adeve × Nethradhama — a case study

₹12,484 to book a patient. ₹1,940 in three months.

That was the real cost of one patient through the door at a Bangalore eye hospital — while every ad dashboard glowed green. Here’s the quarter that number collapsed, and why the fix started with a dashboard, not a budget.

Patients who walked in, per ₹1,00,000 of ad spend · Feb–Mar 2026

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The same cataract campaigns, one quarter apart

Feb–Mar 2026

₹12,484

a walk-in. 35 patients the whole quarter — about 8 for every ₹1 lakh spent.

Apr–Jun 2026

₹1,940

518 patients — about 52 for every ₹1 lakh. Same clinic, same procedure.

Now, per ₹1,00,000

6.4× cheaper. 15× the waiting room.

You could see the clicks. You could see the leads. You couldn’t see who walked in.

Every ad dashboard was green — impressions, clicks, cost-per-lead all trending up. None of it answered the only question a clinic cares about: did a patient actually come through the door? That blind spot is where the money was quietly bleeding.

How we did it

Three moves. In order.

01

We built one dashboard both teams could see.

Before touching a single campaign, we built a report around the number that actually matters — walk-ins — and put the performance team and the clinic’s sales team on it together. Leads → appointments → walk-ins, one shared view. Once everyone optimised for the same number, everything else followed. That was the number-one thing we did.

02

We saw Meta’s cost per walk-in, and killed it.

With walk-ins finally visible, Meta’s real cost showed up: ₹47,546 per walk-in in April, versus ₹1,698 on Google — 28× worse, one patient from ₹47.5K of spend. We didn’t nurse it. We cut it and moved the budget to what was booking patients.

03

We raised Target-CPA and tightened the copy.

A higher Target-CPA let Google bid straight at a cost-per-result, and sharper ad copy pulled in higher-intent patients — people ready to book, not just browse. Cheaper walk-ins, and more of them.

What we tracked

We followed every lead to the one stage that matters.

Click

the ad

→

Lead

form or call

most reporting stops here

→

Appointment

booked

→

Walk-in

patient in the chair

we tracked to here

Most agencies report the top of this funnel — clicks and leads look great, and the story ends there. We built the pipe all the way to the chair, so every rupee could be judged on whether a patient actually arrived. That single view is what let us find the 28× waste and fix it.

₹12,484 → ₹1,940 · one quarter

That’s what adeve does to an ad account.

See what it would do to yours →

Real Google Ads data · Cataract campaigns · Feb–Mar vs Apr–Jun 2026 · Nethradhama Eye Hospital, Bangalore