In this research, a sensor that will be equipped with blood oxygen saturation function (SPO 2) blood and Heart Rate is MH-ET Live max30102 Sensor with Library Max30105. The advantage of this sensor is compatible with ATmega 328P, which is the Arduino board, the first experiment using Arduino Uno. Therefore, MH-ET Sensor data is integrated with Wireless Sensor Network (WSN) devices, e.g, LoRa (Long Range) 915 MHz and calculate WSN path loss when sending sensor data in mountainous areas, the model used to represent signal analysis and measurements in this study is the Ground Reflection (2-ray) model. therefore, the conditions that can be explained are patients who will send their data over hilly areas and hospitals or medical treatments called receiving nodes or coordinator nodes in much lower areas, in the same situation adding routers is expected to be a comparison of whether the data sent faster or even no impact. Furthermore, in this study, it is expected to provide clear results on the function of the router as the sender of pulse sensor data. The point is patients who are in a higher area with the level of impossibility in bringing the patient due to the condition of the patient so that the SPO 2 data transmission and heart rate of the patient are expected to be known quickly by the medical authorities through the sensor node device attached to the patient's body. The use of the Adaptive Data Rate (ADR) Algorithm is used to optimize data rate, time on air (ToA) or airtime and energy consumption in the network. Therefore, the End Device (ED) in the ADR algorithm must be static (nonmobile). In the process of measuring the ADR algorithm in the position of sending data (uplink) n-bits to n-gateway. Next, the application server used is ThingsSpeak or The Things Network (TTN).