Blockchain is an emerging technology in today’s real-time applications and database transaction systems—the primary motto is to determine transactional clarity to end-user without any fluctuation. According to the basic block policy, it is immutable or does not allow updating the existing transaction, which automatically maintains the security and transaction clarity. This paper proposes a system performance evaluation of various consensus algorithms in a distributed environment with a peer-to-peer network. The four different consensus algorithms have been evaluated in four peer nodes. Healthcare application has been successfully tested with the entire system. The first blockchain implementation has done in a Java environment with the custom hash generation, mining strategy, and smart contract for each level. Each algorithm provides different time complexity accordingly. The system evaluates the performance of four consensus algorithms sequentially and demonstrates the effectiveness and utilization of each algorithm according to the requirements.