M/S.PURUHOOTHIKA SOFTCONDUCTOR SERVICES HEVS INDUSTRIES.
(PURUHOOTHIKA TECHNOLOGIES LIMITED).

HOSPITAL INFORMATION MANAGEMENT SOFTWARE(HIMS) DESIGNED AND DEVELOPED.

THIS HIMS ALL RIGHTS ARE RESERVED BY PURUHOOTHIKA.

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PATIENT REGISTRATION AND RECORDS

INFORMATION COLLECTION INSURANCE AND PAYER VERIFICATION ELIGIBILITY AND DUPLICATE CHECKS CONSENT AND LEGAL AGREEMENTS

ID GENERATION AND QUEUE ROUTING OPD AND IP REGISTERS MRN SYSTEMS CLINICAL AND CHARTING RECORDS STATUTORY AND LEGAL RECORDS

ID GENERATION AND QUEUE ROUTING

Patient ID Generation & Queue Routing

System Note: Submitting this form automatically generates a unique Patient ID token and places the patient into the respective department's live queue.

1. Patient Demographics

First Name *

Last Name *

Date of Birth *

Gender *
Male Female Other

Phone Number *

National ID / Insurance Number

2. Queue Routing & Triage

Target Department *

Triage Priority Level *

Brief Chief Complaint / Symptoms