commencement of the 2025-2026 counselling session, in line with Om Rathod and Anmol judgments, to eliminate systemic discrimination and ensure that deserving PwBD candidates are not denied admission.
Kabir Paharia V. National Medical Commission And Others
Supreme Court: 2025 INSC 623: (DoJ 02-05-2025)




