A tracking and management system for patients in ahealth care setting to improve efficiency and provide a visualoffice shown on a display device. A plurality of sensors arelocated throughout the health care office. The plurality ofsensors can be located on patient data record holding devices,on chairs and medical equipment, and inside medical examrooms. Each sensor communicates information to a centralprocessing unit. Sensors located on the patient data recordholding device detect the presence of an individual patientdata record in the individual patient data record holder ofthe patient data record holding device and then transmit asignal to a central processing system. The central processingunit also receives information from an individual patient datarecord processing device.