This document describes a smart real-time patient reception management system that uses telecommunication technologies to improve efficiency. The system allows patients to schedule appointments via SMS from anywhere. When a patient sends an SMS, the server verifies the information and sends a confirmation message with the appointment time. It then relays the information to a microcontroller connected to an LED display board in the hospital reception area. The system aims to reduce the time wasted in traditional manual appointment systems and allow patients to schedule from a distance. It uses a GSM module to send and receive SMS messages connected to a microcontroller, server, and LED display for outputs. The hardware and software designs are described along with the components and flow.