On days when the company ran high-intensity sales blitzes, primary sales spiked—but redemption data showed no corresponding increase . In fact, on those days, the system recorded a suspiciously high number of prescriptions written after 9 PM , which was impossible because most clinics closed by 7.

He walked out of the data entry room, past the janitor who had stopped humming, past the empty cubicles, past the motivational posters that said “Data is the new science.”

“Rajesh gave me these,” she whispered. “He said, ‘Just enter them. The system will never know. The expiry dates are old anyway.’”

A pattern emerged.

A pause. “Sir, she said the combination gave some patients palpitations. She switched to separate molecules.”

Arjun realized the MIS had no field for retailer anxiety . No column for patient self-medication . No variable for regulatory trauma .