diff --git a/Care/Operations/firstconsultation_revenueperdoc_ssmm.md b/Care/Operations/firstconsultation_revenueperdoc_ssmm.md
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+# First Consultation Revenue Per Doctor
+
+> Track first-time consultations with patient count and revenue
+
+## Purpose
+
+This query identifies first-time consultations for each patient helping to measure new patient acquisition and initial consultation revenue. It's useful for understanding which consultation services are attracting new patients and their revenue contribution.
+
+## Parameters
+
+| Parameter | Type | Description | Example |
+|-----------|------|-------------|---------|
+| `date` | DATE | Filters consultation charge item by creation date | `DATE = '2025-12-29'` |
+
+---
+
+## Query
+
+```sql
+WITH patient_consultation_order AS (
+    SELECT
+        emr_chargeitem.id,
+        emr_chargeitem.patient_id,
+        emr_chargeitem.title AS charge_item_name,
+        emr_chargeitem.total_price,
+        emr_chargeitem.created_date,
+        ROW_NUMBER() OVER (
+            PARTITION BY emr_chargeitem.patient_id, emr_chargeitem.title 
+            ORDER BY emr_chargeitem.created_date
+        ) AS consultation_order
+    FROM emr_chargeitem
+    WHERE emr_chargeitem.deleted = FALSE
+        AND emr_chargeitem.title ILIKE 'consultation fee%'
+        -- [[AND {{date}}]]
+)
+
+SELECT
+    charge_item_name,
+    COUNT(DISTINCT patient_id) AS total_patients,
+    SUM(total_price) AS total_revenue
+FROM patient_consultation_order
+WHERE consultation_order = 1
+GROUP BY charge_item_name
+ORDER BY total_revenue DESC;
+```
+
+
+## Notes
+
+- Only includes active charge items (deleted = FALSE)
+- Uses ROW_NUMBER() to identify first consultation per patient for each consultation type
+- Results are ordered by revenue (highest to lowest)
+- Patients are counted distinctly to avoid duplication
+- The consultation_order = 1 filter ensures only first-time consultations are included
+
+*Last updated: 2025-12-29*
diff --git a/Care/Operations/followupconsultation_revenueperdoc_ssmm.md b/Care/Operations/followupconsultation_revenueperdoc_ssmm.md
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+# Follow-up Consultation Revenue Per Doctor
+
+> Track follow-up consultations with patient visit count and revenue
+
+## Purpose
+
+This query identifies follow-up consultations (excluding first visits) for each patient, helping to measure patient retention and recurring revenue. It's useful for understanding which consultation services have strong patient follow-through and their revenue contribution from repeat visits.
+
+## Parameters
+
+| Parameter | Type | Description | Example |
+|-----------|------|-------------|---------|
+| `date` | DATE | Filters consultation charge item by creation date | `DATE = '2025-12-29'` |
+
+---
+
+## Query
+
+```sql
+WITH patient_consultation_order AS (
+    SELECT
+        emr_chargeitem.id,
+        emr_chargeitem.patient_id,
+        emr_chargeitem.title AS charge_item_name,
+        emr_chargeitem.total_price,
+        emr_chargeitem.created_date,
+        ROW_NUMBER() OVER (
+            PARTITION BY emr_chargeitem.patient_id, emr_chargeitem.title 
+            ORDER BY emr_chargeitem.created_date
+        ) AS consultation_order
+    FROM emr_chargeitem
+    WHERE emr_chargeitem.deleted = FALSE
+        AND emr_chargeitem.title ILIKE 'consultation fee%'
+        -- [[AND {{date}}]]
+)
+
+SELECT
+    charge_item_name,
+    COUNT(*) AS total_patients,
+    SUM(total_price) AS total_revenue
+FROM patient_consultation_order
+WHERE consultation_order > 1
+GROUP BY charge_item_name
+ORDER BY total_revenue DESC;
+```
+
+
+## Notes
+
+- Only includes active charge items (deleted = FALSE)
+- Uses ROW_NUMBER() to identify consultation sequence per patient for each consultation type
+- The consultation_order > 1 filter excludes first-time consultations, capturing only follow-ups
+- Results are ordered by revenue (highest to lowest)
+- total_patients represents the count of follow-up visits, not unique patients (same patient can have multiple follow-ups)
+
+*Last updated: 2025-12-29*