A custom multi functional manual hospital bed has proven advancements in ergonomics and usability in few elderly care facilities. Such a bed can be tailored for use in hospitals and other medical institutions and also for home care. In more developed European countries with advanced healthcare services, customization includes the type of mattress used as well as color of the frame and other elements such as tables. In developing countries, the focus on diversity customizing may be to include affordable basic medical equipment attachments. This showcases the varying socio cultural and economic needs that can enhance personalized care economically.