Hospital Management
A 180-bed private hospital, Delhi NCR
How we built an HMS for a 180-bed Delhi NCR hospital, joining OPD, pharmacy, lab and billing. Pharmacy revenue leakage down 68%, OPD billing closed same day.
Next.js · Node.js · PostgreSQL · Redis · React Native · PDF generation · HL7 lab interface
Same-day
Billing cycle (OPD)
−68%
Pharmacy revenue leakage
40 min/shift
Nurse admin time saved
The problem
OPD registration was done on paper. Pharmacy dispensing wasn't tied to patient records, so medicines went out on the ward and never made it to the bill. Lab results were printed and carried to doctors by hand, and now and then a result reached the treating doctor after the patient had already gone home. Closing the revenue cycle took 18–22 days after discharge, because the billing team had to piece together what had actually happened from three systems that didn't talk to each other.
What we built
One integrated Hospital Management System. It covers OPD queue and registration, IPD admission and discharge with bed assignment, a live bed occupancy dashboard for ward supervisors, pharmacy dispensing linked to the active patient file, lab results pushed straight into the doctor's patient view, and insurance billing with procedure code mapping. Nurses get a React Native ward app to update room status and vitals without walking back to the station.
What it includes
Outcome
82% of OPD cases now close billing the same day. Revenue lost to unbilled pharmacy dispensing fell by 68% in the first quarter after launch. Ward nurses got back about 40 minutes a shift that used to go on paperwork. The hospital's COO put it simply: 'the first system that made the billing team and the clinical team actually talk to each other.'
Common questions
How long does it take to develop a hospital management system?
For a 100–300 bed hospital, a fully custom HMS usually takes 4–6 months from scope sign-off to go-live. Most of the uncertainty sits in the lab and pharmacy integrations. If your analyser or pharmacy POS already has an HL7 or API interface, things move a lot faster. If it doesn't, we build a middleware layer. We work this out honestly during discovery, before we commit to a date.
What does hospital management software development cost in India?
Custom HMS development in India usually lands between ₹10–30 lakh, depending on how many departments, integrations and mobile pieces are involved, and what compliance you need. Packaged HMS products look cheaper at first, but the customisation, annual licences and workflow mismatches add up. After a 30-minute discovery call we'll give you a written estimate.
Can the system integrate with existing lab analyser and pharmacy software?
Yes. Most lab analysers speak HL7 or ASTM, and most pharmacy POS systems have an API or at least an export. We've integrated with common lab equipment and Tally-based pharmacy billing before. If your vendor can give us documentation, we can build the interface. We check feasibility as part of scoping, not halfway through the build.
Does the system support NABH and NABL documentation requirements?
Our default audit log records every state change on every record, who made it and when. That covers most of NABH's operational documentation needs. NABL requirements for lab software (ISO 15189) depend on which modules you're running. We'd rather list your compliance requirements explicitly in discovery and build them in from day one than bolt them on later.
Related work
Building something in Hospital Management? We’ve probably solved the hardest part already.
Tell us what you’re dealing with — no long forms, no agency boilerplate. We respond within one business day.