Appointment no-shows at 20-30% with no reminder system
Nepali private clinic patients book appointments by phone or WhatsApp and then do not show up. No SMS or WhatsApp reminder is sent before the appointment. The front desk finds out the patient is not coming when the appointment slot passes empty. A 24-hour WhatsApp reminder -- sent automatically by the system -- reduces no-show rates by 40-60% in the Nepal market. The fix is not complicated. It is not being done because there is no workflow system to do it.