How to Import Medical Devices from India: A Complete Buyer's Guide (2026)
From certification to customs — the essentials every importer should verify before placing an order with an Indian medical supplier.
Paperwork moves a shipment across borders, and a wrong or missing document is the most common reason medical goods sit at the port. This guide covers each document behind a medical export from India: what it proves, who issues it, and what to check before the ship sails.

Invoice, packing list, COO and certificates — what each document does and why it matters.
For a first-time importer, export documentation can feel opaque. In practice it is a small, predictable set of documents — and a competent exporter prepares all of them for you. Understanding what each one does helps you spot problems before your goods are stuck at a port.
Some countries require legalization/attestation of documents, specific language versions, or pre-shipment inspection certificates. Confirm your import requirements with your customs broker before the goods ship — not after.
Incoterms define where the seller's responsibility ends and yours begins. The most common in medical trade are:
| Incoterm | Seller covers | Buyer covers |
|---|---|---|
| EXW (Ex Works) | Goods at factory | All freight, export & import |
| FOB (Free On Board) | Goods loaded at origin port | Sea freight + import |
| CFR (Cost and Freight) | Freight to destination port | Insurance, import duties & inland |
| CIF (Cost, Insurance, Freight) | Freight + insurance to destination port | Import duties & inland |
| DDP (Delivered Duty Paid) | Everything to your door | Receiving only |
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At minimum: a commercial invoice, packing list, bill of lading or airway bill, certificate of origin, and the relevant product certificates (CE/FDA/ISO). Some countries also require an import license or device registration.
A Certificate of Origin states where goods were manufactured. Customs authorities use it for import clearance and to determine any preferential duty treatment under trade agreements.
A non-preferential Certificate of Origin is issued by an authorised body such as a chamber of commerce. A preferential one, used to claim a lower duty under a trade agreement, is applied for online through the DGFT's certificate of origin platform. Tell the exporter before shipment which one your customs needs.
A proforma invoice is the offer sent before the order: it confirms the goods, price and terms, and is often used to arrange payment or an import permit. The commercial invoice is issued at shipment and is the document customs uses to value the goods, so its figures must match the packing list and bill of lading.
CIF (Cost, Insurance, Freight) means the seller covers freight and insurance to your destination port; you cover import duties and inland transport from there. It is one of several Incoterms that define who is responsible for each stage.

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