Abstract—Health system is one of the vital components for the people of any country. The use of electronic health in Bangladesh is very limited. As a result, health cost is increasing day by day and the poor people of Bangladesh could not bear the increased health cost. In this study, we are going to propose and develop a cost effective distributed electronic health system for patient data handing considering Bangladesh perspectives. By using this model, both patients and doctors will be connected through our developed system. We have used open source electronic health system, business process diagram and distributed characteristics of health system in this research. We have successfully shown from the result section that this model works as a distributed electronic health system. Our developed system is interoperable and cost effective which are the noble characteristics. Health data of patients are easily distributed and managed through the developed system. Finally, we can conclude that the developed system will change the current health system of Bangladesh and bring a new dimension for the healthcare sector. Keywords- Interoperable; business process diagram; electronic health system; electronic health record; directorate general of health service