diff --git a/api/app/application/patients_repository.py b/api/app/application/patients_repository.py
index a1ae985..2962867 100644
--- a/api/app/application/patients_repository.py
+++ b/api/app/application/patients_repository.py
@@ -1,6 +1,6 @@
-from typing import Sequence, Optional
+from typing import Sequence, Optional, Tuple
 
-from sqlalchemy import select
+from sqlalchemy import select, func
 from sqlalchemy.ext.asyncio import AsyncSession
 
 from app.domain.models import Patient
@@ -10,10 +10,16 @@ class PatientsRepository:
     def __init__(self, db: AsyncSession):
         self.db = db
 
-    async def get_all(self) -> Sequence[Patient]:
-        stmt = select(Patient)
+    async def get_all(self, skip: int = 0, limit: int = 10) -> Tuple[Sequence[Patient], int]:
+        stmt = select(Patient).offset(skip).limit(limit)
         result = await self.db.execute(stmt)
-        return result.scalars().all()
+        patients = result.scalars().all()
+
+        count_stmt = select(func.count()).select_from(Patient)
+        count_result = await self.db.execute(count_stmt)
+        total_count = count_result.scalar()
+
+        return patients, total_count
 
     async def get_by_id(self, patient_id: int) -> Optional[Patient]:
         stmt = select(Patient).filter_by(id=patient_id)
diff --git a/api/app/controllers/patients_router.py b/api/app/controllers/patients_router.py
index fbcfa7e..5ff7b86 100644
--- a/api/app/controllers/patients_router.py
+++ b/api/app/controllers/patients_router.py
@@ -1,8 +1,9 @@
-from fastapi import APIRouter, Depends
+from fastapi import APIRouter, Depends, Query
 from sqlalchemy.ext.asyncio import AsyncSession
 
 from app.database.session import get_db
 from app.domain.entities.patient import PatientEntity
+from app.domain.entities.responses.paginated_patient import PaginatedPatientsResponseEntity
 from app.infrastructure.dependencies import get_current_user
 from app.infrastructure.patients_service import PatientsService
 
@@ -11,16 +12,19 @@ router = APIRouter()
 
 @router.get(
     "/",
-    response_model=list[PatientEntity],
-    summary="Get all patients",
-    description="Returns a list of all patients",
+    response_model=PaginatedPatientsResponseEntity,
+    summary="Get all patients with pagination",
+    description="Returns a paginated list of patients and total count",
 )
 async def get_all_patients(
+        page: int = Query(1, ge=1, description="Page number"),
+        page_size: int = Query(10, ge=1, le=100, description="Number of patients per page"),
         db: AsyncSession = Depends(get_db),
         user=Depends(get_current_user),
 ):
     patients_service = PatientsService(db)
-    return await patients_service.get_all_patients()
+    patients, total_count = await patients_service.get_all_patients(page, page_size)
+    return {"patients": patients, "total_count": total_count}
 
 
 @router.post(
diff --git a/api/app/domain/entities/responses/paginated_patient.py b/api/app/domain/entities/responses/paginated_patient.py
new file mode 100644
index 0000000..4b9ef15
--- /dev/null
+++ b/api/app/domain/entities/responses/paginated_patient.py
@@ -0,0 +1,8 @@
+from pydantic import BaseModel
+
+from app.domain.entities.patient import PatientEntity
+
+
+class PaginatedPatientsResponseEntity(BaseModel):
+    patients: list[PatientEntity]
+    total_count: int
diff --git a/api/app/infrastructure/patients_service.py b/api/app/infrastructure/patients_service.py
index bb56f29..cb66830 100644
--- a/api/app/infrastructure/patients_service.py
+++ b/api/app/infrastructure/patients_service.py
@@ -1,4 +1,4 @@
-from typing import Optional
+from typing import Optional, Tuple
 
 from fastapi import HTTPException
 from sqlalchemy.ext.asyncio import AsyncSession
@@ -13,12 +13,13 @@ class PatientsService:
     def __init__(self, db: AsyncSession):
         self.patient_repository = PatientsRepository(db)
 
-    async def get_all_patients(self) -> list[PatientEntity]:
-        patients = await self.patient_repository.get_all()
-        return [
-            self.model_to_entity(patient)
-            for patient in patients
-        ]
+    async def get_all_patients(self, page: int = 1, page_size: int = 10) -> Tuple[list[PatientEntity], int]:
+        skip = (page - 1) * page_size
+        patients, total_count = await self.patient_repository.get_all(skip=skip, limit=page_size)
+        return (
+            [self.model_to_entity(patient) for patient in patients],
+            total_count
+        )
 
     async def create_patient(self, patient: PatientEntity) -> PatientEntity:
         patient_model = self.entity_to_model(patient)
diff --git a/web-app/src/Api/patientsApi.js b/web-app/src/Api/patientsApi.js
index 2350417..a740d97 100644
--- a/web-app/src/Api/patientsApi.js
+++ b/web-app/src/Api/patientsApi.js
@@ -7,9 +7,11 @@ export const patientsApi = createApi({
     tagTypes: ['Patient'],
     endpoints: (builder) => ({
         getPatients: builder.query({
-            query: () => '/patients/',
-            providesTags: ['Patient'],
-            refetchOnMountOrArgChange: 5
+            query: ({ page, pageSize }) => ({
+                url: '/patients/',
+                params: { page, page_size: pageSize },
+            }),
+            providesTags: ['Patients'],
         }),
         addPatient: builder.mutation({
             query: (patient) => ({
diff --git a/web-app/src/Components/Pages/PatientsPage/PatientsPage.jsx b/web-app/src/Components/Pages/PatientsPage/PatientsPage.jsx
index 153de88..0f818b0 100644
--- a/web-app/src/Components/Pages/PatientsPage/PatientsPage.jsx
+++ b/web-app/src/Components/Pages/PatientsPage/PatientsPage.jsx
@@ -25,39 +25,36 @@ import LoadingIndicator from "../../Widgets/LoadingIndicator/LoadingIndicator.js
 import usePatients from "./usePatients.js";
 import usePatientsUI from "./usePatientsUI.js";
 
-const {Option} = Select;
-const {Title} = Typography;
+const { Option } = Select;
+const { Title } = Typography;
 
 const PatientsPage = () => {
     const patientsData = usePatients();
-    const patientsUI = usePatientsUI(patientsData.patients);
+    const patientsUI = usePatientsUI(patientsData.patients, patientsData.totalCount);
 
     const columns = [
         {
             title: "Фамилия",
             dataIndex: "last_name",
             key: "last_name",
-            sorter: (a, b) => a.last_name.localeCompare(b.last_name),
-            sortDirections: ["ascend", "descend"],
+            sorter: true, // Сортировка будет на сервере, если добавить
         },
         {
             title: "Имя",
             dataIndex: "first_name",
             key: "first_name",
-            sorter: (a, b) => a.first_name.localeCompare(b.first_name),
-            sortDirections: ["ascend", "descend"],
+            sorter: true,
         },
         {
             title: "Отчество",
             dataIndex: "patronymic",
             key: "patronymic",
-            sortDirections: ["ascend", "descend"],
+            sorter: true,
         },
         {
             title: "Дата рождения",
             dataIndex: "birthday",
-            sorter: (a, b) => new Date(a.birthday).getTime() - new Date(b.birthday).getTime(),
-            sortDirections: ["ascend", "descend"],
+            sorter: true,
             render: patientsUI.formatDate,
         },
         {
@@ -76,7 +73,6 @@ const PatientsPage = () => {
                     <Col xs={24} xl={12}>
                         <Button block onClick={() => patientsUI.handleEditPatient(record)}>Изменить</Button>
                     </Col>
-
                     <Col xs={24} xl={12}>
                         <Popconfirm
                             title="Вы уверены, что хотите удалить пациента?"
@@ -113,6 +109,8 @@ const PatientsPage = () => {
         />
     );
 
+    console.log(patientsData.isLoading)
+
     return (
         <div style={patientsUI.containerStyle}>
             <Title level={1}><TeamOutlined/> Пациенты</Title>
@@ -126,7 +124,6 @@ const PatientsPage = () => {
                         allowClear
                     />
                 </Col>
-
                 {patientsUI.viewMode === "tile" && (
                     <Col xs={24} md={5} sm={6} xl={3} xxl={2}>
                         <Tooltip title={"Сортировка пациентов"}>
@@ -141,7 +138,6 @@ const PatientsPage = () => {
                         </Tooltip>
                     </Col>
                 )}
-
                 <Col xs={24} md={patientsUI.viewMode === "tile" ? 5 : 10}
                      sm={patientsUI.viewMode === "tile" ? 8 : 14}
                      xl={patientsUI.viewMode === "tile" ? 3 : 5}
@@ -158,7 +154,7 @@ const PatientsPage = () => {
 
             {patientsData.isLoading ? <LoadingIndicator/> : patientsUI.viewMode === "tile" ? (
                 <List
-                    grid={{gutter: 16, column: 3}}
+                    grid={{ gutter: 16, column: 3 }}
                     dataSource={patientsUI.filteredPatients}
                     renderItem={patient => (
                         <List.Item>
diff --git a/web-app/src/Components/Pages/PatientsPage/usePatients.js b/web-app/src/Components/Pages/PatientsPage/usePatients.js
index 9ffd920..c5419e3 100644
--- a/web-app/src/Components/Pages/PatientsPage/usePatients.js
+++ b/web-app/src/Components/Pages/PatientsPage/usePatients.js
@@ -1,13 +1,21 @@
-import {notification} from "antd";
+import { notification } from "antd";
 import {
     useDeletePatientMutation,
     useGetPatientsQuery,
 } from "../../../Api/patientsApi.js";
+import { useSelector } from "react-redux";
 
 const usePatients = () => {
-    const {data: patients = [], isLoading, isError} = useGetPatientsQuery(undefined, {
-        pollingInterval: 20000,
-    });
+    const { currentPage, pageSize } = useSelector(state => state.patientsUI);
+
+    const { data = { patients: [], total_count: 0 }, isLoading, isError } = useGetPatientsQuery(
+        { page: currentPage, pageSize },
+        {
+            pollingInterval: 20000,
+        }
+    );
+
+    console.log(data);
 
     const [deletePatient] = useDeletePatientMutation();
 
@@ -29,7 +37,8 @@ const usePatients = () => {
     };
 
     return {
-        patients,
+        patients: data.patients,
+        totalCount: data.total_count,
         isLoading,
         isError,
         handleDeletePatient,
diff --git a/web-app/src/Components/Pages/PatientsPage/usePatientsUI.js b/web-app/src/Components/Pages/PatientsPage/usePatientsUI.js
index 29c3154..e5ce8cb 100644
--- a/web-app/src/Components/Pages/PatientsPage/usePatientsUI.js
+++ b/web-app/src/Components/Pages/PatientsPage/usePatientsUI.js
@@ -12,7 +12,7 @@ import {
 } from "../../../Redux/Slices/patientsSlice.js";
 import { getCachedInfo } from "../../../Utils/cachedInfoUtils.js";
 
-const usePatientsUI = (patients) => {
+const usePatientsUI = (patients, totalCount) => {
     const dispatch = useDispatch();
     const {
         searchText,
@@ -56,25 +56,12 @@ const usePatientsUI = (patients) => {
         dispatch(openModal());
     };
 
-    const filteredPatients = useMemo(() => {
-        return patients
-            .filter(patient =>
-                Object.values(patient)
-                    .filter(value => typeof value === "string")
-                    .some(value => value.toLowerCase().includes(searchText.toLowerCase()))
-            )
-            .sort((a, b) => {
-                const fullNameA = `${a.last_name} ${a.first_name}`;
-                const fullNameB = `${b.last_name} ${b.first_name}`;
-                return sortOrder === "asc" ? fullNameA.localeCompare(fullNameB) : fullNameB.localeCompare(fullNameA);
-            });
-    }, [patients, searchText, sortOrder]);
-
     const formatDate = (date) => new Date(date).toLocaleDateString();
 
     const pagination = {
-        currentPage: currentPage,
+        current: currentPage,
         pageSize: pageSize,
+        total: totalCount,
         showSizeChanger: true,
         pageSizeOptions: ["5", "10", "20", "50"],
         onChange: (page, newPageSize) => {
@@ -94,7 +81,7 @@ const usePatientsUI = (patients) => {
         formItemStyle,
         viewModIconStyle,
         pagination,
-        filteredPatients: filteredPatients.map(p => ({ ...p, key: p.id })),
+        filteredPatients: patients.map(p => ({ ...p, key: p.id })),
         handleSetSearchText,
         handleSetSortOrder,
         handleSetViewMode,
@@ -106,4 +93,4 @@ const usePatientsUI = (patients) => {
     };
 };
 
-export default usePatientsUI;
+export default usePatientsUI;
\ No newline at end of file