diff --git a/admin_hospital.php b/admin_hospital.php
index fddf64d..4bdd74f 100644
--- a/admin_hospital.php
+++ b/admin_hospital.php
@@ -98,6 +98,21 @@ qh_page_start(
                   <label class="form-label fw-bold" for="newsTickerAr"><?= qh_h(qh_t('News Ticker (Arabic)', 'شريط الأخبار بالعربية')) ?></label>
                   <input id="newsTickerAr" class="form-control" type="text" name="news_ticker_ar" value="<?= qh_h((string) ($profile['news_ticker_ar'] ?? '')) ?>" placeholder="<?= qh_h(qh_t('Scrolling text for display board', 'نص متحرك لشاشة العرض')) ?>">
                 </div>
+                <div class="col-lg-6">
+                  <label class="form-label fw-bold" for="appTimezone"><?= qh_h(qh_t('Timezone', 'المنطقة الزمنية')) ?></label>
+                  <select id="appTimezone" class="form-select" name="timezone">
+                    <?php foreach (timezone_identifiers_list() as $tz): ?>
+                      <option value="<?= qh_h($tz) ?>" <?= ($profile['timezone'] ?? 'UTC') === $tz ? 'selected' : '' ?>><?= qh_h($tz) ?></option>
+                    <?php endforeach; ?>
+                  </select>
+                </div>
+                <div class="col-lg-6">
+                  <label class="form-label fw-bold" for="appDefaultLanguage"><?= qh_h(qh_t('Default Language', 'اللغة الافتراضية')) ?></label>
+                  <select id="appDefaultLanguage" class="form-select" name="default_language">
+                    <option value="en" <?= ($profile['default_language'] ?? 'en') === 'en' ? 'selected' : '' ?>><?= qh_h(qh_t('English', 'الإنجليزية')) ?></option>
+                    <option value="ar" <?= ($profile['default_language'] ?? 'en') === 'ar' ? 'selected' : '' ?>><?= qh_h(qh_t('Arabic', 'العربية')) ?></option>
+                  </select>
+                </div>
               </div>
             </div>
 
diff --git a/assets/css/custom.css b/assets/css/custom.css
index 0e3414a..12d8fa6 100644
--- a/assets/css/custom.css
+++ b/assets/css/custom.css
@@ -1184,7 +1184,7 @@ html[dir="rtl"] .hospital-detail-list dd {
         top: 0;
         width: 80mm;
         margin: 0;
-        padding: 5mm;
+        padding: 2mm 5mm;
         display: block !important;
         background: white;
         color: black;
@@ -1197,40 +1197,40 @@ html[dir="rtl"] .hospital-detail-list dd {
     }
     
     .pt-header {
-        font-size: 1.2rem;
+        font-size: 1rem;
         font-weight: bold;
-        margin-bottom: 5px;
+        margin-bottom: 2px;
         border-bottom: 1px solid black;
-        padding-bottom: 5px;
+        padding-bottom: 2px;
     }
     
     .pt-token-title {
-        font-size: 0.9rem;
-        margin-top: 10px;
+        font-size: 0.8rem;
+        margin-top: 5px;
     }
     
     .pt-token-number {
-        font-size: 3.5rem;
+        font-size: 2.5rem;
         font-weight: bold;
         line-height: 1;
-        margin: 5px 0 10px 0;
+        margin: 2px 0 5px 0;
     }
     
     .pt-patient-name {
-        font-size: 1.1rem;
+        font-size: 0.9rem;
         font-weight: bold;
-        margin-bottom: 10px;
+        margin-bottom: 5px;
     }
     
     .pt-divider {
         border-top: 1px dashed black;
-        margin: 10px 0;
+        margin: 5px 0;
     }
     
     .pt-detail {
-        font-size: 1rem;
+        font-size: 0.85rem;
         text-align: left;
-        margin-bottom: 5px;
+        margin-bottom: 2px;
         display: flex;
         justify-content: space-between;
     }
@@ -1245,13 +1245,13 @@ html[dir="rtl"] .hospital-detail-list dd {
     }
     
     .pt-datetime {
-        margin-top: 8px;
-        font-size: 0.85rem;
+        margin-top: 4px;
+        font-size: 0.75rem;
     }
     
     .pt-footer {
-        font-size: 0.85rem;
-        margin-top: 10px;
+        font-size: 0.75rem;
+        margin-top: 5px;
     }
 
     @page {
diff --git a/assets/js/main.js b/assets/js/main.js
index 51760ac..9ac5238 100644
--- a/assets/js/main.js
+++ b/assets/js/main.js
@@ -37,11 +37,19 @@ document.addEventListener('DOMContentLoaded', () => {
     });
 
     const locale = document.body.dataset.locale || 'en';
+    const timeZone = document.body.dataset.timezone || 'UTC';
     const liveClock = document.querySelector('.js-live-clock');
     if (liveClock) {
         const renderClock = () => {
             const now = new Date();
-            liveClock.textContent = now.toLocaleTimeString(locale === 'ar' ? 'ar-SA' : 'en-US', { hour: '2-digit', minute: '2-digit' });
+            const opts = { hour: '2-digit', minute: '2-digit' };
+            if (timeZone) opts.timeZone = timeZone;
+            try {
+                liveClock.textContent = now.toLocaleTimeString(locale === 'ar' ? 'ar-SA' : 'en-US', opts);
+            } catch (e) {
+                opts.timeZone = undefined;
+                liveClock.textContent = now.toLocaleTimeString(locale === 'ar' ? 'ar-SA' : 'en-US', opts);
+            }
         };
         renderClock();
         window.setInterval(renderClock, 1000 * 30);
diff --git a/queue_bootstrap.php b/queue_bootstrap.php
index 3347a74..32d911d 100644
--- a/queue_bootstrap.php
+++ b/queue_bootstrap.php
@@ -17,6 +17,17 @@ function qh_boot(): void
     qh_ensure_schema();
     qh_seed_demo_data();
     qh_seed_hospital_profile();
+
+    $profile = qh_fetch_hospital_profile();
+    $timezone = $profile['timezone'] ?? 'UTC';
+    if ($timezone) {
+        date_default_timezone_set($timezone);
+        try {
+            $offset = (new DateTime('now', new DateTimeZone($timezone)))->format('P');
+            db()->exec("SET time_zone = " . db()->quote($offset));
+        } catch (\Throwable $e) {}
+    }
+
     $booted = true;
 }
 
@@ -81,6 +92,8 @@ SQL;
     db()->exec($profileSql);
     try { db()->exec("ALTER TABLE hospital_profile_settings ADD COLUMN news_ticker_en VARCHAR(1000) DEFAULT NULL"); } catch (\Throwable $e) {}
     try { db()->exec("ALTER TABLE hospital_profile_settings ADD COLUMN news_ticker_ar VARCHAR(1000) DEFAULT NULL"); } catch (\Throwable $e) {}
+    try { db()->exec("ALTER TABLE hospital_profile_settings ADD COLUMN timezone VARCHAR(100) DEFAULT 'UTC'"); } catch (\Throwable $e) {}
+    try { db()->exec("ALTER TABLE hospital_profile_settings ADD COLUMN default_language VARCHAR(10) DEFAULT 'en'"); } catch (\Throwable $e) {}
 }
 
 function qh_seed_demo_data(): void
@@ -230,8 +243,14 @@ function qh_locale(): string
         $_SESSION['qh_lang'] = $requested;
     }
 
-    $sessionLocale = strtolower(trim((string) ($_SESSION['qh_lang'] ?? 'en')));
-    $locale = in_array($sessionLocale, ['en', 'ar'], true) ? $sessionLocale : 'en';
+    $sessionLocale = strtolower(trim((string) ($_SESSION['qh_lang'] ?? '')));
+    if (in_array($sessionLocale, ['en', 'ar'], true)) {
+        $locale = $sessionLocale;
+    } else {
+        $profile = qh_fetch_hospital_profile();
+        $defaultLang = strtolower(trim((string) ($profile['default_language'] ?? 'en')));
+        $locale = in_array($defaultLang, ['en', 'ar'], true) ? $defaultLang : 'en';
+    }
 
     return $locale;
 }
@@ -551,7 +570,9 @@ function qh_page_start(string $activePage, string $pageTitle, string $metaDescri
     echo '  <link rel="stylesheet" href="assets/css/custom.css?v=' . $assetVersionCss . '">';
     echo '  <style>:root{--accent:' . qh_h($primaryColor) . ';--accent-strong:' . qh_h($secondaryColor) . ';}</style>';
     echo '</head>';
-    echo '<body class="' . qh_h($bodyClass) . '" data-page="' . qh_h($activePage) . '" data-locale="' . qh_h($locale) . '">';
+        $profile = qh_fetch_hospital_profile();
+    $timezone = qh_h($profile['timezone'] ?? 'UTC');
+    echo '<body class="' . qh_h($bodyClass) . '" data-page="' . qh_h($activePage) . '" data-locale="' . qh_h($locale) . '" data-timezone="' . $timezone . '">';
     if ($activePage !== 'display') {
         qh_render_nav($activePage);
     }
@@ -1115,6 +1136,10 @@ function qh_admin_handle_request(): void
             $workingHoursAr = trim((string) ($_POST['working_hours_ar'] ?? ''));
             $newsTickerEn = trim((string) ($_POST['news_ticker_en'] ?? ''));
             $newsTickerAr = trim((string) ($_POST['news_ticker_ar'] ?? ''));
+            $timezone = trim((string) ($_POST['timezone'] ?? ''));
+            if ($timezone === '' || !in_array($timezone, timezone_identifiers_list(), true)) $timezone = 'UTC';
+            $defaultLanguage = trim((string) ($_POST['default_language'] ?? 'en'));
+            if (!in_array($defaultLanguage, ['en', 'ar'], true)) $defaultLanguage = 'en';
             $profile = qh_fetch_hospital_profile();
             $logoUrl = $profile['logo_url'] ?? '';
             $faviconUrl = $profile['favicon_url'] ?? '';
@@ -1165,7 +1190,9 @@ function qh_admin_handle_request(): void
                      primary_color = :primary_color,
                      secondary_color = :secondary_color,
                      news_ticker_en = :news_ticker_en,
-                     news_ticker_ar = :news_ticker_ar
+                     news_ticker_ar = :news_ticker_ar,
+                     timezone = :timezone,
+                     default_language = :default_language
                  WHERE id = 1"
             );
             $stmt->execute([
@@ -1187,6 +1214,8 @@ function qh_admin_handle_request(): void
                 'secondary_color' => $secondaryColor,
                 'news_ticker_en' => $newsTickerEn,
                 'news_ticker_ar' => $newsTickerAr,
+                'timezone' => $timezone,
+                'default_language' => $defaultLanguage,
             ]);
             qh_set_flash('success', qh_t('Hospital profile updated successfully.', 'تم تحديث ملف المستشفى بنجاح.'));
         }