// Playbooks/Healthcare·Automation·Day 11 of 30

Chart.

Digital patient intake forms, medical history, and document management.

Patients should not have to fill out the same form every time they visit.
// Timeline
14 to 21 days
// Package
Sprint
// Setup
SAR 30,000
// Monthly
SAR 4,500
// FitClinics and multi-specialty practices with high returning-patient volume.
// Live demo

Click and try it.

Three real-shaped leads from three channels. Click any one and watch the system score, reply, and route in real time.

Day 1 of 30
chart.signalstate.net
Live · 0:50
// Patient
// Completion
100%
// Fill time
1m 12s
// Auto-filled
6/8fields
// Repeat fills
0this year
// Pre-visit intake form
PT-501 · age 34

Layla Saeed

Full nameAuto-filled
Layla Saeed
Date of birthAuto-filled
1992-03-14
PhoneAuto-filled
+966 55 102 4413
AllergiesAuto-filled
Penicillin
Current medicationsAuto-filled
Atorvastatin 20mg
Last visit reasonAuto-filled
Annual physical
Today's reasonNew today
Chest tightness, 3 days
Pain level (0 to 10)New today
4
Submitted before arrivalMobile · 1m 12s
// Patient history
5 visits
  1. Annual physicalFeb 12, 2026
    Dr. Aisha Bakr

    All clear, follow-up in 12 months

  2. Lipid panel reviewAug 04, 2025
    Dr. Aisha Bakr

    Started Atorvastatin 20mg

  3. Flu symptomsMar 22, 2025
    Dr. Karim Othman

    Resolved with rest, no antibiotics

  4. Skin allergy reactionNov 09, 2024
    Dr. Karim Othman

    Penicillin allergy confirmed and logged

  5. Annual physicalJun 18, 2024
    Dr. Aisha Bakr

    Baseline labs taken

// Provider view

One screen, full history. Provider opens the chart and sees everything that matters before the patient walks in.

← Swipe to explore
// 01 / Problem

The setup.

Paper intake forms and manual data entry introduce errors at the worst possible moment, when a clinician needs accurate history.

Records sit across different systems and filing cabinets. Returning patients repeat the same information every visit.

// 02 / Build

What we shipped.

Digital intake forms sent before the appointment, returning patient data auto-populated, and a medical history timeline accessible from the provider dashboard.

Document storage is searchable and consolidated. The provider opens one screen and sees everything that matters, before the patient walks in.

// 03 / Outcome
Projected impact based on the manual baseline this replaces.
0
DUPLICATE FORM REPEATS
Mobile
INTAKE BEFORE THE VISIT
1 view
FULL PATIENT HISTORY
// Want one for your team?

Same shape, your problem.

Ships in 14 to 21 days under our Sprint package. SAR 30,000 setup, SAR 4,500 monthly.

Bring us a signal
// Other Healthcare systems
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