How Much Does Clinic Management Software Cost in Nepal?

"How much does it cost?" is the first question every clinic owner asks about management software, and the honest answer is: it depends on how the vendor prices it, not just on the sticker number. This is a breakdown of what clinic management software actually costs in Nepal in 2026, the parts people forget to add up, and how to budget properly in NPR.

The pricing models you will run into

Flat subscription. One price covers the whole clinic and every feature, billed monthly or yearly. Easy to budget, no surprises as you grow. D. Clinic uses this model — see the current monthly and yearly NPR rates on the pricing section.

Per-user or per-doctor subscription. The base looks cheap, then each doctor, receptionist or location adds to the bill. Fine for a solo chamber, expensive for a polyclinic. Always calculate it at the size you expect to be in a year, not today.

Per-module pricing. Appointments are included, but the pharmacy module, the lab module or reporting cost extra. Add up the modules you will actually use.

One-time licence. You pay once for installed software. Tempting, but budget separately for updates, support contracts, your own backups, and the eventual cost of the machine it is locked to.

The costs people forget

• Setup and onboarding. Some vendors charge for implementation and training. Ask whether it is included or a separate line item, and how many days it takes.
• Data import. Moving your existing patient list in. Usually included, but confirm it.
• SMS. Reminder and confirmation messages are billed by an SMS gateway, typically per message, at local NTC/Ncell rates. This is separate from the software price with almost every vendor, including D. Clinic. Estimate your monthly message volume and multiply.
• Training time. Not a vendor charge, but real: budget a few hours of staff time in the first week regardless of which system you pick.
• Support tier. Check whether standard support is included and what "priority" costs.

A realistic monthly budget

For a typical small Nepali clinic — two or three doctors, a receptionist, maybe a small pharmacy — a sensible way to think about it:

1. Software: a flat plan, or base price plus per-user/per-module charges calculated at your real size.
2. SMS: monthly message volume × gateway rate. A clinic sending a confirmation and a reminder for every appointment will spend meaningfully more than one sending only reminders.
3. One-off: setup fee (if any) plus a few hours of staff training time.

With a flat-plan vendor, item 1 is a fixed, predictable number and item 3 is often zero. With per-user pricing, item 1 is the one to model carefully.

A worked example: a three-doctor polyclinic

Say you run a polyclinic with three doctors, two receptionists and a small pharmacy, seeing around 60 patients a day.

• Flat-plan software: one fixed monthly figure in NPR, every feature included, no change as patient volume rises.
• Per-user software: base price + a charge for each of the three doctors + possibly the receptionists + the pharmacy module. Model this at three doctors, not one, and it often lands well above the flat plan.
• SMS: roughly one confirmation + one reminder per appointment. At ~60 appointments a day that is ~120 messages daily, ~3,600 a month, billed by your gateway at local per-message rates.
• One-off: setup fee (zero with some vendors) + about half a day of combined staff training time.

The flat-plan total is a single line you can put in a budget. The per-user total needs a spreadsheet and a forecast.

The savings that offset the cost

The software price is only half the calculation. A system that tracks dues typically recovers balances that a paper clinic writes off. Reminders cut no-shows, and each recovered slot is a paid consultation that would otherwise have been empty. Faster billing and file retrieval free up receptionist hours. For most clinics past a single doctor, these add up to more than the subscription within the first few months.

Questions to ask a vendor about price

1. Is this the total, or are there per-user, per-location or per-module charges?
2. Is there a setup or onboarding fee?
3. Is data import from our current records included?
4. Are software updates and standard support included, or a paid tier?
5. Does the price change if our patient volume or staff count grows?
6. Are SMS costs separate, and roughly what should we budget per month?

Is it worth it?

Run the other side of the ledger. Paper-and-Excel clinics lose money in ways that do not show up as an invoice: dues that are never collected because no one tracked them, slots left empty by no-shows that a reminder would have prevented, staff time spent searching for files, and billing errors at the desk. For most clinics past a single doctor, a management system pays for itself on the dues and no-shows alone — see best clinic management software in Nepal for how to evaluate the options, and billing in NPR for how the money side works day to day.

D. Clinic's pricing

D. Clinic is deliberately simple: one flat plan in NPR, every feature included — appointments, EHR, billing, SMS reminders, prescriptions, reports, and pharmacy and lab modules. No per-doctor pricing, no paid modules, no setup fee. The yearly plan works out to two months free versus monthly. Current figures are on the pricing section, and you can try it free for 14 days before paying anything.