ANM / AHW (Health 4th level) Salary in Nepal 2083/84

Monthly salary breakdown for a new ANM / AHW (Health 4th level)

Gross monthly pay	Rs 44,811
Basic salary (तलब)	Rs 36,192
Incentive allowance (10% of scale)	Rs 3,619
Dearness allowance (महँगी भत्ता)	Rs 5,000
Provident fund – employee 10% (सञ्चय कोष)	− Rs 3,619
Pension fund – employee 6% (योगदानमा आधारित निवृत्तिभरण)	− Rs 2,172
Estimated income tax	− Rs 0
Estimated in-hand pay	Rs 39,020

Both contributions are your own savings: the government adds a matching amount to your provident fund and pension fund every month. You also receive one month's salary as Dashain allowance each year (Rs 36,192 at entry level). Remote-area, risk, uniform and ration allowances are extra where they apply.

ANM / AHW (Health 4th level) salary by grade (year of service)

One grade of Rs 1,206 is added for each completed year of service, up to 7 grades.

Grades	Basic + grade	Gross / month	In-hand (est.)
New appointee	Rs 36,192	Rs 44,811	Rs 39,020
1 grade	Rs 37,398	Rs 46,017	Rs 40,033
2 grades	Rs 38,604	Rs 47,223	Rs 41,047
3 grades	Rs 39,810	Rs 48,429	Rs 42,059
4 grades	Rs 41,016	Rs 49,635	Rs 43,072
5 grades	Rs 42,222	Rs 50,841	Rs 44,086
6 grades	Rs 43,428	Rs 52,047	Rs 45,098
7 grades	Rs 44,634	Rs 53,253	Rs 46,112

Other Health service salaries (2083/84)

Post / rank	Starting basic	Grades
Medical Officer (Health 8th level) (अधिकृत आठौं)	Rs 53,611	4 × Rs 1,787
Nursing Officer (Health 7th level) (अधिकृत सातौं)	Rs 50,436	5 × Rs 1,681
Health service Health officer – 6th level (अधिकृत छैटौं)	Rs 48,058	5 × Rs 1,602
Health service Senior assistant – 5th level (वरिष्ठ पाँचौं)	Rs 41,517	5 × Rs 1,384
Staff Nurse / Health Assistant (सहायक पाँचौं)	Rs 38,203	6 × Rs 1,273
ANM / AHW (Health 4th level) (सहायक चौथो)	Rs 36,192	7 × Rs 1,206

Preparing for the ANM / AHW (Health 4th level) exam?

Check the age limit and qualification, and follow upcoming advertisements on the PSC calendar.

Source: Ministry of Finance salary scale for FY 2083/84 (mof.gov.np), Civil Service Act 2049 and IRD tax rates. Figures are estimates for information; your pay slip may differ.

Calculate your exact ANM / AHW (Health 4th level) salary

1. Post / level · पद वा तह

Choose your post

सहायक चौथो · starting scale Rs 36,192 · up to 7 grades of Rs 1,206

Grades earned · ग्रेड संख्या (0–7)

A new appointee starts at 0 grades. One grade (about a day's salary) is added after each completed year of service, up to the maximum.

2. Allowances · भत्ता

10% incentive allowance (प्रोत्साहन भत्ता)Rs 3,619/month, from 2083/84Dearness allowance (महँगी भत्ता)Rs 5,000/month for all public servants

Other monthly allowances (Rs) – optional

Remote, risk, ration or post allowances depend on where and how you serve – add yours if you know it.

3. Savings and tax · कट्टी र कर

New appointee – contribution-based pension fund (योगदानमा आधारित निवृत्तिभरण)6% cut, government adds 6%. Untick if you were appointed under the old pension system.

CIT deposit per month (Rs)

Remote area (tax deduction)

I am a woman with salary income only 10% rebate on income tax

Monthly gross salary

Rs 44,811

In hand after PF, pension fund and tax: Rs 39,020

Yearly gross incl. Dashain allowance: Rs 5,73,924

Monthly breakdown

Basic salary (शुरु तलब)Rs 36,192

Grade (0 × Rs 1,206)Rs 0

Incentive allowance (10%)Rs 3,619

Dearness allowanceRs 5,000

GrossRs 44,811

Provident fund (10%)Government adds Rs 3,619 to your PF account− Rs 3,619

Pension fund (6%)Government adds Rs 2,172− Rs 2,172

Income tax (estimate)Rs 0

In handRs 39,020

Yearly and tax estimate (FY 2083/84)

Salary + allowances × 12Rs 5,37,732

Dashain allowance (चाडपर्व खर्च)One month's salary (basic + grade)Rs 36,192

Government PF/pension share (taxable)Rs 69,492

Assessable incomeRs 6,43,416

Retirement contribution deductionMax Rs 5 lakh or ⅓ of income− Rs 1,38,984

Taxable incomeRs 5,04,432

Tax by slab
Slab	Rate	Tax
Up to Rs 10 lakh	0%	Rs 0

1% social security tax on the first Rs 10 lakh is not charged for pension-fund contributors.

Income tax per yearRs 0

Take-home per yearRs 5,04,432

Scale effective from Shrawan 1, 2083 (17 July 2026). Source: Ministry of Finance · IRD tax rates . The tax figure is an estimate for salary income only; your office computes the final TDS.

Frequently asked questions

What is the salary of ANM / AHW (Health 4th level) in Nepal 2083/84?

A newly appointed ANM / AHW (Health 4th level) (सहायक चौथो) gets a basic salary of Rs 36,192 a month under the pay scale effective from Shrawan 1, 2083 (17 July 2026). With the 10% incentive allowance and the Rs 5,000 dearness allowance, monthly gross pay is about Rs 44,811.

How much is ANM / AHW (Health 4th level) salary after grades?

ANM / AHW (Health 4th level) can earn up to 7 grades of Rs 1,206 each, one per completed year of service. At the maximum, basic plus grades is Rs 44,634 and gross pay with the standard allowances is about Rs 53,253 a month.

What is the in-hand salary of ANM / AHW (Health 4th level)?

After the employee's 10% provident fund (or 6% contribution-based pension) and estimated income tax, take-home pay for a new ANM / AHW (Health 4th level) is about Rs 39,020 a month. The exact amount depends on pension type, CIT savings, remote-area allowance and other allowances – use the calculator on this page.

Does ANM / AHW (Health 4th level) get Dashain allowance?

Yes. Government employees receive one month's salary as the festival (Dashain) allowance every year, so annual pay includes about Rs 36,192 extra at entry level.

सहायक चौथोको तलब कति छ?

आ.व. 2083/84 को तलबमान अनुसार सहायक चौथोको सुरु तलब Rs 36,192 हो। प्रोत्साहन भत्ता र महँगी भत्ता सहित मासिक करिब Rs 44,811 हुन्छ।