Okhati is one of the better-known clinic and hospital management systems in Nepal, and if you are shopping for software you have almost certainly come across it. D. Clinic is newer and takes a slightly different approach. This is an honest comparison to help you work out which one fits your practice — written by the D. Clinic team, so read it with that in mind and verify the Okhati details against their current information.
The short version
- Okhati is a broad, established system that spans clinics and larger hospitals, with a wide module set built up over years.
- D. Clinic is focused on small-to-mid clinics and polyclinics, with one flat NPR plan, a fast setup, and a built-in patient marketplace where NMC-verified doctors take online bookings.
If you are a hospital with many departments and dedicated IT staff, look closely at Okhati. If you are a chamber, a polyclinic or a growing clinic that wants everything included and running quickly, D. Clinic is built for exactly that.
Pricing model
This is usually the deciding factor, so check it carefully for both.
D. Clinic is a single flat plan in NPR with every feature included — no per-doctor pricing, no paid modules, no setup fee. Monthly or yearly (yearly saves two months). The current numbers are on the pricing section. SMS messages are billed by your gateway at local rates; everything in the software is included.
Okhati — confirm their current structure directly. Historically Nepal hospital systems tend to price by scale or module. When you get a quote, add up the base price plus any per-user or per-module charges plus onboarding, and compare the all-in yearly figure, not the headline.
We go deeper on this in how much clinic management software costs in Nepal.
Features that matter day to day
Appointments and queue. Both handle scheduling. Look at whether walk-ins and online bookings share one live queue, and whether every doctor and room shows in parallel. D. Clinic's appointment system is built around a single shared live schedule.
Patient records. Both offer an EHR. The questions to ask: can two doctors see the same history, are allergies flagged before prescribing, and do lab results attach to the visit? See EMR vs EHR for why this matters as you grow. D. Clinic's EHR is designed so the record is never the weak link between reception, the doctor, the pharmacy and the lab.
Billing. Both bill in NPR. Compare the day-close report, dues tracking, and whether pharmacy and lab charges land on the same invoice. D. Clinic's billing ties every charge to the visit and closes the day against every transaction.
Pharmacy and lab. Both offer modules. With D. Clinic they are part of the same flat plan and the same patient record — stock deducts as medicines are sold, and lab results flow back to the doctor and trigger a patient SMS.
Patient marketplace. This is where D. Clinic differs most: verified doctors get a public profile and can take online bookings from patients searching by specialisation and city, with NMC verification shown. If attracting new patients online matters to you, weigh this.
Two clinics, two right answers
A three-doctor polyclinic in Pokhara with a small pharmacy. They want online bookings, one predictable bill, stock that deducts as medicines are sold, and to stop losing dues. A flat-plan system that includes pharmacy and a patient marketplace, set up in an afternoon, fits this cleanly — this is the D. Clinic case.
A 60-bed hospital in Kathmandu with inpatient wards, an operating theatre, and a billing department. They need inpatient management, department-level workflows, and a system their IT staff can administer. A heavyweight platform like Okhati is the more natural fit, and the implementation effort is worth it at that scale.
Most practices reading this comparison are closer to the first case than the second.
Data ownership and export
Whichever you choose, confirm two things in writing: that the patient data is yours, and that you can export it in a usable format if you ever leave. D. Clinic treats your data as yours and does not lock it in. Ask Okhati — and any vendor — the same question directly.
What happens when you grow
With D. Clinic, adding a fourth or fifth doctor does not change your bill or your setup — the flat plan and the shared patient record already assume a team. Adding a lab means turning on the lab module, not buying it. The ceiling you are more likely to hit is inpatient care: if you move from an outpatient clinic to a hospital with wards, that is the point to re-evaluate.
Setup and support
D. Clinic is browser-based, imports your existing patient list, and is designed to be usable the same day. Support is a local team that understands Nepali clinics.
Okhati — ask about implementation time, whether setup is done for you, and what training is included, especially if you are a larger site.
Which should you choose?
Choose Okhati if you are a hospital or multi-department facility that needs a heavyweight system and has staff to run it.
Choose D. Clinic if you want one predictable NPR price with everything included, a setup measured in minutes not weeks, and a patient marketplace that brings in online bookings — which is most clinics and polyclinics in Nepal.
The fairest test is your own day. Start a free 14-day trial and run real patients through D. Clinic before you decide.
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