Background: Electronic patient record system introduces valuable benefits in the health systemrnespecially in countries that have scarce resources, mostly developing countries. The recordrnsystem provides comprehensive, reliable, relevant, accessible and timely patient information torneach member of the health care. This will enable the health workers in detecting health problems,rndefining priorities, identifying innovative solutions and allocating resources for better healthrnoutcomes.rnObjective: To this end, this study attempt to develop patient record system for Habru WoredarnHealth Centers that enables to improve the use of patient information for making sound decisionrnand effective problem solving.rnMethodology: To achieve the objective of this study the investigator performs requirementsrnidentification by applying interview, observation and relevant document review techniques. Oncernthe requirements are defined, object oriented system analysis and design methodology wasrnemployed. Analysis, design and implementation of the proposed system are performed usin g thernUML tools for analysis and design, and C# programming language and Microsoft SQL forrnimplementation stage of the prototype system.rnResult: The developed prototype Patient Record System for the health centers has the capabilityrnto capture and store health information produced from routine service of OPD, generate reportrnand help the health workers in clinical management by providing clinical decision supportrnthrough highlighting abnormal test results and alert for abnormal vital signs. System testing andrnuser acceptance testing was also done in which encouraging result is registered.rnConclusion: Automating the existing paper-based patient record system of the health centersrnplays a great role in improving the health service delivery of the country. As a prototype systemrnthe current study focuses only on automating the OPD of health centers and, hence further workrnwill be expected that enhance the functionality of the system.