How a patient moves through the clinic

Each role passes the patient on with one button. The next role sees the patient in their list within a few seconds, and their bell (🔔) shows a notification. Nobody has to phone or refresh. The screenshots below are from an end-to-end run of exactly these steps.

1. Reception: register · book · Check In · Send to Nurse
2. Nurse: vitals · triage · Send to Doctor or Escalate to DMO
3. DMO (if escalated): Confirm Disposition
4. Doctor: consult · lab · Complete Visit

1. Reception: register, check in, send to the nurse

rahul.vermaFront Desk opens on Overview with Today's Queue.

1. New patient: New Patient → fill the starred fields (First and Last Name, Sex, Date of Birth, Mobile, Emergency Contact, Reason for Visit, Privacy Notice, Data Consent) → Save & Book Appointment.
2. The booking opens with the patient chosen. Pick a free slot (or Actions › Pick Next Available Slot) → Confirm & Check In (for today). For a later day, use Confirm Booking, then Check In from the queue's row menu when the patient arrives.
3. In the Check In dialog: tick Fee collected, keep Send to Nurse Station right away ticked → Confirm Check-In. The row now says With Nurse · at Nurse Station.
4. Walk-in: Walk-in → fill the form → Save & Send to Nurse. That's all.

2. Nurse: vitals, triage, hand on

priya.nairThe patient appears in the Triage Queue as Waiting.

1. Click the patient's name (or Start Triage at the end of the row, or Actions › Start Next Patient).
2. Enter Blood Pressure (as 120/80), Pulse, Temperature (°C), SpO2. Choose a Triage Level.
3. Tick Identity verified against ID proof and set Allergy Review.
4. Press Send to Doctor, or Escalate to DMO for an unstable patient. The box on the right recommends one. If you set Escalation to Yes, Action & Clinician must be filled.

If something is missing, the message names it and the screen jumps to it. Everything saves as you type.

3. DMO: review and decide

kavita.desaiAn escalated patient appears on the DMO Console as Waiting, with the nurse's vitals.

1. Press Review on the row. Enter the Provisional Diagnosis; add Immediate Orders if needed.
2. Under Disposition pick one: Send to Doctor · Keep Under Observation (choose a bed) · Refer to Hospital (choose the hospital) · Treat & Discharge (write the discharge advice).
3. Press Confirm Disposition. Under observation, the nurse gets a monitoring task; later press Send to Doctor and Confirm again.

4. Doctor: consult, order tests, complete

anil.kulkarniThe patient appears in Appointments (My patients) with the nurse's vitals.

1. Click the patient's name or Appt# to open the consultation. (The ⋯ menu › Edit Appointment In New Tab does the same.)
2. Start consultation → Diagnosis, Advice to Patient, a Medicine with Dose and Duration → Add.
3. Tests: Order test (e.g. CBC) → Send to Lab.
4. When the result comes back (bell), it shows on the consultation. Press Complete Visit. Reception sees Completed.

5. Lab: collect, enter, release

suresh.kaleThe test appears on the Worklist.

1. Open the order (click its token) → Collect Sample → Identity check: Confirmed: name and MRN match the request → Collect & Print Label.
2. Enter each value; the flag (Normal / High / Low / Critical) fills itself → Release. The doctor is notified.
3. A critical value asks you to phone the clinician and record the read-back first.