The blend of blockchain technology and the Internet of Things (IoT) has created an innovative space to look for potential solutions. This paper investigates a Secure and Intelligent Patient Monitoring System (SIPMS) for real-time healthcare using blockchain and IoT technology. In addition, the system is concerned with patient privacy and data security and whether delivering healthcare via this method would be effective—safe and real-time health solutions for patient monitoring systems using blockchain with Internet of Things technologies. The recommended system collects data all the time from patients, hence when needed medical intervention can be done promptly and monitoring is in real time. Blockchain transactions can be put on the decentralized ledger and recorded into a permanent data stream that is unchangeable and secure guaranteeing no risk of information getting exposed to fraudulent intimidation. These technologies create an intelligent decentralized platform, improving the efficiency of healthcare delivery and providing high levels of security. The system aims to revolutionize patient monitoring by ensuring that health data is handled reliably and securely, resulting, ultimately, in better outcomes for patients as well as more efficient medical care. This collects the sensor data using an Arduino and transfers it to the blockchain where, later on, its further viewing after processing. The information produced by machine learning should be fed back to the specialist or caretaker, who then can receive a mail or text. If a critical alert is registered, the specialist/caretaker will then get an SMS and Email notification.