Your choice
Lab payment before or after the sample
Each hospital decides in its settings whether OPD lab tests must be paid before the sample is taken. The rule is off until you turn it on.
How a patient moves
Who does what, and where billing happens.
A patient’s day in the hospital, step by step: from the OPD to the lab and the pharmacy, and on to a bed when the doctor advises admission.
OPD
Register, take a token for the doctor, vitals, consultation.
Lab
Tests join the bill. Signed reports return to the visit.
Pharmacy
The prescription waits in the queue, ready to fill.
IPD
Admission from the doctor’s advice, a bed, then discharge.
Part one
An OPD visit
From the front desk to the pharmacy counter.
Register the patient: UHID, duplicate warning, ABHA number field
WhoReceptionist
BillingRegistration fee, if the hospital charges one
Book the OPD visit and give a token number for that doctor, for the day
WhoReceptionist
BillingA draft OPD bill opens with the doctor’s consultation fee
The patient waits while the queue refreshes on every screen
WhoEveryone
BillingNone
Vitals: BP, pulse, temperature, SpO₂, weight
WhoOPD nurse
BillingNone
The doctor calls the token, with vitals, allergies and past prescriptions already on screen
WhoDoctor
BillingNone
Notes, diagnosis, prescription from the formulary with live stock, advice and follow-up date
WhoDoctor
BillingNone
Order lab and radiology tests
WhoDoctor, or reception
BillingTests are added to the same OPD bill
Collect payment, finalise the bill and print the receipt
WhoCashier
BillingDiscounts follow role limits: 5% supervisor, 15% finance, above that the group CFO
Collect the sample from the lab worklist, with an accession number
WhoPhlebotomist or lab technician
BillingIf the hospital chooses, the bill must be paid first. Urgent, admitted and insured patients are exempt.
Enter results, with critical values flagged
WhoLab technician
BillingNone
Verify and sign the report. The doctor sees it on the visit.
WhoPathologist
BillingNone
Fill the prescription from the Prescriptions waiting queue, with suggested quantities
WhoPharmacist
BillingA pharmacy bill, each batch at its MRP, earliest expiry first
Finalise and collect the pharmacy bill
WhoCashier or pharmacist
BillingPharmacy bill paid
Part two
From OPD to a bed
When the doctor advises admission.
Advise admission with the reason and ward
WhoDoctor
BillingNone
The advice appears on the admission desk’s list
WhoAdmission desk
BillingNone
Admit: patient, doctor and reason come from the visit, and the desk picks a bed
WhoAdmission desk
BillingAn IPD running bill opens, and deposits can be taken on it
The admission shows what happened in OPD: complaint, diagnosis, vitals, prescription
WhoWard doctor and nurse
BillingNone
Doctor rounds, nursing notes and bed transfers
WhoDoctor and nurse
BillingBed charges at each ward’s daily rate
Lab and radiology orders
WhoDoctor
BillingAdded to the IPD bill
Ward medicines
WhoPharmacist
BillingAdded to the IPD bill
Operation, with the WHO checklist and operation note
WhoOT team
BillingOT charges on the IPD bill
Insurance or TPA pre-auth and claim
WhoTPA desk
BillingThe patient’s share and the insurer’s share are split
Discharge summary
WhoDoctor
BillingNone
Final bill, and a refund of any excess deposit
WhoCashier
BillingDischarge waits until the patient’s share is settled
Kept separate
OPD and IPD bills stay apart
An OPD bill is not carried onto the IPD bill. Each closes on its own, so day-end cash and IPD accounts stay clear.