The verdict in three sentences
A clinic working with a nearshore vendor to digitise patient records, till and pharmacy chooses between an imported package (cheaper, but poorly fitted) and a custom build (12,000,000 to 35,000,000 FCFA, about 18,000-53,000 USD). Custom integrates the local till, mobile payment (Wave/Orange Money) and pharmacy stock management exactly as your clinic works. Budget 5 to 9 months and 400,000 to 1,200,000 FCFA per month of maintenance.
Custom vs imported package
An imported package appeals on sticker price, but hidden costs (adaptation, time-zone support, no mobile payment) catch up fast. FCFA orders of magnitude for 2026.
| Criterion | Imported package | Custom build |
|---|---|---|
| Initial cost | 3,000,000 to 9,000,000 FCFA | 12,000,000 to 35,000,000 FCFA |
| Mobile payment Wave/OM | Rare | Native |
| Local till | To adapt | Custom |
| Pharmacy/stock management | Partial | Complete |
| Local support | Time-zone gap | On site |
| Annual licence | 1,500,000 to 5,000,000 FCFA | Maintenance 4.8-14.4 M/year |
| Code ownership | No | Yes |
Custom costs more upfront but removes the annual licence and fits the clinic's real flows, which makes the difference over three years.
Modules and price ranges
Budget depends mostly on the number of active modules. Orders of magnitude for a 22,000,000 FCFA project.
| Module | Share of budget | Amount (base 22 M FCFA) |
|---|---|---|
| Patient records and booking | 26 % | 5,720,000 FCFA |
| Till and billing | 20 % | 4,400,000 FCFA |
| Pharmacy/stock management | 18 % | 3,960,000 FCFA |
| Online payment (Wave/OM) | 12 % | 2,640,000 FCFA |
| Management dashboards | 10 % | 2,200,000 FCFA |
| Data migration + training | 14 % | 3,080,000 FCFA |
This split helps prioritise: a clinic can start with records + till, then add pharmacy and mobile payment in phase 2 to spread the investment.
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Mini case study
Ms Kouassi runs a general clinic with a manual till producing about 3 % discrepancies on monthly revenue of 45,000,000 FCFA, i.e. 1,350,000 FCFA per month of leakage. Native mobile payment and a computerised till bring discrepancies to 0.5 %, saving 1,125,000 FCFA per month, or 13,500,000 FCFA per year. With a custom build at 22,000,000 FCFA and 700,000 FCFA/month of maintenance, the project is repaid in under two years on this line alone, before any admin time savings.
FAQ
How much does clinic software cost in 2026? Custom, budget 12,000,000 to 35,000,000 FCFA depending on modules (records, till, pharmacy, online payment).
Can mobile payment Wave and Orange Money be integrated? Yes, it is a native module of custom builds: about 10 to 14 % of the total budget for integration and confirmation webhooks.
What timeline to go live? Allow 5 to 9 months depending on module count and the volume of data to migrate from your existing registers.
What monthly maintenance should I plan? Budget 400,000 to 1,200,000 FCFA per month for hosting, backups, support and enhancements.
Import a package or build custom? An imported package is cheaper to buy but often misses the local till and mobile payment; custom amortises over 2 to 3 years thanks to avoided leakage.
Let's scope your project. State the number of practitioners, desired modules (records, till, pharmacy, mobile payment) and your indicative budget in FCFA. Detailed quote within 48 h. WhatsApp +221 77 596 93 33.
Mohamed Bah
Fondateur, Kolonell
Passionate about digital and entrepreneurship in Africa, Mohamed has been helping Sénégalese businesses with their digital transformation since 2020. Founder of Kolonell, he believes every SME deserves a professional and accessible online présence.
