diff --git a/pages/AdminKlinikRuang/[kodeKlinik].vue b/pages/AdminKlinikRuang/[kodeKlinik].vue
index 5ba9bef..e5ddc68 100644
--- a/pages/AdminKlinikRuang/[kodeKlinik].vue
+++ b/pages/AdminKlinikRuang/[kodeKlinik].vue
@@ -1367,34 +1367,64 @@ const fetchPatientsForRoom = async (ruang) => {
 
 /**
  * Merge API patients into queueStore.allPatients
+ * SMART MERGE: Preserves local updates (status, call indicators) while refreshing API data
  */
 const mergeApiPatientsToStore = () => {
   if (apiPatients.value.length === 0) return;
   
-  // Build a Set of unique identifiers from API patients for fast lookup
-  const apiPatientIds = new Set(
-    apiPatients.value.map(p => p.visitId || p.visitCode || p.barcode || p.noAntrian).filter(Boolean)
-  );
-  
-  // Remove duplicates: remove any patient (API or not) that matches visitId, visitCode, barcode, or noAntrian
-  queueStore.allPatients = queueStore.allPatients.filter(p => {
-    const patientId = p.visitId || p.visitCode || p.barcode || p.noAntrian;
-    const isDuplicate = apiPatientIds.has(patientId);
-    
-    if (isDuplicate) {
-      console.log('🗑️ Removing duplicate patient:', {
-        ticket: p.noAntrian,
-        barcode: p.barcode,
-        visitId: p.visitId,
-        registrationType: p.registrationType
-      });
-    }
-    
-    return !isDuplicate;
+  // Build a Map of API patients by identifier for fast lookup
+  const apiPatientMap = new Map();
+  apiPatients.value.forEach(apiP => {
+    const id = apiP.visitId || apiP.visitCode || apiP.barcode || apiP.noAntrian;
+    if (id) apiPatientMap.set(id, apiP);
   });
   
-  // Add new API patients
-  queueStore.allPatients.push(...apiPatients.value);
+  // Update existing patients OR preserve local changes
+  const updatedPatients = queueStore.allPatients.map(localP => {
+    const id = localP.visitId || localP.visitCode || localP.barcode || localP.noAntrian;
+    const apiP = apiPatientMap.get(id);
+    
+    if (!apiP) return localP; // No API match, keep local patient
+    
+    // Found API match - MERGE data intelligently
+    // Check if patient has local UI updates that should be preserved
+    const hasLocalUpdates = (
+      localP.status !== 'pemeriksaan' || // Status changed from default
+      localP.calledPemeriksaanAwal ||     // Called for pemeriksaan awal
+      localP.calledTindakan ||            // Called for tindakan
+      localP.lastCalledAt                 // Has call timestamp
+    );
+    
+    if (hasLocalUpdates) {
+      console.log('✅ Preserving local updates for:', localP.noAntrian);
+      // Keep local patient data but refresh certain API fields
+      return {
+        ...apiP,                    // Base API data (fresh barcode, noAntrian, etc)
+        status: localP.status,      // Preserve local status
+        calledPemeriksaanAwal: localP.calledPemeriksaanAwal,
+        calledTindakan: localP.calledTindakan,
+        tipeLayanan: localP.tipeLayanan,
+        lastCalledAt: localP.lastCalledAt,
+        lastCalledTipeLayanan: localP.lastCalledTipeLayanan
+      };
+    } else {
+      // No local updates, use fresh API data
+      return apiP;
+    }
+  });
+  
+  // Find NEW API patients (not in allPatients)
+  const existingIds = new Set(
+    queueStore.allPatients.map(p => p.visitId || p.visitCode || p.barcode || p.noAntrian).filter(Boolean)
+  );
+  
+  const newApiPatients = apiPatients.value.filter(apiP => {
+    const id = apiP.visitId || apiP.visitCode || apiP.barcode || apiP.noAntrian;
+    return !existingIds.has(id);
+  });
+  
+  // Replace with updated patients + add new ones
+  queueStore.allPatients = [...updatedPatients, ...newApiPatients];
   
   console.log(`📊 Total patients in store: ${queueStore.allPatients.length}`);
 };
@@ -1415,7 +1445,8 @@ const getAllPatientsForRoom = (ruang) => {
         p.kodeKlinik === klinikData.value?.kodeKlinik &&
         p.nomorRuang === ruang.nomorRuang &&
         p.processStage === 'klinik-ruang' &&
-        // CRITICAL: Only show patients with status "pemeriksaan" (from loket to klinik ruang)
+        // CRITICAL: Only show patients with status "pemeriksaan"
+        // This prevents duplicate patients with different statuses
         p.status === 'pemeriksaan';
       
       if (!matches && p.kodeKlinik === klinikData.value?.kodeKlinik) {