Sri Venkateshwara Multi-Speciality Hospital · Kukatpally, Hyderabad · 60 beds
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SW

Good morning, Swapna

Saturday, 18 Jul 2026 · Front desk, Sri Venkateshwara Multi-Speciality Hospital

Today's appointments
64
↑ 6 vs yesterday
Walk-ins
18
28% of today's load
No-shows recovered
5
via WhatsApp reminder
Waiting now
9
avg wait 14 min

Now serving

Token board · updates live
T-12
NOW
Venkatesh Naidu
44M · Hypertension review · Dr. K. Ramesh · General Medicine · Room 3
In consultation

Waiting

6 patients in queue
T-13
WAITING · 6 min
Lakshmi Devi
Gen. Medicine
T-14
WAITING · 9 min
Padma Sree
Gynecology
T-15
WAITING · 11 min
Mohd. Irfan
Gen. Medicine
T-16
WAITING · 14 min
B. Srinu
Orthopedics
T-17
WAITING · 18 min
Baby of K. Ramana
Pediatrics
T-18
WAITING · 2 min
Y. Padmavathi
Orthopedics
Booked for today
64
across 5 channels
Prepaid at booking
26
41% of today · was 24% on 01 Jul
No-show rate · month to date
9.1%
90 of 990 booked
Free slots next working day
11
Mon 20 Jul · Sunday closed · 3 doctors on floor
✦ Follow-up drafted from a discharge summary — B. Srinu Draft — awaiting approval
Read from the signed discharge summary for B. Srinu (67M, post-op right total knee replacement, Dr. P. Anil Kumar). Nothing is booked and no message has been sent.
Asked for in the summary
Review with Dr. P. Anil Kumar
Suture removal and wound check · 26 Jul 2026
Proposed slot
Mon 27 Jul 2026 · 10:30 AM
Orthopedics OPD · Dr. P. Anil Kumar · Room 3
Why not 26 Jul
Sunday — no ortho OPD
Next working session is Monday morning
Nothing is booked and no message is sent until Swapna approves.

How today's 64 appointments arrived

Channel mix · the front desk now touches 32 of 64 (walk-in + phone)
Walk-in
18
28% · counter
Phone → front desk
14
22% · Swapna
✦ WhatsApp assistant
21
33% · no staff time
✦ AI voice call
9
14% · no staff time
Web / portal
2
3% · self-serve
30 of 64 (47%) were booked by an AI channel with no staff involved. Every channel writes to the same slot table — a WhatsApp booking and a walk-in cannot double-book a slot.

Slot discovery — Mon 20 Jul 2026

Tap a free slot to book it · OPD session 09:00 AM – 01:00 PM
11 free
Dr. K. Ramesh
General Medicine · Room 3
09:00 10:00 10:30 11:30 12:30
Dr. P. Anil Kumar
Orthopedics · Room 4
09:00 09:30 11:00 · OT 11:30 · OT
Dr. Sunitha Rao
Gynecology · Room 5
09:30 10:00 11:30

Book & take payment in one step

UPI
Channel
Consultation ₹500
Prepaid bookings no-show 3.2% (n=312 this month) vs 11.8% unpaid (n=678).
Nothing booked in this session yet — bookings appear here and in tomorrow's slot grid above.
✦ Reminder plan for tomorrow's 3 flagged appointments Draft — awaiting approval

Two AI voice calls this evening (Telugu for M. Sailoo, Hindi for Sk. Zubeda) and one WhatsApp reminder (G. Latha, first visit). ₹8 of call minutes against ₹1,500 of slot value — 3 slots × ₹500. Nothing is dialled until you approve; the calling window closes at 8:00 PM.

GREEN tier · attendance forecast, not clinical
Signals: attendance history, payment status, distance, slot time, reschedule count · ADR #7 GREEN — no symptom, diagnosis or urgency is used or produced

No-show risk — tomorrow's list

Operational forecast from attendance and payment history
GREEN · ADR #7
Risk Patient Slot · Mon 20 Jul Doctor Why (operational signals only) Suggested action
78% M. Sailoo · 57M · Telugu 09:30 AM Dr. P. Anil Kumar Missed 2 of last 3 · unpaid · 14 km away · post-fracture check overdue since 28 Jun ✦ AI call + WhatsApp
71% Sk. Zubeda · 51F · Hindi 12:30 PM Dr. K. Ramesh 1 previous no-show · unpaid · the last slot of a session carries 28% of all no-shows ✦ AI call this evening
44% G. Latha · 41F · Telugu 10:00 AM Dr. Sunitha Rao First visit · unpaid · booked 6 weeks ago, no contact since WhatsApp reminder
14% T. Anjaneyulu · 62M · Telugu 10:00 AM Dr. K. Ramesh Prepaid ₹500 by UPI after an AI reminder call · attended 5 of 5 No action
9% Ritu Agarwal · 34F · English 11:30 AM Dr. Sunitha Rao Prepaid ₹500 by UPI · attended 4 of 4 No action

Doctor day calendar — 18 Jul 2026

09:00 AM – 01:00 PM · 2 of 4 doctors on floor this session
Dr. K. Ramesh
General Medicine · Room 3
Dr. Sunitha Rao
Gynecology · Room 5
09:00
T-01Ch. Lakshmi
Follow-up · fever, 3 days
T-21D. Anitha
Antenatal check · 18w
09:30
T-02Md. Rafi
New consult · chest pain
T-22S. Bhargavi
Follow-up · PCOS
10:00
T-03A. Srikanth
Review · lipid profile
+ Book this slot
10:30
T-04P. Naveen
New consult · diabetes screen
T-23R. Vasanthi
New consult · irregular cycles
11:00
T-05Walk-in
General complaint
T-24K. Meenakshi
Post-natal review
11:30
T-06J. Ravindra
Follow-up · BP review
T-25N. Haritha
New consult · anemia in pregnancy
12:00
Lunch break
T-26V. Sunanda
Follow-up · 32w ANC
12:30
T-07G. Chandra Sekhar
Review · thyroid panel
Lunch break
⛨ ABHA — link once, never type demographics again ABDM · M2 certified

Scan the patient's ABHA QR (or enter the 14-digit ABHA number). With their consent HOS pulls verified demographics and prior records from any ABDM-linked facility — no retyping, and no repeat tests the patient already paid for elsewhere.

ABDM HIP/HIU consent flow · FHIR R4 · consent artefact retained in the audit log (ADR #6)

Quick register

⚡ 30-second flow
Auto-fetches ABHA profile if linked to this phone number.
Type a phone number — HOS checks the master patient index before it creates a new MRN, so the same person never gets two records.

Recently registered

Today
Y. Padmavathi
52F · Orthopedics · 09:12 AM
T-18
Baby of K. Ramana
1F · Pediatrics · 08:58 AM
T-17
Mohd. Irfan
32M · General Medicine · 08:41 AM
T-15
B. Srinu
67M · Orthopedics · 08:30 AM
T-16
Padma Sree
28F · Gynecology · 08:19 AM
T-14
Admissions today
3
2 planned · 1 from casualty
Ward beds free
12
of 54 · 42 occupied
ICU
8 / 8
at capacity — no ICU bed to allocate
Time to admit
6 min
median of 41 admissions since 01 Jul · paper pathway 24 min

Admit a patient

Planned admission · 18 Jul 2026, 10:47 AM · admitting doctor's OPD note already on file
Sat 18 Jul 2026
1

Patient identity

✓ Pulled from ABHA · nothing typed
2

Why they are being admitted

From today's OPD note · Dr. P. Anil Kumar
3

Who pays

Choosing the payer here is what makes the estimate, the pre-auth packet and the claim all agree later.
Payer
✦ Policy verified — 4 terms that decide what Star Health will pay Active
✓Policy active, 3rd year · family floater₹5,00,000
✓Available after ₹62,000 claimed by the family this year₹4,38,000
✓Joint-replacement waiting period cleared (24 months; policy is 36)cleared
!Room-rent sub-limit — a product sub-limit, lower than 1% of the sum insured₹4,000/day
Cashless · pre-auth before admission. Open Insurance & Claims →
4

Bed

ICU 8/8 — nothing to allocate there
If this case needs post-op ICU, admission needs Dr. G. Prakash's approval first — the ICU is full and HOS will not let the bed board show a bed that does not exist.
5

Attender / next of kin

Collected once — nursing, billing and the discharge handover all read it from here.
6

Consent

0 of 4 captured
General consent to treatment
Signed on the counter tablet · Telugu version read out
Procedure & anaesthesia consent
Right total knee replacement · countersigned by Dr. P. Anil Kumar
Estimate acknowledged by the patient
Patient and attender have seen the figure below and its ±10% band
DPDP data consent — specific and revocable
Purpose: this admission and its billing. Revocable at the counter or on WhatsApp (DPDP Act 2023 · ADR #7)

Estimate at admission

From the tariff master + the surgeon's plan · good-faith figure, ±10%
Star Health · cashless
Surgeon + anaesthetist fees₹54,000
Knee implant — cobalt-chrome, NPPA price-capped₹76,000
OT + anaesthesia consumables · 2 h₹18,500
Semi-private bed · 3 nights @ ₹2,800₹8,400
Drugs & consumables₹13,600
Physiotherapy · 5 sessions @ ₹450₹2,250
Pre-op investigations + X-ray₹4,750
Total estimate₹1,77,500
Star Health pre-auth requested₹1,52,000
Patient payable — items the policy excludes₹25,500
Advance to collect now₹20,000
Balance at discharge₹5,500
The patient signs this figure and gets a copy on WhatsApp. research/11 §A: cost transparency at booking/admission is a dispute reducer — most Indian billing arguments start with a number nobody wrote down at the start.
✦ Estimate assembled — needs your sign-off Draft — awaiting approval

Priced from the Class B TPA schedule and Dr. Anil Kumar's operative plan. Two items differ from the last 6 TKRs at this hospital: implant ₹76,000 (last 6 averaged ₹71,400 — this is the cemented cobalt-chrome model the surgeon asked for) and physiotherapy 5 sessions (protocol default is 4).

Tariff master · TPA Class B schedule 2026 · last 6 TKR bills at this hospital · nothing is sent to the patient until you approve

Admit

Consent switches must be captured first
Nothing has been created yet. One click writes the IPD encounter, the bill, the payer packet, the nursing assessment, the pre-op lab order and the OT request — and the ward nurse's chart is filled in before the patient reaches the lift.

Collected once → reused where

The audit of the value claim. If a fact appears twice in this column, we have not solved the problem.
FactWhere it came fromReused in — without retyping
Name, age, sex, address ABHA, under consent IPD case file · billing header · nursing admission chart · consent forms · pre-auth packet
ABHA + MRN ABHA / master patient index IPD · billing · lab requisition barcodes · ABDM record push at discharge
Mobile number Registration, 12 Feb 2026 WhatsApp updates · UPI advance link · discharge summary delivery
Diagnosis + planned procedure Dr. Anil Kumar's OPD note, today IPD · OT list · pre-auth clinical justification · package selection · ICD coding
Payer, policy number, package Entered once, step 3 Estimate · pre-auth · claim · cashless discharge clearance
Bed + tariff class Bed board, step 4 Billing room rent · nursing worklist · housekeeping turnaround · diet order
Attender name + mobile Entered once, step 5 Nursing next-of-kin · consent witness · discharge handover · WhatsApp updates
Consent signatures Counter tablet, step 6 Consent bundle · hash-chained audit log · DPDP consent record (revocable)
Calls today
41
29 outbound · 12 inbound
Handled without a human
32
of 35 answered · 91%
Escalated to a human
3
2 clinical · 1 upset caller
Call cost today
₹185
74 min metered @ ₹2.50/min · ₹4.51 avg per call

Listen to a call

Real transcript rhythm — the agent speaks first, the patient answers, and the record is written while the line is still open
GREEN tier · booking & reminders only
Language on file: Telugu — override
Outbound · K. Yadamma, 63F
Follow-up recall · +91 98493 21574 · Telugu
00:00
The agent identifies itself as an AI in the first sentence of every call. It is never introduced as a person.

Written back while the line was open

Nothing yet. Play the call — every record the agent creates appears here as it happens, because "the AI called them" is worth nothing if a human still has to type the booking afterwards.
✦ Recall list ready to dial — 12 patients Draft — awaiting approval

The remaining overdue follow-ups, scripted per patient in the language on their record — 9 Telugu, 2 Hindi, 1 English. Estimated 29 min of call minutes, about ₹72. Nothing dials until you approve; the TRAI calling window closes at 8:00 PM.

Source list: Analytics → Money Leaks, 34 overdue follow-ups · est. ₹40,800 · ADR #8 metering records every call minute against your plan

Outbound campaigns

Autonomous — these dialled without anyone at the front desk lifting a handset
CampaignCalledOutcomeLanguage mixMinutesCostRunning
Appointment reminders
Tomorrow's 09:00–13:00 list
 8 6 confirmed · 1 rescheduled · 1 no answer Te 5 · Hi 2 · En 1 10 ₹25
Follow-up recall
34 overdue · est. ₹40,800 (Analytics)
 12 5 booked · 2 declined · 2 no answer · 1 escalated · 1 wrong number · 1 do-not-call Te 9 · Hi 2 · En 1 28 ₹70
Lab report ready
Status only — never the values
 4 3 informed · 1 no answer Te 3 · En 1 4 ₹10
Post-discharge check-in
Day 2 after discharge
 3 2 completed · 1 escalated (upset about a bill) Te 3 10 ₹25
Payment / dues reminder
Sends a UPI link during the call
 2 1 paid on the UPI link · 1 do-not-call Te 2 4 ₹10
Inbound — agent answers
Caller matched by number to the record
 12 3 booked · 3 questions answered · 2 rescheduled · 2 cancelled · 1 escalated · 1 wrong number Te 8 · Hi 2 · En 2 18 ₹45
The recall campaign is the arithmetic an owner asks about: ₹70 of call minutes so far → 5 patients rebooked → ₹6,000 of visits recovered out of the ₹40,800 on the list. 29 of the 34 are still overdue; 22 have not been called yet.

Next in the call queue

Language comes from the patient record
K. Yadamma · 63F
T2DM review overdue since 02 Jul · Dr. K. Ramesh
తెలుగు
M. Sailoo · 57M
Post-fracture check overdue since 28 Jun · reminder for 20 Jul 09:30
తెలుగు
Sk. Zubeda · 51F
BP review overdue since 09 Jul · high no-show risk for 20 Jul 12:30
हिन्दी
Ritu Agarwal · 34F
Lab report ready for collection — status only, no values read out
English
P. Kondal Reddy · 58M
Asked not to be called again, 10:12 AM — excluded from every campaign
Do not call

Where this agent stops

The boundary is the product, not the small print
RED tier · not licensed, not built
  • ✕It never asks about symptoms and never assigns an urgency level. Triage by acuity is RED tier under ADR #7 — it needs a CDSCO licence, and we do not have one.
  • ✕It gives no medical advice, not even reassurance. "It's probably nothing" is a clinical statement.
  • ✕It reads out report status, never report values. "Your HbA1c is ready" — not the number.
  • →Anything clinical, anyone upset, anything it is not confident about: the live call goes to a human within one turn and stays connected while it transfers.
  • →Outside 09:00 AM – 08:00 PM it does not dial at all. Inbound is answered 24×7 and after hours it books or takes a message.
  • ✓Every call is recorded, transcribed and attached to the patient's record with the AI worker named — the same audit trail as any other AI action (ADR #7).

Consent, DND and the calling window

TRAI is a real constraint and being called at 9 PM is a real grievance
DLT registered
Calling window09:00 AM – 08:00 PM
Opt-out offered in every first callYes — spoken, in their language
On the do-not-call register7
Max attempts per patient per week2
Needs your confirmation P. Kondal Reddy said "don't call me again" at 10:12 AM. HOS has already stopped calling him. Confirming makes it permanent across voice and WhatsApp.

Call log — the failures too

Last 10 of today's 41 · no answer, wrong numbers and do-not-call are outcomes, not omissions
OutcomeTimeDirectionPatient / numberWhat it was aboutLangDurationCost
→ Escalated to Swapna 10:39 AM Inbound B. Nagaraju · 49M · +91 90104 8•••• Caller began describing symptoms — agent stopped and transferred Telugu 0:36 ₹1.50
Do not call again 10:12 AM Outbound · dues P. Kondal Reddy · 58M ₹3,400 outstanding — patient asked to be removed; agent stopped and logged it Telugu 0:48 ₹2.00
Rescheduled to 22 Jul 09:58 AM Inbound Ritu Agarwal · 34F Moved her Gynecology slot herself, in the call English 1:12 ₹3.00
No answer · retry 4:30 PM 09:52 AM Outbound · reminder M. Sailoo · 57M Reminder for Mon 20 Jul, 09:30 AM Telugu 0:24 ₹1.00
Report ready — informed 09:44 AM Outbound · lab T. Anjaneyulu · 62M HbA1c report ready for collection — status only, no values spoken Telugu 0:48 ₹2.00
→ Escalated to Swapna 09:30 AM Outbound · post-discharge G. Vijaya Lakshmi · 61F Day-2 check-in — caller became angry about a billing item, agent transferred Telugu 1:36 ₹4.00
Wrong number — flagged 09:21 AM Outbound · recall M. Sarojini · 48F · number on file Answered by a stranger — number flagged for the front desk to correct Telugu 0:24 ₹1.00
Confirmed for Mon 20 Jul 09:12 AM Outbound · reminder Ch. Vijaya · 55F Reminder — Dr. Sunitha Rao, Gynecology Hindi 1:00 ₹2.50
→ Escalated to Swapna 09:05 AM Inbound +91 99120 4•••• · no record match Asked the agent to interpret a lab report — refused and transferred Telugu 0:24 ₹1.00
Paid on the UPI link 09:02 AM Outbound · dues B. Nagaraju · 49M ₹1,850 balance — UPI link sent during the call, paid before it ended Telugu 1:24 ₹3.50

Incoming referrals

5 this week · 2 pending action
Referring doctor / clinic Patient Reason Date Status
Apollo DiagnosticsKukatpally B. Srinu · 67M Post-op knee review, X-ray attached 16 Jul 2026 Pending
Dr. Anand KumarCare Hospitals, Ortho — Banjara Hills Y. Padmavathi · 52F Chronic knee pain, seeking second opinion 15 Jul 2026 Accepted
Sunrise ClinicMiyapur Mohd. Irfan · 32M Suspected UTI — referred for lab workup 14 Jul 2026 Accepted
Dr. Y. BhavaniKIMS Hospitals, Kondapur Padma Sree · 28F High-risk pregnancy — joint consult requested 13 Jul 2026 Pending
Aarogya Nursing HomeNizampet Venkatesh Naidu · 44M Hypertension crisis — discharge follow-up 11 Jul 2026 Accepted
✦ AI-drafted acceptance reply Draft — awaiting approval

For Apollo Diagnostics' referral of B. Srinu: "Referral received — patient scheduled with Dr. P. Anil Kumar (Orthopedics) on 21 Jul 2026, 10:30 AM. X-ray and prior notes received, thank you." Ready to send via WhatsApp/email to the referring clinic.