There is a good examination system in TMSS Community Paramedic Institute (TCPI) and this institute always follow all rules and regulations of NIPORT and Bangladesh Nursing Council (BNC). A Mid-term Internal exam will be held in the 1st term of each year by the institute and result of the Mid-term internal examination shall be declared and recorded properly. A student must appear in each year final examination. In order to pass each year of the course overall, a student must achieve a pass grade in all subjects in that year and a student must pass in written oral and practical/clinical of that specific subject. The examination will be held according to the rules and regulations provided by the National Institute of Population Research and Training (NIPORT) and State Medical Faculty of Bangladesh. The certificate of the Paramedic Course will be provided by the State Medical Faculty of Bangladesh through National Institute of Population Research and Training (NIPORT).