A mid-sized Hyderabad hospital with 1,200 monthly appointments and the typical Indian private-hospital no-show rate watches 384 slots vanish every month. That translates directly into more than ₹3 lakh in evaporated consultation revenue. Scale that to a 200-bed multi-specialty facility running 12,000 outpatient visits and the monthly leakage quietly exceeds ₹30 lakh. This is not a minor scheduling hiccup. It is a structural drain on operating margins and a direct contributor to patient care gaps in a city where a single missed cardiology slot can delay a high-risk patient by weeks.