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Lead quality · attendance · ICG research

What percentage of patient enquiries actually turn up for a consultation?

Published 7 October 2026 · 7 min read · India

Based on ICG research

CPQL Benchmarks India 2026: Healthcare Specialty Database
16 specialty rows · 272 account records · EMR-confirmed attendance · Q2 2026 refresh

Short answer: about half. In ICG's CPQL dataset (272 account records, 16 specialties, Q2 2026), 49% of patient enquiries attended a first consultation, weighted by sample size and confirmed from appointment records. Specialty matters more than anything else: 78% for GP and family physicians, 34% for IVF and fertility.

Most clinic owners can tell you how many leads their marketing produced last month. Far fewer can tell you how many of those people walked in. The gap between the two is where a lot of marketing money disappears, and it is the reason ICG reports cost per attended consultation, not cost per lead. The figures below come from the ICG CPQL benchmark dataset for India, which publishes attendance alongside cost for each specialty.

Attendance rate by specialty

SpecialtyEnquiries that attendAccounts (n)ICG CPQL
GP / family physician78%12₹420
Paediatrics72%6†₹890
Dental (general)71%38₹780
Gynaecology62%8†₹1,150
Endocrinology60%5†₹1,340
Ophthalmology (LASIK)58%22₹1,080
Cardiology (OPD)55%9†₹1,650
Urology50%4†₹1,580
Oncology50%5†₹2,100
All 272 records (weighted)49%272–
Dental (cosmetic)48%18₹710
Orthopaedics (elective)46%7†₹1,420
Aesthetic dermatology42%43₹950
Psychiatry41%6†₹1,260
Plastic surgery38%14₹2,200
Hair transplant36%18₹1,350
IVF / fertility34%57₹1,180

Attendance = share of enquiries that attended a first consultation, from appointment (EMR) records. CPQL = media spend ÷ attended first consultations, rolling 90 days, ICG-managed accounts. † fewer than 10 accounts: indicative only. The 49% is our sample-weighted average of the published rows. Source: ICG CPQL benchmark dataset, Q2 2026.

The pattern is easy to read once it is laid out. Needs that are immediate, local and familiar (a child's fever, a toothache, a GP visit) convert to a visit most of the time. Decisions that are expensive, elective or emotionally heavy (IVF, hair transplant, plastic surgery, aesthetic dermatology) convert at around a third to two-fifths. Those are also the specialties where patients take longest to decide: a median of 120 days from first touchpoint to consultation for IVF, 75 for plastic surgery and 60 for hair transplant.

Why this number changes how you read a lead report

Attendance is the link between what a lead costs and what a patient costs. Divide your cost per lead by your attendance rate and you get your cost per attended consultation. If an IVF clinic pays ₹400 per enquiry and 34% attend, each consultation actually costs about ₹1,180. If attendance drops to 25%, the same ₹400 lead now costs ₹1,600 per consultation, even though the ad dashboard has not changed at all.

This is why two clinics with the same cost per lead can have very different economics, and why cutting ad cost is often a weaker lever than improving the share of enquiries who turn up.

Measure attendance from appointment records. Bookings, WhatsApp chats and confirmation messages are not visits. ICG's dataset counts only patients recorded as attending, which is why its attendance rates may look lower than a front-desk estimate.

Where enquiries leak, and what to do

Before the booking

The first leak is the gap between enquiry and reply. An enquiry that waits hours for a callback has often booked elsewhere. Set a target for first response on every channel (calls, forms, WhatsApp), measure it by hour of day, and route enquiries to someone who can actually book a slot. Our piece on lead response time covers the routing.

Between booking and visit

The second leak is the no-show. A written confirmation with the doctor's name, address and what to bring, a reminder the day before, and a one-tap way to reschedule all reduce it. See how to reduce no-show rates for a fuller playbook.

In long decision cycles

For IVF, hair transplant, plastic surgery and LASIK, many enquiries are research, not intent. Treating them as failed leads after a week throws away the patients most likely to come back months later. Keep them in a consented, low-pressure follow-up sequence: educational content, an invitation to a counselling call, answers to common questions. A healthcare CRM that tracks each enquiry to its eventual visit makes this measurable. All follow-up messages must respect the consent the patient gave under the DPDP Act 2023, and must not make outcome claims.

In the ads themselves

Ads that describe the service plainly, including who it is for and what the first consultation involves, attract fewer but better enquiries. Ads that over-promise produce cheap leads that do not attend, and in healthcare they also risk breaching NMC and ASCI rules on claims.

A simple monthly check for marketing teams

  1. Count enquiries by source (Google Ads, Meta, Google Business Profile, website, WhatsApp, referral).
  2. Match each to the appointment system and count attended first consultations.
  3. Calculate attendance by source and compare with your specialty's benchmark above.
  4. Fix the source or stage with the biggest gap first, then look at ad costs.

ICG's Google Ads and Meta ads teams report on attended consultations rather than leads; healthcare marketing engagements start from this funnel view.

Read the full report

This article uses one finding from CPQL Benchmarks India 2026: Healthcare Specialty Database. The report has the full tables, the method and the limits, and it is free to quote with credit and a link.

Want your own numbers next to these? Ask for a free review of your enquiry-to-visit funnel against these benchmarks. ICG works with 150+ healthcare brands; there is no obligation, and we will tell you if nothing needs fixing.

Frequently asked questions

What percentage of clinic enquiries turn into an attended consultation in India?
About half. Across 272 account records in ICG's CPQL dataset (Q2 2026), weighted by sample size, 49% of enquiries attended a first consultation, confirmed from appointment records. The rate ranged from 78% for GP and family physicians to 34% for IVF and fertility.
Why do so few IVF and hair transplant enquiries attend a consultation?
Both are high-cost, elective decisions with long consideration periods: a median of 120 days from first touchpoint to consultation for IVF and 60 days for hair transplant in ICG's dataset. Many enquiries are early research. Attendance rates of 34% (IVF, n = 57 accounts) and 36% (hair transplant, n = 18) reflect that, not necessarily poor follow-up.
What is the difference between a lead, a booking and an attended consultation?
A lead or enquiry is any form, call or message. A booking is an agreed appointment. An attended consultation is a patient who actually came in. Cost per lead counts the first; ICG's cost per qualified lead (CPQL) counts only the last, which is why it is the more useful number for a clinic owner.
How can a clinic improve the share of enquiries that attend?
Reply fast, confirm the appointment in writing with the doctor's name, send a reminder the day before, make it easy to reschedule rather than skip, and keep following up with patients in long decision cycles. Ads that describe the service accurately also attract enquiries that are more likely to attend.
Is a low attendance rate always a marketing problem?
No. It can be a front-desk, scheduling or pricing problem, or simply the nature of the specialty. Compare your rate with the benchmark for your specialty before deciding where the leak is, and measure attendance from appointment records, not from bookings.
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