MedFile
A shared patient record for outpatient care · बिरामीको साझा अभिलेख

The patient's history, on screen before the consultation begins.

MedFile puts the record in front of the doctor the moment the patient sits down, digitises the handwritten prescription in a single photograph, and returns the record to the patient. It runs alongside the registration, billing, laboratory and pharmacy software a hospital already has — and replaces none of it.

Request a pilot See how a visit works
हरेक बिरामीका लागि निःशुल्क · Free for every patient, always
Doctor QR
Show this to your doctor
They scan it once. Nothing on this screen is your medical information.
3:34
left to scan
Refreshes every 30 seconds · single use
What the doctor will be able to do
One hour, verified doctors only, every session recorded.
Screens shown carry example data, not real patients.
The problem

A consultation that begins from memory.

In most Nepali hospitals a patient's record does not exist in any single place. Registration and billing hold one part of it, the laboratory another, the pharmacy a third — and the rest goes home with the patient as paper. A consultation therefore begins with the doctor rebuilding the history from memory and from whatever the patient can recall, least reliably for the patients who are oldest, sickest, or taking the most medicines.

The prescription then leaves on paper, and nothing structured stays behind. Once the patient walks out, the hospital has no way to know whether they improved, whether they took the medicine, or whether they ever returned.

18%1
of Nepali patients with high blood pressure have it under control. Half never learn they have it, and most who begin treatment stop coming back.
71%2
of deaths in Nepal are caused by non-communicable diseases — the patients who need to return most often.
49%3
of patients do not take their medication as prescribed, and the prescribing doctor has no way to know.

The comparison, throughout, is with paper — the registration slip, the prescription sheet, and the bag of reports a family carries between departments. Not with any software the hospital runs today.

How a visit works

Seven steps. The consultation itself is not one of them.

The doctor keeps writing on paper, exactly as today. MedFile works before the consultation and after it.

The full visit, step by step →
1
Consent
The patient grants 60 minutes of access from their phone.
2
History
Allergies, medicines, conditions and results, on screen.
3
Consultation
Unchanged. The doctor writes on paper.
4
Photograph
One photo — OCR transcribes the prescription into structured fields.
5
Confirmation
The doctor reviews what was read and confirms each field.
6
Return
Signed record and medicine reminders, to the patient's phone.
7
Follow-up
Staff can reach the patients who do not return.
As written, on paper
Ciplox 500 1-0-1 × 5d
The doctor's handwriting, photographed once.
As recorded, after the doctor confirms
MedicineCiprofloxacin 500 mg
Dose1 tablet, twice daily
Duration5 days · after food
Not a photo to re-read — a list the patient's phone can remind against.
Try it yourself

Hold the patient's phone for one visit.

This is the patient app, working. Tap through one consultation — granting access, watching it run, and seeing what comes home — the way a patient in your OPD would.

MedFile
Tuesday, 12 August
Next dose
19:00
in 2 hours
Warfarin · 3 mg · 1 tablet
You're at the clinic. Tap Doctor QR below to let your doctor see your record.
Home
Records
Safety
Guide
Doctor QR
Show this to your doctor
They scan it once. Nothing on this screen is your medical information.
4:41
left to scan
In the clinic this happens with a camera — here, just tap.
Access active
Dr. Anil Kumar Shrestha
Himalaya General Hospital · Baneshwor
59:12
remaining
While they're in, they can
Read your conditions, medicines, notes and reports
Add notes and prescriptions to your record
Download your history, or keep any copy of it
Delete or overwrite anything already in it
The patient can do this at any moment — try it.
Access ended
Dr. Anil Kumar Shrestha · 34 minutes
What changed in your record
1 visit note added · signed today
Ciprofloxacin 500 mg added · twice daily, 5 days
Reminders set for 08:00 and 20:00, for the next 5 days.
This session is now in your access history — who was in, for how long, and what they did.
One record, two sides

A hospital workspace for staff. A phone app the patient owns.

The hospital side
The history is ready before the patient sits down

Doctors open a verified snapshot — allergies, current medicines, conditions, recent results — the moment the patient grants access. It runs in a browser, on the phones and computers the hospital already has.

MedFile · Doctor workspace
SS Sunita Shrestha 42:10 left
Verified patient snapshot ✓ From structured records
▲ Allergies
Penicillin · urticarial rash  ·  Sulfa drugs
Current medications3 active
Amlodipine 5 mg · 1 tablet each morning
Metformin 500 mg · twice daily with food
Warfarin 3 mg · each evening
Recent results28 Jul
HbA1c7.8 % above target
The hospital workspace →
The patient side
· तपाईंको अभिलेख, तपाईंसँगै
The record goes home as structure, not as paper

After the visit, the patient carries a medication list with times and reminders — in Nepali or English — not a photograph of a prescription. It works offline and syncs when the connection returns. It is free, for every patient, always.

MedFile
Tuesday, 12 August
Next dose
19:00
in 2 hours
Warfarin · 3 mg · 1 tablet
Skip
Taken
Later today
Metformin · 21:00
The patient app →
Why it fits Nepal

Built for the hospital as it is, not as software wishes it were.

Free for every patient
A shared record only works when every patient is on it, so MedFile never asks a patient to pay.
Doctors keep writing on paper
Nothing about the consultation changes. The paper is photographed, not replaced.
Works offline
Records sync when the connection returns. Access works even when the patient's phone is offline.
ने/En
Nepali and English throughout
For patients and staff alike — the patient chooses their language, per person, not per hospital.
No new technology to buy
Runs on the phones and computers the hospital already has, alongside the software it already runs.
Consent, privacy, compliance · बिरामीको सहमतिमा मात्र

The patient holds the key. The system keeps the log.

Patient consent for every access. A doctor reaches a record only through a code the patient's own phone issues — and sessions expire on their own.
Revocable at any moment. The patient can end a doctor's access from their phone, mid-visit, with one button.
A full audit trail, visible to the patient. Every access is recorded and shown in the patient's own app.
Administrators cannot open patient records. Not a policy — a structural property of the system, unless the patient permits it.
Doctors verified against the NMC register. An account practises only once the Nepal Medical Council register confirms it.
Built for the 2081 EMR Directives and the Privacy Act 2075.
How access control actually works →
Founding pilots

We are looking to run pilots with hospitals in the Kathmandu area.

If you direct a hospital, run a department, or oversee health administration, we would welcome a conversation. A pilot costs the hospital nothing to evaluate, changes nothing about how doctors consult, and is free for every patient from the first day.

Pratistha K.C.
Founder · PharmD student,
Université Paris Cité (France)
Samir Kadariya
Founder · Computer Science & Mathematics, Massachusetts Institute of Technology (U.S.)
Write to us directly at [email protected]
[Founder contact details appear here]
Request a pilot
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We reply within a few days. Nothing here creates any obligation for your hospital.
Thank you — we will be in touch.
If it is urgent, write to us directly using the contacts on the left.