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Hello, although I do not know exactly the complexity of the processes and applications that you plan to deploy, I think that to minimize costs, if you do not need to make too many adjustments at the operating system and database level it is preferable that you have a small environment of development on a local computer (better, in fact, on a Linux OS for greater performance and ease of operation) and a starter instance in Joget Cloud. For that number of users, the monthly cost is just $ 2 / user and you can turn it on, off and scale at the time you need it and you shouldn't worry about infrastructure management. You can review this information at: https://www.jogetcloud.com/on-demand.html
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Is it possible to buy a license for 10 users as a trial run to eventually upgrade to more users for the on-premise edition because we just don't have that many users in our hospital department for now?