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Healthcare · head to head

Bahmni vs Cliniko

Bahmni logo

Bahmni

Healthcare

Open source hospital information system and EMR for low-resource hospitals, built on OpenMRS

From
Free
Rated
-
Full reviewWebsite
Cliniko logo

Cliniko

Healthcare

Clinic management software for health practitioners

From
Free
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Bahmni the licence is free and the implementation is not; configuration, data migration, training and multi-year support from a partner routinely cost far more than a small commercial system would have, and hospitals that budget only for hardware stall.; Cliniko priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month
  • They diverge on capability: Bahmni covers OpenMRS clinical record, Cliniko covers Appointment Scheduling.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Bahmni and Cliniko actually diverge.

Attributes where Bahmni and Cliniko differ
AttributeBahmniCliniko
Pricing modelOpen source, no licence feesubscription
PlatformsWeb, Linux, AndroidWeb, Mobile
FoundedUnknown2012

Identical on both: starting price (Free), free tier (Yes), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Bahmni

  • OpenMRS clinical record
  • Configurable clinical forms
  • Laboratory integration
  • Billing and inventory
  • Imaging
  • Inpatient management
  • Offline-capable clinical app
  • Reporting

Only in Cliniko

  • Appointment Scheduling
  • Online Booking
  • Client Management
  • Invoicing
  • Patient Portal
  • Telehealth
  • Payment processors
  • Online forms

What people use each for

The jobs each tool is most often brought in to do.

Bahmni

  • A mission or charitable hospital in India or East Africa that cannot fund a commercial hospital information system licence but needs a real EMR rather than papernot Cliniko
  • A ministry of health standardising district hospitals on one system and required by donors to use a recognised Digital Public Goodnot Cliniko
  • An NGO health network wanting one clinical record across several facilities with reporting that can feed a national DHIS2 instancenot Cliniko
  • A hospital that needs the clinical record, laboratory, pharmacy and billing to share one patient identity rather than running four disconnected systemsnot Cliniko

Cliniko

  • Practice management for allied health clinicsnot Bahmni
  • Appointment scheduling and online bookingsnot Bahmni
  • Clinical notes and patient recordsnot Bahmni
  • Telehealth consultationsnot Bahmni
  • Invoicing and payment tracking for a multi-practitioner clinicnot Bahmni

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Bahmni

  • The licence is free and the implementation is not; configuration, data migration, training and multi-year support from a partner routinely cost far more than a small commercial system would have, and hospitals that budget only for hardware stall.
  • There is no single vendor with an obligation to you unless you contract one, so upgrade timing, security patching and defect resolution depend on whichever partner you hired and how long they stay engaged.
  • It integrates four substantial open source systems, which means an upgrade touches OpenMRS, OpenELIS, Odoo and the imaging stack together, and hospitals with heavy customisation often freeze on an old version rather than risk it.
  • Skilled Bahmni implementers are concentrated in a small number of firms in India and a few African countries, so a hospital outside those markets may find nobody local who can support it.
  • Funding for the coalition and its shared engineering comes from donors and member contributions rather than licence revenue, which makes the pace of core development dependent on grant cycles rather than on customer demand.

Cliniko

  • Priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month
  • The top published band stops at 200 practitioners
  • SMS is charged separately at 10 cents a message
  • Telehealth requires entering card details before it unlocks, even during the trial
  • There is no free tier, only a 30 day trial

Pricing, plan by plan

Bahmni

Free
  • BahmniFree
    • AGPL open source, no licence fee
    • All modules included
    • Community support via forum and documentation

Cliniko

Free
  • 1 Practitioner$45/month
  • 2-5 Practitioners$95/month
  • 6-8 Practitioners$145/month
  • 9-12 Practitioners$195/month

Which should you pick?

Choose Bahmni if

  • You need openmrs clinical record.
  • You want to start without paying.
  • You work on Web, Linux, Android.
  • You also want configurable clinical forms.
Bahmni review

Choose Cliniko if

  • You need appointment scheduling.
  • You want to start without paying.
  • You work on Web, Mobile.
  • You also want online booking.
Cliniko review

Questions people ask

Is Bahmni or Cliniko better?
Neither clearly leads. Bahmni starts at Free and Cliniko at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Bahmni or Cliniko?
Bahmni starts at Free and Cliniko at Free.
Does Bahmni or Cliniko run on more platforms?
Bahmni runs on Web, Linux, Android. Cliniko runs on Web, Mobile.
Can I use Bahmni for free?
Both have a free tier, so you can try either at no cost before committing.
What is Bahmni best used for?
Bahmni is most often used for a mission or charitable hospital in india or east africa that cannot fund a commercial hospital information system licence but needs a real emr rather than paper, a ministry of health standardising district hospitals on one system and required by donors to use a recognised digital public good, an ngo health network wanting one clinical record across several facilities with reporting that can feed a national dhis2 instance, a hospital that needs the clinical record, laboratory, pharmacy and billing to share one patient identity rather than running four disconnected systems. Of those, a mission or charitable hospital in india or east africa that cannot fund a commercial hospital information system licence but needs a real emr rather than paper and a ministry of health standardising district hospitals on one system and required by donors to use a recognised digital public good are not what Cliniko is typically brought in for.
What can Bahmni do that Cliniko cannot?
Bahmni covers OpenMRS clinical record, Configurable clinical forms, Laboratory integration, Billing and inventory. Cliniko covers Appointment Scheduling, Online Booking, Client Management, Invoicing.

Answered from the vendors’ own pages

Bahmni: Is Bahmni free?

The software is, under an open source licence. Implementation, hosting, configuration, training and support are charged by whichever partner you engage.

Cliniko: How much does Cliniko cost for a practice?

Cliniko uses per-practitioner pricing: 1 practitioner $45/month, 2-5 practitioners $95/month, 6-8 practitioners $145/month, 9-12 practitioners $195/month, 13-25 practitioners $295/month, 26-200 practitioners $395/month.

Source
Bahmni: Who owns and governs Bahmni?

Thoughtworks transferred ownership in October 2017 to the Bahmni Coalition, under the fiscal sponsorship of the non-profit OpenMRS Inc. Thoughtworks remains on the governing committee.

Cliniko: Does Cliniko offer a free trial?

Cliniko is free to try for the first 30 days with no credit card required initially. A credit card is required to unlock features like Telehealth after the trial begins.

Source
Bahmni: What does an implementation actually cost?

It varies by hospital size and country, but expect the dominant costs to be partner services, training and multi-year support rather than software or hardware. Get a fixed-scope quote covering upgrades, not just go-live.

Cliniko: What is included in all Cliniko plans?

Every Cliniko subscription includes complete feature access, unlimited admin and reception users, unlimited locations, unlimited file storage, unlimited patients, 24/7 monitoring, automatic backups, regular updates, and 24/7 customer support.

Source
Bahmni: Is it a recognised Digital Public Good?

Yes, Bahmni is on the Digital Public Goods Alliance register, which is increasingly a condition of donor funding for health information systems.

Cliniko: Does Cliniko charge extra for SMS and what discounts apply?

SMS messaging costs 10 cents per message (pre-paid credits required). Annual billing includes one month free every year. Charities and educational institutions qualify for free access. Cliniko commits to no feature-specific fees beyond SMS and offers no annual commitment discounts.

Source
Bahmni: Where is it used?

More than 500 implementations across roughly 50 countries, concentrated in South Asia and Africa.

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