HR and payroll software for hospitals and clinics in Pakistan
Hospitals never close, and their HR shows it: doctors, nurses, technicians and support staff on rotating duties, night shifts and on-call, consultants on sessional contracts, and licences that must stay valid. StreamHCM gives hospitals, clinics and diagnostic chains one system for rosters, attendance, leave and payroll.


Why hospital HR breaks on spreadsheets
A typical hospital roster changes every week. Nurses rotate through morning, evening and night duty, doctors swap calls, and staff are pulled between wards when someone is absent. When the roster lives in Excel, attendance on a biometric device at the entrance and leave approvals on paper, HR spends the end of each month matching three sources, and overtime and night allowances are where the mistakes appear.
StreamHCM puts the roster, the punches and the leave in one place. Each duty is a shift with its own start, end and break rules, so a night duty that starts at 8 pm and ends at 8 am is counted as one duty, not two half days. Swaps and extra duties go through approval, and the approved roster is what payroll pays.

Rosters, night duty and on-call
- Rotating duty patterns per ward or department, published to staff on the mobile app.
- Night shifts that cross midnight, with night allowance rules.
- On-call and extra duty recorded and approved before payroll.
- Shift swaps requested by staff and approved by the ward in-charge.
- Minimum staffing visibility so supervisors see gaps before a shift starts.
- Attendance by face or fingerprint device at staff entrances, plus mobile check-in for home visits and outreach.

Credentials and documents
Clinical staff need valid professional registrations, such as PMDC registration for doctors and Pakistan Nursing and Midwifery Council registration for nurses, along with training certificates. StreamHCM stores these in each employee's document vault, organised by category and searchable, so HR can review them before an inspection or accreditation visit instead of hunting through files.
Payroll for mixed contracts
Hospitals pay permanent staff monthly salaries, consultants by session or share, residents and trainees stipends, and support staff wages with overtime. StreamHCM lets each group have its own salary structure and allowances, including duty, night, call and specialty allowances, and brings session counts or overtime from attendance into the same payroll run. Loans and advances, provident fund and final settlement are handled in payroll too.

Pakistani payroll compliance built in
Payroll in StreamHCM includes the statutory items Pakistani employers deal with every month: FBR salary tax withheld under Section 149 using the Tax Year 2027 slabs, EOBI at 5% employer and 1% employee of the notified minimum wage, and provincial social security such as PESSI in Punjab or SESSI in Sindh, set per branch. Rates are settings rather than spreadsheet formulas, so when a new notification arrives payroll is updated once and every later run uses it, while finalised payslips stay exactly as they were paid.
Leave that respects patient care
Leave requests are checked against the roster, so a ward in-charge can see who else is off before approving. Policies are set per staff group, including annual, casual, sick, maternity and study leave, and balances are visible to staff in the app.
Reports for management
Department heads and management see attendance, overtime, absenteeism and payroll cost by department, ward and shift. That makes it possible to spot units that depend on overtime and plan staffing instead of paying for it after the fact.

Implementing StreamHCM in a hospital
Start with one department, often nursing, where rosters are the hardest. Set up wards as departments, define duty patterns, connect the staff entrance devices and run a month of parallel attendance and payroll. Once the nursing roster runs cleanly, add doctors, allied health and support staff, then credential tracking and performance reviews. Hospitals with several campuses set each campus as a branch with its own devices and holiday calendar.
Compliance points for hospitals
Hospital staff fall under the labour and social security laws of the province where the hospital operates, and EOBI and FBR salary tax apply as for any employer. Night duty, overtime and leave policies should be consistent with the applicable law and your own policy. StreamHCM enforces the rules you set and keeps records that support inspections and accreditation reviews, but it is your policy and the law that define the rules.

Frequently asked questions
Yes. Rotating duties, night shifts, on-call and swaps are configured per ward or department, and staff see their roster on the mobile app.
Each duty is defined as a shift with its own start and end, so a 12-hour night duty is counted as one duty and its night allowance is applied automatically.
Yes. Registrations and certificates are stored in each employee's document vault, organised and searchable.
Yes. Different staff groups can have different pay structures, and session counts can be brought into payroll.
Yes, every plan includes a 14-day free trial.
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