Overview
Pick the category before you pick the vendor
Almost every expensive mistake in this category is a category mistake, not a vendor mistake. Four different kinds of software get sold to clinics in Nepal, they overlap enough to be confused in a demo, and choosing the wrong one costs more than choosing the second-best product inside the right one.
A retail billing or POS package sells items and reconciles a till. It is cheap, it is everywhere, and it has no patient, no visit, and no doctor, so the clinical half of the day ends up in a notes field. A pharmacy package adds batch and expiry, which is real progress for a dispensary and still leaves the consultation unrecorded. A clinic management system is organised around the patient and the visit: one record per person for life, visits with a complaint and findings, doctors with a share basis, diagnostics and lab tests billed and followed, and a dispensing counter if there is one. A hospital management system adds admissions, wards, IPD billing, and departments — a much larger purchase that a clinic with no beds pays for and does not use.
There is a fifth category that gets confused with all of them, and it is worth separating cleanly because we build in both. A laboratory information system is where results are entered, reference ranges are held per test and per age and sex, reports are verified by an authorised signatory and printed as report cards, and analysers are interfaced. If your bench runs your own tests and releases your own reports, that is what you are shopping for, and ClinicNP is not it — our other product, Nidanyo, is. If you collect samples and send them to a partner laboratory, you need the counter around a lab, which is exactly what ClinicNP does.
Once the category is settled, the shortlist is decided by a small number of requests that no feature list answers. Ask any vendor to raise a single bill carrying a consultation, a diagnostic, an outside lab test, and two medicines from different batches, and to show the doctor's share on that bill. Ask them to reprint a bill from a closed fiscal year, unchanged. Ask them to sell four tablets out of a strip of ten, then to sell an expired batch. Ask them to pull the plug on the internet and keep billing. Those four requests separate a shortlist faster than any comparison table, because each of them is either built in or cannot be demonstrated at all.
Worth reading alongside this: software development in Nepal, ready made systems from Infobytes Nepal, and web development in Nepal.