diff --git a/fiveparaminte-main/routers/dashboard.py b/fiveparaminte-main/routers/dashboard.py
index 5908179..acffcb2 100644
--- a/fiveparaminte-main/routers/dashboard.py
+++ b/fiveparaminte-main/routers/dashboard.py
@@ -468,3 +468,114 @@ def get_network_info():
             f"6. The dashboard will show data automatically"
         ]
     }
+
+
+# === Push Vitals Endpoint (for local-to-cloud sync) ===
+from schemas import NormalizedVitals
+from datetime import datetime, timezone
+
+@router.post("/push-vitals")
+async def push_vitals(vitals: NormalizedVitals, api_key: Optional[str] = None, db: Session = Depends(get_db)):
+    """
+    Receive vitals pushed from a local instance and store + broadcast them to connected WebSocket clients.
+    """
+    from config import settings
+    if settings.api_token and api_key != settings.api_token:
+        raise HTTPException(status_code=401, detail="Invalid or missing api_key")
+
+    try:
+        now = datetime.now(timezone.utc)
+
+        # 1. Device tracking
+        device = db.query(Device).filter(Device.device_id == vitals.device_id).first()
+        if not device:
+            device = Device(
+                device_id=vitals.device_id,
+                ip_address=vitals.ip_address or "remote-push",
+                status="active",
+                last_seen=now
+            )
+            db.add(device)
+        else:
+            if vitals.ip_address:
+                device.ip_address = vitals.ip_address
+            device.status = "active"
+            device.last_seen = now
+
+        # 2. Patient tracking
+        mrn = vitals.patient_id
+        patient = None
+        if mrn and mrn != "UNKNOWN":
+            patient = db.query(Patient).filter(or_(Patient.mrn == mrn, Patient.patient_id == mrn)).first()
+            if not patient:
+                patient = Patient(
+                    patient_id=mrn,
+                    mrn=mrn,
+                    name=vitals.patient_name or "Unknown",
+                    gender=vitals.patient_gender,
+                    dob=vitals.patient_dob,
+                    bed_id=vitals.bed_id,
+                    device_id=vitals.device_id
+                )
+                db.add(patient)
+            else:
+                if vitals.patient_name and vitals.patient_name != "Unknown":
+                    patient.name = vitals.patient_name
+                if vitals.patient_gender:
+                    patient.gender = vitals.patient_gender
+                if vitals.patient_dob:
+                    patient.dob = vitals.patient_dob
+                if vitals.bed_id:
+                    patient.bed_id = vitals.bed_id
+                patient.device_id = vitals.device_id
+        elif vitals.device_id:
+            # Check if there's already a patient assigned to this device
+            patient = db.query(Patient).filter(Patient.device_id == vitals.device_id, Patient.patient_id != "UNKNOWN").first()
+            if patient:
+                mrn = patient.mrn or patient.patient_id
+
+        # 3. Create VitalReading
+        reading = VitalReading(
+            device_id=vitals.device_id,
+            patient_id=mrn or "UNKNOWN",
+            timestamp=vitals.timestamp or now,
+            heart_rate=vitals.heart_rate,
+            spo2=vitals.spo2,
+            systolic_bp=vitals.systolic_bp,
+            diastolic_bp=vitals.diastolic_bp,
+            map_bp=vitals.map_bp,
+            respiratory_rate=vitals.respiratory_rate,
+            temperature=vitals.temperature,
+            transmitted=True
+        )
+        db.add(reading)
+        db.commit()
+        db.refresh(reading)
+
+        # 4. Broadcast to WebSocket clients
+        vitals_dict = vitals.model_dump(mode="json")
+        vitals_dict["mrn"] = mrn or (patient.mrn if patient else None)
+        vitals_dict["patient_id"] = vitals_dict["mrn"] or vitals.patient_id
+        vitals_dict["name"] = vitals.patient_name or (patient.name if patient else None)
+        vitals_dict["patient_name"] = vitals_dict["name"]
+        vitals_dict["gender"] = vitals.patient_gender or (patient.gender if patient else None)
+        vitals_dict["patient_gender"] = vitals_dict["gender"]
+        vitals_dict["dob"] = vitals.patient_dob or (patient.dob if patient else None)
+        vitals_dict["patient_dob"] = vitals_dict["dob"]
+        vitals_dict["bed_id"] = vitals.bed_id or (patient.bed_id if patient else None)
+
+        await ws_manager.broadcast_vitals(vitals_dict)
+
+        return {
+            "status": "ok",
+            "reading_id": reading.id,
+            "device_id": vitals.device_id,
+            "patient_id": vitals_dict["patient_id"]
+        }
+    except HTTPException:
+        raise
+    except Exception as e:
+        logger.error(f"Push-vitals error: {e}")
+        db.rollback()
+        raise HTTPException(status_code=500, detail=f"Failed to store vitals: {str(e)}")
+
diff --git a/routers/dashboard.py b/routers/dashboard.py
index 5908179..acffcb2 100644
--- a/routers/dashboard.py
+++ b/routers/dashboard.py
@@ -468,3 +468,114 @@ def get_network_info():
             f"6. The dashboard will show data automatically"
         ]
     }
+
+
+# === Push Vitals Endpoint (for local-to-cloud sync) ===
+from schemas import NormalizedVitals
+from datetime import datetime, timezone
+
+@router.post("/push-vitals")
+async def push_vitals(vitals: NormalizedVitals, api_key: Optional[str] = None, db: Session = Depends(get_db)):
+    """
+    Receive vitals pushed from a local instance and store + broadcast them to connected WebSocket clients.
+    """
+    from config import settings
+    if settings.api_token and api_key != settings.api_token:
+        raise HTTPException(status_code=401, detail="Invalid or missing api_key")
+
+    try:
+        now = datetime.now(timezone.utc)
+
+        # 1. Device tracking
+        device = db.query(Device).filter(Device.device_id == vitals.device_id).first()
+        if not device:
+            device = Device(
+                device_id=vitals.device_id,
+                ip_address=vitals.ip_address or "remote-push",
+                status="active",
+                last_seen=now
+            )
+            db.add(device)
+        else:
+            if vitals.ip_address:
+                device.ip_address = vitals.ip_address
+            device.status = "active"
+            device.last_seen = now
+
+        # 2. Patient tracking
+        mrn = vitals.patient_id
+        patient = None
+        if mrn and mrn != "UNKNOWN":
+            patient = db.query(Patient).filter(or_(Patient.mrn == mrn, Patient.patient_id == mrn)).first()
+            if not patient:
+                patient = Patient(
+                    patient_id=mrn,
+                    mrn=mrn,
+                    name=vitals.patient_name or "Unknown",
+                    gender=vitals.patient_gender,
+                    dob=vitals.patient_dob,
+                    bed_id=vitals.bed_id,
+                    device_id=vitals.device_id
+                )
+                db.add(patient)
+            else:
+                if vitals.patient_name and vitals.patient_name != "Unknown":
+                    patient.name = vitals.patient_name
+                if vitals.patient_gender:
+                    patient.gender = vitals.patient_gender
+                if vitals.patient_dob:
+                    patient.dob = vitals.patient_dob
+                if vitals.bed_id:
+                    patient.bed_id = vitals.bed_id
+                patient.device_id = vitals.device_id
+        elif vitals.device_id:
+            # Check if there's already a patient assigned to this device
+            patient = db.query(Patient).filter(Patient.device_id == vitals.device_id, Patient.patient_id != "UNKNOWN").first()
+            if patient:
+                mrn = patient.mrn or patient.patient_id
+
+        # 3. Create VitalReading
+        reading = VitalReading(
+            device_id=vitals.device_id,
+            patient_id=mrn or "UNKNOWN",
+            timestamp=vitals.timestamp or now,
+            heart_rate=vitals.heart_rate,
+            spo2=vitals.spo2,
+            systolic_bp=vitals.systolic_bp,
+            diastolic_bp=vitals.diastolic_bp,
+            map_bp=vitals.map_bp,
+            respiratory_rate=vitals.respiratory_rate,
+            temperature=vitals.temperature,
+            transmitted=True
+        )
+        db.add(reading)
+        db.commit()
+        db.refresh(reading)
+
+        # 4. Broadcast to WebSocket clients
+        vitals_dict = vitals.model_dump(mode="json")
+        vitals_dict["mrn"] = mrn or (patient.mrn if patient else None)
+        vitals_dict["patient_id"] = vitals_dict["mrn"] or vitals.patient_id
+        vitals_dict["name"] = vitals.patient_name or (patient.name if patient else None)
+        vitals_dict["patient_name"] = vitals_dict["name"]
+        vitals_dict["gender"] = vitals.patient_gender or (patient.gender if patient else None)
+        vitals_dict["patient_gender"] = vitals_dict["gender"]
+        vitals_dict["dob"] = vitals.patient_dob or (patient.dob if patient else None)
+        vitals_dict["patient_dob"] = vitals_dict["dob"]
+        vitals_dict["bed_id"] = vitals.bed_id or (patient.bed_id if patient else None)
+
+        await ws_manager.broadcast_vitals(vitals_dict)
+
+        return {
+            "status": "ok",
+            "reading_id": reading.id,
+            "device_id": vitals.device_id,
+            "patient_id": vitals_dict["patient_id"]
+        }
+    except HTTPException:
+        raise
+    except Exception as e:
+        logger.error(f"Push-vitals error: {e}")
+        db.rollback()
+        raise HTTPException(status_code=500, detail=f"Failed to store vitals: {str(e)}")
+