ERPNext for hospitals:
HMS and finance in one system
Stop reconciling hospital software with Tally by hand. Bring OPD and IPD billing, pharmacy inventory and insurance claims into one audit-ready system where the ledger updates itself.

From admission
to the balance sheet
Data flows from the reception desk into the accounts without anyone re-entering it.
Admission
Patient registration, insurance pre-authorisation checks and bed allocation.
Clinical & pharmacy
Doctors order medicines, pharmacy dispenses, stock falls and the bill updates together.
Billing & discharge
The final bill is split between what the patient pays and what the insurer is claimed for.
Accounting
Revenue posts to the P&L and insurance receivables show up in the ageing report.
Built for hospitals
that run on their own ledger
Every clinical action that has a financial consequence lands in the accounts as it happens.
OPD & IPD management
Appointments, queues and bed occupancy, with doctors' service orders creating billing lines.
Pharmacy inventory
Batch-wise stock with expiry alerts, so everything dispensed is billed before discharge.
Insurance & TPA
CGHS and TPA rate lists, claim status, partial approvals and aged receivables from insurers.
Integrated accounting
Department-level P&L, GST compliance and doctor payout calculations in the same system.
Lab & radiology
Report templates for lab and imaging, with analyser integration where the equipment supports it.
Tally migration
Masters, opening balances and historical vouchers moved across and reconciled before go-live.
A hospital off Tally,
balanced to 0.00
C.C. Shroff Memorial Hospital ran billing, insurance and accounting as disconnected silos. We structured the financial workflows, migrated the Tally data and connected HMS billing straight to the ledger.
- 0.00Opening balance variance
- 50%Faster month-end close
- 100%HMS billing in the ledger
Exalix Tech structured our financial workflows and made our hospital audit-ready. The transition from Tally was seamless.

ERPNext healthcare
vs HMS plus Tally
| What matters | ERPNext healthcare | Typical HMS plus Tally |
|---|---|---|
| Pharmacy sales | Ledger entry per invoice, automatically | Journal entry at day end |
| Inventory valuation | Perpetual, updated as stock moves | Often mismatched between systems |
| Insurance receivables | Native accounts receivable ageing | Tracked in a spreadsheet |
| Doctor payouts | Calculated from the billed services | Worked out manually each month |
| Audit trail | One system, one set of books | Two systems to reconcile |
Billing first,
then the full ledger
We stabilise billing and inventory before moving the accounting, so nothing stops while the hospital runs.
- 1-2 weeks
Scope
We map your OPD, IPD, pharmacy and insurance flows, and agree the KPIs the pilot has to hit.
- 2-4 weeks
Configure & validate
Departments, rate lists, pharmacy batches and claim workflows configured and tested with your team.
- 4-8 weeks
Migrate & go live
Tally masters, balances and history migrated and reconciled, then billing and accounting go live together.
Healthcare ERPNext
FAQs
Related
pages
C.C. Shroff case study
A hospital moved off Tally with balances matching to 0.00.
Learn moreAccounting & compliance
GST, audit trails and controls on ERPNext.
Learn moreSupport & AMC
SLA-backed support once you are live.
Learn moreTraining
Role-based training for billing, pharmacy and accounts.
Learn moreReady to modernise
your hospital?
We deliver focused pilots with clear KPIs: faster billing, accurate pharmacy stock and audit-ready accounts.
- Billing and inventory stabilised first
- Tally data migrated and reconciled
- Clear KPIs agreed up front
- Call us+91 77780 25099
- WhatsAppChat on WhatsApp
- Emailsales@exalixtech.com
Book a healthcare scoping call
Tell us about your hospital and the systems you run today.
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