Every counter closes with a count
Expected cash against counted cash, recorded against the operator's name. A shortfall never blocks closing, and never disappears.
Altushi HMSHospital management ERP
Every taka, every patient, every sample, in one system.
A hospital ERP for private hospitals, clinics and diagnostic centres. Front desk, billing, lab, wards, OT, pharmacy, accounts and HR work as one system, so a test a doctor orders reaches billing and the lab without being typed again.
- Runs on your hospital's own network and keeps working when the internet is down
- Discounts, refunds and write-offs wait for approval, with a name on every decision
- Each staff member sees only the screens for their job
৳ 50 shortCounter variance today
2 approvals waitingLive snapshot for the MD
- modules, licensed one by one
- 15
- staff roles, each with its own screens
- 16
- HR and payroll reports
- 50+
- automated test cases written for the product
- 2,300+
The joins between departments are the point
Most hospital software has the modules. What goes wrong is the hand-over between them: a test typed twice, a report handed out before it is paid, a discount nobody can explain. Follow one outpatient through Altushi HMS.
1 of 8
Step 1 of 8
Register the patient
The receptionist searches by name, phone or ID. A possible duplicate is flagged before a second record is created. The patient gets a permanent ID and a barcode card, and a welcome SMS goes out. An unconscious patient can be registered with no name and completed later.
Step 2 of 8
Give a doctor's serial
Each doctor card shows the room, today's count against capacity and the next free serial. The serial is sent to the patient by SMS, and the waiting-room TV shows who is in the chamber with patient names masked.
Step 3 of 8
The doctor consults and orders tests
Vitals taken by the nurse are already on screen, with the last visits and recent results. The doctor writes the prescription with personal templates and favourite medicines, orders tests, and prints the prescription on the hospital's letterhead.
Step 4 of 8
The counter bills it without retyping
The tests the doctor ordered are already waiting at the billing counter. The operator takes cash, card, bKash or Nagad, split across tenders if needed. A discount above the operator's limit holds the bill until a supervisor approves it.
Step 5 of 8
Payment releases the sample labels
Only a fully paid order reaches the lab. Once it is paid, one barcode label per tube is ready to print, and the slip shows the promised report time worked out from each test's turnaround time.
Step 6 of 8
The lab scans, results and verifies
Scanning a tube moves it along the work board, from collection to result entry. Normal ranges are applied by age and sex and abnormal or critical values are flagged. The pathologist verifies with an e-signature and BMDC number.
Step 7 of 8
The patient is told, and the report is handed over
Verification sends the "report ready" SMS in the same action. At the delivery desk a report cannot be handed over while money is owed, and the exact report version given out is logged. Patients can check report status from a public page.
Step 8 of 8
Every taka reaches the managing director
At shift end each counter counts its cash against what should be there, and the difference is recorded against the operator's name. The MD dashboard shows income, collections, dues, discounts with who approved them, and counter variance.
What each department gets
Buy the modules you need. Every one of these is working in the product today.
Front desk
The hospital's answer window: find anyone in seconds and answer the family's questions without phoning the ward.
- Patient registration with permanent ID, duplicate warning and barcode ID card; reprints are counted
- Quick registration for an unknown or unconscious emergency patient
- Help Desk: where an admitted patient is, their running bill estimate, free beds by class and today's doctors
- Doctor serials with daily capacity, called in, finished, no-show and cancel
- Waiting-room TV queue and a public report-status page, with no money or diagnosis shown
Screens: New Patient, Patient Directory, Help Desk, Serials / Queue
Billing & cash
Money moves only through an open counter, and every counter closes with a count.
- OPD and emergency invoices; tests ordered by doctors appear automatically
- Split payment across cash, card, bKash and Nagad with a reference
- Due collection, and refund or cancel only with a reason and approval
- Counter sessions and a day-close statement: expected cash, counted cash and the difference by operator
- Collection reports by payment method, counter, operator, department and referrer, with due ageing
- Company (panel) patients: bills charged to a company, company statements and company payments
Screens: OPD Invoice, Due Collection, Company Payments, Refund & Cancel, Counter Session, Counter Day-Close, Collection Reports, IPD Billing
Diagnostics & lab
From the paid order to the signed report, with every stage timed.
- Diagnostic orders with referrer, barcode sample labels and a promised delivery time
- Work board with six stages, advanced by scanning the tube
- Reject a sample with a reason and a new collection label is created automatically
- Result entry with normal ranges by age and sex, and high, low and critical flags
- Pathologist verification with e-signature and BMDC number; unverified reports print as provisional
- Amendments keep both versions, and the corrected report says which version it replaces
Screens: Diagnostic Order, Report Delivery, Work Board, Result Entry, Verification Queue, Amend a Report
Radiology
Paid imaging orders reach the right machine's worklist on their own.
- A worklist for each machine you set up, such as X-ray, ultrasound or ECG
- Map each imaging test to a machine; unmapped tests are counted so none are lost
- Mark a study done with film size and count
- Template-based reports signed by the consultant; unsigned reports print as provisional
Screens: Modality Worklist, Machines & Mapping
Doctors & nursing
Clinical records that are quick to write and cannot be quietly changed.
- Consultation queue with vitals recorded before the doctor sees the patient
- Prescriptions with the doctor's own templates and favourite medicines, printed on the hospital letterhead
- A signed prescription is never edited; a correction is a new note linked to the old one
- Patient record: past visits, prescriptions, verified results and admissions in one place
- Indoor prescriptions, medication chart, diabetic chart and shift receive notes
- Nursing Station, care tasks and ward duty roster
Screens: Consultation Queue, Pre-checkup Vitals, Patient Record, My Templates, Indoor Prescription, Nursing Charts, Care Tasks
Indoor (IPD)
One running bill per stay that fills itself in.
- Ward board with every bed as free, occupied, reserved, cleaning or out of service
- Admission from OPD, emergency or direct, with reservation and admission packages
- Bed rent for every night is added at that night's rate, including after a transfer
- Ward medicine requests and lab or imaging orders post to the bill automatically
- Discharge settlement deducts advances and tells the cashier any excess to return
- Discharge, death and birth certificates with counted reprints; gate pass
- Patients with unpaid dues can be blocked from further service, with approval to release
Screens: Ward Board, New Admission, Admissions & Census, Ward Indents, Certificates, IPD Reports, Nursing Station, Ward Duty, Wards & Beds, Admission Packages
Operation theatre
An operation cannot be completed without being billed.
- Schedule with theatre, time and team; a theatre or surgeon clash is refused
- Case moves from patient sent for, to started, to complete
- Completing a case posts the operation charge and the surgeon, anaesthetist and assistant fees
- Consumables are issued from pharmacy stock and added to the bill as they are used
- Chronological operation register
- Post-operative follow-up SMS on the days you set for each operation type, with the patient's answer recorded
Screens: OT Board, Schedule an Operation, Operation Register, Theatres, Post-op Follow-ups, Follow-up Rules
Pharmacy
The system picks the batch, so expired medicine never leaves the counter.
- Counter sale by brand or generic name; earliest-expiry batch first, expired stock hidden
- Ward requests issued and charged to the patient's bill batch by batch
- Purchase orders with approval; receiving records batch, expiry, cost and MRP
- Near-expiry and expired lists; quarantine, write-off with approval, return to supplier
- Stock count where any difference becomes an approval request
- Transfers between outlets, supplier ledger, reorder list, reports and dashboard
Screens: Pharmacy Sale, Stock & Expiry, Purchase Orders, Products & Companies, Indoor Issue Queue, Outlet Transfers, Suppliers & Ledger, Pharmacy Reports, Pharmacy Dashboard
Accounts
The day's collections reach the ledger without being keyed in again.
- Chart of accounts the hospital can arrange for itself
- Vouchers with maker and checker: the person who drafts cannot approve
- Each counter day-close posts to the ledger automatically, income split by department
- Trial balance; corrections are made with reversing vouchers, never edits
Screens: Chart of Accounts, Vouchers, Trial Balance
SMS
Patients hear from you at the moments that matter.
- Messages on registration, serial, admission, discharge, report ready and post-operative follow-up
- Edit the exact wording of each message, in English or Bangla, and switch each one on or off
- Every message is logged with its status and can be resent
- Connects to the SMS provider you choose through its web gateway
Screens: SMS Tray, SMS Templates
Administration
Control who can do what, and see who did it.
- Approvals inbox for discounts, refunds, reopened bills, late postings, patient blocks, write-offs and purchase orders
- Approval tiers and waiting times are set by the hospital, for example a discount moving up to the MD if nobody answers in 10 minutes
- Users and roles with an editable permission matrix; staff are deactivated, never deleted
- Price list where changes take effect from a date, so old bills always keep old prices
- Bulk import of the test price list from a spreadsheet; doctors, referrers and report templates are set up on screen
- Searchable audit viewer showing who changed what and when
Screens: Approvals Inbox, Users & Roles, Price List & Catalog, Bulk Import, Doctors & Referrers, Corporate Customers, Report Templates, SMS Templates, Audit Viewer
MD dashboard
Today's money story on one screen, for the owner.
- Income, collections, outstanding dues, discounts, refunds and counter variance for today
- Admissions, discharges, patients in-house and bed occupancy
- Twelve-day income trend and income by department
- Consultants ranked by patients and income
- Today's discounts grouped by reason, and yesterday's totals in one line
- Live snapshot of lab orders in progress, approvals waiting and counters still open
Screens: MD Dashboard
Money cannot quietly leak
The most common complaint about hospital software in Bangladesh is revenue that disappears between departments. These controls are built in, not bolted on. The approval rules below are an example set-up; each hospital sets its own approvers, limits and waiting times.
Who approves which request — 6 rules
| Request | Who asks | Who decides | Example if nobody answers |
|---|---|---|---|
| Discount above the operator's limit | Billing operator | Billing supervisor | Moves up to the MD after 10 minutes |
| Refund | Billing operator | Billing supervisor | Moves up to the MD after 10 minutes |
| Reopen a settled bill | Billing operator | Billing supervisor | Stays with the supervisor |
| Patient due-block or release | Front desk or billing | Approver in the inbox | Set by your hospital |
| Stock write-off | Pharmacist | Approver in the inbox | Set by your hospital |
| Purchase order | Pharmacist | Approver in the inbox | Set by your hospital |
Nothing is deleted
Wrong entries are reversed or amended with a reason and a name. Staff are deactivated, not removed, so every receipt keeps who made it.
Prices with dates
A price change starts from a chosen date and cannot be back-dated, so an old invoice always reprints at the price the patient paid.
No payment, no lab
A part-paid order prints no labels and appears on no worklist. A finished report cannot be handed over while money is owed.
Two people for money decisions
Accounts vouchers and payroll runs are prepared by one person and approved by another. The same person cannot do both.
Every action has a name
Sign-in is personal, accounts lock after repeated wrong passwords, idle screens sign out, and the audit viewer answers "who did this?"
Each person sees only their job
Staff sign in to a home screen with their daily jobs as large buttons, and a menu with only their screens. The rules are enforced on the server, not just hidden in the menu.
What each of the 15 roles sees
- Receptionist
- Registration, serials, help desk, admissions and bed board
- Billing operator
- OPD and test billing, dues, refunds, day-close, discharge settlement, certificates
- Billing supervisor
- Approvals inbox, collection reports and counter variances; holds no cash drawer
- OPD consultant
- Consultation queue, prescriptions, templates, patient record
- Nurse
- Vitals, ward services, medicine requests, nursing charts
- Lab technologist
- Work board and result entry; cannot verify
- Pathologist
- Verification, amendments and signing reports
- Radiology technician
- Machine worklists and study completion
- Pharmacist
- Sales, ward issues, purchases, stock and expiry
- OT in-charge
- Theatre scheduling, cases and the operation register
- Accounts officer and manager
- Vouchers, approvals and trial balance
- HR officer
- Employees, attendance, leave and payroll
- Department head
- Team attendance, rosters and leave recommendations, without salaries
- Admin
- Users, roles, prices, templates and audit; cannot bill or write clinical notes
- Managing director
- MD dashboard, escalated approvals and audit viewer
One running bill for the whole stay
An admitted patient has one account from admission to discharge. Most charges arrive on it by themselves, and the rest are one deliberate entry by the ward, priced by the system.
What posts to the bill by itself, and what happens at discharge
Posts to the bill by itself
- Admission fee and package price at admission
- Bed or cabin rent for every night, at that night's rate
- Lab tests and imaging ordered for the patient
- Medicines issued by the pharmacy against a ward request
- Operation charge and surgeon, anaesthetist and assistant fees when the case is completed
- Service charge on packages at settlement
At discharge
- Settlement brings bed days up to date and freezes the bill
- Advances are deducted, and any excess to return is shown to the cashier
- The desk sees any other unpaid bills before releasing the patient
Operation theatre that bills itself
Schedule a case with theatre, time and team. A clash with the same theatre or surgeon is refused. When the case is marked complete, every fee posts in the same action and consumables used in theatre come off pharmacy stock onto the bill.
From tube to signed report
Only paid orders reach the bench, and every tube is followed through six stages against the time the patient was promised.
- Awaiting collection
- Collected
- Received at lab
- Result entered
- Verified
- Delivered
Lab and radiology in detail — 4 points
Scan to move
Each tube has its own barcode. Scanning moves it to the next stage, and a late sample is marked against the promised time.
Ranges applied for you
Normal ranges by age and sex, with high, low and critical flags. A critical value must be acknowledged before the report is released.
Signed, versioned reports
Pathologist e-signature with BMDC number. Unverified reports print as provisional, and an amendment keeps the original readable.
Radiology on the same thread
Imaging orders go to each machine's worklist, reports are written from templates and signed, and the same report-ready SMS goes out.
A pharmacy that cannot sell expired stock
Batches, expiry dates and suppliers are tracked from the carton to the patient.
Earliest expiry first
The sale takes the batch that expires first. Expired or finished items do not appear on the counter at all.
Ward medicine on the bill
Nurses raise requests, the pharmacy issues them, and each batch is priced onto the patient's running bill. Returns restock the exact batch.
Purchases with approval
Purchase orders need approval. Receiving records batch number, expiry, cost and MRP, and the supplier balance updates itself.
Stock differences explained
Quarantine, write-off with approval, return to supplier, and stock counts where every difference needs a decision.
HR & Payroll, inside the hospital or on its own
The HR & Payroll module runs the hospital's own staff from joining to final settlement. It is also sold as a separate product to any employer that needs payroll, with no hospital screens in it.
What HR & Payroll covers — 4 groups
People
- Employee file with documents, dependants and nominees
- Organisation structure, designations and grades
- Employee timeline: everything that happened to a person, in order
- Appointment, experience and termination letters
Time and leave
- Attendance from device files, including night shifts across midnight
- Rosters, time requests and corrections with reasons
- Leave desk, leave calendar and year-end close
Payroll
- Payroll runs with a review of what changed since last month
- Prepared by one person, approved by another
- Payslips with the amount in words
- Bank transfer CSV and cash sheet for paying salaries
- Loans and advances, bonus, increments and promotions
- Separation and final settlement
Self-service
- "My space" for each employee
- "My team" for managers
- Pay rules such as tax slabs, provident fund and gratuity are set by the employer, not hard-coded
Registers HR already asks for
All 16 HR registers
- Salary sheet
- Leave register
- Leave balance statement
- Absence register
- Late arrival & early departure register
- Overtime register
- Bonus register
- Increment & promotion register
- Loan & advance register
- Provident fund statement
- Welfare fund statement
- Final settlement register
- Employer cost statement
- Probation register
- Contract expiry register
- Professional licence register
Built for power cuts, patchy internet and your own server
Altushi HMS is designed to run inside the hospital. Day-to-day work needs no internet; SMS and remote support wait until it returns.
How it is installed and kept running — 6 points
On your hospital network
The system runs on a server inside the hospital. Registration, billing, lab, pharmacy, dashboards and backups keep working with no internet; SMS waits and sends when the connection returns.
Or on a cloud server
The same system can run on a cloud server for sites that prefer it, such as a diagnostic centre without its own server room.
Backups you can restore
Continuous database archiving, a nightly backup and a weekly full copy, with a restore script and a point-in-time recovery drill.
A licence that never locks you out of your records
Buy the modules you need, with no limit on the number of users. The licence works without internet. After expiry there is a 30-day grace period, then the system becomes read-only, so records can still be viewed and printed.
The printers counters use
Money receipts on an 80 mm thermal roll or A4 from the same layout, A4 reports and statements, and Code 128 barcodes on sample tube labels and patient ID cards.
Modest hardware
It runs on a small server or mini PC. We size the machine to your counters and beds, and it can move to a bigger one as you grow.
Start configuring before you open
If your hospital is still being built, you can load your real set-up now, so the system is ready on day one.
Load your price list
Import tests and services from a spreadsheet. Rows with mistakes come back individually while the rest load.
Set up wards, beds and packages
Wards, bed classes, daily rates and admission packages, all with dated prices.
Add doctors, referrers and staff
Doctors with rooms and serial capacity, reporting consultants with BMDC numbers, and user accounts by role.
Train each role
Short, role-by-role sessions for each desk. The screens are designed for non-technical staff, with each role seeing only its own work.
Go live with us beside you
Demo accounts are switched off, every user gets a private password, and we support the first days of real work.
Pricing tailored to your hospital
We do not sell one-size packages. Tell us how you work and we send a written quote that states exactly what is included, and what is not.
What shapes the price
- The modules you need, from front desk and billing up to the full hospital with HR
- Number of branches
- Your own server in the hospital, or a cloud server
- How much existing data we import and set up for you
- Training days and on-site support at go-live
Contact for price
Every installation includes
- Installation and configuration
- Price list and master data import
- Role-by-role staff training
- Go-live support
Prefer email? Write to hello@altushi.com
Questions hospitals ask
Not answered here? Ask us directly and a person who knows the software replies.
Ask your question on WhatsAppDoes Altushi HMS work without internet?
Yes, when it runs on a server inside the hospital. Registration, billing, lab, pharmacy and dashboards work over the hospital's own network. Outgoing SMS and remote support wait until the connection comes back.
Do we have to buy every module?
No. The licence lists the modules you use, and more can be added later by updating the licence file, without reinstalling.
How many users can we have?
There is no limit on user accounts. Every staff member should sign in as themselves, because every receipt, discount and report carries the name of the account that made it.
What happens if our licence expires?
A banner appears and a 30-day grace period starts. After that the system becomes read-only: records can still be viewed and printed, but new entries are refused until the licence is renewed.
Can patients get SMS in Bangla?
Yes. Message templates can be written in Bangla or English, and the screen shows how many SMS parts a message will use. Operator screens are in English.
Which hardware do we need?
A server or mini PC for the hospital network, ordinary desktop computers with a browser at the counters, thermal receipt printers, an A4 printer, and a barcode label printer and scanners for the lab. We help you choose.
Can we import our test and price list?
Yes. The price list loads from a spreadsheet, and wards, beds, packages, doctors and users are set up on screen. We do this with you during setup.
Do the lab machines send results automatically?
In the current version results are entered at the bench, with normal ranges and flags applied automatically. Tell us which analysers you use and we will discuss what is possible.
Is there a blood bank or general store module?
Not in the current version. If your hospital needs them, tell us during the demo so we can talk about your requirements.