Inclusion Criteria:

1. Adults aged ≥18 years

2. Presenting to participating primary care facilities in study sites

3. Meeting criteria for at least one of the following conditions or symptoms:

   • Hypertension: Known diagnosis
   • Diabetes mellitus: Known diagnosis or laboratory evidence (HbA1c ≥6.5%, fasting blood glucose ≥126 mg/dL, or post-prandial glucose ≥200 mg/dL)
   • Fever: Presenting as chief complaint
   • Breathlessness: Presenting as chief complaint, without evidence of fever
   • Musculoskeletal pain: Presenting as chief complaint, without evidence of fever

4. Able and willing to provide written informed consent

5. Willing to participate in two sequential consultations and complete an exit survey

Exclusion Criteria:

1. Inability to provide informed consent due to cognitive impairment (e.g., dementia or intellectual disability)
2. Medical instability or condition requiring immediate emergency referral
3. Prior participation in the study during an earlier visit