diff --git a/migrations/Version20260628134241.php b/migrations/Version20260628134241.php
new file mode 100644
index 00000000..82518d7b
--- /dev/null
+++ b/migrations/Version20260628134241.php
@@ -0,0 +1,33 @@
+<?php
+
+declare(strict_types=1);
+
+namespace DoctrineMigrations;
+
+use Doctrine\DBAL\Schema\Schema;
+use Doctrine\Migrations\AbstractMigration;
+
+/**
+ * Auto-generated Migration: Please modify to your needs!
+ */
+final class Version20260628134241 extends AbstractMigration
+{
+    public function getDescription(): string
+    {
+        return 'Add missing indexes: appointments(status, expires_at) for the expiry scheduler, patient_sessions(created_at) for dashboard revenue ranges, users(status) for admin filters.';
+    }
+
+    public function up(Schema $schema): void
+    {
+        $this->addSql('CREATE INDEX idx_appointments_status_expires ON appointments (status, expires_at)');
+        $this->addSql('CREATE INDEX idx_patient_sessions_created_at ON patient_sessions (created_at)');
+        $this->addSql('CREATE INDEX idx_users_status ON users (status)');
+    }
+
+    public function down(Schema $schema): void
+    {
+        $this->addSql('DROP INDEX idx_appointments_status_expires ON appointments');
+        $this->addSql('DROP INDEX idx_patient_sessions_created_at ON patient_sessions');
+        $this->addSql('DROP INDEX idx_users_status ON users');
+    }
+}
diff --git a/src/Appointment/Entity/Appointment.php b/src/Appointment/Entity/Appointment.php
index 6d0a1429..cec04ef5 100644
--- a/src/Appointment/Entity/Appointment.php
+++ b/src/Appointment/Entity/Appointment.php
@@ -12,6 +12,7 @@ use Symfony\Component\Uid\Uuid;
 #[ORM\Table(name: 'appointments')]
 #[ORM\Index(columns: ['doctor_id', 'slot_start'], name: 'idx_appointments_doctor_slot')]
 #[ORM\Index(columns: ['user_id', 'status'],       name: 'idx_appointments_user_status')]
+#[ORM\Index(columns: ['status', 'expires_at'],    name: 'idx_appointments_status_expires')]
 class Appointment
 {
     // Status machine: pending → confirmed → completed
diff --git a/src/Auth/Entity/User.php b/src/Auth/Entity/User.php
index a36c7b75..7d29139a 100644
--- a/src/Auth/Entity/User.php
+++ b/src/Auth/Entity/User.php
@@ -11,6 +11,7 @@ use Symfony\Component\Uid\Uuid;
 #[ORM\Entity(repositoryClass: UserRepository::class)]
 #[ORM\Table(name: 'users')]
 #[ORM\UniqueConstraint(name: 'uniq_mobile', columns: ['mobile_number'])]
+#[ORM\Index(columns: ['status'], name: 'idx_users_status')]
 class User implements UserInterface, PasswordAuthenticatedUserInterface
 {
     #[ORM\Id]
diff --git a/src/Patient/Entity/PatientSession.php b/src/Patient/Entity/PatientSession.php
index 28db893f..02b0a89f 100644
--- a/src/Patient/Entity/PatientSession.php
+++ b/src/Patient/Entity/PatientSession.php
@@ -11,6 +11,7 @@ use Symfony\Component\Uid\Uuid;
 
 #[ORM\Entity(repositoryClass: PatientSessionRepository::class)]
 #[ORM\Table(name: 'patient_sessions')]
+#[ORM\Index(columns: ['created_at'], name: 'idx_patient_sessions_created_at')]
 class PatientSession
 {
     #[ORM\Id]