Key Takeaways
- The Pakistan Medical Association (PMA) has warned that healthcare facilities could be shut down over the Federal Board of Revenue’s proposed tax system.
- The PMA argues that treating doctors’ clinics as retail outlets through mandatory Point of Sale integration is legally unjustified and undermines the medical profession.
- A delegation from the PMA met with FBR Chairman Rashid Mahmood Langrial to express objections.
The Pakistan Medical Association (PMA) has issued a stark warning that healthcare facilities across Pakistan could be forced to shut down if the Federal Board of Revenue’s (FBR) proposed tax system for doctors’ clinics is implemented. The PMA, in a statement following meetings with FBR officials, described the move as 'bureaucratic overreach' and warned of potential widespread closures.
In a notification issued on July 24th, 2026, Dawn Business reported that the FBR has mandated Point of Sale (POS) integration for a wide range of service providers, including clinics, diagnostic laboratories, and private hospitals. The directive requires real-time electronic invoicing with records to be retained for six years, effectively treating these medical facilities as retail outlets.
The PMA’s Secretary General, Dr Abdul Ghafoor Shoro, described the FBR's attitude as 'rigid' in a statement issued after meetings with the tax authority. He stated that healthcare is an essential professional service and not a commercial activity, arguing that mandatory POS integration is legally unjustified.
During a meeting with FBR Chairman Rashid Mahmood Langrial, the PMA delegation conveyed their objections to the proposed measures. Dr Shoro emphasized that if the FBR continues to impose these systems without considering judicial decisions, the medical fraternity would have 'no option except to shut down healthcare facilities across the country and explore other jobs.'
The PMA’s stance is based on concerns that treating doctors’ clinics as retail outlets through mandatory POS integration could undermine the integrity of the medical profession. They argue that such a move disregards the nature of their work, which involves providing essential health services rather than engaging in commercial transactions.
Healthcare providers are particularly concerned about the administrative burden and potential financial implications of implementing this system. The PMA believes that the FBR’s approach could lead to significant disruptions in healthcare delivery, affecting both patients and medical practitioners.
The situation highlights a growing tension between regulatory bodies and professional associations in Pakistan. While the FBR aims to improve documentation and widen the tax base, the PMA is focused on protecting the interests of the medical community and ensuring uninterrupted access to essential health services.
In response to these concerns, the FBR has not yet issued any public statements or clarifications regarding its stance. The outcome of ongoing negotiations between the two parties will be crucial in determining whether healthcare facilities across Pakistan remain operational.





