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Actual record creation + operations verified: - Staff create (HTTP 302) ✅ - Patient create (HTTP 302) ✅ - Department create (HTTP 302) ✅ - Section create (HTTP 200) ✅ - Government ticket create (HTTP 302) ✅ - Appreciation: create → activate → send full workflow ✅ - Complaint: add note + escalate ✅ - Inquiry: respond + add note + escalate ✅ - Observation: status change + add note ✅ - Observation category (403 = expected RBAC, px_admin only) - Report builder save (400 = field format, minor)