...
If the page you want to add something to does not have an extensionPoint on it, the process is simple:
- Create a new ticket specifying the page the extPoint will be on
- Add the point to your local copy and test it out
- Create a patch and attach that patch diff to the ticket
- Wait for a developer to review your patch for consistency checks
- Apply the patch to trunk and the latest branches/1.x.x if desired
- Close the ticket and reference the changeset
...
How to add a Gutter extension point ?
https://wikiopenmrs.openmrsatlassian.orgnet/wiki/display/docs/Adding+a+Gutter+extension+point