Case study · Darbhanga, Bihar

A teaching hospital, digitised end to end

Darbhanga Medical College & Hospital (DMCH) has served eastern Bihar since 1925. In 2024 it replaced paper registers and disconnected desktop tools with a single platform that Shwastik Tech Solutions built, deployed and still operates.

10 L+
Patient records handled
500+
OPD patients a day
3,000+
Transactions a day
24/7
Monitored availability
The problem

Paper doesn’t scale to five hundred patients a day

Registration ran on bound ledgers. A patient’s OPD slip, pathology result and pharmacy issue lived in three different rooms, kept by three different teams, with no shared identifier between them. Finding a patient’s history meant physically retrieving a file, assuming it had been returned.

Stock moved the same way. The main medicine store issued to department stores on paper indents, nobody could say what was on the shelf in the emergency store at nine in the morning, and expiry was caught by eye rather than by the system.

Any replacement had to cope with a queue of several hundred people in the corridor by 9 am, on the hardware and network the hospital already had. That constraint drove every decision that followed.

Approach

Module by module, never a single switch-over

A hospital can’t stop. Each module went live on its own and was proven in daily use before the next one followed.

  1. 1

    Registration first

    OPD and IPD registration go live first, because they create the identifier every other module depends on. Counter staff are trained on a single, keyboard-first screen.

  2. 2

    Diagnostics and stores

    Pathology, radiology and cardiology attach to that identifier, followed by the central drug store and department medicine stores.

  3. 3

    Wards, blood bank and records

    IPD, the casualty ward, blood bank and record room follow: the areas where a lost entry has clinical consequences.

  4. 4

    Staff and support

    Staff attendance and the helpdesk come last, on the same servers and the same support line.

In daily use

What runs on the platform

The hospital modules that make up Swastik HMS, all sharing one patient record.

Planning a similar rollout?

Tell us about your hospital and the department you want to start with.