| Patient portal or app login OTP | Service Implicit (OTP) | Yes, 24x7 | Triggered by the patient's own action |
| Appointment confirmation, reschedule or reminder | Service Implicit | Yes | Patient has an existing relationship with the provider |
| Lab report ready / discharge summary link | Service Implicit | Yes | Send a secure link, never the diagnosis in the SMS text |
| Vaccination or follow-up reminder to registered patients | Service Implicit | Yes | Covers parents of registered child patients |
| Health camp or check-up package offer to consenting patients | Promotional (-P, with recorded consent; formerly service explicit) | Yes, with recorded explicit consent | Consent captured on DLT or via your own verified opt-in |
| Discount or new branch promotion to a wider list | Promotional (preference category: Health) | No, scrubbed against DND preferences | Numeric header, sent only within TRAI's permitted hours |