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The prediction of human diseases, particularly COVID-19, is an extremely challenging task not only for medical experts but also for the technologists supporting them in diagnosis and treatment. To deal with the prediction and diagnosis of COVID-19, we propose an Internet of Medical Things-based Smart Monitoring Hierarchical Mamdani Fuzzy Inference System (IoMTSM-HMFIS). The proposed system determines the various factors like fever, cough, complete blood count, respiratory rate, Ct-chest, Erythrocyte sedimentation rate and C-reactive protein, family history, and antibody detection (lgG) that are directly involved in COVID-19. The expert system has two input variables in layer 1, and seven input variables in layer 2. In layer 1, the initial identification for COVID-19 is considered, whereas in layer 2, the different factors involved are studied. Finally, advanced lab tests are conducted to identify the actual current status of the disease. The major focus of this study is to build an IoMT-based smart monitoring system that can be used by anyone exposed to COVID-19; the system would evaluate the user's health condition and inform them if they need consultation with a specialist for quarantining. MATLAB-2019a tool is used to conduct the simulation. The COVID-19 IoMTSM-HMFIS system has an overall accuracy of approximately 83%. Finally, to achieve improved performance, the analysis results of the system were shared with experts of the Lahore General Hospital, Lahore, Pakistan. [ABSTRACT FROM AUTHOR]