Praxis — clinic operations for multi-branch outpatient departments

The problem

Outpatient clinics in a multi-branch trust run on paper registers, hand-ruled cash books, receipt books and phone calls. Totals written by hand don't always add up. A patient's price, instalments and balance are buried in free text. Corrections overwrite what was there, with no record of who changed what. Doctor and lab payouts are prepared by hand every month. Refund money depends on trust, because nothing ties a refund to attendance or to a second person. When the internet drops, entry stops.

What Praxis does

• One system, every department. Dental, X-ray and physiotherapy run on the same core, each with its own screens, so a fix to billing or permissions reaches every department at once.
• Rules enforced by the system, not only on screen: each branch sees only its own records, no money goes negative, issued bills can't be edited.
• Everything the paper books derived, generated: the daily report, the cash book, the patient account and settlement statements, which always add up and carry forward by themselves.
• Separation of duties for money. Whoever asks for a refund, whoever approves it and whoever pays it are three different people, and the refund is checked against the sittings actually used.
• Works offline for registration, treatment, billing and attendance, and syncs in order when the connection returns. Money-moving approvals stay online only.
• Settlements for visiting doctors, labs and partners, built from amounts actually collected, with approvals and printed statements.
• Privacy by design under India's DPDP Act: consent at entry, guardian consent for minors, and an erasure process.

Status

Built and tested end to end on demo data: every protected action is checked for every role, and backups have been restored in a drill. The first deployment is planned with a charitable healthcare trust in North India. Coming soon.