Powered by VeltrixAirFIELD PRESENTATION · PATNA · RANCHI · JAMSHEDPUR
One hospital.
One system.
Nothing leaks.
A complete Hospital Management System for hospitals with up to 200 beds — billing without leakage, records that are never lost, and care that never misses a signal. Everything in this deck comes from problems we documented inside working hospitals, not assumptions made in a boardroom.
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estimated revenue a typical 100-bed hospital has lost since this presentation started.
BASIS — ₹4–6 lakh / month of documented leakage: missed lab & pharmacy charges and untracked discounts.
SOURCE — on-floor billing audits at 100-bed hospitals in Patna, Ranchi & Jamshedpur · ≈2–3% of a ₹2 Cr monthly revenue base.
WHY WE ARE HERE
What a typical 100-bed hospital loses every month.
These are not projections — they are patterns we documented on hospital floors in Patna, Ranchi and Jamshedpur.
Missed lab & pharmacy charges and untracked discounts — no audit trail.
₹4–6 L on ₹2 Cr monthly revenueExcel registers are outdated by morning; expired medicines sit until the monthly audit.
₹1.2–1.6 L on a ₹15–20 L holdingAttendance registers, whiteboard rosters, overtime and night-shift disputes — reconciled by hand.
Proxy punches quietly inflate salary costsStaff physically collect slips from every department during the evening rush.
#1 patient complaint · 4–7 pmThe pattern behind all of it: OPD, IPD, pharmacy, lab and OT run on disconnected tools, paper slips and WhatsApp.
PART 01 / 03
Stop the silent revenue leaks.
Billing, financial estimates, staff payroll and owner analytics — every rupee captured, tracked and visible.
/ PART 01 OF 03 · PROBLEM 01 OF 04
Billing & revenue leakage
DISCHARGE COUNTER · 4–7 PM RUSH · JAMSHEDPUR, PATNA & RANCHI
✕ Problem statement
At discharge, the bill is assembled by hand from three registers — so items get missed and 2–3% of revenue disappears every month with no audit trail.
- ✕Room, pharmacy and lab charges collected from separate paper registers
- ✕Discharge takes 1–3 hours — the #1 patient complaint; receipts can be tampered with
✓ Solution statement
One system across OPD, IPD, lab, pharmacy and OT captures every charge the moment it happens — the final bill is ready in 5 minutes, and owners see exactly where money was leaking.
- ✓Doctor orders a test → lab flags it, pharmacy adds it, the bill records it automatically
- ✓No slips to collect: discharge bill ready in 5 minutes, not 3 hours
- ✓Tamper-proof timestamps + a leakage dashboard — ₹4–6 lakh/month recovered on ₹2 Cr revenue
/ PART 01 OF 03 · PROBLEM 02 OF 04
Financial estimates & consent
CARDIAC · ORTHO · GENERAL SURGERY PRE-ADMISSION
✕ Problem statement
Surgery costs are quoted verbally over the phone — the final bill differs, trust breaks down, and disputes end in social-media complaints or medico-legal notices.
- ✕Verbal commitments cannot be proved either way
- ✕Arguments at discharge hold up bed turnover
- ✕Legal risk from quotes no one can verify
✓ Solution statement
Every financial commitment becomes a system-generated, digitally signed estimate with a timestamped audit trail — the final bill matches the quote or clearly shows what changed and why.
- ✓Everything itemised — package cost, extra charges, insurance cover and the patient's share
- ✓Signed by OTP / e-signature; permanent audit trail
- ✓Pre-authorisation status visible to everyone — no surprises at discharge
/ PART 01 OF 03 · PROBLEM 03 OF 04
Human resources & payroll
HR DESK · NURSING ROSTERS · MONTH-END PAYROLL
✕ Problem statement
Attendance lives in a register and rosters on a whiteboard — month-end payroll takes 3–4 days of manual reconciliation, with disputes over night shifts, overtime and leave every single cycle.
- ✕Proxy punches and ghost attendance quietly inflate salary costs
- ✕Roster clashes leave some wards overstaffed while the ICU runs short
- ✕PF, ESI and TDS computed by hand — errors surface only at audit time
✓ Solution statement
Biometric and mobile attendance flows straight into rosters and payroll — shifts, leave, overtime and statutory deductions compute automatically, and salary sheets are ready the same day.
- ✓Payroll closes in hours, not days — PF calculated automatically
- ✓Duty rosters balance every ward; swaps are logged with approvals
- ✓Owners see true staffing cost per department, every month
/ PART 01 OF 03 · PROBLEM 04 OF 04
Management analytics for owners
OWNER'S OFFICE · CFO DESK · REVIEW MEETINGS
✕ Problem statement
Owners get late monthly summaries — sometimes accurate, sometimes not — and run the hospital on gut feeling while leakage stays invisible until the annual audit.
- ✕No department-wise P&L, no doctor-wise revenue or productivity view
- ✕Under-performing departments keep draining resources unnoticed
- ✕High-performing doctors go unrecognised
✓ Solution statement
A live dashboard shows revenue, department P&L and doctor productivity in real time — with alerts the moment something drifts off pattern.
- ✓Today's revenue vs yesterday; month vs last month; revenue-wise and patient-wise views
- ✓Threshold alerts — “OPD revenue 20% below Wednesday average”
- ✓Review meetings run on numbers, not opinions
PART 02 / 03
An experience patients return for.
One lifetime record, Hindi-first entry, organised OPDs, 90-second emergency admissions and follow-ups that never depend on memory.
/ PART 02 OF 03 · PROBLEM 01 OF 05
Patient records & history
MRD & FRONT DESKS · HOSPITALS FOUNDED BEFORE 2015
✕ Problem statement
Paper files get lost in MRD, returning patients are given brand-new IDs, and histories fragment — so patients repeat tests and start preferring corporate chains.
- ✕Files often can't be found in 10–15 minutes; staff give up and re-test
- ✕Duplicate patient IDs create a data mess
- ✕Nothing transfers when a patient changes hospitals
✓ Solution statement
Every patient gets one lifetime digital ID — searchable by name, mobile or Aadhaar in seconds — and, with our ABDM integration under process, their history will soon travel to any hospital via ABHA with consent.
- ✓Visits, prescriptions, tests, allergies — one record, forever
- ✓No more MRD hunting, no more duplicate IDs
- ✓First visit is the last time they repeat their story
/ PART 02 OF 03 · PROBLEM 02 OF 05
Language & data entry
FRONT DESK & PHARMACY · ALL TIER-2 HOSPITALS
✕ Problem statement
English-only software forces Hindi-speaking staff to guess spellings — Ramesh becomes Rameesh, one patient becomes three records, and the wrong record means the wrong medicine.
- ✕Staff type names phonetically and inconsistently
- ✕No fuzzy search — old records simply can't be found
- ✕Patient-safety risk when the wrong file opens
✓ Solution statement
The system accepts names in Devanagari and stores Hindi and English together — fuzzy search catches every spelling variation, and Aadhaar verification blocks duplicates at the door.
- ✓Type in Hindi or English; future searches work in either
- ✓Spelling variations matched automatically
- ✓One patient, one record — no matter how the name is spelt
- ✓Our patient app also comes with a native-language option
/ PART 02 OF 03 · PROBLEM 03 OF 05
OPD scheduling & queues
OPD RECEPTION · MORNING PEAK · OUT-OF-TOWN PATIENTS
✕ Problem statement
Schedules change but patients are never told — they wait 30–45 minutes with no token system, blame 'slow doctors', and the complaints land on Google and Practo.
- ✕Reception has no real-time view of doctor availability
- ✕No queue system — waiting is guesswork
- ✕Emergencies wreck the day's schedule silently
✓ Solution statement
Patients book on the dashboard; schedule changes trigger automatic WhatsApp notifications with one-tap reschedule — and a live token display replaces the guessing.
- ✓Live doctor-availability board at reception
- ✓24-hr and 2-hr reminders sharply cut no-shows
- ✓Freed slots auto-offered to the waitlist — revenue doesn't walk away
/ PART 02 OF 03 · PROBLEM 04 OF 05
Emergency admission speed
EMERGENCY & CASUALTY DEPARTMENTS
✕ Problem statement
While a critical patient deteriorates, the front desk is asking for ID proof and insurance cards — and old records can't be pulled fast enough to help.
- ✕Families are stressed; staff panic in multi-casualty situations
- ✕Existing records take minutes to surface
- ✕Delay in admission can worsen outcomes
✓ Solution statement
One scan — hospital card or Aadhaar (ABHA QR once our certification completes) — pulls the record, auto-fills demographics and allocates a bed; the doctor starts in under 60 seconds and paperwork waits.
- ✓Quick triage screen: vitals, complaint, priority
- ✓Bed allocated from live availability
- ✓Emergency admission: 15 minutes → 90 seconds
/ PART 02 OF 03 · PROBLEM 05 OF 05
Patient communication & follow-up
PATIENTS FROM SINGHBHUM · HAZARIBAGH · SARAN & BEYOND
✕ Problem statement
Patients drive 60–80 km just to collect a paper report, nobody follows up after discharge, and hospitals keep paying to acquire new patients while silently losing the ones they treated.
- ✕Everything depends on the patient remembering
- ✕No system tracks who is due for follow-up
- ✕Leakage to chains that send reports on WhatsApp
✓ Solution statement
The hospital's own app keeps the relationship — reports arrive on WhatsApp the moment they're signed off, and follow-ups, medication nudges and post-op check-ins run automatically.
- ✓Report inside the app the second it's ready — no 80 km drive
- ✓Post-op check-ins on day 3, 7 and 30 — zero staff effort
- ✓Repeat visits and referrals stay with you, not Practo or 1mg
PART 03 / 03
A hospital that runs connected.
Digital documentation, ward-wide early warnings, instant lab results, digital radiology, live beds and batch-level pharmacy.
/ PART 03 OF 03 · PROBLEM 01 OF 08
Doctor workload & documentation
BUSY OPDS · 40–60 PATIENTS PER 4-HOUR SESSION
✕ Problem statement
Doctors scribble a prescription, the register never gets filled, and by evening they've spent 1.5 hours on paperwork — while illegible handwriting causes medication errors.
- ✕Incomplete documentation hurts insurance audits and medico-legal defence
- ✕No patient history in the room — doctors rely on the patient's memory
- ✕Exhausted doctors cut consultation time
✓ Solution statement
Consultations are captured digitally on the doctor's tablet — complaint, examination, diagnosis and prescription filled through quick taps and smart templates in under a minute; the doctor reviews and signs.
- ✓Full patient history one tap away on the tablet
- ✓5–10 hours a week returned to every consultant
- ✓Every prescription printed and legible — zero handwriting errors
/ PART 03 OF 03 · PROBLEM 02 OF 08
Nursing documentation & vitals
IPD · GENERAL WARDS · ICU · POST-OP RECOVERY
✕ Problem statement
Nurses record vitals on paper and re-type them later — and at a 1:40 nurse-to-patient ratio, a patient who looks stable at 2 pm can crash by 5 pm with nobody noticing.
- ✕Double work with documentation gaps everywhere
- ✕Handovers happen verbally — critical updates get lost
- ✕General wards, not ICUs, are the real blind spot
✓ Solution statement
Vitals are entered once, at the bedside, on mobile — and the system tracks trends across the whole ward, alerting the nurse and RMO the moment readings cross early-warning thresholds.
- ✓Rising heart rate + falling BP + fever → automatic escalation
- ✓Command-centre grade monitoring at a mid-size budget
- ✓Structured, timestamped digital handovers — nothing lost between shifts
/ PART 03 OF 03 · PROBLEM 03 OF 08
Lab reports reaching the doctor
PATHOLOGY · RADIOLOGY · OPD CABINS · IPD WARDS
✕ Problem statement
Reports are printed and hand-carried — if the doctor is in the OT or ward, the paper sits at the front desk while treatment decisions are made without it.
- ✕Staff time wasted running papers between departments
- ✕Critical results — positive dengue, high troponin — sit unnoticed for hours
- ✕'I did not see the report yet' is a daily sentence
✓ Solution statement
The moment a result is signed off, it lands on the ordering doctor's dashboard and phone — and critical values trigger a red alert that must be acknowledged.
- ✓Works wherever the doctor is — ward, OT, home
- ✓Mandatory acknowledgement on dangerous values
- ✓Lab-signed to doctor-informed: ~2 hours → under 60 seconds
/ PART 03 OF 03 · PROBLEM 04 OF 08
Radiology & imaging (RIS / PACS)
X-RAY · CT · ULTRASOUND DESKS · FILM & CD REPORTING
✕ Problem statement
Every scan is printed on film or burned to a CD, and reports are typed in Word and hand-delivered — images leave with the patient, and doctors wait a day or more to see what the radiologist saw in minutes.
- ✕Films and CDs cost money, get misplaced, and walk out with the patient
- ✕No way to compare today’s scan with the last one — so X-rays get repeated
- ✕Typed reports reach the ward hours or days after the scan
✓ Solution statement
A built-in RIS / PACS stores every image digitally against the patient’s record — the ordering doctor opens the scan on any screen within minutes, compares it with priors side by side, and gets the signed report on their dashboard.
- ✓No films, no CDs — images open in OPD, wards or on a phone instantly
- ✓Prior scans one click away; unnecessary repeat exposures drop
- ✓Structured templates and digital sign-off cut reporting time to minutes
/ PART 03 OF 03 · PROBLEM 05 OF 08
Real-time bed availability
FRONT DESK · NURSING STATIONS · SEASONAL SURGES
✕ Problem statement
Nobody knows which beds are free — staff physically walk the wards, empty beds sit idle for hours, and during dengue season patients get turned away while beds exist.
- ✕Front desk phones nurses to check each ward
- ✕Revenue loss in the tens of lakhs monthly for a 100-bed hospital
- ✕In emergencies, the delay is dangerous
✓ Solution statement
A live, colour-coded bed board shows every bed — occupied, being cleaned, ready, blocked — updating automatically, with surge prediction so the hospital prepares instead of panicking.
- ✓Auto-updates when nurses mark discharge or cleaning complete
- ✓Beds fill in minutes, not hours
- ✓'ICU full in 48 hours at this rate' — arrange step-down units early
/ PART 03 OF 03 · PROBLEM 06 OF 08
Pharmacy & inventory
HOSPITAL PHARMACIES · SINGLE-PERSON INVENTORY DESKS
✕ Problem statement
Stock lives in an Excel file updated once a shift — 8% of inventory expires every month (₹1.2–1.6 lakh wasted), while critical medicines run out and force emergency purchases.
- ✕Expired antibiotics and IV fluids sit on shelves until the monthly audit
- ✕No reorder levels, no automatic deduction on dispensing
- ✕Stock-outs delay treatment or cost more
✓ Solution statement
Every strip is tracked at batch level with real-time auto-deduction — expiry alerts come 60 days early, older stock is sold first, and reorders match actual usage.
- ✓Return near-expiry stock to suppliers in time, or redistribute
- ✓Expiry losses drop from 8% to under 2%
- ✓The most-prescribed drugs never run out again
/ PART 03 OF 03 · PROBLEM 07 OF 08
Staff coordination across departments
ALL DEPARTMENTS · IPD & ICU SHIFT CHANGES
✕ Problem statement
The hospital runs on WhatsApp groups — messages get deleted, forwarded wrong, or lost with a changed phone; one Ranchi OT was cancelled because a fitness confirmation never reached the surgeon.
- ✕Verbal or notebook shift handovers lose critical updates
- ✕No audit trail of who knew what, when
- ✕On-call doctors at night can't access patient files
✓ Solution statement
Every department shares one live view of the patient — results, beds and OT status appear instantly, and handovers become structured, timestamped notes tied to the record.
- ✓On-call doctors access everything from their phone
- ✓When something goes wrong, the timeline shows exactly what happened
- ✓WhatsApp stays for chai plans, not patient care
/ PART 03 OF 03 · PROBLEM 08 OF 08
ABDM, NABH & compliance
BIHAR ABDM ENFORCEMENT (2026) · NABH HOSPITALS
✕ Problem statement
Bihar is enforcing ABDM, vendors quote ₹8–12 lakh for a module, and NABH logs live on paper — a two-week scramble before every audit, with entries backdated just to look complete.
- ✕PMJAY de-empanelment risk = losing 30–40% of revenue
- ✕Failed NABH audit = losing corporate insurance panels
- ✕Real safety issues get hidden instead of fixed
✓ Solution statement
Our ABDM certification is under process — once complete it will be part of the platform, never a paid add-on — and every compliance log is timestamped and tamper-proof, so the auditor sees a dashboard, not a stack of registers.
- ✓ABHA IDs, HFR mapping and consent flows — certification under process
- ✓ABDM & PMJAY readiness in progress — in place before enforcement
- ✓Compliance becomes a normal week, not a two-week scramble
WHAT CHANGES ON DAY ONE
Before and after, in your numbers.
NEXT STEP
See it running on your own OPD floor.
A 20-minute live walkthrough — with your patients, your counters, your data. No slides, no setup, no obligation.