diff --git a/onprc_ehr/resources/etls/MPA_ClnRemarkAddition.xml b/onprc_ehr/resources/etls/MPA_ClnRemarkAddition.xml
new file mode 100644
index 000000000..6e183c1af
--- /dev/null
+++ b/onprc_ehr/resources/etls/MPA_ClnRemarkAddition.xml
@@ -0,0 +1,31 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<!--Created By: Kollil, 1/29/2024.
+ The ETL adds a P1 clinical remark into the animal record if the MPA injection ('E-85760' - Medroxyprogesterone acetate)
+ is marked as completed on the current day.
+ Refer to ticket # 10208 for more details.
+-->
+<etl xmlns="http://labkey.org/etl/xml">
+
+    <name>MPA_ClnRemarkAddition</name>
+
+    <description>Executes stored procedure to populate the clinical remarks into a temp table.</description>
+
+    <transforms>
+        <transform id="Stored_Proc" type="StoredProcedure">
+            <description>Runs the stored procedure to update onprc_ehr.Temp_ClnRemarks table</description>
+            <procedure schemaName="onprc_ehr" procedureName="MPA_ClnRemarkAddition"> </procedure>
+        </transform>
+
+        <transform id="Add_MPA_ClnRemarks">
+            <description>Import the remarks data from onprc_ehr.Temp_ClnRemarks table to study.ClnRemarks table in Prime </description>
+            <source schemaName="onprc_ehr" queryName="Temp_ClnRemarks"/>
+            <destination schemaName="study" queryName="clinremarks"/>
+        </transform>
+    </transforms>
+
+    <schedule>
+        <!-- Runs daily at 10pm -->
+        <cron expression="0 0 22 * * ?"/>
+    </schedule>
+
+</etl>
\ No newline at end of file
diff --git a/onprc_ehr/resources/schemas/dbscripts/sqlserver/onprc_ehr-23.007-23.008.sql b/onprc_ehr/resources/schemas/dbscripts/sqlserver/onprc_ehr-23.007-23.008.sql
new file mode 100644
index 000000000..51cfae8b2
--- /dev/null
+++ b/onprc_ehr/resources/schemas/dbscripts/sqlserver/onprc_ehr-23.007-23.008.sql
@@ -0,0 +1,84 @@
+-- =================================================================================================
+-- Add MPA Clinical remarks: By, Lakshmi Kolli
+-- Created on: 1/25/2024
+/* Description: Created 1 temp table to store the clinical remarks records.
+ The stored proc manages the addition and deleting clinical remarks data from the temp table
+ at the time of execution via ETL process.
+ */
+-- =================================================================================================
+
+--Drop table if exists
+EXEC core.fn_dropifexists 'Temp_ClnRemarks','onprc_ehr','TABLE';
+--Drop Stored proc if exists
+EXEC core.fn_dropifexists '[onprc_ehr].[MPA_ClnRemarkAddition]', 'onprc_ehr', 'PROCEDURE';
+GO
+
+-- Create the temp table
+CREATE TABLE onprc_ehr.Temp_ClnRemarks
+(
+    date datetime,
+    qcstate int,
+    participantid nvarchar(32),
+    project int,
+    remark nvarchar(250) ,
+    p nvarchar(250) ,
+    performedby nvarchar(250) ,
+    category nvarchar(250) ,
+    taskid nvarchar(4000),
+    createdby int,
+    modifiedby int
+)
+;
+
+GO
+
+-- Create the stored proc
+/****** Object:  StoredProcedure [onprc_ehr].[MPA_ClnRemarkAddition]    Script Date: 1/25/2024 *****/
+-- =================================================================================
+ -- Author: Lakshmi Kolli
+ -- Create date: 1/25/2024
+ -- Description: This procedure identifies if an animal received an MPA injection
+ -- and inserts a clinical remark into animal's record.
+-- =================================================================================
+
+CREATE PROCEDURE [onprc_ehr].[MPA_ClnRemarkAddition]
+AS
+
+DECLARE
+@MPACount Int,
+	@taskId	  nvarchar(4000)
+
+BEGIN
+    --Delete all rows from the temp_Drug table
+    Delete From onprc_ehr.Temp_ClnRemarks
+
+    --Check if the MPA injection E-85760 was administered today
+    Select @MPACount = COUNT(*) From studyDataset.c6d178_drug
+    Where code = 'E-85760' And CONVERT(DATE, date) = CONVERT(DATE, GETDATE()) And qcstate = 18
+
+    --Found entries, so, enter the clinical remarks now
+    If @MPACount > 0
+    Begin
+        -- Create a Task entry in ehr.tasks table
+        Set @taskid = NEWID() -- creating taskid
+        Insert Into ehr.tasks
+        (taskid, category, title, formtype, qcstate, assignedto, duedate, createdby, created,
+         container, modifiedby, modified, description, datecompleted)
+        Values
+        (@taskid, 'Task', 'Bulk Clinical Entry', 'Bulk Clinical Entry', 18, 1003, GETDATE(), 1003, GETDATE(),
+         'CD17027B-C55F-102F-9907-5107380A54BE', 1003, GETDATE(), 'Created by the ETL process', GETDATE())
+
+        --Insert the clinical remark into the temp clinical remarks table.
+        /* Get all the Animals who had MPA injection today from studyDataset.c6d178_drug
+        and INSERT the data into the studyDataset.c6d185_clinremarks table */
+        Insert Into onprc_ehr.Temp_ClnRemarks (
+        date, qcstate, participantid, project, remark, p, performedby, category, taskid, createdby, modifiedby
+        )
+        Select GETDATE(), 18, participantid, project, 'Remark entered by the ETL process', 'MPA injection administered', 'onprcitsupport@ohsu.edu', 'Clinical', @taskId, 1003, 1003
+        From studyDataset.c6d178_drug
+        Where code = 'E-85760' And CONVERT(DATE, date) = CONVERT(DATE, GETDATE()) And qcstate = 18
+    End
+
+END
+
+GO
diff --git a/onprc_ehr/resources/schemas/onprc_ehr.xml b/onprc_ehr/resources/schemas/onprc_ehr.xml
index 858275b36..31ab6d594 100644
--- a/onprc_ehr/resources/schemas/onprc_ehr.xml
+++ b/onprc_ehr/resources/schemas/onprc_ehr.xml
@@ -1309,4 +1309,22 @@
         </columns>
     </table>
 
+    <!--Created by: Kollil, 1/29/24. Created a temp table to store the clinical remarks  -->
+    <table tableName="Temp_ClnRemarks" tableDbType="TABLE">
+        <columns>
+            <column columnName="date" />
+            <column columnName="qcstate" />
+            <column columnName="participantid" />
+            <column columnName="project" />
+            <column columnName="remark" />
+            <column columnName="p" />
+            <column columnName="performedby" />
+            <column columnName="category" />
+            <column columnName="taskId" />
+            <column columnName="createdby" />
+            <column columnName="modifiedby" />
+
+        </columns>
+    </table>
+
 </tables>
diff --git a/onprc_ehr/src/org/labkey/onprc_ehr/ONPRC_EHRModule.java b/onprc_ehr/src/org/labkey/onprc_ehr/ONPRC_EHRModule.java
index edbb6bde0..f525c4632 100644
--- a/onprc_ehr/src/org/labkey/onprc_ehr/ONPRC_EHRModule.java
+++ b/onprc_ehr/src/org/labkey/onprc_ehr/ONPRC_EHRModule.java
@@ -123,7 +123,8 @@ public String getName()
     @Override
     public @Nullable Double getSchemaVersion()
     {
-        return 23.007;
+        // 1/29/24 by Kollil
+        return 23.008;
     }
 
     @Override