feat: OPD speech-to-text mic, medicine label enhancements & template search

- Add complaints Speech-to-Text (browser + server STT fallback) with interim preview
- Add Medical Mic (server STT) for examination, diagnosis, provisional diagnosis fields
- Add speech-test route + Home::speechTest() view for STT testing
- OPD prescription: resolve dosage/when/frequency labels from lookup tables
- OPD prescription: show generic/salt name below medicine name in print
- OPD prescription: translate complaints/diagnosis/advice/investigation to Hindi for patient
- Add translateToLocalPatientText() helper with English->Hindi medical term map
- Add 'Remove All' medicines button (btn_clear_medicine)
- Add template search box in Load Template modal
- Fix investigation batch add: dedup + guard against concurrent add
- Fix single investigation add: check duplicate before adding
- Fix rx status text overflow: ellipsis + title tooltip
- Remove unused FHIR History and Back to Invoice buttons from Rx header
- .gitignore: exclude public/uploads/* and writable/ayushman/*

.gitignore

@@ -63,6 +63,8 @@ writable/uploads/*
 writable/debugbar/*
 !writable/debugbar/index.html
 
+writable/ayushman/*
+
 php_errors.log
 
 #-------------------------
@@ -124,3 +126,6 @@ _modules/*
 
 /results/
 /phpunit*.xml
+
+public/uploads/*
+!public/uploads/.gitkeep

app/Config/Routes.php

@@ -9,6 +9,7 @@ $routes->get('/', 'Home::index');
 $routes->get('dashboard', 'Home::dashboard');
 $routes->get('my-profile', 'Home::myProfile');
 $routes->post('my-profile/save', 'Home::myProfileSave');
+$routes->get('speech-test', 'Home::speechTest');
 
 // Pharmacy (Medical) - phase 1
 $routes->get('Medical', 'Medical::index');

app/Controllers/Home.php

@@ -236,6 +236,16 @@ class Home extends BaseController
         ]);
     }
 
+    public function speechTest()
+    {
+        $authRedirect = $this->ensureAuthenticated();
+        if ($authRedirect !== null) {
+            return $authRedirect;
+        }
+
+        return view('tools/speech_test');
+    }
+
     public function myProfileSave()
     {
         $authRedirect = $this->ensureAuthenticated();

app/Controllers/Opd.php

@@ -1745,14 +1745,21 @@ class Opd extends BaseController
             $i = 0;
             foreach ($rxMeds as $med) {
                 $i++;
-                $name = trim((string) ($med['drug_name'] ?? $med['medicine_name'] ?? $med['item_name'] ?? ''));
+                $name = trim((string) ($med['med_name'] ?? $med['drug_name'] ?? $med['medicine_name'] ?? $med['item_name'] ?? ''));
-                $dose = trim((string) ($med['drug_dose'] ?? $med['dose'] ?? ''));
+                $generic = trim((string) ($med['genericname'] ?? ($med['generic_name'] ?? ($med['salt_name'] ?? ''))));
-                $freq = trim((string) ($med['drug_freq'] ?? $med['frequency'] ?? ''));
+                $dose = trim((string) ($med['dosage_label'] ?? $med['dosage'] ?? $med['drug_dose'] ?? $med['dose'] ?? ''));
-                $days = trim((string) ($med['drug_day'] ?? $med['days'] ?? ''));
+                $freq = trim((string) ($med['dosage_freq_label'] ?? $med['dosage_freq'] ?? $med['drug_freq'] ?? $med['frequency'] ?? ''));
-                $inst = trim((string) ($med['drug_instruction'] ?? $med['instruction'] ?? ''));
+                $days = trim((string) ($med['no_of_days'] ?? $med['drug_day'] ?? $med['days'] ?? ''));
+                $when = trim((string) ($med['dosage_when_label'] ?? $med['dosage_when'] ?? ''));
+                $remark = trim((string) ($med['remark'] ?? ''));
+                $inst = trim(($when !== '' ? $when : '') . ($remark !== '' ? ($when !== '' ? ' | ' : '') . $remark : ''));
+                $nameHtml = esc($name);
+                if ($generic !== '') {
+                    $nameHtml .= '<div style="font-size:10px;color:#444;">Salt/Generic: ' . esc($generic) . '</div>';
+                }
                 $medicalHtml .= '<tr>'
                     . '<td>' . $i . '</td>'
-                    . '<td>' . esc($name) . '</td>'
+                    . '<td>' . $nameHtml . '</td>'
                     . '<td>' . esc(trim($dose . ' ' . $freq)) . '</td>'
                     . '<td>' . esc($days) . '</td>'
                     . '<td>' . esc($inst) . '</td>'
@@ -1785,6 +1792,26 @@ class Opd extends BaseController
             $rxAdvice = implode(', ', $parts);
         }
 
+        $complaintText = (string) ($rx['complaints'] ?? '');
+        $diagnosisText = (string) (($rx['Provisional_diagnosis'] ?? '') !== '' ? ($rx['Provisional_diagnosis'] ?? '') : ($rx['diagnosis'] ?? ''));
+        $complaintLocal = $this->translateToLocalPatientText($complaintText);
+        $diagnosisLocal = $this->translateToLocalPatientText($diagnosisText);
+        $investigationLocal = $this->translateToLocalPatientText($rxInvestigation);
+        $rxAdviceLocal = $this->translateToLocalPatientText($rxAdvice);
+
+        if (strtolower(trim($complaintLocal)) === strtolower(trim($complaintText))) {
+            $complaintLocal = '';
+        }
+        if (strtolower(trim($diagnosisLocal)) === strtolower(trim($diagnosisText))) {
+            $diagnosisLocal = '';
+        }
+        if (strtolower(trim($investigationLocal)) === strtolower(trim($rxInvestigation))) {
+            $investigationLocal = '';
+        }
+        if (strtolower(trim($rxAdviceLocal)) === strtolower(trim($rxAdvice))) {
+            $rxAdviceLocal = '';
+        }
+
         $bp = trim((string) ($rx['bp'] ?? ''));
         $diastolic = trim((string) ($rx['diastolic'] ?? ''));
         $pulse = trim((string) ($rx['pulse'] ?? ''));
@@ -1856,10 +1883,13 @@ class Opd extends BaseController
             'total_no_visit' => $totalNoVisit,
             'last_opdvisit_date' => $lastVisitText,
             'str_opd_book_date' => $bookTime,
-            'Complaint' => (string) ($rx['complaints'] ?? ''),
+            'Complaint' => $complaintText,
-            'diagnosis' => (string) (($rx['Provisional_diagnosis'] ?? '') !== '' ? ($rx['Provisional_diagnosis'] ?? '') : ($rx['diagnosis'] ?? '')),
+            'Complaint_local' => $complaintLocal,
+            'diagnosis' => $diagnosisText,
+            'diagnosis_local' => $diagnosisLocal,
             'Provisional_diagnosis' => (string) ($rx['Provisional_diagnosis'] ?? ''),
             'investigation' => $rxInvestigation,
+            'investigation_local' => $investigationLocal,
             'medical' => $medicalHtml,
             'doctor' => '<p style="text-align:right;">Dr. ' . esc((string) ($opd->doc_name ?? '')) . '</p>',
             'top_content' => '',
@@ -1867,6 +1897,7 @@ class Opd extends BaseController
             'Finding_Examinations' => (string) ($rx['Finding_Examinations'] ?? ''),
             'Prescriber_Remarks' => (string) ($rx['Prescriber_Remarks'] ?? ''),
             'advice' => $rxAdvice,
+            'advice_local' => $rxAdviceLocal,
             'next_visit' => (string) ($rx['next_visit'] ?? ''),
             'refer_to' => (string) ($rx['refer_to'] ?? ''),
             'painscale' => '',
@@ -1877,6 +1908,69 @@ class Opd extends BaseController
         ];
     }
 
+    private function translateToLocalPatientText(string $input): string
+    {
+        $text = trim($input);
+        if ($text === '') {
+            return '';
+        }
+
+        $map = [
+            'before food' => 'भोजन से पहले',
+            'after food' => 'भोजन के बाद',
+            'after breakfast' => 'नाश्ते के बाद',
+            'before breakfast' => 'नाश्ते से पहले',
+            'after lunch' => 'दोपहर के भोजन के बाद',
+            'before lunch' => 'दोपहर के भोजन से पहले',
+            'after dinner' => 'रात के भोजन के बाद',
+            'before dinner' => 'रात के भोजन से पहले',
+            'morning' => 'सुबह',
+            'afternoon' => 'दोपहर',
+            'evening' => 'शाम',
+            'night' => 'रात',
+            'once daily' => 'दिन में एक बार',
+            'twice daily' => 'दिन में दो बार',
+            'thrice daily' => 'दिन में तीन बार',
+            'daily' => 'रोज',
+            'weekly' => 'साप्ताहिक',
+            'for' => 'के लिए',
+            'days' => 'दिन',
+            'day' => 'दिन',
+            'tab' => 'टैबलेट',
+            'cap' => 'कैप्सूल',
+            'syp' => 'सिरप',
+            'inj' => 'इंजेक्शन',
+            'apply' => 'लगाएं',
+            'continue' => 'जारी रखें',
+            'rest' => 'आराम करें',
+            'hydrate' => 'पर्याप्त पानी लें',
+            'avoid oily food' => 'तैलीय भोजन से बचें',
+            'avoid spicy food' => 'मसालेदार भोजन से बचें',
+            'follow up' => 'फॉलो-अप करें',
+            'review' => 'पुनः जांच',
+            'advice' => 'सलाह',
+            'investigation' => 'जांच',
+            'diagnosis' => 'निदान',
+            'fever' => 'बुखार',
+            'cough' => 'खांसी',
+            'cold' => 'जुकाम',
+            'headache' => 'सिर दर्द',
+            'abdominal pain' => 'पेट दर्द',
+        ];
+
+        uksort($map, static function ($a, $b) {
+            return strlen((string) $b) <=> strlen((string) $a);
+        });
+
+        $translated = $text;
+        foreach ($map as $en => $local) {
+            $translated = preg_replace('/\b' . preg_quote($en, '/') . '\b/i', $local, $translated) ?? $translated;
+        }
+
+        $translated = preg_replace('/\s+/', ' ', trim($translated)) ?? trim($translated);
+        return $translated;
+    }
+
     /**
      * @param array<string, mixed> $vars
      */
@@ -2221,6 +2315,11 @@ class Opd extends BaseController
         $tokens['doctor_sign_html'] = nl2br((string) ($data['opd_master'][0]->doc_sign ?? ''));
         $tokens['content'] = (string) ($tokens['content'] ?? '');
 
+        $adviceLocal = trim((string) ($tokens['advice_local'] ?? ''));
+        $tokens['advice_local_line'] = $adviceLocal !== ''
+            ? ('<br><strong>सलाह:</strong> ' . $adviceLocal)
+            : '';
+
         return $tokens;
     }
 
@@ -2499,6 +2598,115 @@ class Opd extends BaseController
                     $medBuilder->orderBy('id', 'ASC');
                 }
                 $data['rx_medicines'] = $medBuilder->get()->getResultArray();
+
+                if (!empty($data['rx_medicines'])) {
+                    $mapDose = [];
+                    $mapWhen = [];
+                    $mapFreq = [];
+                    $medGenericMap = [];
+                    $missingGenericMedIds = [];
+
+                    if ($this->db->tableExists('opd_dose_shed')) {
+                        $f = $this->db->getFieldNames('opd_dose_shed');
+                        $idF = $this->resolveFirstField($f, ['dose_shed_id', 'id']);
+                        $labelF = $this->resolveFirstField($f, ['dose_show_sign', 'dose_sign', 'dose_sign_desc', 'name']);
+                        if ($idF !== null && $labelF !== null) {
+                            $rows = $this->db->table('opd_dose_shed')->select($idF . ' as id,' . $labelF . ' as label')->where($labelF . ' !=', '')->get()->getResultArray();
+                            foreach ($rows as $r) {
+                                $id = trim((string) ($r['id'] ?? ''));
+                                $label = trim((string) ($r['label'] ?? ''));
+                                if ($id !== '' && $label !== '') {
+                                    $mapDose[$id] = $label;
+                                }
+                            }
+                        }
+                    }
+
+                    if ($this->db->tableExists('opd_dose_when')) {
+                        $f = $this->db->getFieldNames('opd_dose_when');
+                        $idF = $this->resolveFirstField($f, ['dose_when_id', 'id']);
+                        $labelF = $this->resolveFirstField($f, ['dose_sign', 'dose_sign_desc', 'name']);
+                        if ($idF !== null && $labelF !== null) {
+                            $rows = $this->db->table('opd_dose_when')->select($idF . ' as id,' . $labelF . ' as label')->where($labelF . ' !=', '')->get()->getResultArray();
+                            foreach ($rows as $r) {
+                                $id = trim((string) ($r['id'] ?? ''));
+                                $label = trim((string) ($r['label'] ?? ''));
+                                if ($id !== '' && $label !== '') {
+                                    $mapWhen[$id] = $label;
+                                }
+                            }
+                        }
+                    }
+
+                    if ($this->db->tableExists('opd_dose_frequency')) {
+                        $f = $this->db->getFieldNames('opd_dose_frequency');
+                        $idF = $this->resolveFirstField($f, ['dose_freq_id', 'id']);
+                        $labelF = $this->resolveFirstField($f, ['dose_sign', 'dose_sign_desc', 'name']);
+                        if ($idF !== null && $labelF !== null) {
+                            $rows = $this->db->table('opd_dose_frequency')->select($idF . ' as id,' . $labelF . ' as label')->where($labelF . ' !=', '')->get()->getResultArray();
+                            foreach ($rows as $r) {
+                                $id = trim((string) ($r['id'] ?? ''));
+                                $label = trim((string) ($r['label'] ?? ''));
+                                if ($id !== '' && $label !== '') {
+                                    $mapFreq[$id] = $label;
+                                }
+                            }
+                        }
+                    }
+
+                    foreach ($data['rx_medicines'] as &$medRow) {
+                        $doseRaw = trim((string) ($medRow['dosage'] ?? ''));
+                        $whenRaw = trim((string) ($medRow['dosage_when'] ?? ''));
+                        $freqRaw = trim((string) ($medRow['dosage_freq'] ?? ''));
+                        $medRow['dosage_label'] = ($doseRaw !== '' && isset($mapDose[$doseRaw])) ? $mapDose[$doseRaw] : $doseRaw;
+                        $medRow['dosage_when_label'] = ($whenRaw !== '' && isset($mapWhen[$whenRaw])) ? $mapWhen[$whenRaw] : $whenRaw;
+                        $medRow['dosage_freq_label'] = ($freqRaw !== '' && isset($mapFreq[$freqRaw])) ? $mapFreq[$freqRaw] : $freqRaw;
+
+                        $genericInline = trim((string) ($medRow['genericname'] ?? ($medRow['salt_name'] ?? '')));
+                        if ($genericInline === '') {
+                            $medId = (int) ($medRow['med_id'] ?? 0);
+                            if ($medId > 0) {
+                                $missingGenericMedIds[$medId] = true;
+                            }
+                        }
+                    }
+                    unset($medRow);
+
+                    if (!empty($missingGenericMedIds) && $this->db->tableExists('opd_med_master')) {
+                        $masterFields = $this->db->getFieldNames('opd_med_master');
+                        $masterIdField = $this->resolveFirstField($masterFields, ['id']);
+                        $masterGenericField = $this->resolveFirstField($masterFields, ['genericname', 'generic_name']);
+                        $masterSaltField = $this->resolveFirstField($masterFields, ['salt_name', 'sal_name', 'salt', 'saltname']);
+                        $labelField = $masterSaltField ?? $masterGenericField;
+
+                        if ($masterIdField !== null && $labelField !== null) {
+                            $rows = $this->db->table('opd_med_master')
+                                ->select($masterIdField . ' as med_id,' . $labelField . ' as generic_fallback')
+                                ->whereIn($masterIdField, array_map('intval', array_keys($missingGenericMedIds)))
+                                ->get()
+                                ->getResultArray();
+
+                            foreach ($rows as $r) {
+                                $id = (int) ($r['med_id'] ?? 0);
+                                $label = trim((string) ($r['generic_fallback'] ?? ''));
+                                if ($id > 0 && $label !== '') {
+                                    $medGenericMap[$id] = $label;
+                                }
+                            }
+                        }
+                    }
+
+                    foreach ($data['rx_medicines'] as &$medRow) {
+                        $genericInline = trim((string) ($medRow['genericname'] ?? ($medRow['salt_name'] ?? '')));
+                        if ($genericInline === '') {
+                            $fallback = $medGenericMap[(int) ($medRow['med_id'] ?? 0)] ?? '';
+                            if ($fallback !== '') {
+                                $medRow['genericname'] = $fallback;
+                            }
+                        }
+                    }
+                    unset($medRow);
+                }
             } else {
                 $data['rx_medicines'] = [];
             }

app/Views/billing/opd_prescription_basic.php

@@ -58,6 +58,20 @@
         }
         .rx-save-status {
             font-size: .875rem;
+            display: flex;
+            align-items: center;
+            gap: .4rem;
+            min-width: 0;
+            max-width: 320px;
+            white-space: nowrap;
+        }
+        #rx_status_text {
+            display: inline-block;
+            min-width: 0;
+            max-width: 240px;
+            overflow: hidden;
+            text-overflow: ellipsis;
+            white-space: nowrap;
         }
         .rx-tab-btn.active {
             background: #0d6efd;
@@ -123,6 +137,56 @@
             float: right;
             margin-top: -2px;
         }
+        .rx-label-actions {
+            display: flex;
+            align-items: center;
+            justify-content: space-between;
+            gap: .5rem;
+            flex-wrap: wrap;
+            margin-bottom: .25rem;
+        }
+        .rx-label-actions .rx-label-title {
+            font-weight: 600;
+            color: #344054;
+        }
+        .rx-complaint-actions {
+            display: inline-flex;
+            align-items: center;
+            gap: .35rem;
+        }
+        .rx-complaint-actions .rx-ai-btn {
+            float: none;
+            margin-top: 0;
+        }
+        .btn-complaints-rewrite {
+            border-color: #2b6cb0;
+            color: #2b6cb0;
+            background: #eef6ff;
+        }
+        .btn-complaints-rewrite:hover {
+            background: #2b6cb0;
+            color: #fff;
+        }
+        .btn-complaints-mic {
+            border-color: #13795b;
+            color: #13795b;
+            background: #ecfdf3;
+            min-width: 120px;
+        }
+        .btn-medical-stt {
+            border-color: #0f766e;
+            color: #0f766e;
+            background: #ecfeff;
+            min-width: 120px;
+        }
+        .btn-medical-stt:hover {
+            background: #0f766e;
+            color: #fff;
+        }
+        .btn-complaints-mic:hover {
+            background: #13795b;
+            color: #fff;
+        }
         .rx-scan-banner {
             display: none;
             border: 1px solid #b6d4fe;
@@ -222,8 +286,6 @@
                         <li><button type="button" class="dropdown-item text-warning" id="btn_print2">Print Rx With OPD Head LetterHead</button></li>
                     </ul>
                 </div>
-                <button type="button" class="btn btn-outline-secondary btn-sm" id="btn_toggle_fhir_history" title="Show/Hide FHIR Export History">📄 FHIR History</button>
-                <a href="javascript:load_form('<?= base_url('Opd/invoice') ?>/<?= esc($opd_id) ?>','OPD Invoice');" class="btn btn-secondary btn-sm">Back to Invoice</a>
             </div>
         </div>
         <div id="rx_scan_banner" class="rx-scan-banner"></div>
@@ -499,18 +561,19 @@
                             </div>
                             <div class="mb-3">
                                 <label class="form-label">Complaints
-                                    <button type="button" class="btn btn-outline-primary btn-sm rx-ai-btn btn-ai-rewrite" data-target="complaints" data-mode="hinglish_to_english">Hinglish -> English</button>
+                                    <button type="button" class="btn btn-outline-primary btn-sm rx-ai-btn btn-ai-rewrite btn-complaints-rewrite" data-target="complaints" data-mode="hinglish_to_english" title="Convert Hinglish text to English">↔ Hinglish → English</button>
+                                    <button type="button" class="btn btn-outline-success btn-sm rx-ai-btn" id="btn_complaints_mic" title="Speech to text for complaints">Mic</button>
                                 </label>
                                 <textarea class="form-control rx-field" id="complaints" rows="4" maxlength="4000"><?= esc($opd_prescription[0]->complaints ?? '') ?></textarea>
+                                <div id="complaints_interim_preview" style="display:none;font-size:.8rem;color:#6c757d;padding:2px 4px;font-style:italic;"></div>
                                 <div class="rx-counter" id="counter_complaints">0/4000</div>
                             </div>
 
                             <div class="mb-3">
                                 <label class="form-label">Examination
                                 </label>
-                                <div class="small text-muted mb-1">AI Assist is optional. Use it only if you want cleaner clinical wording; manual typing works as usual.</div>
                                 <div class="d-flex flex-wrap gap-1 mb-1">
-                                    <button type="button" class="btn btn-outline-primary btn-sm btn-ai-rewrite" data-target="finding_examinations" data-mode="finding">AI Assist</button>
+                                    <button type="button" class="btn btn-sm btn-medical-stt" data-target="finding_examinations" data-label="🎙 Med Mic">🎙 Med Mic</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-field-past" data-section="finding_examinations" data-target="finding_examinations">Past Data</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-template-load" data-section="finding_examinations" data-target="finding_examinations">Load Template</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-template-save" data-section="finding_examinations" data-target="finding_examinations">Save as Template</button>
@@ -524,7 +587,7 @@
                                 <label class="form-label">Diagnosis
                                 </label>
                                 <div class="d-flex flex-wrap gap-1 mb-1">
-                                    <button type="button" class="btn btn-outline-primary btn-sm btn-ai-rewrite" data-target="diagnosis" data-mode="diagnosis">AI Assist</button>
+                                    <button type="button" class="btn btn-sm btn-medical-stt" data-target="diagnosis" data-label="🎙 Med Mic">🎙 Med Mic</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-field-past" data-section="diagnosis" data-target="diagnosis">Past Data</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-template-load" data-section="diagnosis" data-target="diagnosis">Load Template</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-template-save" data-section="diagnosis" data-target="diagnosis">Save as Template</button>
@@ -538,7 +601,7 @@
                                 <label class="form-label">Provisional Diagnosis
                                 </label>
                                 <div class="d-flex flex-wrap gap-1 mb-1">
-                                    <button type="button" class="btn btn-outline-primary btn-sm btn-ai-rewrite" data-target="provisional_diagnosis" data-mode="diagnosis">AI Assist</button>
+                                    <button type="button" class="btn btn-sm btn-medical-stt" data-target="provisional_diagnosis" data-label="🎙 Med Mic">🎙 Med Mic</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-field-past" data-section="provisional_diagnosis" data-target="provisional_diagnosis">Past Data</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-template-load" data-section="provisional_diagnosis" data-target="provisional_diagnosis">Load Template</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-template-save" data-section="provisional_diagnosis" data-target="provisional_diagnosis">Save as Template</button>
@@ -552,7 +615,6 @@
                                 <label class="form-label">Prescription
                                 </label>
                                 <div class="d-flex flex-wrap gap-1 mb-1">
-                                    <button type="button" class="btn btn-outline-primary btn-sm btn-ai-rewrite" data-target="prescriber_remarks" data-mode="autotype">AI Assist</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-field-past" data-section="prescriber_remarks" data-target="prescriber_remarks">Past Data</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-template-load" data-section="prescriber_remarks" data-target="prescriber_remarks">Load Template</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-template-save" data-section="prescriber_remarks" data-target="prescriber_remarks">Save as Template</button>
@@ -572,7 +634,6 @@
                             <div class="mb-3">
                                 <label class="form-label"><strong>Advice Add</strong></label>
                                 <div class="d-flex flex-wrap gap-1 mb-1">
-                                    <button type="button" class="btn btn-outline-primary btn-sm btn-ai-rewrite" data-target="advice" data-mode="autotype">AI Assist</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-field-past" data-section="advice" data-target="advice">Past Data</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-template-load" data-section="advice" data-target="advice">Load Template</button>
                                     <button type="button" class="btn btn-outline-secondary btn-sm btn-template-save" data-section="advice" data-target="advice">Save as Template</button>
@@ -717,6 +778,7 @@
                                 </div>
                                 <div class="col-md-2 d-grid gap-2">
                                     <button type="button" class="btn btn-primary" id="btn_add_medicine">Add</button>
+                                    <button type="button" class="btn btn-outline-danger" id="btn_clear_medicine">Remove All</button>
                                     <button type="button" class="btn btn-outline-secondary" id="btn_cancel_medicine_edit" style="display:none;">Cancel</button>
                                 </div>
                             </div>
@@ -777,6 +839,8 @@
                     <div class="d-flex flex-wrap gap-1 mb-2" id="rx_template_suggest_box">
                         <span class="text-muted small">No suggestion available.</span>
                     </div>
+                    <label class="form-label">Search Template</label>
+                    <input type="text" class="form-control form-control-sm mb-2" id="rx_template_search" placeholder="Search by name or content...">
                     <label class="form-label">Select Template</label>
                     <select class="form-select form-select-sm" id="rx_template_select"></select>
                     <label class="form-label mt-2">Apply Mode</label>
@@ -883,6 +947,20 @@
     var latestLocalAssist = null;
     var complaintSuggestions = [];
     var selectedComplaints = [];
+    var complaintsMicMode = 'off';
+    var complaintsSpeechRecognition = null;
+    var complaintsMicActive = false;
+    var complaintsMediaRecorder = null;
+    var complaintsMediaStream = null;
+    var complaintsMediaChunks = [];
+    var complaintsBaseText = '';
+    var medicalSttTarget = '';
+    var medicalSttRecorder = null;
+    var medicalSttStream = null;
+    var medicalSttChunks = [];
+    var medicalSttActive = false;
+    var complaintsSttServerHealthUrl = 'http://139.59.13.39:8000/health';
+    var complaintsSttServerTranscribeUrl = 'http://139.59.13.39:8000/stt/transcribe';
     var draftKey = 'opd_rx_draft_' + ($('#opd_id').val() || '0');
     var templateLoadState = { target: '', section: '', rows: [] };
     var templateSaveState = { section: '', text: '', scope: 'doctor' };
@@ -894,6 +972,7 @@
     var invCustomProfileKey = 'opd_inv_custom_profiles';
     var legacyInvestigationProfiles = {};
     var legacyInvestigationProfileList = [];
+    var investigationBatchActive = false;
     var activeMedicineScope = 'active';
     var medicineSuggestRows = [];
     var investigationProfiles = {
@@ -950,6 +1029,421 @@
         }
     }
 
+    function setComplaintsMicMode(mode, note) {
+        complaintsMicMode = mode;
+        var $btn = $('#btn_complaints_mic');
+        if (!$btn.length) {
+            return;
+        }
+
+        $btn.removeClass('btn-outline-success btn-outline-primary btn-outline-secondary btn-danger');
+
+        if (mode === 'server') {
+            $btn.addClass('btn-outline-success').prop('disabled', false).text('🎙 Server Mic');
+        } else if (mode === 'browser') {
+            $btn.addClass('btn-outline-primary').prop('disabled', false).text('🎤 Browser Mic');
+        } else {
+            $btn.addClass('btn-outline-secondary').prop('disabled', true).text('⏸ Mic Off');
+        }
+
+        if (note) {
+            $('.jsError').removeClass('text-danger text-success').addClass('text-muted').text(note);
+        }
+    }
+
+    function setComplaintsMicListening(listening) {
+        var $btn = $('#btn_complaints_mic');
+        if (!$btn.length) {
+            return;
+        }
+
+        complaintsMicActive = listening;
+        if (listening) {
+            $btn.removeClass('btn-outline-success btn-outline-primary btn-outline-secondary').addClass('btn-danger').text('⏹ Stop Mic');
+        } else {
+            setComplaintsMicMode(complaintsMicMode);
+        }
+    }
+
+    function appendTranscriptToComplaints(text) {
+        var transcript = (text || '').toString().trim();
+        if (!transcript) {
+            return;
+        }
+
+        var current = ($('#complaints').val() || '').toString().trim();
+        var nextVal = current ? (current + '\n' + transcript) : transcript;
+        $('#complaints').val(nextVal);
+        refreshCounters();
+        markDirty('Speech text added in complaints');
+        scheduleAutoSave();
+    }
+
+    function appendTranscriptToField(targetId, text) {
+        var transcript = (text || '').toString().trim();
+        if (!transcript || !targetId || !$('#' + targetId).length) {
+            return;
+        }
+
+        var current = ($('#' + targetId).val() || '').toString().trim();
+        var nextVal = current ? (current + '\n' + transcript) : transcript;
+        $('#' + targetId).val(nextVal);
+        refreshCounters();
+        markDirty('Medical speech text added');
+        scheduleAutoSave();
+    }
+
+    function getMedicalContextForField(targetId) {
+        if (targetId === 'finding_examinations') {
+            return 'examination findings';
+        }
+        if (targetId === 'diagnosis') {
+            return 'diagnosis notes';
+        }
+        if (targetId === 'provisional_diagnosis') {
+            return 'provisional diagnosis notes';
+        }
+        return 'clinical notes';
+    }
+
+    function setMedicalMicButtonState(activeTarget) {
+        $('.btn-medical-stt').each(function() {
+            var $btn = $(this);
+            var target = ($btn.data('target') || '').toString();
+            var baseText = ($btn.data('label') || '🎙 Med Mic').toString();
+
+            $btn.removeClass('btn-danger').addClass('btn-medical-stt').prop('disabled', false).text(baseText);
+
+            if (activeTarget && target === activeTarget) {
+                $btn.removeClass('btn-medical-stt').addClass('btn-danger').text('⏹ Stop Mic');
+            }
+        });
+    }
+
+    function stopMedicalSttStream() {
+        if (medicalSttStream && medicalSttStream.getTracks) {
+            medicalSttStream.getTracks().forEach(function(track) {
+                track.stop();
+            });
+        }
+        medicalSttStream = null;
+        medicalSttRecorder = null;
+        medicalSttChunks = [];
+    }
+
+    function sendMedicalAudioToServer(audioBlob, targetId) {
+        var formData = new FormData();
+        formData.append('audio', audioBlob, (targetId || 'clinical') + '.webm');
+        formData.append('lang', 'en-IN');
+        formData.append('medical_context', getMedicalContextForField(targetId));
+
+        return fetch(complaintsSttServerTranscribeUrl, {
+            method: 'POST',
+            mode: 'cors',
+            body: formData
+        }).then(function(response) {
+            if (!response.ok) {
+                return response.json().catch(function() {
+                    return {};
+                }).then(function(payload) {
+                    var err = new Error(payload.detail || ('Server response: ' + response.status));
+                    err.statusCode = response.status;
+                    throw err;
+                });
+            }
+            return response.json();
+        }).then(function(payload) {
+            var text = String((payload && (payload.text || payload.transcript || payload.result)) || '').trim();
+            if (!text) {
+                throw new Error('Empty transcript from server');
+            }
+            return text;
+        });
+    }
+
+    function startMedicalServerStt(targetId) {
+        if (!targetId || !$('#' + targetId).length) {
+            return;
+        }
+
+        if (!navigator.mediaDevices || !navigator.mediaDevices.getUserMedia || typeof MediaRecorder === 'undefined') {
+            $('.jsError').removeClass('text-success text-muted').addClass('text-danger').text('Medical speech is not available in this browser.');
+            return;
+        }
+
+        if (medicalSttActive && medicalSttRecorder) {
+            if (medicalSttTarget === targetId) {
+                medicalSttRecorder.stop();
+                $('.jsError').removeClass('text-danger text-muted').addClass('text-success').text('Processing medical transcript...');
+                return;
+            }
+            $('.jsError').removeClass('text-success text-muted').addClass('text-danger').text('Medical mic is already recording another field. Stop it first.');
+            return;
+        }
+
+        navigator.mediaDevices.getUserMedia({ audio: true }).then(function(stream) {
+            medicalSttTarget = targetId;
+            medicalSttStream = stream;
+            medicalSttRecorder = new MediaRecorder(stream);
+            medicalSttChunks = [];
+
+            medicalSttRecorder.ondataavailable = function(event) {
+                if (event.data && event.data.size > 0) {
+                    medicalSttChunks.push(event.data);
+                }
+            };
+
+            medicalSttRecorder.onstop = function() {
+                var blob = new Blob(medicalSttChunks, {
+                    type: (medicalSttRecorder && medicalSttRecorder.mimeType) ? medicalSttRecorder.mimeType : 'audio/webm'
+                });
+                var targetForTranscript = medicalSttTarget;
+
+                stopMedicalSttStream();
+                medicalSttActive = false;
+                medicalSttTarget = '';
+                setMedicalMicButtonState('');
+
+                sendMedicalAudioToServer(blob, targetForTranscript).then(function(transcript) {
+                    appendTranscriptToField(targetForTranscript, transcript);
+                    $('.jsError').removeClass('text-danger text-muted').addClass('text-success').text('Medical speech text added.');
+                }).catch(function(error) {
+                    if (error && error.statusCode && error.statusCode >= 400 && error.statusCode < 500) {
+                        $('.jsError').removeClass('text-success text-muted').addClass('text-danger').text('Medical speech input error: ' + (error.message || 'Invalid request'));
+                        return;
+                    }
+                    $('.jsError').removeClass('text-success text-muted').addClass('text-danger').text('Medical speech server unavailable. Please try again.');
+                });
+            };
+
+            medicalSttActive = true;
+            setMedicalMicButtonState(targetId);
+            $('.jsError').removeClass('text-danger text-muted').addClass('text-success').text('Recording medical speech... click same Mic to stop.');
+            medicalSttRecorder.start();
+        }).catch(function() {
+            medicalSttActive = false;
+            medicalSttTarget = '';
+            setMedicalMicButtonState('');
+            $('.jsError').removeClass('text-success text-muted').addClass('text-danger').text('Microphone permission denied for medical speech.');
+        });
+    }
+
+    function checkComplaintsSttServer() {
+        if (!window.fetch || !window.AbortController) {
+            return Promise.resolve(false);
+        }
+
+        var controller = new AbortController();
+        var timeoutId = window.setTimeout(function() {
+            controller.abort();
+        }, 3500);
+
+        return fetch(complaintsSttServerHealthUrl, {
+            method: 'GET',
+            mode: 'cors',
+            signal: controller.signal
+        }).then(function(response) {
+            return !!(response && response.ok);
+        }).catch(function() {
+            return false;
+        }).finally(function() {
+            window.clearTimeout(timeoutId);
+        });
+    }
+
+    function sendComplaintsAudioToServer(audioBlob) {
+        var formData = new FormData();
+        formData.append('audio', audioBlob, 'complaints.webm');
+        formData.append('lang', 'en-IN');
+        formData.append('medical_context', (selectedComplaints || []).join(', '));
+
+        return fetch(complaintsSttServerTranscribeUrl, {
+            method: 'POST',
+            mode: 'cors',
+            body: formData
+        }).then(function(response) {
+            if (!response.ok) {
+                return response.json().catch(function() {
+                    return {};
+                }).then(function(payload) {
+                    var err = new Error(payload.detail || ('Server response: ' + response.status));
+                    err.statusCode = response.status;
+                    throw err;
+                });
+            }
+            return response.json();
+        }).then(function(payload) {
+            var text = String((payload && (payload.text || payload.transcript || payload.result)) || '').trim();
+            if (!text) {
+                throw new Error('Empty transcript from server');
+            }
+            return text;
+        });
+    }
+
+    function stopComplaintsMediaStream() {
+        if (complaintsMediaStream && complaintsMediaStream.getTracks) {
+            complaintsMediaStream.getTracks().forEach(function(track) {
+                track.stop();
+            });
+        }
+        complaintsMediaStream = null;
+        complaintsMediaRecorder = null;
+        complaintsMediaChunks = [];
+    }
+
+    function startComplaintsBrowserStt() {
+        if (!complaintsSpeechRecognition) {
+            $('.jsError').removeClass('text-success text-muted').addClass('text-danger').text('Browser speech recognition is not available.');
+            return;
+        }
+
+        if (complaintsMicActive) {
+            complaintsSpeechRecognition.stop();
+            return;
+        }
+
+        setComplaintsMicListening(true);
+        $('.jsError').removeClass('text-danger text-muted').addClass('text-success').text('Listening complaints (browser mode)...');
+
+        try {
+            complaintsSpeechRecognition.start();
+        } catch (e) {
+            setComplaintsMicListening(false);
+            $('.jsError').removeClass('text-success text-muted').addClass('text-danger').text('Could not start browser speech recognition.');
+        }
+    }
+
+    function startComplaintsServerStt() {
+        if (!navigator.mediaDevices || !navigator.mediaDevices.getUserMedia || typeof MediaRecorder === 'undefined') {
+            if (complaintsSpeechRecognition) {
+                setComplaintsMicMode('browser', 'Server recording is unavailable. Switched to browser mode.');
+                startComplaintsBrowserStt();
+                return;
+            }
+            setComplaintsMicMode('off', 'Speech is not available in this browser.');
+            return;
+        }
+
+        if (complaintsMicActive && complaintsMediaRecorder) {
+            complaintsMediaRecorder.stop();
+            $('.jsError').removeClass('text-danger text-muted').addClass('text-success').text('Processing server transcript...');
+            return;
+        }
+
+        navigator.mediaDevices.getUserMedia({ audio: true }).then(function(stream) {
+            complaintsMediaStream = stream;
+            complaintsMediaRecorder = new MediaRecorder(stream);
+            complaintsMediaChunks = [];
+
+            complaintsMediaRecorder.ondataavailable = function(event) {
+                if (event.data && event.data.size > 0) {
+                    complaintsMediaChunks.push(event.data);
+                }
+            };
+
+            complaintsMediaRecorder.onstop = function() {
+                var blob = new Blob(complaintsMediaChunks, {
+                    type: (complaintsMediaRecorder && complaintsMediaRecorder.mimeType) ? complaintsMediaRecorder.mimeType : 'audio/webm'
+                });
+
+                stopComplaintsMediaStream();
+                setComplaintsMicListening(false);
+
+                sendComplaintsAudioToServer(blob).then(function(transcript) {
+                    appendTranscriptToComplaints(transcript);
+                    $('.jsError').removeClass('text-danger text-muted').addClass('text-success').text('Complaints speech text added.');
+                }).catch(function(error) {
+                    if (error && error.statusCode && error.statusCode >= 400 && error.statusCode < 500) {
+                        $('.jsError').removeClass('text-success text-muted').addClass('text-danger').text('Speech input error: ' + (error.message || 'Invalid request'));
+                        return;
+                    }
+                    if (complaintsSpeechRecognition) {
+                        setComplaintsMicMode('browser', 'Server STT unavailable. Switched to browser mode.');
+                    } else {
+                        setComplaintsMicMode('off', 'Server STT unavailable and browser speech not supported.');
+                    }
+                });
+            };
+
+            setComplaintsMicListening(true);
+            $('.jsError').removeClass('text-danger text-muted').addClass('text-success').text('Recording complaints... click Mic again to stop.');
+            complaintsMediaRecorder.start();
+        }).catch(function() {
+            if (complaintsSpeechRecognition) {
+                setComplaintsMicMode('browser', 'Microphone permission failed for server mode. Switched to browser mode.');
+            } else {
+                setComplaintsMicMode('off', 'Microphone permission denied.');
+            }
+        });
+    }
+
+    function initComplaintsSpeech() {
+        var SpeechRecognition = window.SpeechRecognition || window.webkitSpeechRecognition;
+        if (SpeechRecognition) {
+            complaintsSpeechRecognition = new SpeechRecognition();
+            complaintsSpeechRecognition.lang = 'en-IN';
+            complaintsSpeechRecognition.interimResults = true;
+            complaintsSpeechRecognition.continuous = false;
+
+            complaintsSpeechRecognition.onresult = function(event) {
+                var interimTranscript = '';
+                var finalTranscript = '';
+                for (var i = event.resultIndex; i < event.results.length; i++) {
+                    var t = event.results[i][0].transcript;
+                    if (event.results[i].isFinal) {
+                        finalTranscript += t;
+                    } else {
+                        interimTranscript += t;
+                    }
+                }
+
+                if (interimTranscript) {
+                    // Show interim as a non-destructive preview below the textarea
+                    $('#complaints_interim_preview').text('🎤 ' + interimTranscript).show();
+                }
+
+                if (finalTranscript.trim()) {
+                    // Final: clear preview, append once to the base text
+                    $('#complaints_interim_preview').hide().text('');
+                    appendTranscriptToComplaints(finalTranscript.trim());
+                    complaintsBaseText = ($('#complaints').val() || '').toString().trim();
+                }
+            };
+
+            complaintsSpeechRecognition.onerror = function(event) {
+                setComplaintsMicListening(false);
+                $('#complaints_interim_preview').hide().text('');
+                $('.jsError').removeClass('text-success text-muted').addClass('text-danger').text('Browser speech error: ' + (event.error || 'unknown'));
+            };
+
+            complaintsSpeechRecognition.onend = function() {
+                setComplaintsMicListening(false);
+                $('#complaints_interim_preview').hide().text('');
+            };
+        }
+
+        if (complaintsSpeechRecognition) {
+            setComplaintsMicMode('browser', 'Complaints Mic is ready (browser mode for local language).');
+        } else {
+            setComplaintsMicMode('off', 'Complaints Mic unavailable in this browser.');
+        }
+
+        $('#btn_complaints_mic').on('click', function() {
+            if (complaintsMicMode === 'browser') {
+                startComplaintsBrowserStt();
+            }
+        });
+    }
+
+    function initMedicalSpeechButtons() {
+        setMedicalMicButtonState('');
+        $(document).on('click', '.btn-medical-stt', function() {
+            var targetId = ($(this).data('target') || '').toString();
+            startMedicalServerStt(targetId);
+        });
+    }
+
     function getCustomInvestigationProfiles() {
         try {
             var parsed = JSON.parse(localStorage.getItem(invCustomProfileKey) || '[]');
@@ -1104,6 +1598,7 @@
     function setStatus(type, message) {
         var $badge = $('#rx_status_badge');
         var $text = $('#rx_status_text');
+        var statusMessage = (message || '').toString();
         $badge.removeClass('bg-secondary bg-warning bg-success bg-danger');
 
         if (type === 'saved') {
@@ -1118,7 +1613,7 @@
             $badge.addClass('bg-secondary').text('Not Saved');
         }
 
-        $text.text(message || '');
+        $text.text(statusMessage).attr('title', statusMessage);
     }
 
     function updateScanBanner() {
@@ -1879,6 +2374,40 @@
         });
     }
 
+    function renderTemplateSelectOptions(searchQuery) {
+        var list = Array.isArray(templateLoadState.rows) ? templateLoadState.rows : [];
+        var query = (searchQuery || '').toString().trim().toLowerCase();
+        var $sel = $('#rx_template_select');
+        $sel.empty();
+
+        var added = 0;
+        list.forEach(function(row, idx) {
+            var name = (row.template_name || ('Template ' + (idx + 1))).toString();
+            var src = parseInt(row.doc_id || '0', 10) === 0 ? '[Master] ' : '[My] ';
+            var previewText = (row.template_text || '').toString();
+            var haystack = (name + ' ' + previewText + ' ' + src).toLowerCase();
+            if (query && haystack.indexOf(query) === -1) {
+                return;
+            }
+            $sel.append('<option value="' + idx + '">' + $('<div>').text(src + name).html() + '</option>');
+            added++;
+        });
+
+        if (!added) {
+            $sel.append('<option value="">No templates match search</option>');
+            $('#rx_template_preview').val('');
+            return;
+        }
+
+        var firstVal = ($sel.find('option:first').val() || '').toString();
+        var firstIdx = parseInt(firstVal, 10);
+        if (!isNaN(firstIdx) && firstIdx >= 0) {
+            $sel.val(String(firstIdx));
+            var firstRow = list[firstIdx] || {};
+            $('#rx_template_preview').val(firstRow.template_text || '');
+        }
+    }
+
     $(document).on('click', '.btn-template-load', function() {
         var target = ($(this).data('target') || '').toString();
         var section = ($(this).data('section') || '').toString();
@@ -1896,22 +2425,14 @@
 
             var rankedRows = rankTemplateRows(rows, target);
             templateLoadState = { target: target, section: section, rows: rankedRows };
-            var $sel = $('#rx_template_select');
+            $('#rx_template_search').val('');
-            $sel.empty();
+            renderTemplateSelectOptions('');
-            rankedRows.forEach(function(row, idx) {
-                var name = row.template_name || ('Template ' + (idx + 1));
-                var src = parseInt(row.doc_id || '0', 10) === 0 ? '[Master] ' : '[My] ';
-                $sel.append('<option value="' + idx + '">' + $('<div>').text(src + name).html() + '</option>');
-            });
 
             renderTemplateQuickSuggestions(rankedRows);
 
             var existingText = ($('#' + target).val() || '').toString().trim();
             $('#rx_template_apply_mode').val(existingText ? 'append' : 'replace');
 
-            var firstText = (rankedRows[0] && rankedRows[0].template_text) ? rankedRows[0].template_text : '';
-            $('#rx_template_preview').val(firstText);
-
             if (window.bootstrap && window.bootstrap.Modal) {
                 window.bootstrap.Modal.getOrCreateInstance(document.getElementById('rxTemplateModal')).show();
             } else {
@@ -1921,11 +2442,19 @@
     });
 
     $('#rx_template_select').on('change', function() {
-        var idx = parseInt($(this).val() || '0', 10);
+        var idx = parseInt($(this).val() || '-1', 10);
+        if (isNaN(idx) || idx < 0) {
+            $('#rx_template_preview').val('');
+            return;
+        }
         var row = (templateLoadState.rows || [])[idx] || {};
         $('#rx_template_preview').val(row.template_text || '');
     });
 
+    $('#rx_template_search').on('input', function() {
+        renderTemplateSelectOptions($(this).val() || '');
+    });
+
     $('#btn_apply_template_choice').on('click', function() {
         var idx = parseInt($('#rx_template_select').val() || '0', 10);
         var row = (templateLoadState.rows || [])[idx] || null;
@@ -1976,6 +2505,10 @@
         if (idx < 0) {
             return;
         }
+        if (!$('#rx_template_select option[value="' + idx + '"]').length) {
+            $('#rx_template_search').val('');
+            renderTemplateSelectOptions('');
+        }
         $('#rx_template_select').val(String(idx)).trigger('change');
     });
 
@@ -2255,6 +2788,8 @@
     refreshCounters();
     setStatus('normal', 'No local changes');
     renderComplaintChips();
+    initComplaintsSpeech();
+    initMedicalSpeechButtons();
     setTimeout(loadPatientScanHistory, 50);
 
     $(document).on('click', '.btn-ai-rewrite', function() {
@@ -2620,6 +3155,10 @@
         return map;
     }
 
+    function normalizeInvestigationKey(name) {
+        return (name || '').toString().trim().toLowerCase();
+    }
+
     function addInvestigationEntry(name, code, done) {
         name = (name || '').trim();
         code = (code || '').trim();
@@ -2669,10 +3208,23 @@
             return;
         }
 
+        if (investigationBatchActive) {
+            $('.jsError').removeClass('text-success text-muted').addClass('text-danger').text('Please wait, previous profile is still being added.');
+            return;
+        }
+
         var existing = getExistingInvestigationNames();
+        var localSeen = {};
         var queue = rows.filter(function(row) {
-            var key = ((row && row.name) ? row.name : '').toString().trim().toLowerCase();
+            var key = normalizeInvestigationKey((row && row.name) ? row.name : '');
-            return key && !existing[key];
+            if (!key) {
+                return false;
+            }
+            if (existing[key] || localSeen[key]) {
+                return false;
+            }
+            localSeen[key] = true;
+            return true;
         });
 
         if (!queue.length) {
@@ -2680,19 +3232,26 @@
             return;
         }
 
+        investigationBatchActive = true;
+
         var idx = 0;
         var added = 0;
         function next() {
             if (idx >= queue.length) {
+                investigationBatchActive = false;
                 loadInvestigationList();
                 $('.jsError').removeClass('text-danger text-muted').addClass('text-success').text(added + ' test(s) added.');
                 markDirty('Investigation shortcuts applied');
                 return;
             }
             var row = queue[idx++] || {};
+            var key = normalizeInvestigationKey(row.name || '');
             addInvestigationEntry((row.name || '').toString(), (row.code || '').toString(), function(ok) {
                 if (ok) {
                     added++;
+                    if (key) {
+                        existing[key] = true;
+                    }
                 }
                 next();
             });
@@ -2757,6 +3316,13 @@
             return;
         }
 
+        var existing = getExistingInvestigationNames();
+        var key = normalizeInvestigationKey(name);
+        if (key && existing[key]) {
+            $('.jsError').removeClass('text-success text-muted').addClass('text-danger').text('This investigation is already added.');
+            return;
+        }
+
         addInvestigationEntry(name, code, function(ok) {
             if (ok) {
                 $('#investigation_name').val('');
@@ -2916,12 +3482,15 @@
         }
         rows.forEach(function(row) {
             var rowId = parseInt(row.id || 0, 10);
+            var dosageText = row.dosage_label || row.dosage || '';
+            var whenText = row.dosage_when_label || row.dosage_when || '';
+            var freqText = row.dosage_freq_label || row.dosage_freq || '';
             $tb.append('<tr>' +
                 '<td>' + esc(row.med_name) + '</td>' +
                 '<td>' + esc(row.med_type) + '</td>' +
-                '<td>' + esc(row.dosage) + '</td>' +
+                '<td>' + esc(dosageText) + '</td>' +
-                '<td>' + esc(row.dosage_when) + '</td>' +
+                '<td>' + esc(whenText) + '</td>' +
-                '<td>' + esc(row.dosage_freq) + '</td>' +
+                '<td>' + esc(freqText) + '</td>' +
                 '<td>' + esc(row.no_of_days) + '</td>' +
                 '<td>' + esc(row.qty) + '</td>' +
                 '<td>' + esc(row.remark) + '</td>' +
@@ -3453,6 +4022,37 @@
         });
     });
 
+    $('#btn_clear_medicine').on('click', function() {
+        var ids = [];
+        $('#tbl_medicine tbody .btn-del-med').each(function() {
+            var id = parseInt($(this).data('id') || '0', 10);
+            if (id > 0) {
+                ids.push(id);
+            }
+        });
+
+        if (!ids.length) {
+            return;
+        }
+
+        var idx = 0;
+        function removeNext() {
+            if (idx >= ids.length) {
+                clearMedicineForm(true);
+                loadMedicineList();
+                $('.jsError').removeClass('text-danger text-muted').addClass('text-success').text('All medicines removed.');
+                markDirty('Medicine list cleared');
+                return;
+            }
+
+            var id = ids[idx++];
+            apiPost('<?= base_url('Opd_prescription/medicine_remove') ?>/' + id, {}, function() {
+                removeNext();
+            });
+        }
+        removeNext();
+    });
+
     $(document).on('click', '.med-chip', function() {
         var target = $(this).data('target');
         var value = $(this).data('value') || '';
@@ -3640,7 +4240,7 @@
     });
 
     if (localStorage.getItem(draftKey)) {
-        setStatus('dirty', 'Draft available (click Restore Draft)');
+        setStatus('dirty', 'Draft available');
     }
 
     loadAdviceList();

app/Views/billing/opd_templates/printonplainpaper.html

@@ -76,7 +76,7 @@ footer: html_myFooter;
 
 <p style="margin-top: 20px; font-size: 10px;">
     <strong>Investigation:</strong> {{investigation}}<br>
-    <strong>Advice:</strong> {{advice}}
+    <strong>Advice:</strong> {{advice}}{{advice_local_line}}
 </p>
 
 <div style="margin-top: 40px; text-align: right;">

app/Views/tools/speech_test.php

@@ -0,0 +1,599 @@
+<!doctype html>
+<html lang="en">
+<head>
+    <meta charset="UTF-8">
+    <meta name="viewport" content="width=device-width, initial-scale=1.0">
+    <title>Speech To Text Test</title>
+    <style>
+        :root {
+            --bg1: #f0f9ff;
+            --bg2: #ecfeff;
+            --card: #ffffff;
+            --text: #1f2937;
+            --muted: #64748b;
+            --line: #dbeafe;
+            --focus: #0369a1;
+            --focus-soft: #e0f2fe;
+            --danger: #dc2626;
+            --danger-soft: #fee2e2;
+        }
+
+        * {
+            box-sizing: border-box;
+        }
+
+        body {
+            margin: 0;
+            font-family: "Segoe UI", Tahoma, sans-serif;
+            color: var(--text);
+            background: linear-gradient(130deg, var(--bg1), var(--bg2));
+            min-height: 100vh;
+        }
+
+        .page {
+            max-width: 900px;
+            margin: 0 auto;
+            padding: 24px 16px;
+        }
+
+        .card {
+            background: var(--card);
+            border: 1px solid var(--line);
+            border-radius: 14px;
+            box-shadow: 0 10px 28px rgba(15, 23, 42, 0.08);
+            padding: 18px;
+        }
+
+        h1 {
+            margin: 0 0 8px;
+            font-size: 24px;
+        }
+
+        .note {
+            margin: 0 0 16px;
+            color: var(--muted);
+            font-size: 14px;
+        }
+
+        .field {
+            display: grid;
+            grid-template-columns: 1fr auto;
+            gap: 8px;
+            margin-bottom: 12px;
+        }
+
+        .field input {
+            width: 100%;
+            height: 44px;
+            border-radius: 10px;
+            border: 1px solid var(--line);
+            padding: 0 12px;
+            font-size: 14px;
+            outline: none;
+        }
+
+        .field input:focus {
+            border-color: var(--focus);
+            box-shadow: 0 0 0 3px var(--focus-soft);
+        }
+
+        .mic-btn {
+            width: 44px;
+            height: 44px;
+            border: 1px solid var(--line);
+            background: #fff;
+            border-radius: 10px;
+            font-size: 18px;
+            line-height: 1;
+            cursor: pointer;
+        }
+
+        .mic-btn:hover {
+            border-color: var(--focus);
+        }
+
+        .mic-btn.mode-server {
+            border-color: #059669;
+            background: #ecfdf5;
+            color: #065f46;
+        }
+
+        .mic-btn.mode-browser {
+            border-color: #1d4ed8;
+            background: #eff6ff;
+            color: #1e40af;
+        }
+
+        .mic-btn.mode-off {
+            border-color: #94a3b8;
+            background: #f8fafc;
+            color: #64748b;
+            cursor: not-allowed;
+        }
+
+        .mic-btn.listening {
+            border-color: var(--danger);
+            background: var(--danger-soft);
+            animation: pulse 1s infinite;
+        }
+
+        @keyframes pulse {
+            0% {
+                box-shadow: 0 0 0 0 rgba(220, 38, 38, 0.35);
+            }
+            70% {
+                box-shadow: 0 0 0 10px rgba(220, 38, 38, 0);
+            }
+            100% {
+                box-shadow: 0 0 0 0 rgba(220, 38, 38, 0);
+            }
+        }
+
+        .status {
+            min-height: 20px;
+            margin-top: 6px;
+            font-size: 13px;
+            color: var(--muted);
+        }
+
+        .status.error {
+            color: var(--danger);
+        }
+
+        .toolbar {
+            display: flex;
+            justify-content: space-between;
+            gap: 10px;
+            margin-bottom: 12px;
+            flex-wrap: wrap;
+        }
+
+        .toolbar select {
+            border: 1px solid var(--line);
+            border-radius: 8px;
+            background: #fff;
+            padding: 8px 10px;
+            font-size: 13px;
+        }
+
+        .hint-wrap {
+            margin-bottom: 12px;
+        }
+
+        .hint-wrap label {
+            display: block;
+            font-size: 12px;
+            color: var(--muted);
+            margin-bottom: 6px;
+        }
+
+        .hint-wrap input {
+            width: 100%;
+            height: 40px;
+            border-radius: 10px;
+            border: 1px solid var(--line);
+            padding: 0 12px;
+            font-size: 13px;
+            outline: none;
+        }
+
+        .hint-wrap input:focus {
+            border-color: var(--focus);
+            box-shadow: 0 0 0 3px var(--focus-soft);
+        }
+
+        .legend {
+            display: flex;
+            gap: 12px;
+            flex-wrap: wrap;
+            font-size: 12px;
+            color: var(--muted);
+            margin-bottom: 12px;
+        }
+
+        .legend-item {
+            display: inline-flex;
+            align-items: center;
+            gap: 6px;
+        }
+
+        .legend-dot {
+            width: 10px;
+            height: 10px;
+            border-radius: 999px;
+            display: inline-block;
+        }
+
+        .legend-dot.server {
+            background: #059669;
+        }
+
+        .legend-dot.browser {
+            background: #1d4ed8;
+        }
+
+        .legend-dot.off {
+            background: #94a3b8;
+        }
+
+        @media (max-width: 560px) {
+            .field input {
+                height: 42px;
+            }
+
+            .mic-btn {
+                width: 42px;
+                height: 42px;
+            }
+        }
+    </style>
+</head>
+<body>
+<div class="page">
+    <div class="card">
+        <h1>Speech To Text Test</h1>
+        <p class="note">Click the mic beside any textbox and speak. That textbox will be updated.</p>
+
+        <div class="toolbar">
+            <div>
+                <label for="speech-lang">Language:</label>
+                <select id="speech-lang">
+                    <option value="en-IN">English (India)</option>
+                    <option value="hi-IN">Hindi (India)</option>
+                    <option value="en-US">English (US)</option>
+                </select>
+            </div>
+        </div>
+
+        <div class="legend">
+            <span class="legend-item"><span class="legend-dot server"></span>Server API mode</span>
+            <span class="legend-item"><span class="legend-dot browser"></span>Browser fallback mode</span>
+            <span class="legend-item"><span class="legend-dot off"></span>Speech unavailable</span>
+        </div>
+
+        <div class="hint-wrap">
+            <label for="medical-context">Optional medical terms hint (comma separated):</label>
+            <input id="medical-context" type="text" placeholder="Example: Paracetamol, Cefixime, Amoxicillin clavulanate, Hypertension, Diabetes Mellitus">
+        </div>
+
+        <div class="field">
+            <input id="speech-input-1" type="text" placeholder="Textbox 1">
+            <button type="button" class="mic-btn" data-target="speech-input-1" aria-label="Speak for textbox 1">🎤</button>
+        </div>
+
+        <div class="field">
+            <input id="speech-input-2" type="text" placeholder="Textbox 2">
+            <button type="button" class="mic-btn" data-target="speech-input-2" aria-label="Speak for textbox 2">🎤</button>
+        </div>
+
+        <div class="field">
+            <input id="speech-input-3" type="text" placeholder="Textbox 3">
+            <button type="button" class="mic-btn" data-target="speech-input-3" aria-label="Speak for textbox 3">🎤</button>
+        </div>
+
+        <div class="field">
+            <input id="speech-input-4" type="text" placeholder="Textbox 4">
+            <button type="button" class="mic-btn" data-target="speech-input-4" aria-label="Speak for textbox 4">🎤</button>
+        </div>
+
+        <div class="field">
+            <input id="speech-input-5" type="text" placeholder="Textbox 5">
+            <button type="button" class="mic-btn" data-target="speech-input-5" aria-label="Speak for textbox 5">🎤</button>
+        </div>
+
+        <div id="speech-status" class="status"></div>
+    </div>
+</div>
+
+<script>
+    (function () {
+        const statusEl = document.getElementById('speech-status');
+        const micButtons = document.querySelectorAll('.mic-btn');
+        const langEl = document.getElementById('speech-lang');
+        const medicalContextEl = document.getElementById('medical-context');
+
+        const SERVER_TRANSCRIBE_URL = 'http://139.59.13.39:8000/stt/transcribe';
+        const SERVER_HEALTH_URL = 'http://139.59.13.39:8000/health';
+        const SERVER_TIMEOUT_MS = 4000;
+
+        const SpeechRecognition = window.SpeechRecognition || window.webkitSpeechRecognition;
+        const hasBrowserSTT = !!SpeechRecognition;
+        const hasMediaRecorder = typeof window.MediaRecorder !== 'undefined';
+
+        let mode = 'off';
+        let recognition = null;
+        let activeInput = null;
+        let activeButton = null;
+
+        let mediaStream = null;
+        let mediaRecorder = null;
+        let mediaChunks = [];
+        let isServerRecording = false;
+
+        function setStatus(text, isError) {
+            statusEl.textContent = text;
+            if (isError) {
+                statusEl.classList.add('error');
+            } else {
+                statusEl.classList.remove('error');
+            }
+        }
+
+        function setListeningButton(button) {
+            micButtons.forEach((item) => item.classList.remove('listening'));
+            if (button) {
+                button.classList.add('listening');
+            }
+        }
+
+        function applyMode(newMode, message, isError) {
+            mode = newMode;
+
+            micButtons.forEach((button) => {
+                button.classList.remove('mode-server', 'mode-browser', 'mode-off');
+                if (mode === 'server') {
+                    button.classList.add('mode-server');
+                    button.disabled = false;
+                } else if (mode === 'browser') {
+                    button.classList.add('mode-browser');
+                    button.disabled = false;
+                } else {
+                    button.classList.add('mode-off');
+                    button.disabled = true;
+                }
+            });
+
+            setStatus(message, !!isError);
+        }
+
+        function setupBrowserRecognition() {
+            if (!hasBrowserSTT) {
+                return;
+            }
+
+            recognition = new SpeechRecognition();
+            recognition.lang = langEl ? langEl.value : 'en-IN';
+            recognition.interimResults = true;
+            recognition.continuous = false;
+
+            recognition.onresult = function (event) {
+                let transcript = '';
+                for (let i = event.resultIndex; i < event.results.length; i++) {
+                    transcript += event.results[i][0].transcript;
+                }
+
+                if (activeInput) {
+                    activeInput.value = transcript.trim();
+                }
+            };
+
+            recognition.onerror = function (event) {
+                setListeningButton(null);
+                activeButton = null;
+                setStatus('Speech error: ' + event.error, true);
+            };
+
+            recognition.onend = function () {
+                setListeningButton(null);
+                activeButton = null;
+                setStatus('Done.', false);
+            };
+        }
+
+        async function checkServerAvailability() {
+            if (!window.fetch || !window.AbortController) {
+                return false;
+            }
+
+            const controller = new AbortController();
+            const timeoutId = window.setTimeout(function () {
+                controller.abort();
+            }, SERVER_TIMEOUT_MS);
+
+            try {
+                const response = await fetch(SERVER_HEALTH_URL, {
+                    method: 'GET',
+                    mode: 'cors',
+                    signal: controller.signal,
+                });
+
+                return response.ok;
+            } catch (error) {
+                return false;
+            } finally {
+                window.clearTimeout(timeoutId);
+            }
+        }
+
+        async function sendAudioToServer(audioBlob) {
+            const formData = new FormData();
+            formData.append('audio', audioBlob, 'speech.webm');
+            formData.append('lang', langEl ? langEl.value : 'en-IN');
+            formData.append('medical_context', medicalContextEl ? medicalContextEl.value : '');
+
+            const response = await fetch(SERVER_TRANSCRIBE_URL, {
+                method: 'POST',
+                mode: 'cors',
+                body: formData,
+            });
+
+            if (!response.ok) {
+                let detail = '';
+                try {
+                    const errorPayload = await response.json();
+                    detail = String(errorPayload.detail || '').trim();
+                } catch (ignoreError) {
+                    detail = '';
+                }
+
+                const err = new Error(detail || ('Server response: ' + response.status));
+                err.statusCode = response.status;
+                throw err;
+            }
+
+            const payload = await response.json();
+            const text = String(payload.text || payload.transcript || payload.result || '').trim();
+            if (!text) {
+                throw new Error('Empty transcript from server');
+            }
+
+            return text;
+        }
+
+        function stopServerStream() {
+            if (mediaStream) {
+                mediaStream.getTracks().forEach(function (track) {
+                    track.stop();
+                });
+            }
+
+            mediaStream = null;
+            mediaRecorder = null;
+            mediaChunks = [];
+            isServerRecording = false;
+        }
+
+        async function startServerRecording(button, input) {
+            if (!navigator.mediaDevices || !navigator.mediaDevices.getUserMedia) {
+                applyMode(hasBrowserSTT ? 'browser' : 'off', hasBrowserSTT
+                    ? 'Microphone recording not available for server mode. Switched to browser fallback.'
+                    : 'Microphone recording is not available in this browser.', !hasBrowserSTT);
+                return;
+            }
+
+            if (isServerRecording && activeButton === button && mediaRecorder) {
+                mediaRecorder.stop();
+                setStatus('Processing audio on server...', false);
+                return;
+            }
+
+            if (isServerRecording && mediaRecorder) {
+                mediaRecorder.stop();
+            }
+
+            activeInput = input;
+            activeButton = button;
+            setListeningButton(button);
+
+            try {
+                mediaStream = await navigator.mediaDevices.getUserMedia({ audio: true });
+                mediaRecorder = new MediaRecorder(mediaStream);
+                mediaChunks = [];
+
+                mediaRecorder.ondataavailable = function (event) {
+                    if (event.data && event.data.size > 0) {
+                        mediaChunks.push(event.data);
+                    }
+                };
+
+                mediaRecorder.onstop = async function () {
+                    const audioBlob = new Blob(mediaChunks, { type: mediaRecorder && mediaRecorder.mimeType ? mediaRecorder.mimeType : 'audio/webm' });
+                    stopServerStream();
+                    setListeningButton(null);
+
+                    if (!activeInput) {
+                        return;
+                    }
+
+                    try {
+                        const transcript = await sendAudioToServer(audioBlob);
+                        activeInput.value = transcript;
+                        setStatus('Transcription complete using server API.', false);
+                    } catch (error) {
+                        if (error && error.statusCode && error.statusCode >= 400 && error.statusCode < 500) {
+                            setStatus('Server validation error: ' + (error.message || 'Invalid request'), true);
+                        } else if (hasBrowserSTT) {
+                            applyMode('browser', 'Server API unavailable. Switched to browser fallback mode.', false);
+                        } else {
+                            applyMode('off', 'Server API unavailable and browser fallback is not supported.', true);
+                        }
+                    } finally {
+                        activeButton = null;
+                    }
+                };
+
+                mediaRecorder.start();
+                isServerRecording = true;
+                setStatus('Recording... click same mic again to stop and transcribe.', false);
+            } catch (error) {
+                stopServerStream();
+                setListeningButton(null);
+                if (hasBrowserSTT) {
+                    applyMode('browser', 'Could not start server recording. Switched to browser fallback mode.', false);
+                } else {
+                    applyMode('off', 'Could not access microphone and fallback is unavailable.', true);
+                }
+            }
+        }
+
+        function startBrowserRecognition(button, input) {
+            if (!recognition) {
+                applyMode('off', 'Browser speech recognition is not supported in this browser.', true);
+                return;
+            }
+
+            if (activeButton === button) {
+                recognition.stop();
+                setStatus('Stopped listening.', false);
+                return;
+            }
+
+            activeInput = input;
+            activeButton = button;
+            setListeningButton(button);
+            setStatus('Listening with browser fallback... please speak now.', false);
+
+            try {
+                recognition.start();
+            } catch (error) {
+                setStatus('Could not start browser speech recognition. Please try again.', true);
+            }
+        }
+
+        if (langEl) {
+            langEl.addEventListener('change', function () {
+                if (recognition) {
+                    recognition.lang = langEl.value;
+                }
+            });
+        }
+
+        micButtons.forEach(function (button) {
+            button.addEventListener('click', function () {
+                const targetId = button.getAttribute('data-target');
+                const input = targetId ? document.getElementById(targetId) : null;
+                if (!input) {
+                    return;
+                }
+
+                if (mode === 'server') {
+                    startServerRecording(button, input);
+                    return;
+                }
+
+                if (mode === 'browser') {
+                    startBrowserRecognition(button, input);
+                }
+            });
+        });
+
+        (async function init() {
+            setupBrowserRecognition();
+
+            const serverAvailable = hasMediaRecorder && await checkServerAvailability();
+            if (serverAvailable) {
+                applyMode('server', 'Server API mode active. Mic color indicates server transcription.', false);
+                return;
+            }
+
+            if (hasBrowserSTT) {
+                applyMode('browser', 'Server API unavailable. Browser fallback mode is active (medical-term accuracy may be lower).', false);
+                return;
+            }
+
+            applyMode('off', 'Speech is unavailable: server API is down and browser fallback is not supported.', true);
+        })();
+    })();
+</script>
+</body>
+</html>