If you’re weighing Augnito, decide one thing first: do you want to dictate, or do you want to stop dictating? Augnito Spectra is medical speech-to-text you drive with your voice, you narrate the report and it types. Patient Square is ambient, it listens to the consultation and hands back a structured SOAP note, ICD-10 suggestions, and a prescription draft about two minutes after the patient leaves, no narration step at all. Augnito’s price is quote-gated behind a demo form. Patient Square publishes it: Practice Copilot from ₹1,599/mo per doctor, the bundled AI EHR from ₹2,399/mo (ex-GST, so with 18% GST that’s about ₹1,887 and ₹2,831). You can book a demo and watch a note write itself on a real visit.
This isn’t a takedown. Augnito is a serious, established Indian medical-speech company. It’s a fit question: some doctors genuinely want to dictate, and for them Augnito is a good answer. Below is where each model wins.
Bottom line
- Augnito Spectra = dictation you drive (speak the report, it types). Patient Square = ambient capture (it listens, you don’t narrate).
- Augnito has an ambient product too (Omni), but it’s a separate, enterprise-facing offering, and both are quote-gated.
- Patient Square publishes per-doctor pricing: ₹1,599/mo entry, ₹2,399/mo with a bundled AI EHR. Augnito routes you to a sales quote.
- Third-party estimates put Augnito near ₹4,000-16,000/user/mo equivalent, but that’s an outside guess, not their rate card.
Augnito vs Patient Square: dictation or ambient?
The split is the model, not the accuracy. Read the row that matches how you want to work.
| Augnito (Spectra) | Patient Square | |
|---|---|---|
| Built for | Doctors who want to dictate reports by voice | Doctors who want the note written for them |
| What it does | Speech-to-text you drive: narrate + voice commands | Ambient capture: it listens, no narration |
| Output | Text you dictated, into Smart Editor / Word / HIS / PACS | Structured SOAP note, drafted for you |
| ICD-10 | Coding in the separate Omni product | Suggestions only (never a coding engine) |
| Prescription | You dictate it | Draft, ready for you to check |
| Languages | Dictate in English, many accents supported | Speak English, Hindi, 20+ Indian languages; English note out |
| Pricing | Quote-only, demo form | Published per doctor: ₹1,599 / ₹2,399 / ₹3,999 |
| Implementation | Scoped, EMR integration | None for clinics; sign up and consult |
Want to narrate a radiology report in your own words? Augnito’s your tool. Want to finish a 30-patient OPD without touching the keyboard? Keep reading.
What Augnito Spectra is genuinely good at
Credit where it’s due. Augnito Spectra is a mature medical speech-to-text engine. You speak your report at your own pace, use voice commands to format and correct, and it types into its Smart Editor or straight into Word, your HIS, or a radiology PACS/RIS. It covers 50-plus specialties and sub-specialties and recognises a range of English accents without a training step. Scribetech, the company behind it, has years of NHS transcription heritage, so this is battle-tested plumbing, not a weekend project.
For a radiologist reading twenty scans, or a pathologist narrating a structured report, dictation is the right shape. You’re already composing the report in your head; you just want it on the page faster than typing. Spectra does that well, and I’d point a reporting-heavy specialist at it before pointing them at an ambient tool.
The mismatch shows up somewhere else: the crowded OPD. In a 8pm Pune clinic with fourteen patients still waiting, you don’t want to narrate a report between consults. You want the note already done when the patient stands up. That’s a different job, and dictation, however fast, still asks you to stop and compose.
What does Augnito cost in India, and why isn’t it published?
Augnito doesn’t put a number on the page. Both Spectra and the ambient product route you to a demo-and-quote form, because the price genuinely tracks user count, EMR integration work, and which specialty modules you switch on. That’s normal for clinical software sold into hospitals. It also means a scoping call before you know your figure.
Third-party listings estimate Augnito somewhere around 50 to 200 US dollars per user per month, roughly ₹4,000 to ₹16,000 at current rates. Treat that as an outside estimate, not a quote, the real number comes from their sales team and can sit well above or below that band depending on your setup. For a large hospital, scoping is fine. For a solo doctor who just wants notes done, entering an enterprise quote cycle to solve a documentation problem is a lot of friction.
Patient Square prices for the doctor buying it directly. Practice Copilot is per doctor: Assist ₹1,599/mo annual, Copilot ₹2,399/mo (adds the bundled AI Copilot EHR and WhatsApp), Autopilot ₹3,999/mo, all ex-GST, add 18%. It’s on the pricing page, no form required. If you’re comparing what a scribe costs a solo doctor, the AI scribe cost breakdown for solo doctors walks the maths.
Dictation vs ambient: what actually changes at the desk
Here’s the difference in plain workflow terms, per visit.
| Step | Dictation (Spectra) | Ambient (Patient Square) |
|---|---|---|
| During the visit | You consult, then narrate | You just consult |
| Writing the note | You speak the report aloud | The scribe drafts it from the conversation |
| Your effort after | Review + fix dictation errors | Review a ready SOAP note |
| Coding | Dictate, or use Omni’s coder | ICD-10 suggestions surfaced for you |
| Prescription | You dictate each line | Draft ready to check |
| Time to a finished note | Depends on how fast you narrate | About two minutes, drafted for you |
Dictation moves the typing off your hands but keeps the composing on your shoulders. You still decide every sentence and say it out loud. Ambient removes the composing step too: the note is drafted from what you and the patient actually said, and you switch from author to editor. For a doctor drowning in charting after clinic hours, that shift, author to editor, is the whole point.
Patient Square’s canonical shape: Practice Copilot brings the whole practice under one AI copilot, an ambient AI Medical Scribe that hands back a structured SOAP note, ICD-10 suggestions, and a prescription draft minutes after the visit, plus a bundled AI EHR, scheduling, and messaging as you move up the plan. Hospitals get Hospital Copilot. Book a demo and run it on your own visit type.
What every Patient Square plan includes
No matter which tier, every plan includes: unlimited visits and notes with no per-note metering, EHR-ready export (PDF, HL7, FHIR), specialty-aware templates ready out of the box, and capture on web or mobile. The scribe listens in Hindi, Kannada, Bengali, Tamil, and 20-plus Indian languages, even Hinglish, and always returns a clean clinical English note, so a colleague or a referral reads the same standardised record every time. Audio is processed in memory and discarded once the note drafts, nothing sits in a recording bucket, and offline capture is encrypted with AES-256-GCM.
On compliance, straight talk: data is handled to DPDP Act 2023 standards, the SOC 2 Type II audit is in progress (not certified yet), and ABDM integration is on the roadmap, not live. Records are born digital, ready for the ABHA-linked era on your timeline. If any vendor claims live, certified ABDM today, ask for the NHA certificate before you sign.
When Augnito is the better choice
Choose Augnito if you want to dictate. If you’re a radiologist, pathologist, or any reporting-heavy specialist who composes a full structured report in your head and just wants it on the page fast, Spectra’s speech-to-text is purpose-built for exactly that, and its accent handling and specialty vocabulary are strong. A hospital that already runs a dictation workflow across PACS/RIS and wants to standardise on one voice engine also has a real reason to pick Augnito, and to look at Omni if it wants an ambient layer under the same vendor.
Choose Patient Square if the pain is charting time, not typing speed. An OPD doctor seeing thirty patients on a Tuesday doesn’t want a faster way to narrate reports; they want to not narrate at all. Ambient capture drafts the note from the conversation and hands it back in about two minutes, in clean English whatever language you consulted in, at a published per-doctor price with no scoping call. If you’re a clinic comparing the broader field, the DocOnline and Halemind alternative breakdowns cover adjacent options.
How to decide this week
Skip the feature-sheet standoff and run the test:
- Say which you want out loud: do I want to dictate reports, or stop composing notes? That answer picks your category before any demo.
- If dictation, trial Augnito Spectra on your real reports and check accent and specialty vocabulary on your worst-case cases.
- If ambient, trial Patient Square on a real OPD, Hindi or Kannada in, clean English note out, and time how long the finished note actually takes.
- Match the clinical output like for like: a structured note, ICD-10 suggestions, and a checked prescription draft, and be honest about which coding claims are suggestions versus a real coding engine (Patient Square’s are suggestions, and it says so).
- Settle the money question up front. Get Augnito’s real quote, don’t rely on the third-party estimate, and put it next to Patient Square’s published ₹1,599 / ₹2,399 / ₹3,999 ladder.
The per-doctor prices sit on the pricing page, and you can book a short demo to check note quality on your own visit type. If you want to dictate, Augnito earns the look. If you want the note written for you, you’re in the right place.