diff --git a/app/Config/Routes.php b/app/Config/Routes.php
index a7d5d34..04342a1 100644
--- a/app/Config/Routes.php
+++ b/app/Config/Routes.php
@@ -757,6 +757,7 @@ $routes->get('diagnosis', 'Diagnosis::index', ['filter' => 'permission:diagnosis
 $routes->get('diagnosis/pathology', 'Diagnosis::pathology', ['filter' => 'permission:diagnosis.access']);
 $routes->get('diagnosis/biopsy', 'Diagnosis::biopsy', ['filter' => 'permission:diagnosis.access']);
 $routes->get('diagnosis/ultrasound', 'Diagnosis::ultrasound', ['filter' => 'permission:diagnosis.access']);
+$routes->get('diagnosis/echo', 'Diagnosis::echo', ['filter' => 'permission:diagnosis.access']);
 $routes->get('diagnosis/xray', 'Diagnosis::xray', ['filter' => 'permission:diagnosis.access']);
 $routes->get('diagnosis/mri', 'Diagnosis::mri', ['filter' => 'permission:diagnosis.access']);
 $routes->get('diagnosis/ctscan', 'Diagnosis::ctscan', ['filter' => 'permission:diagnosis.access']);
diff --git a/app/Controllers/Diagnosis.php b/app/Controllers/Diagnosis.php
index fed2247..f366b72 100644
--- a/app/Controllers/Diagnosis.php
+++ b/app/Controllers/Diagnosis.php
@@ -63,6 +63,11 @@ class Diagnosis extends BaseController
         return $this->labPath(4);
     }
 
+    public function echo()
+    {
+        return $this->labPath(6);
+    }
+
     public function labMaster()
     {
         return $this->index();
diff --git a/app/Database/Migrations/2026-04-02-000033_EnsureEchoChargeGroup.php b/app/Database/Migrations/2026-04-02-000033_EnsureEchoChargeGroup.php
new file mode 100644
index 0000000..eed3fcb
--- /dev/null
+++ b/app/Database/Migrations/2026-04-02-000033_EnsureEchoChargeGroup.php
@@ -0,0 +1,60 @@
+<?php
+
+namespace App\Database\Migrations;
+
+use CodeIgniter\Database\Migration;
+
+class EnsureEchoChargeGroup extends Migration
+{
+    public function up()
+    {
+        if (! $this->db->tableExists('hc_item_type')) {
+            return;
+        }
+
+        $builder = $this->db->table('hc_item_type');
+
+        $rowById = $builder->where('itype_id', 6)->get(1)->getRowArray();
+        if (! empty($rowById)) {
+            $groupDesc = strtolower(trim((string) ($rowById['group_desc'] ?? '')));
+            if ($groupDesc !== 'echo') {
+                $builder->where('itype_id', 6)->update(['group_desc' => 'Echo']);
+            }
+
+            return;
+        }
+
+        $echoByName = $this->db->query("SELECT itype_id FROM hc_item_type WHERE LOWER(TRIM(group_desc)) = 'echo' LIMIT 1")
+            ->getRowArray();
+
+        if (! empty($echoByName)) {
+            return;
+        }
+
+        $insert = [
+            'itype_id' => 6,
+            'group_desc' => 'Echo',
+        ];
+
+        // Keep consistency with existing item type visibility flags when available.
+        $columns = array_map(
+            static fn (array $col): string => (string) ($col['Field'] ?? ''),
+            $this->db->query('SHOW COLUMNS FROM hc_item_type')->getResultArray()
+        );
+
+        if (in_array('is_ipd_opd', $columns, true)) {
+            $insert['is_ipd_opd'] = 0;
+        }
+
+        $this->db->table('hc_item_type')->insert($insert);
+    }
+
+    public function down()
+    {
+        if (! $this->db->tableExists('hc_item_type')) {
+            return;
+        }
+
+        $this->db->query("DELETE FROM hc_item_type WHERE itype_id = 6 AND LOWER(TRIM(group_desc)) = 'echo'");
+    }
+}
diff --git a/app/Views/diagnosis/index.php b/app/Views/diagnosis/index.php
index c37eedb..3090c57 100644
--- a/app/Views/diagnosis/index.php
+++ b/app/Views/diagnosis/index.php
@@ -93,5 +93,19 @@
                 </a>
             </div>
         </div>
+
+        <!-- Echo -->
+        <div class="col-xxl-2 col-md-4 col-sm-6 mb-4">
+            <div class="card">
+                <a href="javascript:load_form('<?= base_url('diagnosis/echo') ?>','Echo');" class="text-decoration-none">
+                    <div class="card-body text-center" style="min-height: 200px; display: flex; flex-direction: column; justify-content: center;">
+                        <div class="mb-3">
+                            <i class="bi bi-heart-pulse" style="font-size: 3rem; color: #0ea5e9;"></i>
+                        </div>
+                        <h5 class="card-title mb-0">Echo</h5>
+                    </div>
+                </a>
+            </div>
+        </div>
     </div>
 </section>
diff --git a/app/Views/partials/sidebar.php b/app/Views/partials/sidebar.php
index 1bca419..c42ba83 100644
--- a/app/Views/partials/sidebar.php
+++ b/app/Views/partials/sidebar.php
@@ -348,6 +348,12 @@ if (! $canDiagnosis && $user && method_exists($user, 'inGroup')) {
                 <span>Ultrasound</span>
             </a>
         </li>
+        <li class="nav-item">
+            <a class="nav-link collapsed" href="javascript:load_form('<?= base_url('diagnosis/echo') ?>','Echo')">
+                <i class="bi bi-heart-pulse"></i>
+                <span>Echo</span>
+            </a>
+        </li>
     <?php } ?>
     <li class="nav-heading">Admin & Settings</li>
     <li class="nav-item">