This document summarizes a research paper on developing a mobile-based telemedicine system for remote patient monitoring and diagnosis in Sikkim, India. The system would use sensors to monitor patients' vital signs like ECG, temperature, blood pressure, etc. at remote hospitals and health centers. It then transmits the data in real-time via cellular networks or stores and forwards it via the internet to a main hospital serving as a remote server unit. There, specialized doctors could monitor patients' health status and diagnose issues. The goal is to provide 24/7 medical care across Sikkim, which faces challenges in remote healthcare access due to its hilly terrain and lack of facilities.