**Path:** Pharmacy > Inpatient Medication Management > Direct Issue to BHTs ![screencapture-qa-carecode-org-coop-test-faces-inward-pharmacy-bill-issue-bht-xhtml-2025-01-31-08_11_43](https://github.com/user-attachments/assets/34aa02a5-78fb-48fc-b355-704e9838bd85) **1. Enter Patient Name or BHT** **2. Search and select items needed to be issued** **3. Enter the quantity of each item that should be added** **4. Press the "Add" button** If an item needs to be removed use the "Remove" button. If you want to change the quantity of each item press the "Edit" button. **5. Select "Settle" to finalize the bill** If you want to start over press "New Bill" **6. Print the bill** ![screencapture-qa-carecode-org-coop-test-faces-inward-pharmacy-bill-issue-bht-xhtml-2025-01-31-08_19_00](https://github.com/user-attachments/assets/3be913cf-f463-4b64-84fd-85473f5b8534) --- ## Direct Issue vs Issue Discharge Medicines These two pages look similar but charge differently: | | **Direct Issue to BHTs** (this page) | **Issue Discharge Medicines** | |---|---|---| | Used for | Medicines given **during** the ward stay | **Take-home** medicines at discharge | | Charge | Retail rate **plus** the inward price-matrix service charge (margin) | Retail rate only — **no service charge** | | Privilege | Direct Issue to BHT | Pharmacy Discharge Medicine Issue | Both draw stock from your logged-in pharmacy and both appear in the inward/pharmacy reports and the interim bill. See [Issue Discharge Medicines](Inpatient-Issue-Discharge-Medicines) for the discharge workflow. [Back ](https://github.com/hmislk/hmis/wiki/Pharmacy-Inward-Issue)