Hospital Management System - Request for Software Demo | XyoMed

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Hospital Management System - Online Contact Form

Please fill out the form below. Your request will be forwarded to the department best able to respond to your inquiry.

* Required Field

* Name:

Position:

Organisation:

Address1:

Address2:

* Email:

City:

State:

Country:

Best Time to Call:

From To

Hospital Information:

Number of Beds:

Number of Nodes : (Computers)

Number of Users:

Approximate Budget for procuring HMS:

I would like more information about the following modules:

	Registration		Billing
	Help Desk		Electronic Patient Medical Record
	MIS		Fixed Assets
	Financial Accounting		Outpatient Management
	Payroll		Pharmacy
	Inpatient Management		Laboratory
	General Store & Inventory		Nuclear Medicine
	Radiology		Dental
	Physiotherapy		User Manager
	Service

Does your Hospital Use computers?

Yes No

If yes then indicate the PC types used:

Uses IBM / PC Uses MAC Uses both Does not use a computer

Would Doctors, at the hospital, be personally entering data?

Yes No

Indicate the software(s) currently being used?

Would you want to integrate the above into the HMS that you wish to procure?

Yes No

Please list below details of further information/clarification you require:

How did you hear about XyoMed Hospital Management System ?

Internet Advertisement Referral Mailer Conference