Free: cropping, background replacement, check
14-day refund if the authority rejects the photo
SourceCentre for Hygiene and Epidemiology in the Moscow Region (Rospotrebnadzor)
Verified
Quick answer: The recommended Russia medical book photo size is 30 × 40 mm. Plain light background without textures, shadows, or foreign objects. Neutral expression, eyes fully visible. Last verified .
Requirements
| Format | 30 × 40 mmICAO 9303: 35 × 45 mm |
|---|---|
| Background | Plain light background without textures, shadows, or foreign objects. |
| Pose | Full face, no tilt or rotation. |
| Expression | Neutral expression. |
| Glasses | Eyes must be fully visible. See full rules → |
| Lighting | Shadows on the face and background not permitted. |
| File format | JPEG · sRGB / 24-bit |
| Millimetres | 30 × 40 mm |
|---|---|
| Centimetres | 3 × 4 cm |
| Inches | 1.18 × 1.57″ |
| Pixels at 300 dpi | 354 × 472 px |
| Pixels at 600 dpi | 709 × 945 px |
The Russian personal medical book (LMK) is issued by federal institutions subordinate to Rospotrebnadzor — the Centres for Hygiene and Epidemiology. For a paper book the applicant brings one 3 × 4 cm photograph (30 × 40 mm) together with the application and the passport: the Moscow Region centre lists it on its procedure page, and Order No. 314 of 28.12.2017 of the Moscow centre (п. 4.1) asks for the same.
Neither source sets a colour, background, head size or paper finish for the photo. Paper books on the previous forms may be issued and kept until 1 September 2027 (Ministry of Health Order No. 90n, п. 1(1), as amended by Order No. 705n of 29.07.2026); the electronic medical book, applied for through Gosuslugi, has no photograph field.
Examples and mistakes
One compliant example next to the six most common rejection causes for Russia medical book applications. These are the differences that most often determine whether a document photo is accepted.
How to take it
Background: plain light
The tool puts in the required background. Stand half a metre from a plain light wall, face a window and shoot without flash — then there are no shadows on your face or on the wall.
Size: 30 × 40 mm
Camera at eye level, about a metre away; head and shoulders in the shot. The tool crops it to the required size.
Eyes fully visible
If you wear glasses, check the shot: no glare on the lenses, eyes clearly visible.
Neutral expression
Look straight into the lens with your head level; keep hair away from your eyes and eyebrows.
An ordinary selfie will do: we fix the background, light and framing ourselves — to this document's rules. The preview is free.
Head straightHold the phone at eye level and your head straightens by itself.
Face uncoveredMove your hair away so your eyes and eyebrows show.
No glare on glassesStand so that no light reflects in the lenses.Printing and submission
| 10 × 15 cm · 4 × 6″ | 10 (5 × 2) |
|---|---|
| A4 · 21 × 29.7 cm | 49 (7 × 7) |
Print at 100% scale, borderless, and turn off fit-to-page so each photo keeps its exact size.
Questions
All requirements are in the table above. Format: 30 × 40 mm. Plain light background without textures, shadows, or foreign objects.
Yes. Use a flat, plain wall, natural daylight from a window in front of you, and the rear camera of a phone with a 3-second timer. The tool handles the crop, background normalisation and compliance check.
Eyes must be fully visible. Removing glasses for the photo eliminates the risk of glare causing rejection, especially in automated pre-screening systems.
Most document authorities require the photo to be taken within the last six months. Use a fresh photo even if the rules technically allow older ones — recency reduces the risk of appearance-mismatch rejection.
Anfas.Pro provides a 14-day full refund if the authority rejects the photo and you supply the rejection notice.
30 × 40 mm = 3 × 4 cm = 1.18 × 1.57 inches. At 300 dpi that is 354 × 472 pixels; at 600 dpi, 709 × 945 pixels.