*Only 3% of MBBS doctors who applied for enrollment in the National Medical Register (NMR) have been successfully registered.* _Out of 8,598 applications, only 278 were approved, while 8,318 applications are still pending. The NMR, mandated under the NMC Act 2019, aims to maintain a comprehensive electronic database of licensed medical practitioners._ _Reasons for delays include mismatches between Aadhaar details and existing records, which require affidavits for verification._ _The Indian Medical Association has raised concerns about the complexity of the registration process and advocated for automatic approval of state-registered doctors. Despite being mandatory since May 10, 2023, the low approval rate reflects significant procedural challenges._