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Medical e-visas can be extended for a period up to 1 year if an individual revives a medical certificate from the government or the ICMR (Indian Council of Medical Research), MCI (Medical Council of India), or from any recognised hospital in India.
A medical visa is eligible for a foreigner for the sole purpose of seeking medical treatment in a recognised hospital or for treatments in India. If they have a serious and valid issue and need treatment, then you are eligible to get a medical e-visa, and you will be considered under the Indian system of medicine to avail of the treatment.
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If your medical visa is less than a period of 180 days, you don't have to register, but if it is above 180 days, then you will need to register yourself through the FRO/FRRO within 14 days of arrival in India.