Solution blueprint · Healthcare
A hospital management system for a 100-bed multi-speciality hospital
Registration to discharge in one record: OPD queues, IPD beds, doctors' orders, pharmacy, lab, billing and insurance claims, with ABHA-linked health records and an app where patients book, pay and download reports.
Design mockup with sample data. This is a solution blueprint by Infovion Technologies, not a client engagement.
- 11
- modules, OPD to MIS
- 9
- roles, from reception to management
- 5 – 8 months
- phased, department by department
- ₹15 – 40 lakh
- typical budget for one hospital
The situation
The problem this solves
A 100-bed hospital runs on four systems that do not talk to each other: an old desktop HMS for billing, a separate pharmacy package, the lab's own software and spreadsheets for insurance claims. A patient's name is typed four times, pharmacy issues do not reach the final bill, and discharge takes hours because someone has to collect charges from every department.
Management wants one patient record across departments, a discharge bill ready when the doctor signs the summary, claims that are not rejected for missing documents, and compliance with ABDM and the DPDP Act without replacing everything in one night.
The system
What it includes
Registration and OPD
A unique hospital ID with ABHA linking, appointments, tokens and queue screens, vitals, consultation notes, e-prescriptions and follow-up reminders.
IPD and bed management
Admission, bed and ward transfers, a live bed board, nursing notes, medication charts, doctors' orders and discharge summaries from templates.
Pharmacy
Batch and expiry stock, purchase and GST, prescription-linked dispensing, ward indents, returns, and charges posted to the patient's bill as they happen.
Laboratory and radiology
Orders from OPD and IPD, barcoded samples, analyser interfaces where machines support them, report approval and reports delivered to the patient's phone.
Billing, packages and insurance
OPD and IPD billing, packages, advances, corporate and TPA tariffs, pre-authorisation, claim documents and settlement tracking.
ABDM integration
ABHA creation and verification, Scan and Share registration, and health records linked and shared with consent through the M1 to M3 milestones.
Patient app
Appointments, payments, reports, prescriptions and discharge summaries, as a progressive web app that needs no app store installation.
Operation theatre
OT scheduling, surgeon and anaesthetist notes, consumables and implants charged to the case.
Stores, assets and housekeeping
General stores, departmental indents, equipment maintenance and bed turnaround.
Doctor payouts and HR
Consultant shares by service, attendance, rosters and payroll inputs.
Management information
Occupancy, average length of stay, revenue by department and doctor, receivables from insurers, and pharmacy margins.
How it works
From input to outcome
- 01
Register
One record per patient, linked to ABHA where the patient agrees.
- 02
Consult and order
The doctor's orders for medicines, tests and procedures go to each department.
- 03
Deliver and charge
Each department completes the order and the charge reaches the bill at once.
- 04
Discharge
Summary, final bill and claim documents are assembled from the same record.
- 05
Follow up
Reports, reminders and records reach the patient's phone.
What the design is built to achieve
- A discharge bill that is complete when the doctor signs the summary, because charges post as services are delivered.
- One patient record across OPD, IPD, pharmacy, lab and billing.
- Claims submitted with the documents insurers ask for, tracked to settlement.
- Access by role, a full audit log, consent records and data kept in India for the DPDP Act, 2023.
Technology
Next.js, NestJS, PostgreSQL, HL7 FHIR R4, ABDM gateway APIs, Progressive web app, Role-based access and audit log, AWS Mumbai
Budget and timeline
| Build, clients in India | ₹15 – 40 lakh |
|---|---|
| Build, clients outside India | $18,000 – 48,000 |
Timeline. 5 – 8 months in phases: OPD and billing first, then pharmacy and lab, then IPD and insurance.
Running cost. Hosting in an Indian region and an annual maintenance contract; ABDM milestone approval is granted by NHA for the hospital's software.
Indicative planning ranges for 2026. Every project receives its own fixed-price proposal after a first call. Source code and accounts belong to the client.
Request a fixed-price proposalFAQ
Frequently asked questions
How much does it cost to develop a hospital management system in India?
A single module such as pharmacy, lab or billing is typically ₹2 lakh to ₹8 lakh. A custom HMS for one hospital is typically ₹15 lakh to ₹40 lakh, and a platform for a hospital chain ₹40 lakh and above, depending on departments, integrations and ABDM milestones.
Should a hospital buy a ready-made HMS or build a custom one?
A ready-made HMS is quicker and cheaper for standard workflows. Custom development makes sense for hospital chains, unusual billing and package rules, deep integration with existing systems, or when per-bed and per-user licences have become expensive. We say so when a product is the better fit.
Can you integrate an HMS with ABDM?
Yes: ABHA creation and verification, Scan and Share, and linking and sharing health records through the M1, M2 and M3 milestones. NHA tests and approves each milestone for the hospital's software.
Can the new system replace our old one in stages?
Yes, and that is how this design is planned: one department at a time, with data migrated and both systems running in parallel for a short period.
Is this a project you delivered for a client?
No. This page is a solution blueprint, shown with sample data. Infovion does not sell a ready-made hospital product; healthcare engagements usually begin with an audit or a single module.
More blueprints
Other systems we have designed
Looking for delivered work? Read the case studies on our school ERP, jewellery software and website.
Planning a system like this?
Tell us how the work is done today. We reply within one business day with questions, an approach and a fixed-price proposal where the scope allows.