In a digitalizing India, cash transactions still dominate healthcare facilities, contributing to potential mishandling and fraud. Our ABDM triple milestone certified Hospital Information Management System (HIMS) addresses this challenge. This article highlights the system's innovation in cash management, including role-based access control, personalized cash books, dual-entry accounting, comprehensive reporting, streamlined bank deposits, and support for digital payments. By enhancing transparency, accountability, and efficiency, our HIMS ensures secure cash handling, safeguarding healthcare institutions from financial risks