Pay salaried doctors under Section 192 and visiting consultants under Section 194J correctly and separately, compute night-duty allowance for round-the-clock nursing shifts, manage ESIC for a workforce where most staff fall within the threshold, and run payroll across every facility in your network - without two TDS streams getting mixed into one payroll file.
A hospital with on-roll doctors, visiting consultants, round-the-clock nursing shifts, and a largely ESIC-eligible support staff faces payroll complexity that general-purpose software was never designed to handle.
On-roll doctors are taxed under salary TDS (Section 192). Visiting and retainer consultants are professional-fee earners under Section 194J. Mixing the two in one payroll file is one of the most scrutinised hospital payroll errors.
The hospitals works 24*7. Nurses and clinical staff are employed in shifts, which require the appropriate allowance for night duty and overtime pay calculated without breaching duty hour norms.
Nurses, paramedics, ward nurses, and ancillary staff fall within the ESIC wage bracket most often, necessitating proper and continuous registration and submission of the challans being a major burden.
A hospital or diagnostics chain operating across cities and states carries a different PT and LWF schedule for every facility, each needing to be tracked correctly..
Housekeeping, security, dietary, and lab staff are mostly procured on a contractual basis, and each one requires separate compliance documentation from the clinical staff.
There is a high turnover rate among the nursing and paramedical teams. This makes the onboarding process challenging when there are many hires and F&Fs.
Hospitals and healthcare companies run several distinct cadres at once - each with different pay structures and different tax treatment. TankhaPay is built to handle all of them from one login.
Section 192 – fixed income, properly calculated with PF, ESIC if applicable, and gratuity.
Section 192 Salary TDSPer-consultation or retainer-based professional fees, taxed under Section 194J on a separate stream from salaried payroll.
Section 194J Professional FeesShift differential pay, night duty allowance, and ESIC calculation proper for an organization where the employees seldom fall below the limit.
Shift Pay + ESICStipend-based payroll with the correct tax treatment, distinct from both salaried and consultant doctor payroll streams.
Stipend PayrollRegular payroll CTC based, PF, TDS and gratuity calculations correct for all the establishments.
Full PF + TDS + GratuityHousekeeping, security, dietary, and lab support staff processed with the correct compliance trail, segregated from clinical payroll.
Contract Labour ComplianceRunning payroll for a hospital means handling multiple cadres, two separate TDS streams, and round-the-clock shifts all in the same cycle. Here is how TankhaPay simplifies every step.
Hire salaried doctors, visiting doctors, nursing personnel, residents, and support staff from all facilities into a secure centre. Duty schedules, registration details, and compliance status per facility monitored in real time.
TankhaPay computes night-duty allowance and shift differentials from the duty roster, while running salaried doctor pay under Section 192 and consultant fees under Section 194J on entirely separate, correctly tagged streams.
All mandatory deductions are made with perfection - PF deduction from the right basic salary, ESIC validated and automatically registered for nursing and supporting staff falling below the threshold, and PT deducted at all states' facilities.
Once payroll is approved, salaries and consulting fees are disbursed directly to bank accounts across every facility. Digital payslips and consultant fee statements are generated instantly in the employee app.
CMMI Level 5 is a certification held by fewer than 1% of Indian tech companies. It means the quality standard your doctor classification and statutory filings are processed under is the same standard trusted by the Government of India.
No Indian payroll software competitor holds this certification. When your finance head or auditors ask who runs hospital payroll, this row wins the conversation.
We have processed payroll through every significant Indian labour and tax law change since 1998. Evolving TDS scrutiny on doctor classification is not a new challenge for us.
Doctors, nurses, residents, and support staff, each with different pay and tax rules - this is exactly the workforce shape TankhaPay's multi-cadre payroll engine was built for.
Run it in-house at one facility. When you expand to a multi-hospital network, switch to managed services on the same platform - no migration, no data loss.
From correct doctor classification to round-the-clock shift pay - every healthcare-specific requirement handled by the system, not reconciled manually every cycle.
On-roll doctors are processed under salary TDS (Section 192). Visiting and retainer consultants are processed under professional fee TDS (Section 194J), on a completely separate stream with its own challan and its own quarterly filing - exactly the distinction tax authorities scrutinise most closely in hospital TDS surveys.
Day, night, and on-call shifts for nursing and clinical staff are computed directly from the duty roster, with night-duty allowance and overtime applied correctly without violating duty-hour compliance.
Nursing, paramedical, and support staff frequently fall within the ESIC wage limit. TankhaPay auto-checks eligibility for every employee, enrols new joiners automatically, and generates the monthly challan without manual tracking.
Each hospital, clinic, or diagnostic centre carries its own state's PT slab and filing frequency. TankhaPay applies the correct PT automatically based on each facility's registered state, without HR maintaining a manual lookup across the network.
Nursing and paramedical roles see high attrition. TankhaPay onboards new joiners into active payroll within a day and processes F&F within the statutory window, so neither hiring nor attrition spikes create a backlog.
Four steps. No manual TDS stream separation. No spreadsheet for night-duty allowance. No payroll errors on the night before disbursement.
Shift and duty roster data syncs automatically across every facility, for clinical, nursing, and support staff alike.
Zero data entry effortShift pay, consultant fees, salary TDS, ESIC, and multi-facility PT calculations run automatically with current statutory rates.
Per employee, per cadre, per facilityFacility administrator reviews and HR head approves via maker-checker. Anomalies flagged before disbursal - not discovered later.
Anomalies flagged pre-runSalaries and consulting fees credited across every facility. PF, ESIC, PT, TDS - all filed. Done before the statutory deadline.
Full compliance in one clickBuilt for India's hospital and healthcare complexity - not general-purpose payroll software with a healthcare label added to the header.
Salaried doctors (192) and visiting consultants (194J) processed on separate, correctly tagged streams.
Night-duty allowance and shift differentials computed directly from the duty roster.
Auto-eligibility checking and enrolment for a workforce where most staff fall within the threshold.
PT applied per facility's registered state automatically, across networks of any size.
Outsourced housekeeping, security, and support staff processed with the correct compliance trail.
Bulk joiner upload brings new hires into active payroll the same day - built for high-turnover clinical roles.
Leave encashment, notice recovery, and final dues automated - processed within the statutory window.
Payslips, fee statements, and PF balance accessible via mobile app for every cadre, across every facility.
Real-time facility-wise labour cost, by cadre, including consultant fee spend - CFO-ready dashboards.
Updated for Labour Code 2025, ESIC threshold rules, and PT notifications - before the deadline, not after the notice.
Highlighted pills are healthcare-specific compliance requirements that generic payroll tools frequently get wrong or omit entirely.
Two TDS streams, kept correctly separate, across every facility you run.
Practical guidance for HR and finance leaders running payroll for multi-cadre clinical workforces across hospital and healthcare networks.
Covers the 24-hour shift management and multi-cadre payroll needs unique to hospitals and healthcare organisations.
The detail healthcare HR teams need on the wage threshold, the new 50% wage rule, and what counts toward ESIC coverage.
What employers need to know about ESIC, PF, and statutory benefits for a workforce that's largely within coverage thresholds.
The questions HR and finance leaders at hospitals and healthcare companies ask before committing to a payroll system.
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Join 1,000+ businesses running accurate, compliant payroll for doctors, nurses, and support staff on one platform - with correct 192/194J doctor classification and ESIC at scale built in.
