diff --git a/app/Http/Controllers/Care/FinancialObligationController.php b/app/Http/Controllers/Care/FinancialObligationController.php
index a86fd8d..de9d67c 100644
--- a/app/Http/Controllers/Care/FinancialObligationController.php
+++ b/app/Http/Controllers/Care/FinancialObligationController.php
@@ -9,8 +9,10 @@ use App\Models\Payment;
 use App\Models\WorkflowStage;
 use App\Services\Care\AuditLogger;
 use App\Services\Care\BillService;
+use App\Services\Care\BranchContext;
 use App\Services\Care\CareFeatures;
 use App\Services\Care\CarePermissions;
+use App\Services\Care\CareQueueBridge;
 use App\Services\Care\CareQueueContexts;
 use App\Services\Care\OrganizationResolver;
 use App\Services\Care\Workflow\FinancialGateService;
@@ -35,6 +37,8 @@ class FinancialObligationController extends Controller
         protected WorkflowQueueReleaseService $queueRelease,
         protected WorkflowStageCompletionService $workflowCompletion,
         protected BillService $bills,
+        protected CareQueueBridge $queueBridge,
+        protected BranchContext $branchContext,
     ) {}
 
     public function index(Request $request): View
@@ -43,7 +47,10 @@ class FinancialObligationController extends Controller
         $organization = $this->organization($request);
         abort_unless($this->features->enabled($organization, CareFeatures::WORKFLOW_ENGINE), 404);
 
-        $branchScope = app(OrganizationResolver::class)->branchScope($this->member($request));
+        $member = $this->member($request);
+        $permissions = app(CarePermissions::class);
+        $branchScope = app(OrganizationResolver::class)->branchScope($member);
+        $branchId = $this->branchContext->resolve($request, $organization, $member);
         $status = (string) $request->query('status', FinancialObligation::STATUS_PENDING);
 
         $obligations = FinancialObligation::owned($this->ownerRef($request))
@@ -61,8 +68,13 @@ class FinancialObligationController extends Controller
             'clearanceMethods' => config('care_workflows.clearance_methods', []),
             'paymentModes' => config('care_workflows.payment_modes', []),
             'paymentMethods' => collect(config('care.payment_methods', []))->except(['gateway'])->all(),
-            'canClear' => app(CarePermissions::class)
-                ->can($this->member($request), 'payments.manage'),
+            'canClear' => $permissions->can($member, 'payments.manage'),
+            'branchId' => $branchId,
+            'queueIntegration' => $branchId && $permissions->handlesFloorCare($member)
+                ? $this->queueBridge->listMeta($organization, CareQueueContexts::BILLING, $branchId)
+                : ['enabled' => false],
+            'canManageQueue' => $permissions->can($member, 'service_queues.console')
+                && $permissions->handlesFloorCare($member),
         ]);
     }
 
@@ -139,19 +151,21 @@ class FinancialObligationController extends Controller
             return $locked->fresh();
         });
 
+        $organization = $this->organization($request);
+
         $visit = $settled->visit;
         if ($visit) {
             $advance = $this->workflows->refreshGate($visit);
             if ($advance?->stage?->type === 'payment') {
                 $this->workflowCompletion->complete(
-                    $this->organization($request),
+                    $organization,
                     $visit,
                     CareQueueContexts::BILLING,
                     $this->ownerRef($request),
                     $this->ownerRef($request),
                 );
             } else {
-                $this->queueRelease->releaseCurrent($this->organization($request), $visit);
+                $this->queueRelease->releaseCurrent($organization, $visit);
             }
         }
 
diff --git a/app/Services/Care/Workflow/FinancialGateService.php b/app/Services/Care/Workflow/FinancialGateService.php
index 5abf67b..89e91d2 100644
--- a/app/Services/Care/Workflow/FinancialGateService.php
+++ b/app/Services/Care/Workflow/FinancialGateService.php
@@ -18,6 +18,9 @@ use App\Services\Care\CarePricingService;
  * A "before" gate blocks entry to the stage's service queue until the stage's
  * obligation is cleared (paid / authorized / waived / deferred). An "after"
  * gate never blocks entry but is created so the balance is collected at exit.
+ *
+ * When Care Queue Engine is enabled, WorkflowEngine / WorkflowQueueReleaseService
+ * place awaiting_payment visits on the billing (cashier) queue via an open bill.
  */
 class FinancialGateService
 {
@@ -143,7 +146,17 @@ class FinancialGateService
             'cleared_at' => now(),
         ])->save();
 
-        return $obligation;
+        $organization = Organization::query()->find($obligation->organization_id);
+        if ($organization) {
+            // Lazy resolve avoids a constructor cycle with WorkflowQueueReleaseService.
+            app(WorkflowQueueReleaseService::class)->completeCashier(
+                $organization,
+                $obligation->fresh(['bill']) ?? $obligation,
+                $method,
+            );
+        }
+
+        return $obligation->fresh() ?? $obligation;
     }
 
     public function void(FinancialObligation $obligation): FinancialObligation
diff --git a/app/Services/Care/Workflow/WorkflowEngine.php b/app/Services/Care/Workflow/WorkflowEngine.php
index 1c5c946..daca071 100644
--- a/app/Services/Care/Workflow/WorkflowEngine.php
+++ b/app/Services/Care/Workflow/WorkflowEngine.php
@@ -174,6 +174,7 @@ class WorkflowEngine
 
         $this->gate->obligationFor($visit, $advance->stage);
         $satisfied = $this->gate->isSatisfied($visit, $advance->stage);
+        $becameBlocked = false;
 
         if ($advance->isBlocked() && $satisfied) {
             $advance->forceFill([
@@ -187,9 +188,17 @@ class WorkflowEngine
                 'blocked_reason' => $this->gate->blockedReason($visit, $advance->stage),
                 'cleared_at' => null,
             ])->save();
+            $becameBlocked = true;
         }
 
-        return $advance->fresh();
+        $fresh = $advance->fresh();
+        // Only enqueue when the gate newly blocks — not on every refresh — so
+        // CareQueueBridge::issueForBill → canRelease → refreshGate cannot recurse.
+        if ($becameBlocked && $fresh?->blocked_reason === 'awaiting_payment') {
+            $this->enqueueCashierBooth($visit);
+        }
+
+        return $fresh;
     }
 
     protected function enterStage(Visit $visit, FacilityWorkflow $workflow, WorkflowStage $stage): VisitStageAdvance
@@ -198,7 +207,7 @@ class WorkflowEngine
 
         $satisfied = $this->gate->isSatisfied($visit, $stage);
 
-        return VisitStageAdvance::create([
+        $advance = VisitStageAdvance::create([
             'owner_ref' => $visit->owner_ref,
             'visit_id' => $visit->id,
             'workflow_id' => $workflow->id,
@@ -209,6 +218,26 @@ class WorkflowEngine
             'entered_at' => now(),
             'cleared_at' => $satisfied ? now() : null,
         ]);
+
+        if ($advance->isBlocked() && $advance->blocked_reason === 'awaiting_payment') {
+            $this->enqueueCashierBooth($visit);
+        }
+
+        return $advance;
+    }
+
+    /**
+     * Resolve lazily to avoid a constructor cycle with WorkflowQueueReleaseService.
+     */
+    protected function enqueueCashierBooth(Visit $visit): void
+    {
+        $organization = $visit->organization
+            ?? \App\Models\Organization::query()->find($visit->organization_id);
+        if ($organization === null) {
+            return;
+        }
+
+        app(WorkflowQueueReleaseService::class)->enqueueCashier($organization, $visit);
     }
 
     protected function resolveTarget(Visit $visit, ?string $toCode, ?FacilityWorkflow $workflow = null): ?WorkflowStage
diff --git a/app/Services/Care/Workflow/WorkflowQueueGate.php b/app/Services/Care/Workflow/WorkflowQueueGate.php
index e1ee2e5..8b128e7 100644
--- a/app/Services/Care/Workflow/WorkflowQueueGate.php
+++ b/app/Services/Care/Workflow/WorkflowQueueGate.php
@@ -4,6 +4,7 @@ namespace App\Services\Care\Workflow;
 
 use App\Models\Organization;
 use App\Models\Visit;
+use App\Models\WorkflowStage;
 use App\Services\Care\CareFeatures;
 use App\Services\Care\CareQueueContexts;
 
@@ -42,6 +43,13 @@ class WorkflowQueueGate
             return true;
         }
 
+        // Pay-before-service holds belong on the cashier / billing line, not the
+        // clinical service queue for the current stage.
+        if ($queueContext === CareQueueContexts::BILLING
+            && $this->isAwaitingFinancialGate($organization, $visit, $stage)) {
+            return true;
+        }
+
         if (! $this->contextsMatch($stage->queue_context, $stage->type, $queueContext)) {
             return false;
         }
@@ -53,12 +61,36 @@ class WorkflowQueueGate
         return $this->engine->isQueueReleasable($visit);
     }
 
+    /**
+     * Whether the visit is blocked on a before-service financial gate.
+     */
+    public function isAwaitingFinancialGate(
+        Organization $organization,
+        Visit $visit,
+        ?WorkflowStage $stage = null,
+    ): bool {
+        if (! $this->features->enabled($organization, CareFeatures::FINANCIAL_GATES)) {
+            return false;
+        }
+
+        $stage ??= $this->engine->currentStage($visit);
+        if ($stage === null || ! $stage->gatesBeforeService()) {
+            return false;
+        }
+
+        return ! $this->engine->isQueueReleasable($visit);
+    }
+
     protected function contextsMatch(?string $stageContext, string $stageType, string $queueContext): bool
     {
         if ($stageContext === $queueContext) {
             return true;
         }
 
+        if ($stageType === 'payment' && $queueContext === CareQueueContexts::BILLING) {
+            return true;
+        }
+
         // Specialty appointments still fulfill a consultation workflow stage.
         return $stageType === 'consultation'
             && CareQueueContexts::isSpecialty($queueContext)
diff --git a/app/Services/Care/Workflow/WorkflowQueueReleaseService.php b/app/Services/Care/Workflow/WorkflowQueueReleaseService.php
index eb3c564..201e0f4 100644
--- a/app/Services/Care/Workflow/WorkflowQueueReleaseService.php
+++ b/app/Services/Care/Workflow/WorkflowQueueReleaseService.php
@@ -4,16 +4,21 @@ namespace App\Services\Care\Workflow;
 
 use App\Models\Appointment;
 use App\Models\Bill;
+use App\Models\FinancialObligation;
 use App\Models\InvestigationRequest;
 use App\Models\Organization;
 use App\Models\Prescription;
 use App\Models\Visit;
+use App\Models\WorkflowStage;
+use App\Services\Care\BillService;
 use App\Services\Care\CareQueueBridge;
 use App\Services\Care\CareQueueContexts;
+use Illuminate\Support\Facades\Log;
 
 /**
  * Releases the entity represented by the visit's current workflow stage to
- * Ladill Queue after stage entry or financial clearance.
+ * Ladill Queue after stage entry or financial clearance. Also owns the cashier
+ * booth queue for pay-before-service financial gates.
  */
 class WorkflowQueueReleaseService
 {
@@ -24,8 +29,24 @@ class WorkflowQueueReleaseService
 
     public function releaseCurrent(Organization $organization, Visit $visit): void
     {
-        $stage = $this->engine->currentStage($visit);
-        if ($stage === null || $stage->queue_context === null) {
+        $advance = $this->engine->currentAdvance($visit);
+        $stage = $advance?->stage;
+        if ($stage === null) {
+            return;
+        }
+
+        // Hold at the cashier booth while a before-service gate is unpaid.
+        if ($advance->isBlocked() && $advance->blocked_reason === 'awaiting_payment') {
+            $this->enqueueCashier($organization, $visit, $stage);
+
+            return;
+        }
+
+        if ($stage->queue_context === null) {
+            if ($stage->type === 'payment') {
+                $this->enqueueCashier($organization, $visit, $stage);
+            }
+
             return;
         }
 
@@ -93,11 +114,112 @@ class WorkflowQueueReleaseService
         }
 
         if ($context === CareQueueContexts::BILLING) {
-            Bill::query()
-                ->where('visit_id', $visit->id)
-                ->whereNotIn('status', [Bill::STATUS_PAID, Bill::STATUS_VOID])
-                ->get()
-                ->each(fn (Bill $bill) => $this->queue->issueForBill($organization, $bill));
+            $this->enqueueCashier($organization, $visit, $stage);
+        }
+    }
+
+    /**
+     * Ensure a visit blocked on payment has an open bill and an active cashier
+     * booth ticket. No-ops when Care Queue Engine is disabled.
+     */
+    public function enqueueCashier(
+        Organization $organization,
+        Visit $visit,
+        ?WorkflowStage $stage = null,
+    ): ?Bill {
+        if (! $this->queue->isEnabled($organization)) {
+            return null;
+        }
+
+        $stage ??= $this->engine->currentStage($visit);
+        if ($stage === null) {
+            return null;
+        }
+
+        $obligation = FinancialObligation::query()
+            ->where('visit_id', $visit->id)
+            ->where('workflow_stage_id', $stage->id)
+            ->whereNull('deleted_at')
+            ->first();
+
+        if ($obligation === null
+            || $obligation->isCleared()
+            || (int) $obligation->amount_minor <= 0) {
+            return null;
+        }
+
+        try {
+            $bill = app(BillService::class)->billForObligation(
+                $obligation,
+                (string) $visit->owner_ref,
+                (string) $visit->owner_ref,
+            );
+
+            return $this->queue->issueForBill($organization, $bill->fresh(['patient', 'visit']));
+        } catch (\Throwable $e) {
+            Log::warning('care.cashier_queue_enqueue_failed', [
+                'visit_id' => $visit->id,
+                'stage_code' => $stage->code,
+                'message' => $e->getMessage(),
+            ]);
+
+            return null;
+        }
+    }
+
+    /**
+     * Complete (or retire) the cashier booth ticket after a financial gate clears.
+     * Non-payment clearances void unpaid obligation-only placeholder bills.
+     */
+    public function completeCashier(
+        Organization $organization,
+        FinancialObligation $obligation,
+        string $clearanceMethod,
+    ): void {
+        if (! $this->queue->isEnabled($organization)) {
+            return;
+        }
+
+        $obligation->loadMissing('bill');
+        $bill = $obligation->bill;
+        if ($bill === null) {
+            return;
+        }
+
+        if (filled($bill->queue_ticket_uuid)
+            && ! in_array($bill->queue_ticket_status, ['completed', 'cancelled'], true)) {
+            $this->queue->complete($organization, $bill);
+            $bill = $bill->fresh();
+        }
+
+        if (in_array($clearanceMethod, ['payment', 'bank_receipt'], true)) {
+            return;
+        }
+
+        $bill = $bill->fresh(['lineItems']) ?? $bill;
+        if ((int) $bill->amount_paid_minor > 0
+            || in_array($bill->status, [Bill::STATUS_PAID, Bill::STATUS_VOID], true)) {
+            return;
+        }
+
+        $hasForeignLines = $bill->lineItems
+            ->contains(function ($item) use ($obligation) {
+                return $item->source_type !== FinancialObligation::class
+                    || (int) $item->source_id !== (int) $obligation->id;
+            });
+
+        if ($hasForeignLines) {
+            return;
+        }
+
+        try {
+            app(BillService::class)->void($bill, (string) $obligation->owner_ref, $obligation->cleared_by);
+        } catch (\Throwable $e) {
+            Log::warning('care.cashier_placeholder_bill_void_failed', [
+                'bill_id' => $bill->id,
+                'obligation_id' => $obligation->id,
+                'message' => $e->getMessage(),
+            ]);
         }
     }
 }
diff --git a/config/care_workflows.php b/config/care_workflows.php
index 15c1b97..2c75567 100644
--- a/config/care_workflows.php
+++ b/config/care_workflows.php
@@ -208,7 +208,7 @@ return [
                 ['code' => 'reception', 'name' => 'Reception', 'type' => 'registration', 'queue_context' => 'reception', 'department_type' => 'outpatient', 'default_next' => 'consultation'],
                 ['code' => 'consultation', 'name' => 'Consultation', 'type' => 'consultation', 'queue_context' => 'consultation', 'department_type' => 'general', 'can_return' => true, 'creates_child' => true, 'default_next' => 'pharmacy'],
                 ['code' => 'pharmacy', 'name' => 'Pharmacy', 'type' => 'pharmacy', 'queue_context' => 'pharmacy', 'department_type' => 'pharmacy', 'optional' => true, 'default_next' => 'checkout'],
-                ['code' => 'checkout', 'name' => 'Checkout', 'type' => 'payment', 'requires_payment' => true, 'payment_timing' => 'after', 'charge_code' => 'visit_total', 'charge_label' => 'Visit total', 'insurance_eligible' => true, 'default_next' => 'exit'],
+                ['code' => 'checkout', 'name' => 'Checkout', 'type' => 'payment', 'queue_context' => 'billing', 'requires_payment' => true, 'payment_timing' => 'after', 'charge_code' => 'visit_total', 'charge_label' => 'Visit total', 'insurance_eligible' => true, 'default_next' => 'exit'],
                 ['code' => 'exit', 'name' => 'Exit', 'type' => 'exit'],
             ],
         ],
@@ -221,7 +221,7 @@ return [
             'description' => 'Reception, payment before sample collection, testing, and results delivery.',
             'stages' => [
                 ['code' => 'reception', 'name' => 'Reception', 'type' => 'registration', 'queue_context' => 'reception', 'department_type' => 'outpatient', 'default_next' => 'payment'],
-                ['code' => 'payment', 'name' => 'Payment', 'type' => 'payment', 'requires_payment' => true, 'payment_timing' => 'before', 'charge_code' => 'lab', 'charge_label' => 'Diagnostic tests', 'insurance_eligible' => true, 'default_next' => 'sample'],
+                ['code' => 'payment', 'name' => 'Payment', 'type' => 'payment', 'queue_context' => 'billing', 'requires_payment' => true, 'payment_timing' => 'before', 'charge_code' => 'lab', 'charge_label' => 'Diagnostic tests', 'insurance_eligible' => true, 'default_next' => 'sample'],
                 ['code' => 'sample', 'name' => 'Sample collection', 'type' => 'laboratory', 'queue_context' => 'laboratory', 'department_type' => 'laboratory', 'default_next' => 'testing'],
                 ['code' => 'testing', 'name' => 'Testing', 'type' => 'laboratory', 'department_type' => 'laboratory', 'default_next' => 'results'],
                 ['code' => 'results', 'name' => 'Results', 'type' => 'results', 'default_next' => 'exit'],
@@ -238,7 +238,7 @@ return [
             'stages' => [
                 ['code' => 'reception', 'name' => 'Reception', 'type' => 'registration', 'queue_context' => 'reception', 'department_type' => 'outpatient', 'default_next' => 'consultation'],
                 ['code' => 'consultation', 'name' => 'Consultation', 'type' => 'consultation', 'queue_context' => 'consultation', 'department_type' => 'general', 'can_return' => true, 'creates_child' => true, 'default_next' => 'payment'],
-                ['code' => 'payment', 'name' => 'Payment', 'type' => 'payment', 'requires_payment' => true, 'payment_timing' => 'after', 'charge_code' => 'consultation', 'charge_label' => 'Consultation fee', 'insurance_eligible' => true, 'default_next' => 'exit'],
+                ['code' => 'payment', 'name' => 'Payment', 'type' => 'payment', 'queue_context' => 'billing', 'requires_payment' => true, 'payment_timing' => 'after', 'charge_code' => 'consultation', 'charge_label' => 'Consultation fee', 'insurance_eligible' => true, 'default_next' => 'exit'],
                 ['code' => 'exit', 'name' => 'Exit', 'type' => 'exit'],
             ],
         ],
@@ -251,7 +251,7 @@ return [
             'description' => 'Prescription intake, billing, payment, and dispensing.',
             'stages' => [
                 ['code' => 'intake', 'name' => 'Prescription intake', 'type' => 'registration', 'queue_context' => 'reception', 'department_type' => 'pharmacy', 'default_next' => 'payment'],
-                ['code' => 'payment', 'name' => 'Payment', 'type' => 'payment', 'requires_payment' => true, 'payment_timing' => 'before', 'charge_code' => 'pharmacy', 'charge_label' => 'Medication', 'insurance_eligible' => true, 'default_next' => 'dispensing'],
+                ['code' => 'payment', 'name' => 'Payment', 'type' => 'payment', 'queue_context' => 'billing', 'requires_payment' => true, 'payment_timing' => 'before', 'charge_code' => 'pharmacy', 'charge_label' => 'Medication', 'insurance_eligible' => true, 'default_next' => 'dispensing'],
                 ['code' => 'dispensing', 'name' => 'Dispensing', 'type' => 'pharmacy', 'queue_context' => 'pharmacy', 'department_type' => 'pharmacy', 'default_next' => 'exit'],
                 ['code' => 'exit', 'name' => 'Exit', 'type' => 'exit'],
             ],
@@ -283,7 +283,7 @@ return [
             'stages' => [
                 ['code' => 'reception', 'name' => 'Reception', 'type' => 'registration', 'queue_context' => 'reception', 'department_type' => 'outpatient', 'default_next' => 'consultation'],
                 ['code' => 'consultation', 'name' => 'Herbal consultation', 'type' => 'consultation', 'queue_context' => 'consultation', 'department_type' => 'general', 'can_return' => true, 'creates_child' => true, 'default_next' => 'payment'],
-                ['code' => 'payment', 'name' => 'Payment', 'type' => 'payment', 'requires_payment' => true, 'payment_timing' => 'before', 'payment_modes' => ['internal_cashier', 'digital'], 'charge_code' => 'pharmacy', 'charge_label' => 'Consultation + herbal medicine', 'insurance_eligible' => false, 'default_next' => 'dispensing'],
+                ['code' => 'payment', 'name' => 'Payment', 'type' => 'payment', 'queue_context' => 'billing', 'requires_payment' => true, 'payment_timing' => 'before', 'payment_modes' => ['internal_cashier', 'digital'], 'charge_code' => 'pharmacy', 'charge_label' => 'Consultation + herbal medicine', 'insurance_eligible' => false, 'default_next' => 'dispensing'],
                 ['code' => 'dispensing', 'name' => 'Dispensing', 'type' => 'pharmacy', 'queue_context' => 'pharmacy', 'department_type' => 'pharmacy', 'default_next' => 'exit'],
                 ['code' => 'exit', 'name' => 'Exit', 'type' => 'exit'],
             ],
diff --git a/resources/views/care/bills/index.blade.php b/resources/views/care/bills/index.blade.php
index c04b5b8..bf331c2 100644
--- a/resources/views/care/bills/index.blade.php
+++ b/resources/views/care/bills/index.blade.php
@@ -71,7 +71,7 @@
                         <td class="px-4 py-3">{{ $statuses[$bill->status] ?? $bill->status }}</td>
                         <td class="px-4 py-3 text-right">
                             <div class="flex items-center justify-end gap-2">
-                                @if (! empty($queueIntegration['enabled']) && $bill->queue_ticket_uuid && ($bill->queue_ticket_status ?? '') !== 'serving' && $bill->balance_minor > 0)
+                                @if (! empty($queueIntegration['enabled']) && $bill->queue_ticket_uuid && ! in_array($bill->queue_ticket_status ?? '', ['serving', 'completed', 'cancelled'], true) && $bill->balance_minor > 0)
                                     <form method="POST" action="{{ route('care.bills.serve', $bill) }}">
                                         @csrf
                                         <button type="submit" class="rounded-lg bg-sky-600 px-2.5 py-1 text-xs font-medium text-white hover:bg-sky-700">Serve</button>
diff --git a/resources/views/care/financial-obligations/index.blade.php b/resources/views/care/financial-obligations/index.blade.php
index b9e3c1e..f67c0dc 100644
--- a/resources/views/care/financial-obligations/index.blade.php
+++ b/resources/views/care/financial-obligations/index.blade.php
@@ -5,7 +5,19 @@
             <h1 class="text-xl font-semibold text-slate-900">Financial gates</h1>
             <p class="mt-1 text-sm text-slate-500">Clear payment or authorization before patients enter gated service queues.</p>
         </div>
-        <a href="{{ route('care.bills.index') }}" class="rounded-lg border border-slate-200 px-4 py-2 text-sm text-slate-700">Bills & invoices</a>
+        <div class="flex flex-wrap items-center gap-2">
+            @if (! empty($canManageQueue) && ! empty($queueIntegration['enabled']))
+                <div class="w-full sm:w-auto">
+                    @include('care.partials.queue-ops', [
+                        'queueIntegration' => $queueIntegration,
+                        'queueCallNextRoute' => 'care.bills.call-next',
+                        'queueCallNextParams' => [],
+                        'branchId' => $branchId ?? null,
+                    ])
+                </div>
+            @endif
+            <a href="{{ route('care.bills.index', ['view' => 'list']) }}" class="rounded-lg border border-slate-200 px-4 py-2 text-sm text-slate-700">Bills & invoices</a>
+        </div>
     </div>
 
     <form method="GET" class="mt-4 flex flex-wrap gap-3 rounded-2xl border border-slate-200 bg-white p-4">
@@ -37,6 +49,12 @@
                         <p class="mt-1 text-xs text-slate-400">
                             Created {{ $obligation->created_at->format('d M Y H:i') }}
                             @if ($obligation->bill) · Invoice {{ $obligation->bill->invoice_number }} @endif
+                            @if ($obligation->bill?->queue_ticket_number)
+                                · Ticket {{ $obligation->bill->queue_ticket_number }}
+                                @if ($obligation->bill->queue_ticket_status)
+                                    ({{ $obligation->bill->queue_ticket_status }})
+                                @endif
+                            @endif
                         </p>
                     </div>
                     <p class="text-lg font-semibold text-slate-900">{{ $money($obligation->amount_minor) }}</p>
diff --git a/tests/Feature/CareFinancialWorkflowRuntimeTest.php b/tests/Feature/CareFinancialWorkflowRuntimeTest.php
index 2ca4c22..f2685e1 100644
--- a/tests/Feature/CareFinancialWorkflowRuntimeTest.php
+++ b/tests/Feature/CareFinancialWorkflowRuntimeTest.php
@@ -506,4 +506,158 @@ class CareFinancialWorkflowRuntimeTest extends TestCase
             'status' => FinancialObligation::STATUS_PENDING,
         ]);
     }
+
+    public function test_awaiting_payment_issues_a_billing_cashier_ticket(): void
+    {
+        Http::fake();
+        $visit = $this->checkIn();
+
+        $obligation = FinancialObligation::query()
+            ->where('visit_id', $visit->id)
+            ->where('stage_code', 'registration')
+            ->firstOrFail();
+
+        $this->assertNotNull($obligation->bill_id);
+        $bill = $obligation->bill()->first();
+        $this->assertNotNull($bill);
+        $this->assertNotNull($bill->queue_ticket_uuid);
+        $this->assertSame('waiting', $bill->queue_ticket_status);
+        $this->assertStringStartsWith('B', (string) $bill->queue_ticket_number);
+        $this->assertDatabaseHas('care_queue_tickets', [
+            'uuid' => $bill->queue_ticket_uuid,
+            'ticket_number' => $bill->queue_ticket_number,
+            'status' => 'waiting',
+            'care_entity' => 'bill',
+            'care_entity_id' => $bill->id,
+        ]);
+        $this->assertDatabaseHas('care_service_queues', [
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'context' => CareQueueContexts::BILLING,
+        ]);
+        $this->assertTrue(app(WorkflowQueueGate::class)->canRelease(
+            $this->organization,
+            $visit,
+            CareQueueContexts::BILLING,
+        ));
+        $this->assertFalse(app(WorkflowQueueGate::class)->canRelease(
+            $this->organization,
+            $visit,
+            CareQueueContexts::CONSULTATION,
+        ));
+        Http::assertNothingSent();
+    }
+
+    public function test_queue_off_keeps_financial_gate_without_cashier_ticket(): void
+    {
+        $settings = $this->organization->settings;
+        $settings['queue_integration_enabled'] = false;
+        $this->organization->update(['settings' => $settings]);
+
+        $visit = $this->checkIn();
+        $obligation = FinancialObligation::query()
+            ->where('visit_id', $visit->id)
+            ->where('stage_code', 'registration')
+            ->firstOrFail();
+
+        $this->assertSame(FinancialObligation::STATUS_PENDING, $obligation->status);
+        $this->assertNull($obligation->bill_id);
+        $this->assertSame(0, Bill::query()->where('visit_id', $visit->id)->count());
+        $this->assertSame(VisitStageAdvance::STATUS_BLOCKED, app(WorkflowEngine::class)->currentAdvance($visit)->status);
+    }
+
+    public function test_clearing_gate_completes_cashier_ticket_and_releases_clinical_queue(): void
+    {
+        Http::fake();
+        $visit = $this->checkIn();
+        $consultation = $this->reachConsultation($visit);
+        $consultation->refresh();
+        $this->assertNotNull($consultation->bill_id);
+        $bill = $consultation->bill()->firstOrFail();
+        $this->assertNotNull($bill->queue_ticket_uuid);
+        $ticketUuid = $bill->queue_ticket_uuid;
+
+        $appointment = Appointment::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_id' => $this->patient->id,
+            'visit_id' => $visit->id,
+            'type' => Appointment::TYPE_WALK_IN,
+            'status' => Appointment::STATUS_WAITING,
+            'scheduled_at' => now(),
+            'checked_in_at' => now(),
+            'waiting_at' => now(),
+            'queue_position' => 1,
+        ]);
+
+        $this->actingAs($this->owner)
+            ->post(route('care.obligations.clear', $consultation), [
+                'method' => 'payment',
+                'payment_mode' => 'internal_cashier',
+                'payment_method' => 'cash',
+                'reference' => 'CASH-QUEUE-1',
+            ])
+            ->assertRedirect()
+            ->assertSessionHas('success');
+
+        $bill->refresh();
+        $this->assertSame('completed', $bill->queue_ticket_status);
+        $this->assertDatabaseHas('care_queue_tickets', [
+            'uuid' => $ticketUuid,
+            'status' => 'completed',
+        ]);
+        $this->assertSame(VisitStageAdvance::STATUS_ACTIVE, app(WorkflowEngine::class)->currentAdvance($visit)->status);
+        $this->assertTrue(app(WorkflowQueueGate::class)->canRelease(
+            $this->organization,
+            $visit,
+            CareQueueContexts::CONSULTATION,
+        ));
+
+        $appointment->refresh();
+        $this->assertNotNull($appointment->queue_ticket_uuid);
+        $this->assertSame('waiting', $appointment->queue_ticket_status);
+        $this->assertStringStartsWith('C', (string) $appointment->queue_ticket_number);
+    }
+
+    public function test_cashier_can_call_next_and_serve_billing_ticket(): void
+    {
+        Http::fake();
+
+        Member::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'user_ref' => 'cashier-queue-user',
+            'role' => 'cashier',
+            'branch_id' => $this->branch->id,
+        ]);
+        $cashier = User::create([
+            'public_id' => 'cashier-queue-user',
+            'name' => 'Cashier',
+            'email' => 'cashier-queue@example.com',
+        ]);
+
+        $visit = $this->checkIn();
+        $obligation = FinancialObligation::query()
+            ->where('visit_id', $visit->id)
+            ->where('stage_code', 'registration')
+            ->firstOrFail();
+        $bill = $obligation->bill()->firstOrFail();
+        $this->assertNotNull($bill->queue_ticket_uuid);
+
+        $this->actingAs($cashier)
+            ->post(route('care.bills.call-next'), ['branch_id' => $this->branch->id])
+            ->assertRedirect()
+            ->assertSessionHas('success');
+
+        $bill->refresh();
+        $this->assertSame('called', $bill->queue_ticket_status);
+
+        $this->actingAs($cashier)
+            ->post(route('care.bills.serve', $bill))
+            ->assertRedirect()
+            ->assertSessionHas('success');
+
+        $this->assertSame('serving', $bill->fresh()->queue_ticket_status);
+    }
 }