Many countries have legal restrictions on storing medical data on the cloud. If you are unsure of your local laws & regulations, then please do NOT put real data on the cloud. Use the steps mentioned in this document only to "evaluate" or "play" with Bahmni on the Cloud.
Poor Internet
The advantage with deploying on the Cloud is that you can snapshot your machines, restore them quickly, and don't need to worry about Hardware. Also, if you have slow internet, then you can use a Cloud server, since the cloud machines have high speed internet access for downloads and uploads, while you use a slow ssh connection to talk to the computer. Downloading everything on your own machine can require higher internet speeds, and you may not want to do that if you have poor internet.
Now you have a fresh 64-bit CentOS Box available with 4GB swap space setup. You can choose to snapshot this box, so that you don't need to repeat these steps next time you need a fresh box.