Dermatology and skin clinic software built around dated clinical photos on the patient's record

This is the part most paper clinics lose, and it is live. Open a patient or a consultation, hit Add document, and either snap a photo with the in-app rear-facing camera (capture, review, retake, confirm) or upload an existing JPEG, PNG, WebP, or PDF. Each image is auto-compressed, stored in a private bucket reachable only through short-lived signed links, and saved as a dated record scoped to that visit, so a lesion's progress across appointments reads as a chronological photo trail on one record instead of an untraceable camera roll. Front desk and clinicians open them through a built-in viewer.

Avinya Plus ships no dermatology body-map or dermoscopy widget, and won't pretend it does. What's live is the block-template builder (on by default), where you build your own lesion findings table as a block-database table: one row per lesion or per visit, with columns you define from 23 field types: a select for body site, a select for lesion type and morphology (macule, papule, plaque, nodule), a number column for size in mm, a date column, and a notes column. Each exam is a row, so a full skin survey reads as one growing table beside that visit's photos.

Put every procedure (chemical peel, laser hair removal, microneedling, cryotherapy, biopsy) into the services catalogue with its own price, tax rate, and HSN/SAC code, and group cosmetic work under its own service category so it's clean on the books. Bill any visit in one click from the appointment: the invoice opens with patient and visit pre-attached, each line carries its procedure's tax, and once your clinic has a GSTIN the tax auto-splits into CGST+SGST for same-state or IGST for inter-state patients. Print an A4 tax invoice or an 80mm thermal receipt and record UPI, cash, card, bank transfer, or cheque.

A six-session peel or laser course runs on the live appointment engine, not a notebook. Add your own appointment types per clinic, renaming the seeded set to Peel Session, Laser Sitting, Patch Test, Review, then book each sitting and move it through the validated lifecycle: scheduled, then in visit, then completed, with cancelled or no-show as the off-ramps. The API validates every transition, so a completed, cancelled, or no-show sitting can't be quietly reopened and you can't jump scheduled straight to completed. Filter the schedule by doctor, date, or status, and the Today's Schedule dashboard shows live Total, Arrived, Waiting, In Consultation, and Completed counts for the day.

Every patient gets one accountable record: demographics, allergies, an auto-generated human-readable patient ID, and a chronological timeline where photos, findings tables, and notes sit newest-first. Record drug allergies (sulfa, retinoids, topical antibiotics) and when you prescribe isotretinoin, an antifungal, or a topical steroid the chosen medicine is cross-checked against those active allergies at prescribing time. Brand search is type-ahead and ranked for your clinic so writing a dermatology script is fast, and you add any compounded or branded preparation you stock that isn't already listed.

There is no dermatology-specialist module: no AI dermoscopy reader, no automated lesion measurement, no anatomical body-map widget, and no growth or severity scoring. Photo attachment is live, but the clinical interpretation is yours. The lesion findings table is one you build in the configurable builder, not a shipped form. We say this plainly because the alternative, a rigid module that half-fits, is what every skin clinic already hates. You shape the chart; the platform makes the photos, records, billing, and access real underneath.