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According to the Nizam's Institute of Medical Sciences (NIMS) admission protocol, medical fitness is typically checked on the day of counseling or within a few days of counseling. However, the exact schedule may vary depending on the specific admission process and year.

Usually, during counseling, candidates are required to undergo a medical examination by a designated medical board to assess their fitness for the course. This examination may include:

1. Physical examination

2. Review of medical certificates (if any)

3. Vision testing

4. Other relevant medical assessments

After the medical examination, candidates are usually issued a medical fitness certificate, which is required for admission.

To confirm the exact schedule for medical fitness checking, I recommend:

1. Checking the NIMS website for admission guidelines and schedules.

2. Contacting the NIMS admission office directly for clarification.

3. Reviewing the admission prospectus or brochure for specific details.

Remember to stay updated with the latest information to ensure a smooth admission process!