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ERPNext for Healthcare: ERP for Hospitals and Medical Centers
ERPNext healthcare system for hospitals and clinics: appointments, patient records, labs, pharmacy, and billing on one platform. Request a demo from Operion.
Healthcare ERP for Hospitals, Medical Centers and Clinics, Built on ERPNext
ERPNext for healthcare brings clinical, administrative and financial work onto one platform. With the Marley Health app (formerly Frappe Healthcare) installed alongside ERPNext, your facility manages patient records, appointment booking, consultations, lab tests, procedures and inpatient admissions, while ERPNext handles medical inventory, purchasing, billing, accounting and assets.
It fits hospitals, medical centers, clinics, diagnostic labs and therapy centers. The patient record is the hub: appointments, encounters, lab orders and prescriptions all hang off it, and every service delivered flows into a Sales Invoice posted straight to your books. No service slips through unbilled, and no department re-types another's data.
Operion, an official Frappe ERPNext partner in Egypt and Saudi Arabia, maps your patient journey, configures the system, migrates your data and trains your clinical and admin teams, with Egypt ETA and Saudi ZATCA e-invoicing and ongoing support after go-live.
One record per patient
History, appointments, lab results and invoices in a single record that only authorized staff can open.
Conflict-free scheduling
Booking tied to practitioner schedules and service units cuts double-bookings and waiting time.
Every service billed
Consultations, tests and procedures turn into Sales Invoices linked to your accounts.
Tight access, full audit
Role-based permissions for every user group and a version history on every document.
Healthcare Challenges ERPNext Solves
Everyday problems in hospitals and clinics, and how they are handled when Operion implements the system.
ERPNext Hospital Management Features
The core capabilities of the healthcare app with ERPNext, shown on real system screens.
A Unified Patient Record and Full Medical History
The Patient record holds demographics, blood group, allergies and medical history, and links to an ERPNext customer for billing. From the same record the doctor sees a timeline of past encounters, vital signs, lab tests and procedures, so every decision rests on the full picture.
- Demographics, contacts and allergies
- Timeline of every visit and test
- Linked customer account for billing
- Permissions on who sees clinical data
Appointment Booking on Practitioner Schedules
Each Patient Appointment is booked only into open slots on the practitioner's schedule, linked to the department, service unit and appointment type. The calendar shows each doctor's day, and staff can reschedule or cancel and send reminders by SMS or email according to your settings.
- Slots taken from the doctor's schedule
- Linked to department and service unit
- Daily and weekly calendar per doctor
- Patient reminders to reduce no-shows
Doctor Schedules and Consulting Charges
The Healthcare Practitioner record sets the department, schedules, service units and consulting charges for outpatient and inpatient visits. Each doctor can be linked to an employee in Frappe HR for attendance, leave and payroll, so clinical schedules connect to the administrative side.
- Multiple schedules per doctor and unit
- Outpatient and inpatient visit charges
- Linked employee for attendance and payroll
- Separate income accounts per doctor if needed
Doctor Encounters: Diagnosis, Prescriptions and Orders
The Patient Encounter records symptoms, diagnosis and notes, and the doctor issues prescriptions, lab test orders and procedure orders from the same screen. Orders reach the lab, pharmacy and relevant department directly and appear in the patient's medical history.
- Symptoms, diagnosis and clinical notes
- Prescriptions with dosage and period
- Lab and procedure orders in one place
- Prescriptions printed on your letterhead
Laboratory: Templates, Samples and Results
Lab Test Templates define each test's components, normal ranges and price. Sample Collection is recorded, then results are entered, approved and printed for the patient. Results appear in the patient record for the doctor, and test charges flow into the invoice.
- Templates with normal ranges and prices
- Sample collection tracking
- Result approval and printed reports
- Tests linked to billing automatically
Inpatient Care, Beds and Service Units
Healthcare Service Units form a tree of departments, rooms and beds. The Inpatient Record follows the admission order, bed allocation, transfers between units and inpatient medication orders through to discharge, so nursing managers always know current occupancy.
- Tree of wards, rooms and beds
- Admission orders and bed allocation
- Transfers between service units
- Discharge and billing of the stay
Pharmacy and Medical Stock by Batch and Expiry
Medicines and supplies are managed in ERPNext Stock by batch, expiry date and multiple units of measure, across separate warehouses for the pharmacy and each department. Stock is issued from the earliest-expiring batch, and material requests are raised automatically at reorder level.
- Batch and expiry tracking
- Warehouses for pharmacy, wards and OR
- Auto material requests at reorder level
- Automatic stock valuation and GL entries
Medical Billing and E-Invoicing
Unbilled appointments, lab tests and procedures are pulled into the Sales Invoice in one step, with each line linked to its clinical document and the department's cost center. Entries post to the ledger automatically, and the invoice is submitted to Egypt's ETA or Saudi ZATCA.
- Pull unbilled services automatically
- A cost center per department
- Cash, card or contracted-payer collection
- ETA and ZATCA integration
Medical Equipment: Depreciation and Preventive Maintenance
Medical devices are recorded as fixed assets in ERPNext with value, location and depreciation method, and get periodic maintenance and calibration schedules assigned to the maintenance team. Every repair and its cost is logged, so management knows each device's condition and running cost.
- Asset register by location and department
- Automatic depreciation
- Maintenance and calibration schedules
- Repair history with costs
The Patient Journey, From Registration to Follow-up
One connected cycle where each document feeds the next, with no re-entry.
- Register patientRegister patient
- Book appointmentBook appointment
- Doctor encounterDoctor encounter
- Tests and proceduresTests and procedures
- Bill and collectBill and collect
- Follow-upFollow-up
Reports and KPIs for Healthcare Management
Ready-made reports from the healthcare app and ERPNext, filtered by branch, department and period.
Patient Appointment Analytics
Appointments per practitioner and department, by status, over any period.
Patient Medical Record
A timeline of every visit, test and procedure for a patient.
Lab Test Report
Ordered, completed and pending tests by template and practitioner.
Accounts Receivable
What patients and contracted payers owe, with ageing.
Batch-Wise Balance
Stock of medicines and supplies and their expiry dates in each warehouse.
Profit and Loss by Cost Center
The profitability of each department or branch.
Sales Analytics
Medical service revenue by service, practitioner and period.
Success stories from our clients
Real projects delivered by the Operion team and documented as case studies.
How Operion Implements Healthcare ERP
A practical method that starts with your clinical workflow and ends with a stable go-live and ongoing support.
Clinical workflow analysis
We map the patient journey from reception to discharge and define departments, services, price lists and permissions before configuring anything.
Installation and Frappe customization
We install the healthcare app alongside ERPNext, verify version compatibility, and build the custom fields, reports and print formats your facility needs.
Data migration and e-invoicing
We migrate patients, items and opening balances and switch on Egypt ETA or Saudi ZATCA e-invoicing.
Training, support and hosting
Role-based training for reception, doctors, lab, pharmacy and finance, then support and hosting on Frappe Cloud or your own servers.
Clinical workflows run on Marley Health (formerly Frappe Healthcare), a separate open-source app installed alongside ERPNext. Operion verifies its compatibility with your ERPNext version before implementation.
Learn more in the official ERPNext documentation
Step-by-step documentation for the features on this page.
More ERPNext modules
Accounting
Invoices, payments, financial transactions and accurate reporting.
Inventory
Item movement across warehouses, stock counts, receipts and issues.
Purchasing
From purchase request to invoice, with supplier follow-up.
HR & Payroll
Employee records, attendance, leave and payroll.
Fixed Assets
Asset register, depreciation, maintenance and transfers.
Quality
Goals, procedures, inspections and documented corrective actions.
Frequently asked questions
Didn’t find your answer? Our team replies within one business day.
What is the best ERP for hospitals and medical centers?
It depends on your size and services, but ERPNext with the Marley Health app puts clinical work, inventory, billing and accounting on one open-source platform with no license fee for the software itself. Operion can show you how it fits through a demo built around data close to your own.
Is the healthcare module part of ERPNext?
Healthcare used to be a module inside ERPNext. It is now a separate app, Marley Health, installed alongside ERPNext. The app handles patients, appointments, consultations, lab tests and inpatients, while ERPNext handles accounting, stock and purchasing.
Does it suit small clinics or only hospitals?
Both. A clinic can start with patients, appointments and billing, then add lab tests, procedures and inpatient care when needed. The setup scales with your branches and departments on the same platform.
How are medical services billed in ERPNext?
Consultation fees, lab tests and procedures are recorded against the patient, then unbilled services are pulled into a Sales Invoice that posts to the ledger automatically. Payments can be taken in cash, by card or against a contracted payer.
How long does implementation take for a medical facility?
It depends on the size of the facility and the number of modules, but it typically takes 8 to 16 weeks, covering analysis, setup, data migration, training and go-live.
Is patient data secure?
Yes. Data is stored on secure cloud servers in accredited data centers or on your own servers, with daily backups and encrypted connections (SSL/TLS). Role-based permissions control who can see clinical data, and every change is logged.
Can the system be used on a mobile phone?
Yes. It runs in the browser on computers, tablets and phones, with a responsive interface in Arabic and English. Operion's Smart Go app also gives dedicated mobile access to ERPNext.
Does it support e-invoicing in Egypt and Saudi Arabia?
Yes. Operion integrates ERPNext with the Egyptian e-invoicing system (ETA) and Saudi ZATCA, so invoices for medical services comply with local tax rules.
Ready to switch to ERPNext?
See how ERPNext can make your business more efficient and cut costs, with Operion beside you from analysis to go-live and support.

