The invention relates to a hospital patient account system based on fingerprint identification. The system comprises a fingerprint reader, a fingerprint payment machine, a fingerprint verification and transmission module, a hospital data clearing system, and a payment display module; fingerprints of a patient are acquired and the fingerprints and a corresponding identity card are bound together, and then the fingerprints are stored in a hospital data center; when the patient goes to a doctor, by swiping the fingerprint payment machine, the payment machine transmits charging information to hospital data through a network transmission module for searching and then fee deducting, the result is displayed on a payment display screen, then the patient can register, pay the fees and make an appointment, so that efficient and convenient service-oriented hospitals can be realized truly, the problems of data leakage, inconvenient to see a doctor, and waste in medical cards issuing due to the previous medical cards can be solved, and meanwhile, suspicious patient information can be transmitted to a data system of the Ministry of Public Security to investigate and ensure the hospital safety.