The process of booking and managing hospital appointments has become increasingly complex, especially for patients travelling and long distances to reach healthcare centers. A patient residing in Namakkal, for instance, may have an appointment at a hospital in Chennai but lacks real-time information about the appointment sequence, token progress, or any doctor rescheduling. This leads to inconvenience, wasted travel time, and inefficient resource utilization. To address this, the proposed Smart Healthcare Appointment System uses Artificial Intelligence (AI), Blockchain, and IOT integration to provide an intelligent, secure, and automated healthcare service. The system offers AI-powered doctor recommendations, real-time slot management, emergency prioritization, and teleconsultation support. Wearable device integration allows continuous health monitoring, while blockchain ensures the secure sharing of medical records. This smart system aims to enhance accessibility, improve efficiency and build a secure, patient-centric healthcare ecosystem.