Medical-specific Large Language Models (LLMs) have demonstrated impressive performance on medical-related exams and tasks. Despite their success in single-turn question and answering, instruction-tuned LLMs often falter in real-world healthcare applications, highlighting a disconnect between existing instruction datasets and practical contexts. To address this issue, we propose Service Flow aware Medical Scenario Simulation (SFMSS), a simulation framework designed for medical conversational data generation. SFMSS employs three key strategies to ensure the quality of the data generation. the use of Authentic Seed Data ensures alignment of real-world distributions. Diverse Patient Simulation enables simulated patients to exhibit distinct communication styles and complex behavioral logic. Service Flow Control ensures that conversations progress in alignment with medical objectives. We construct a dataset targeting on outpatient reception through SFMSS, named SFMSS-CD. Building on this dataset, we develop a model called SFMSS-Nurse. We conduct both automatic and human evaluations, involving 15 users and 15 clinical experts, to assess the effectiveness of SFMSS. The results demonstrate that SFMSS-Nurse outperforms all baselines, including the current state-of-the-art model GPT-4o, and aligns with human preferences and clinical demands.