Inclusion Criteria:  Patients above 18 years of age Patients with End stage renal disease and on maintenance hemodialysis at least twice a week for at least 1 month Patients or immediate family members have access to mobile phones Patients are able to read and understand text message in urdu language  Exclusion Criteria:  Patients with terminal illness and limited life expectancy of less than 1 month Patients with Dementia Patients with visual impairment Patients with Acute Kidney injury requiring hemodialysis