This study proposes a remote monitoring of patients and emergency notification system with a camera and pulse wave sensor for U-Healthcare. The proposed system is a server client model based U-Healthcare system which consists of wireless clients that have micro-controller, embedded-board for patient status monitoring and a remote management server. The remote management server observes the change of pulse wave data individually in real-time sent from the clients that is to be remote-monitored based on the pulse wave data stored by users and divides them into caution section and emergency section. When the pulse wave data of a user enters an emergency situation, the administrator can make a decision based on the real-time image information and pulse rate variability. When the status of the monitored patient enters the emergency section, the proposed U-healthcare system notifies the administrator and relevant institutions. An experiment was conducted to demonstrate the pulse wave recognition of the proposed system.