Promotion
Brother, as far as your question is concerned, no service anywhere in Pakistan (including yours as a Medical Officer) is counted towards promotion in BS-18 in any CSS group.
Just to inform, the only venue to this end of getting service calculated for promotion in higher grades is SO Exam for those who have been serving in FPSC designated departments for 8 years in grades BS-11 to BS-16.
Moreover, you can definitely have the benefit of pay protection, that is also only if you have appeared through proper channel. Hope that helps.
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Never Quit!
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