The growing use of Internet of Things (IoT) technologies in a variety of sectors, including healthcare, has opened up new possibilities for gathering and analyzing patient data. In some cases, the elderly are exposed to significant risk and even mortality as a result of the global aging problem, which has become a burden in recent years. Numerous IoT devices are being created to monitor, track, and record the actions of the elderly to reduce these hazards. This study proposed a novel, dependable, cloud-based remote system patient monitoring framework for IoT health detection. The main distinguished part of this research is that we rarely can find a framework in the literature that is based on real-time systems by considering heartbeat (BPM), blood oxygen (SpO2), and body temperature at the same time. The implementation and testing of this real-time system is classified into six distinctly separated phases for developing both the hardware and software. To verify the performance of the suggested system, data were gathered from BOT-IoT datasets. The outcome enhances patient satisfaction, secure data transmission, and healthcare outcomes by showing that the proposed framework is more efficient than other compared protocols in terms of the decision time, which is 16.3 seconds for 46 features, with 100% accuracy.