Direct Issue to BHTs from Pharmacy - hmislk/hmis GitHub Wiki
Path:
Pharmacy > Inpatient Medication Management > Direct Issue to BHTs
1. Enter Patient Name or BHT
2. Search and select items needed to be issued
3. Enter the quantity of each item that should be added
4. Press the "Add" button
If an item needs to be removed use the "Remove" button. If you want to change the quantity of each item press the "Edit" button.
If the requested item is out of stock, select a substitute
Each bill line has a "Select a Substitute" button (🔄 icon) next to the item name.

Pressing it opens an Alternatives dialog listing every in-stock, non-expired sibling brand of the same medicine (same generic/VMP), ordered by earliest expiry first, with rate, stock, and expiry shown for each. Press "Replace" on the alternative you want to issue instead.

The bill line updates immediately — item name, rate, service charge, and net value are all recalculated for the new item.

A line priced from an inpatient package shows a lock icon instead of the substitute button — package-priced items can't be substituted, since the package quota was reserved for that specific item.
5. Select "Settle" to finalize the bill
If you want to start over press "New Bill"
6. Print the bill
Direct Issue vs Issue Discharge Medicines
These two pages look similar but charge differently:
| Direct Issue to BHTs (this page) | Issue Discharge Medicines | |
|---|---|---|
| Used for | Medicines given during the ward stay | Take-home medicines at discharge |
| Charge | Retail rate plus the inward price-matrix service charge (margin) | Retail rate only — no service charge |
| Privilege | Direct Issue to BHT | Pharmacy Discharge Medicine Issue |
Both draw stock from your logged-in pharmacy and both appear in the inward/pharmacy reports and the interim bill. See Issue Discharge Medicines for the discharge workflow.
Related Features
- Direct Issue Return to Pharmacy — returning unused items from a direct issue bill back to the pharmacy
- Search Inpatient Direct Issue Returns — search/audit direct issue return bills