The Elo Cloud family
Complete Cloud Hospital Information System

Hospital Management System for Pakistan, with Built-In Accounting

EloHIMS is a cloud hospital management system for hospitals, clinics and diagnostic labs in Pakistan. Registration, OPD, emergency, wards, theatres, laboratory, radiology, pharmacy and billing work on one patient record, and every charge posts to a built-in double-entry general ledger — so the books balance without a month-end reconciliation. Lab results cannot be signed out while any value is still unverified. Integrates with FBR digital invoicing and PRA, prints in English and Urdu, and needs no servers to manage.

✓ Cloud-based · Multi-branch & multi-tenant · A4 + 80mm thermal printing
Executive Command Centre
LIVE
Collections today
$24.1k
▲ 14% vs yesterday
Bed occupancy
82%
148 / 180 beds
OPD today
312
18 in ER queue
Revenue · all departments · today
✓OT Case #OT-482 completed · billed & posted to GLnow
℞Pharmacy dispensed against batch B-2209 · stock drawn2m
!ICU Bed 4 — sepsis alert raised · MAP recomputed6m
Illustrative dashboard — sample data
35+
Integrated modules
100+
Pre-built reports
10+
Specialty units covered
1
Real double-entry ledger
24/7
Live command centre

What is a hospital management system with built-in accounting?

A hospital management system with built-in accounting has a native double-entry general ledger that automatically posts every patient charge, payment, refund and pharmacy cost of goods sold as real journal entries. This removes separate bookkeeping software, keeps the books balanced in real time, and ends month-end reconciliation between clinical billing and financial records.

What EloHIMS is

A hospital management system with accounting built in.

A hospital management system (HMS) — often called a hospital information management system or hospital information system — runs the patient side of a hospital: registration, appointments, OPD, emergency, wards, theatres, laboratory, radiology, pharmacy and billing. Where the HMS and the accounts are two separate systems, someone has to reconcile them every month.

EloHIMS keeps the general ledger inside the same system. A consultation fee, a ward test, a dispensed medicine, a panel credit bill or a deposit refund posts its own double-entry voucher at the moment it happens, so the trial balance and the clinical record never disagree.

Accounts mapping your accountant controls
OPD, bed, ICU, pharmacy, lab, radiology, procedure, deposit, doctor-payable and panel-receivable postings each map to a ledger you choose on one Accounts Mapping screen. Department and ward ledgers still take precedence where they are set.
Receivables and refunds in the same books
An inpatient bill can be part-paid, with the balance carried on the patient's account and collected later on a cashier's shift. Unused deposits are refunded from the shift with their own ledger entry.
Doctor commission accrued as it is earned
When a hospital switches accrual on, commission rules by doctor, department and service area post the doctor's share on the bill's own voucher, and a monthly statement shows what is owed and paid.
The patient journey

Every department on one record.

A patient is registered once and keeps one MRN at every desk. What matters is the handoff: the next department receives the order already filled in, and the charge lands on the right bill — the visit, the ER episode or the admission.

1
Registration
One MRN, with the payer — cash, panel, insurance, scheme or welfare — recorded at the desk and shown on the consult and ward chart.
2
OPD consultation
Lab and imaging orders leave with routine, urgent or STAT priority and clinical notes. Admit, Book OT and Send to ER open the next desk prefilled.
3
Emergency
ER doctors order tests, imaging, medicines and procedures, STAT by default. Charges build a running ER bill that moves to the admission if the patient stays.
4
Wards (IPD)
Ward orders reach the lab and imaging worklists and are charged to the admission, not a cash bill. Blood is requested from the bedside.
5
Operation theatre
For planned cases, induction is refused until the booking's fitness and consent are in. The op note and implants reach the ward chart and the discharge summary.
6
Laboratory & radiology
Signed-out results go to the ordering doctor's inbox, critical first, and open on the same visit for review.
7
Pharmacy
OPD, ward and ER prescriptions share one queue. A prescription stays open until every line has been dispensed.
8
Billing
One itemised bill per visit, ER episode or admission — deposits, part payments and refunds included — posted to the ledger.
Front Office & Patient Access

One patient, one MRN, one lifetime record.

Register a patient once and that identity flows through every department they ever touch. The 360° record stitches every visit, admission, prescription and bill into one chronological story.

ID
Registration & Master Index
Unique MRN at first contact, quick-register for busy queues, zero duplicate records.
360°
Patient 360° Medical Record
Allergies, diagnoses, prescriptions and bills — the whole patient in seconds.
📅
Appointments & Doctor Rosters
Schedule-aware booking against real availability; follow-ups pre-fill themselves.
#
OPD Tokens, Queues & Referrals
Live per-doctor queues, nurse vitals at the queue, and referrals that carry context.
OPD Queue · Dr. S. Raza · Cardiology
LIVE
T-14
Muhammad Imran · MRN 100482
BP 128/84 · Pulse 76 · Temp 98.4°F — vitals by Nurse Farah
IN CONSULT
T-15
Ayesha Bibi · MRN 100513
Vitals recorded · waiting 6 min
NEXT
T-16
Abdul Qadir · MRN 099871
Referred from Medicine · Dr. Anwar — context attached
WAITING
T-17
Nasreen Akhtar · MRN 100609
Follow-up · pre-filled from consultation on 02 Jul
WAITING
12 waiting · avg wait 9 min Call next →
Outpatient & Clinical Records

An EMR that reshapes itself to every specialty.

Gynae sees obstetric history. Chest sees smoking history. Eye sees visual acuity. One consultation screen, department-specific forms your hospital owns and edits — no developer required.

Consultation · Gynae & Obs
Gynae form Chest Eye Paeds
⚠ Allergy: Penicillin — surfaced from 360° record
Chief complaint
Lower abdominal pain · 3 days
Obstetric history
G3 P2 A0 · LMP 12 Jun
Diagnosis · from master data
Pelvic inflammatory disease
Plan
Rx + USG pelvis · review 1 wk
℞ E-Prescription · A4/A5 · English + اردو dosage
Book follow-up →
Single-screen consultation
Complaint, history, examination, diagnosis and plan in one uninterrupted clinical flow — powered by curated clinical master data.
Bilingual e-prescriptions
Inventory-linked medicines, English + Urdu dosage instructions, A4 or A5 formats, author-only edit and tamper-resistant reprints.
Doctor Console — "My Day"
My Queue, My Appointments, My Timetable — a doctor-scoped workspace secured to the physician's own patients.
Follow-ups that close themselves
The next visit is booked inside the consultation and pre-fills the appointment — continuity captured in the room.
Inpatient Care (IPD)

Every bed accounted for. Every bed-day billed.

An admissions cockpit places the patient in a named ward and bed in seconds. The visual bed board shows live capacity, CPOE-to-MAR closes the order-to-dose loop, and bed charges accrue automatically every single day.

→Admissions & ADT — admit, assign, transfer as governed actions; the statutory ADT register keeps itself.
→CPOE & MAR — doctors order electronically; nurses chart each dose with time and attribution.
→Automatic bed-charge accrual — the right daily tariff lands on the running bill without anyone remembering.
→Structured discharge summary — diagnosis, course, procedures, take-home meds — filed to the 360° record.
Bed Board · Surgical Ward B
Occupied Vacant Reserved Cleaning
B-01
Day 3 · $45/d
B-02
Day 1 · $45/d
B-03
Vacant
B-04
Reserved
B-05
Day 7 · $45/d
B-06
Cleaning
B-07
Day 2 · $45/d
B-08
Vacant
B-09
Day 5 · $45/d
B-10
Day 1 · $45/d
B-11
Vacant
B-12
Day 4 · $45/d
MAR · Bed B-05: Inj. Ceftriaxone 1g given 08:00 — Nurse Saima ✓ Charted
Emergency & Critical Care

When minutes decide outcomes.

A live ER board with immutable triage and real wait clocks. An ICU chart with severity scoring, automatic sepsis alerts and SBAR handover — including a dedicated NICU neonatal profile.

Emergency Board
7 IN DEPARTMENT
P1 RESUS RTA · male 34 · Bay 1 ⏱ 00:04:12
P2 URGENT Chest pain · female 58 · Bay 3 ⏱ 00:11:47
P3 Laceration · male 22 · Minor bay ⏱ 00:26:03
Triage locked at presentation · timestamps timezone-correct · walk-in ER billing path
ICU Chart · Bed 4
⚠ SEPSIS ALERT
MAP
62
auto-recomputed
HR
118
bpm
SpO₂
93%
on O₂
Severity
High
scored
SBAR handover · 20:00 — Situation: post-op day 1, trending febrile. Background: emergency laparotomy. Assessment: early sepsis, cultures sent. Recommendation: escalate antibiotics, hourly obs.
Dedicated NICU neonatal profile · statutory mortality register & MRC review built in
OT Schedule · Today
3 theatres · 8 cases
OT-1
09:00
Lap. Cholecystectomy
Dr. Hamid (Surgeon) · Dr. Rubina (Anaesthetist) · Pre-op fitness ✓
IN PROGRESS
OT-2
10:30
TURP
Dr. Saleem · from surgical waiting list · fitness cleared 08 Jul
SCHEDULED
CATH
11:15
Coronary angiography + PCI
Radial access · 2 × DES stents logged & billed · cath register updated
SCHEDULED
Statutory OT register — kept automatically ✓ All cases billed to GL
Surgical & Cardiac Services

Theatres that never leak revenue.

Every case scheduled, documented on a structured record, entered in the statutory register, and reconciled to the patient's account before they leave recovery — including unscheduled walk-in and emergency cases.

→Multi-theatre scheduling — with team assignment, waiting list and pre-op fitness gating that cuts day-of cancellations.
→Structured OT case record — surgeon, anaesthetist, procedure, findings and operative notes filed to the 360° record.
→Cath-lab for cardiac centres — operator, access route, findings, stents and hardware — documented and billed precisely.
Specialty Care Units

Specialties that need more than a generic form.

Dedicated clinical workflows, each tied to the same record, billing and command centre. Dialysis, chemotherapy, pregnancy care and the cataract list are enrolled straight from the OPD consultation.

◔
Nephrology & Dialysis
Standing programmes with orders carried forward and per-session records — pre/post weights, dialyser, vitals, complications. A four-week session calendar is planned from the schedule, billed per session or as a monthly package. Dialysis →
⬡
Oncology Day-Care
Documented chemotherapy regimens and cycles, a two-person preparation check before infusion, CTCAE v5 toxicity grading after each cycle, and the next cycle date worked out on completion. Oncology →
♥
Cardiology & Cath-Lab
Elective cases need creatinine, INR and contrast-allergy status before booking. Every stent and device is logged, billed and searchable by lot, serial or UDI for a recall. Cath-lab →
♀
Gynae & Obstetrics
Antenatal tracking against the WHO eight-contact schedule, a partograph with alert and action lines, and delivery records that feed the births register and give the newborn an MRN linked to the mother. Obstetrics →
⌇
Urology
A structured procedure register and a DJ-stent tracker: a stent left in after TURP, PCNL or URS alerts the urologist on its first overdue day and weekly after that, until it is removed. Urology →
◉
Ophthalmology
Eye OPD forms for vision and refraction, anterior and posterior segment; a cataract list sorted by priority; biometry before theatre; batch surgery days and D1/W1/M1 reviews — camp to glasses on one MRN. Eye hospital software →
Hospital Pharmacy

The shelf, the record and the ledger — always in agreement.

Every dispense draws down real stock batch-by-batch, posts cost-of-goods to accounting as a genuine double-entry movement, and lands on the patient's bill. OPD counter and ward trolley, one pharmacy.

→Batch & expiry management — rotate correctly, spot short-dated stock before it becomes a write-off.
→Automatic COGS posting — inventory relieved, cost recognised. No manual journals, ever.
→Direct-to-bill flow — dispensed items land on the visit or admission account automatically.
Dispense · Rx #RX-88214 · MRN 100482
LIVE STOCK
Tab. Amoxicillin 500mg × 21
Batch B-2209 · Exp 03/2027
Stock
412 → 391
✓ DISPENSED
Syp. Paracetamol 120mg/5ml × 1
Batch B-1876 · Exp 11/2026
Stock
84 → 83
✓ DISPENSED
⚠ Batch B-1420 (Inj. Ceftriaxone) expires in 32 days — 18 units short-dated
GL: Inventory −$12.4 · COGS +$12.4 Patient bill: +$18.9 · posted automatically
Billing & Revenue Cycle

Clinical activity becomes clean money — automatically.

Every charge, payment, refund and dispense posts to a real double-entry general ledger. The books are always balanced — there is no separate bookkeeping and no month-end reconciliation marathon.

One account per encounter
Consultations, procedures, pharmacy and daily bed charges assemble onto a single itemised bill per visit or admission — printed clean on A4 or 80mm thermal.
Consultation ......... 1,500
USG Pelvis ........... 2,800
Pharmacy (2) ......... 1,890
Bed × 3 days ........ 13,500
TOTAL ............... 19,690
Cash integrity you can prove
Cashier shifts with X/Z reports, payment-method-aware routing to the correct ledger, and hard-stops that refuse unbalanced or out-of-shift collections.
Cash$1,842
Card$964
Bank transfer$410
Z report · drawer reconciled✓
Central tariffs, honest corrections
One pricing engine for every service — set a rate once, applied hospital-wide instantly. Voids and refunds post proper GL reversals and show in the shift reports.
Refund · Bill #8842− $28
GL reversal posted✓
Reflected in Z report✓
Audit trail · user + time✓
Who pays

Payers: cash, panel, insurance, scheme and welfare.

Few hospitals in Pakistan bill one way. EloHIMS records the payer on the patient at registration, then prices, bills and posts every visit and admission by that payer — so a panel patient is billed at the panel's rate, and a welfare case still shows in revenue at the full rate.

Cash
Paid at the counter on the cashier's shift. An inpatient bill can be part-paid, the balance carried on the patient's account, and an unused deposit refunded from the shift.
Panels & corporates
A panel price list applies ahead of the cash rate. The bill goes on credit — refused past the panel's credit limit or the card's expiry — and the month's credit bills roll into one panel invoice.
Insurance
Pre-authorisation from the admission, with a warning when charges pass the approved amount. Claims move from submitted to approved, resubmitted, paid or rejected; only payment or rejection posts to the ledger.
Schemes
A scheme is set up as its own payer with its own price list, and its credit bills follow the same claim steps as an insurer's, from submission to payment or rejection.
Welfare
A means test suggests a concession band, approvals run up to three levels, and the bill is posted at full rate with the subsidy charged to the fund that pays it.
Discounts & packages
Discounts above your limit need a reason and an approver's PIN. A package covers what it includes at zero and bills anything outside it normally.
Settings, not custom code

Set up the way your hospital works.

No two hospitals run their OPD and emergency the same way, so the rules are settings an administrator changes. Each one starts at the behaviour the hospital already has and changes nothing until someone switches it.

Token numbering
Per department, per doctor, or one run for the whole hospital.
When the OPD fee is paid
Before the token, after the consultation, at checkout, or no fee at all.
Follow-up visits
A revisit inside the department's window is free, discounted by a set percentage, or charged in full.
Vitals before the doctor
Optional; mandatory, so the consult will not open without that day's vitals; or switched off.
Appointment mode
Walk-ins and bookings together with places held for walk-ins, walk-ins only, or appointments only.
Daily limits
A cap per clinic and per doctor, counting bookings only or every patient, walk-ins included.
Internal referrals
The patient carries on under the same token, gets a new token in the receiving clinic, or owes that clinic's fee.
Emergency registration
Full registration, or treat first: an unidentified patient gets a temporary file that is merged into the real MRN later, with no charge lost.
Consent
A drawn digital signature, an uploaded scan or a printed form for admission, surgery and chemotherapy. A hospital can also allow one method only.

Also settings: a cut-off time for walk-in tokens, separate queues for women and men, a waiting-room display that shows token numbers and doctors' names only, online booking, and consultant co-sign for junior doctors' notes.

Command Centre, Analytics & Registers

Management by live data, not lagging reports.

A live war-room for owners, a KPI cockpit judged against healthcare benchmarks, purpose-built dashboards for every department, and 100+ reports through one runner. Statutory registers — births, deaths, ADT, OT, Emergency — keep themselves.

→Executive Command Centre — revenue, occupancy, throughput and alerts on one screen, with a demo/live switch for board presentations.
→KPI Cockpit — benchmarked indicators with active drift alerts and period-over-period board packs.
→One-click statutory returns — registers kept automatically from live activity, printed A4 or 80mm.
→Quality & incidents — near-misses and patient feedback captured and surfaced to leadership as signal, not folklore.
KPI Cockpit · vs healthcare benchmarks
2 ALERTS
Average length of stay3.4 daysON TARGET
Bed occupancy rate82%ON TARGET
ER wait — door to doctor38 minDRIFTING
OT utilisation61%BELOW
Reports Library
100+
One runner · date, department & doctor filters · export built in
Statutory registers
Births ✓  Deaths ✓  ADT ✓
OT ✓  Emergency ✓
Kept automatically from live activity
Assets, Platform & Security

Enterprise-grade foundations. Cloud-simple delivery.

The foundation the whole hospital stands on — with nothing for your team to install or maintain.

Biomedical asset management
An asset register, preventive-maintenance log and equipment dashboard — so no ventilator is ever silently overdue for service.
Hospital 3D digital twin
An interactive 3D model of your facility with wards, beds and occupancy visualised in space — a genuine centrepiece for board meetings and investor tours.
Roles, audit & isolation
Per-specialty role-based permissions, a full audit trail on every action, and complete multi-branch, multi-tenant data isolation.
Who it's for

From a single clinic to a multi-branch hospital group.

🏥
General & multi-specialty hospitals
The full patient journey on one platform.
🩺
Clinics & polyclinics
OPD-led operations with admissions, pharmacy and clean books. Clinic management software →
👶
Maternity & children's hospitals
Antenatal, labour & delivery, and NICU care.
⚕️
Specialty & day-care centres
Dialysis, oncology, cardiac, urology and surgical centres.
🏢
Multi-branch groups
Fully isolated facilities, rolled up for the group.
Why EloHIMS wins

One platform instead of five.

1
The seams are gone
A registration tool, an EMR, a pharmacy package, a billing program and offline accounting — replaced by one system where the record is whole and the books are always balanced.
2
Clinical depth across every specialty
Purpose-built modules for OPD, IPD, ER, ICU/NICU, OT, cardiology, dialysis, oncology, obstetrics and urology — not a generic template stretched over medicine.
3
A financial backbone hospitals can trust
X/Z shift reconciliation, voids with proper GL reversal, automatic bed-charge accrual, and a real double-entry ledger under everything.
4
Statutory registers without the clerical burden
Births, deaths, ADT, OT and Emergency registers kept automatically from live activity — ready to print when an inspector asks, not rebuilt by hand.
Trust & Charity Hospitals

For trust and charity hospitals.

Welfare is a workflow, not a discount field. A concession request reaches one welfare queue from registration, the admission desk, pharmacy or the bill. The officer's means test suggests a band, approvals run up to three levels, and the bill is posted at full rate with the subsidy charged to the fund that pays it — Zakat only for patients with a Mustahiq declaration on file.

One admission can be funded from up to four sources. Sponsors see an anonymised case board, and trustees get their own dashboard and scheduled report packs.

Hospital software for charity and trust hospitals →
Tax Integrations

FBR digital invoicing and PRA integration.

EloHIMS integrates with FBR digital invoicing and with PRA (Punjab Revenue Authority) for sales tax on services. Both run from the same billing module and the same books, so there is one billing screen rather than a separate system for each tax authority. Hospitals in Lesotho use the same billing module with Lekuka, Revenue Services Lesotho's e-invoicing system: every bill is signed, sent to RSL and printed with its verification QR code.

Whether, and when, your hospital, clinic or lab has to integrate is a question for your tax adviser. EloHIMS provides the connection when you need it.

FBR digital invoicing for hospitals and labs →
Dedicated Professionals

Need hands to build your hospital's digital presence? Hire our team.

The same pre-vetted talent that builds EloHIMS — web, app, design and marketing — available as full-time dedicated staff. Transparent USD hourly rates, weekly billing, no lock-in.

Hire a dedicated professional →
From $10/hr · Start within 24 hours

Ready to run your entire hospital on one system?

The clinical depth of a specialist EMR, the discipline of a real accounting system, and the price and simplicity of a cloud product.

Start Free Trial Request a Demo
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Frequently Asked Questions

Answers to the questions hospitals ask us most.

What is a hospital management system?

A hospital management system (HMS) is integrated software that manages patient registration, appointments, OPD/IPD records, billing, pharmacy, laboratory, and accounting in a single platform. Modern HMS solutions in Pakistan are cloud-based, eliminating the need for on-premise servers and enabling real-time access across multiple branches and departments.

What are the benefits of hospital management software in Pakistan?

A hospital management system puts registration, OPD, emergency, wards, theatre, lab, radiology, pharmacy and billing on one patient record, so orders reach the next department filled in and each service is charged to the right bill. EloHIMS also posts every transaction to a built-in double-entry ledger, keeps the births, deaths, ADT, OT and emergency registers from live activity, and integrates with FBR digital invoicing and PRA. It is cloud-based, so the hospital runs no server.

How much does hospital management software cost in Pakistan?

Cost depends on the facility's size, the modules it uses and the number of branches, so EloHIMS is quoted per hospital rather than sold in fixed tiers. It runs in the cloud, so there is no server to buy or maintain. Start a free trial, or book a demo for a quote for your hospital, clinic or lab.

What is the difference between HMIS and HMS software?

HMIS (Hospital Management Information System) and HMS (Hospital Management System) are functionally identical terms used interchangeably in Pakistan. Both refer to integrated software managing patient care, billing, pharmacy, lab, and administration. Some vendors use HMIS to emphasize reporting/analytics capabilities, but modern systems include analytics as standard.

Can hospital management software integrate with accounting systems?

EloHIMS needs no separate accounting integration because a double-entry general ledger is built in. Every bill, payment, refund, deposit and dispense posts its own voucher when it happens. An Accounts Mapping screen lets your accountant choose which ledger each kind of income, receivable and payable posts to. The trial balance comes from the same entries as the clinical record, with no export or month-end import.

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