Hospital billing · Finance · Operations software
Every rupee accounted for, and one click away.
From the front-desk receipt to the month’s P&L, MedStream tracks every payment mode, every instalment and every pending rupee, and shows your accountant the whole day on one screen.
Cash · Card · UPI · Bank · Cheque, every mode, receipted
Doctor-wise collection, today
Tue · 14 Jul · Accounts
OPD collection
₹52,300
Consultations · today
Procedure collection
₹2,18,500
OPD + indoor bills
Pending · morning
₹9,400
3 bills to follow up
Pending · evening
₹5,100
2 bills to follow up
| Doctor | OPD | Procedures | Pending | Total |
|---|---|---|---|---|
| Dr. A. Mehta | ₹18,400 | ₹1,24,000 | ₹4,800 | ₹1,42,400 |
| Dr. S. Desai | ₹21,600 | ₹64,500 | ₹6,200 | ₹86,100 |
| Dr. R. Iyer | ₹12,300 | ₹30,000 | ₹3,500 | ₹42,300 |
| All doctors | ₹52,300 | ₹2,18,500 | ₹14,500 | ₹2,70,800 |
Collection by source
₹2,70,800
01
Billing that matches reality
How do you bill the way families actually pay?
Indian families pay for care the way life allows, a little now, a cheque next month, UPI on discharge day. MedStream bills the way your patients actually pay.
Any way a family can pay
Cash, card, UPI, bank transfer or cheque, split across more than one mode on the same visit if that's how the family pays, with part-payments when treatment spans months, free-visit reasons when it shouldn't be charged, and a receipt every single time.
A QR for exactly this much
At the counter, a UPI QR generated for the payable amount against the treating doctor's own UPI ID. The patient scans, the money lands where it should, and the receipt follows, no shared QR, no hand-typed amounts.
Instalments with memory
EMI schedules with due-date reminders. Post-dated cheques tracked to the bank, deposit status, deposit reminders and bounce tracking, with payment documents uploaded against the bill.
Discounts with discipline
Every discount carries a reason and passes through discount control, generosity stays a decision, never a leak.
Indoor stays, billed right
A bill-item master, indoor bills as print-ready PDFs, an alternate separate indoor-billing mode, and an audit report that flags anything missed.
Procedure bill, Kavita Joshi
UHID 24-01502 · IVF-ICSI
Net bill
₹1,40,000
Paid
₹80,000
Balance
₹60,000
Discount ₹10,000 · Reason: camp referral · approved under discount control
Instalment schedule
02
Safeguards
Where can money leak, and who’s watching?
Most billing software records money. MedStream also watches the places it quietly slips away, and leaves a trail wherever hands touch it.
Missing-billing detection
The Missing Indoor Billing report compares what was done against what was billed, services delivered but never charged surface before month-end, not after.
Cash handover logs
Every movement of cash from counter to custodian is recorded, who handed over, who received, how much, when. The day closes with a trail, not a shrug.
Audit-trailed refunds
A refund is never a quiet deletion. Who refunded, why, how much and when stays on the record, permanently.
Discount control
Discounts pass through control with a stated reason, so the difference between goodwill and leakage is always visible.
Referral payouts, July
Auto-computed from share %
| Referring doctor | Cases | Share | Status |
|---|---|---|---|
| Dr. N. Vora | 6 consults · 2 procedures | ₹12,400 | Pending |
| Dr. P. Gandhi | 4 consults · 1 procedure | ₹8,750 | Paid |
| Dr. K. Solanki | 3 consults | ₹2,100 | Paid |
| Dr. M. Trivedi | 1 procedure | ₹4,500 | Voided |
Pending this month · ₹12,400
03
Referral accounting
How do referral shares settle themselves?
Set a share percentage per consultation and per procedure for each referring doctor, MedStream computes every payout from the bills themselves, keeps an edit-history audit, and prints the settlement.
No more month-end diary reconciliation with the doctors who trust you with their patients, the ledger is already agreed upon, because it was never manual.
04
Reports & the HMIS register
How does month-end shrink to minutes?
The numbers your accountant, your auditor and the district health office ask for, already tallied, already formatted, already exportable.
The money
- Profit & lossThe clinic's true bottom line, income against expense.
- Daily Financial ReportOne day's money, cash against bank, across OPD, procedures and indoor.
- Cumulative collectionEverything collected, across any date range, sections switched on per clinic.
- Collection by procedureWhich services earn, and which quietly don't.
- Payment collection & pending billsWho has paid, who hasn't, and how much is due.
- Procedure billing reportEvery procedure bill, filterable and exportable.
- Teleconsultation collectionOnline consults on their own report, never mixed into counter cash.
The activity
- Hospital Activity ReportOPD per day, admissions, births, the month's activity on one sheet.
- EDD reportDeliveries expected in any window, so the ward plans ahead.
The accountant's handover
- Bank bookIncome and expense entries against each bank in the master.
- Daily cashCollected amounts tracked day by day at the counter.
- Tally exportA month of OPD receipts as Tally XML vouchers, ready to import.
Every report exports to Excel or PDF · one click
HMIS, Service Delivery Report
01 Jun – 30 Jun
Auto-tallied from the month’s records · any month range
The government’s monthly Service Delivery Report, deliveries, C-sections, live births, OPD and IPD counts, compiled the moment you pick the month. What used to be a day with three registers is now one click.
Daily Financial Report
Tue 14 Jul
05
Automation & operations
What sits behind every WhatsApp message?
Patients see a confirmation, a reminder, a thank-you, a follow-up nudge arrive. Your team sees this, every message queued, retried, delivered and read-tracked, with the rest of the clinic's busywork automated the same way.
WhatsApp, message logs
| Time | Patient | Template | Status |
|---|---|---|---|
| 07:45 | Riya Shah | Reminder · morning of | Read ✓✓ |
| 08:00 | Meera Patel | Follow-up reminder · book | Delivered ✓✓ |
| 09:06 | Ayesha Khan | Appointment confirmation · ગુ | Retrying · 2 ↻ |
| 09:07 | Kavita Joshi | Thank you for visiting | Queued · +60 min • |
Queued · Retried · Logged · Read-tracked
Every one of these messages travels on MedStream’s own WhatsApp platform, the WhatsApp Business Suite, sold on its own to any business that runs WhatsApp seriously.
Follow-ups that book themselves
Two days before a prescribed follow-up, the reminder carries a button. It opens a booking form inside WhatsApp, date, then slot, and books against the doctor the patient last saw, confirmed like any desk booking. Rolling out now with our WhatsApp partner.
Tally, monthly
OPD receipts for any month exported as Tally XML vouchers, ledger names mapped once, cancellations netted to zero, your voucher prefix kept. Your accountant imports; nobody re-keys.
Reminder call worklists
Injection, OPU-prep and β-hCG follow-ups become daily call queues, with editable English and Gujarati templates, and every call's outcome recorded.
Task boards
A kanban for clinic work, assignee, priority, due date, and an edit history so handovers survive shift changes.
Nightly off-site backup
Every night, automatically: database dump → zipped → emailed off-site. Your data survives anything that happens to the machine it lives on.
Bulk import & one-click exports
Bring your existing patients in from a spreadsheet in one go, and take any list or report out as Excel or PDF, everywhere in the system.
Integration API
Token-secured endpoints for the systems around you, pharmacy export, billing, P&L, patient lookup by UHID.
Installs like an app
Add MedStream to a phone or desktop home screen under your own icon, offline shell, update prompts, and push notifications that reach staff on whatever device they carry.
In short
- MedStream bills the way Indian families pay, cash, card, UPI, cheque and part-payments, with EMI schedules, post-dated cheque tracking and a doctor-wise UPI QR for the exact payable amount built in.
- Referral payouts compute themselves from the bills, with an edit-history audit and printable settlements.
- Missing-billing detection and cash handover logs watch the places money quietly leaks.
- Month-end reports, the Daily Financial Report and the government HMIS register are already tallied, exportable to Excel and PDF, and OPD receipts export monthly as Tally XML vouchers.
- WhatsApp runs twelve triggers, confirmations, reminders, thank-yous, staff alerts, referral messages, in every approved language, with a follow-up reminder that books the next visit inside the chat.
Thirty minutes · No commitments, no jargon
Watch a day’s money balance itself.
- Personalised walkthrough of your patient journey
- Assisted data migration from registers or legacy software
- On-site & remote training for every role
- White-label setup, your name, logo and colours
Prefer to know the numbers first? How our modular pricing works · Talk to us directly