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Ambulatory segment of the Serbian public health system has a complex organization and much operational inefficiency, so it needs significant information technology (IT) support to perform all its operational aspects better. Our main goal is to create software, suited to satisfy the needs of the Serbian public healthcare system. This system development experience paper presents the results of our project that aims to develop IT support for public ambulatory healthcare facilities, with special emphasis on the improvement of environment for the work of general practitioners. Architectural overview, as well as main usage scenario of proposed solution is presented by this paper in order to illustrate how we are including and adapting modern MIS concepts in challenging circumstances of a health care organization in our country. Another crucial requirement for our software, due to too low level of IT education of medical staff in Serbia, was that the medical information system (MIS) interface should resemble the actual paper documents as much as possible.