Features — Hospital Express

01 · Front desk

Patients

One master file per person — every visit and appointment links back to it, building a complete history automatically.
Identity, contact, demographics and medical fields: blood group, allergies, chronic conditions, medical alerts a clinician should see immediately.
A stable, auto-assigned Patient Number (PAT/YYYY/#####) so the same person is never duplicated across visits, receipts and reports.
Smart buttons jump straight to that patient's full Visits and Appointments history.
Every change to a tracked field (name, gender, birth date, ID, mobile, patient type) is logged — who changed what, and when.

PAT/2026/07522 — Patient File

Patient NameMona Sample

Patient NumberPAT/2026/07522

Blood GroupO+

Medical AlertPenicillin allergy

Patient TypeCash

Visits14

Appointments2 upcoming

02 · Doctors

Doctors & settlement contracts

Dr. Demo Sample — Accounting tab

Settlement TypePercentage

Doctor Share %50.00

Withholding Tax %0.00

Analytic AccountDr. Demo Sample

Paid visitsContract frozen at payment

Percentage or fixed-fee contracts, plus a withholding-tax percentage — the single most important setup in the system.
PERCENTAGE: doctor gross = base × share%. FIXED: doctor gross = min(fixed amount, base), scaled if collection was partial.
Editing a contract only affects future, unpaid visits — a paid visit's split is frozen the moment payment is collected, so it never silently rewrites history or a posted ledger entry.
Doctor Configuration Sheet: an editable grid to update every doctor's settlement setup — type, share%, fixed, WHT%, analytic account — in one place.
Recalculate Doctor Accounting: a wizard to refresh stored figures on unpaid visits after a contract change; posted entries are never touched.

03 · Scheduling

Doctor availability & appointments

Doctor Availability board — a live view of every doctor's waiting / in-consultation / done counters for today, at a glance.
Book an Appointment ahead of time: patient, doctor, start time and duration (prefilled from the doctor's default), with the expected fee.
The system blocks a clash — a doctor can't have two overlapping, non-cancelled appointments.
Create Visit converts a confirmed appointment into a registered OPD visit in one click — patient, doctor, time and fee all carried over — and marks the appointment Arrived.
Lifecycle: Draft → Confirmed → Arrived, or Cancelled / No Show if the patient doesn't turn up.

Doctor Appointments — This Week

Time	Patient	Doctor	State
09:00	Youssef Sample	Dr. Demo Sample	Confirmed
09:15	Nour Sample	Dr. Demo Sample	Arrived
09:30	Hana Sample	Dr. Demo Sample	No Show
09:45	—	Dr. Demo Sample	Blocked — clash

04 · The visit

OPD visits & services

VIS/2026/09785 — OPD Visit

PatientAhmed Sample Patient

DoctorDr. Demo Sample

Service	Type	Subtotal
Consultation	Base	300.00
Complete Blood Count	Lab	300.00
Wound Dressing	Doctor Extra	150.00

Discount−75.00

Total675.00 EGP

Base = a service product's price, or the doctor's consultation fee — then + extra services − discount = the visit total, never below zero.
Two kinds of extra service line: Lab / Hospital Services (revenue to the hospital) and Doctor Extra Services (carries its own doctor share, hospital% + doctor% = 100%).
Discount spreads proportionally across the consultation and every service line — a collection ratio applied everywhere money is split, so a discount never falls entirely on one side.
A visit can run with no doctor if it's lab-only and already paid — the system auto-assigns an internal "Lab / Service" record so receipts and accounting still have a valid reference.
Book Lab Services wizard: register a walk-in lab visit — patient, services, optional mark-paid-and-print — in a single screen, no consultation required.
Full clinical record on the same visit: complaint, exam, diagnosis, treatment plan, prescription, vitals, attachments (X-rays, reports) — and a one-click Create Follow-up.

05 · Money & lifecycle

Payment, refund & visit states

Status moves Draft → Registered → Waiting Payment → (paid) → Waiting Nurse → Waiting Doctor → In Consultation → Done — with guards: no nurse stage without payment, no doctor stage without a doctor.
Mark Paid finds the cashier's open shift, freezes the doctor's settlement onto the visit, and registers the payment line — all in one click.
Mark Unpaid reverses a collection so a mistake can be fixed and re-paid — but only while the shift isn't posted yet; after posting, a refund is the correct path.
A controlled three-step refund: Request (cashier) → Approve/Reject (accountant or manager) → Pay (cashier, on an open shift) — full who/when audit trail at every step.
Receipts only print what's true: the payment slip refuses to print for a visit that isn't actually paid.

Refund workflow

1. Request RefundRequested — Cashier

2. Approve RefundApproved — Accountant/Manager

3. Pay RefundRefunded — Cashier, open shift

Refund Amount150.00 EGP

Requested by / Approved by / Paid byLogged, each step

06 · Front desk boards

Doctor queue & cashier fast dashboard

Doctor Queue Dashboard

Q#	Patient	State
1	Mona Sample	Done
2	—	Cancelled — gap kept
3	Karim Sample	No-show
4	Laila Sample	Waiting

Doctor Queue Dashboard shows only doctors with an active queue today, with live Waiting / In Consultation / Done counters — Open Queue for the full day roster.
The daily queue number is assigned by booking order (an immutable ID), never by an editable visit time — a rescheduled or backdated visit never reshuffles numbers already given out.
A cancelled or refunded visit keeps its number — it shows greyed with a visible gap, instead of renumbering everyone below it.
No-show is flagged automatically when a visit's time has passed but the patient is still sitting pre-nurse.
Cashier Fast Dashboard: a streamlined, colour-tiled front-desk screen to register a walk-in and collect payment in seconds — it's a normal visit underneath, so it follows every rule above.

07 · Cashier

Cashier shifts

Lifecycle: Open → (collect payments/refunds) → count actual cash → Close → Waiting Review → Post to Accounting → Posted (locked, no more edits).
Expected Balance = Opening + Cash Sales − Cash Refunds − Cash Expenses, computed automatically as the shift runs.
Difference = Actual − Expected — over or short, shown plainly, never hidden or auto-corrected.
Card sales are never treated as cash — they're excluded from the expected-cash formula and settle separately.
Once Closed, only a Hospital Manager can edit; once Posted, the shift is fully locked — reopen is blocked, a reversal or refund is the only path forward.
Variance Investigation wizard for a non-zero difference, and one-click Create Next Shift for the same cashier/period.

CS/2026/0101 — Cashier Shift

OpenClosedWaiting ReviewPosted

Opening Balance500.00

Cash Sales3,000.00

Card Sales1,200.00

Cash Refunds200.00

Cash Expenses100.00

Expected Balance3,200.00

Actual Closing Balance3,180.00

Difference−20.00 short

08 · Accounting

Posting, doctor payments & statements

Shift Posting — Journal Entry

Side	Account	Amount
Debit	Cash	300.00
Credit	Hospital Revenue (consult + lab)	200.00
Credit	Doctor Payable (analytic)	90.00
Credit	Doctor Withholding Tax	10.00

No per-visit invoicing — cash lives in shift lines and posts once per shift as a single, balanced, per-doctor-analytic-tagged journal entry.
The entry must balance to the cent; sub-cent rounding is absorbed into revenue, anything larger blocks posting rather than guessing.
Can post automatically on shift close once accounts are configured — a posting failure never blocks the close, it's logged for manual retry.
Doctor Payments: record a payout (cash, bank, cheque) → Mark Paid posts Dr. Doctor Payable / Cr. Cash-or-Bank, clearing the liability. A paid payment can't be edited — only reversed.
Doctor Accounting Statement: earned net vs. paid vs. balance for any date range, refund-aware (a refunded visit only counts money actually kept).
Doctors Outstanding Balance: the pay-list — every active doctor with a positive balance due, as of any cut-off date.

09 · Integrity

Cash-flow audit

A built-in reconciliation scan across six checks: configuration, shift totals, visit payments, visit refunds, service lines, and doctor payments.
Every finding is scored High / Medium / Low, with an Expected, Actual and Difference — so nothing is a vague warning.
Run Cash Flow Snapshot saves a permanent, dated audit-run record so you can track whether the books stay clean over time.
Changes no money — it only reports. A documented exception can suppress a known, accepted discrepancy, but always with a mandatory reason and an approver on record.
Never a silent fix: an exception is an audit trail of a decision, not a correction.

Cash Flow Audit — Results

Category	Severity	Difference
Visit Payment	Clean	0.00
Cashier Shift	Clean	0.00
Visit Refund	Medium	25.00
Doctor Payment	Clean	0.00

StatusIssues Found

10 · Reports, settings & backup

The paperwork, the setup, and the safety net

🧾

Visit receipts (A4/A5/A6)

Base + services − discount = total, with the daily queue number — in Arabic or English, sized to your printer.

🖨️

80mm payment slip

Thermal slip for paid visits only — plus the compact shift hand-over slip for the cashier.

📄

Shift report (EN/AR)

Full shift summary — collections, refunds, expenses, expected/actual/difference, per-doctor split — reconciles to the GL.

👨‍⚕️

Doctor statement & payout receipt

Earned-vs-paid statement per doctor, plus a printable voucher for every doctor payment.

📊

Trial balance

Opening, period and closing debit/credit for every system account, for any period.

⚙️

Receipt & account settings

Brand the receipt (hospital name, size, footer, signatures) and map the nine accounts posting depends on — the system never invents one for you.

💾

System snapshots

Full or database-only backups with a checksum, on demand or on a daily schedule — a disaster-recovery restore point, admin-only.

Bilingual, always

Every report, receipt and screen is available in Arabic and English — not a bolt-on translation layer.

🔐

Role-based permissions

Cashiers collect and refund; only a Manager edits a closed shift; posting, doctor pay and audits sit with Accountant/Manager; snapshots are admin-only.

Every module, built around one shift.