Prepared as per the competency Based Medical Education Curriculum (NMC). New chapters and topics are added such as Essential Medicine, Hospital Waste Management, Social Security, Disaster Management, Medical Informatics, Rational Drug Management, Urban Health, Medical Ethics and PH Law. Also included Ayushman Bharat Programme, Dengue Burden, Janani Suraksha Yojana, Millennium Development Goals, Nipah Virus Infection, NITI Aayog 2017-2020, NHP 2017, NUHM, Recent Global TB Strategy, Right of Persons with Disability Bill 2016, Trends in Recent Immunization, Tribal Health and Zika Viral Infection. Relevant items are indexed to facilitate cross references.