Clinic Software Costs in India: Pricing and Hidden Fees

Clinic software quotes vary by licensing model and included modules. Compare a written quote by unit, inclusions, tax treatment, first-year total, and recurring total. Practice Copilot pricing starts from ₹1,599 per clinician as the monthly equivalent on annual billing, ex-GST plus 18% GST. The AI Copilot EHR is bundled from Copilot at ₹2,399 per clinician as the monthly equivalent on annual billing, ex-GST plus 18% GST. Start your 7-day free trial on a real clinic day.

Decision summary

  • Compare vendor quotes by unit, inclusions, tax treatment, first-year total, and recurring total; do not rely on a market-average headline.
  • A perpetual licence does not make infrastructure, upgrades, support, or migration free.
  • Patient Square bundles the AI Copilot EHR from ₹2,399 per clinician as the monthly equivalent on annual billing, ex-GST plus 18% GST.
  • Hidden costs can include migration fees, per-message charges, add-on modules, onboarding fees, and applicable GST; preserve the tax treatment stated in each quote.
  • Compare on all-in first-year cost and 3-to-5-year TCO, not the sticker rate.
₹1,599/mo

Assist per clinician as the monthly equivalent on annual billing, ex-GST (about ₹1,887 including 18% GST)

₹2,399/mo

Copilot per clinician as the monthly equivalent on annual billing, ex-GST, with the AI Copilot EHR bundled (about ₹2,831 including 18% GST)

5

Hidden-cost lines to surface before signing: migration, messages, modules, onboarding, applicable GST

Published price sheet, checked 11 August 2026

Vendor and planPublic pricePublished unit or condition
Practo Ray CM Atom₹999 per monthOne-year plan
Practo Ray Clinic Management₹1,499 per monthOne-year plan
HealthPlix Pro₹11,999 per yearAnnual plan
HealthPlix Elite₹17,999 per yearAnnual plan
Eka Doc Plus₹16,999 per yearExclusive of 18% GST
Eka Doc Pro₹18,749 per yearExclusive of 18% GST
Eka Clinic Pro₹1,00,000 per yearFive doctors and fifteen staff; exclusive of 18% GST
KiViHealth₹12,000 plus GSTOne year; longer terms are also listed
Patient Square Assist₹1,999 month to month or ₹1,599 monthly equivalent on annual billingPer clinician; plus 18% GST
Patient Square Copilot₹2,999 month to month or ₹2,399 monthly equivalent on annual billingPer clinician; plus 18% GST
Patient Square Autopilot₹4,999 month to month or ₹3,999 monthly equivalent on annual billingPer clinician; plus 18% GST

These products do not contain the same jobs. Keep each published unit and condition intact, and recheck the linked first-party page when requesting a quote.

Per-doctor and per-clinic billing units

Quotes can use per-doctor or per-clinic billing units. Model both against the practice’s actual doctor, staff, and location counts.

Per-doctor subscription charges for each doctor using the system. A solo doctor pays one seat; a five-doctor clinic pays five. Patient Square uses this model for Practice Copilot.

Per-clinic or per-location flat pricing charges a fixed amount per site regardless of doctor count.

Do not assume either model is cheaper. Run your actual doctor count, staff count, locations, and expected growth through both structures.

Subscription vs one-time licence: the TCO question

The second fork is subscription versus perpetual licence. The invoices arrive differently, so compare the same time horizon.

ModelUpfront costOngoing costBuyer check
Cloud subscriptionFirst month or year of seatsSubscription, usage, storage, interfaces, support, renewalAsk for invoice schedule and limits
On-premise licenceLicence, infrastructure, implementationSupport, upgrades, database, security, major releasesAsk who owns every operating task

Ask each vendor to provide the licence or subscription, infrastructure, migration, implementation, support, tax, and renewal terms in writing. Then compare the first-year total and the recurring total across the period you expect to use the system.

The EHR question: bundled or a second invoice

Some quotes separate modules; others bundle them. Record exactly which capabilities, support, and renewal terms are included before comparing the headline.

Patient Square bundles its EHR into the Copilot tier. These are the current per-clinician rates; each is ex-GST plus 18% GST:

TierMonth to month (ex-GST)Monthly equivalent on annual billing (ex-GST)What you get
Assist₹1,999₹1,599AI Medical Scribe, ICD-10 suggestions, prescription drafts, scheduling
Copilot₹2,999₹2,399Assist plus WhatsApp messaging and the AI Copilot EHR bundled
Autopilot₹4,999₹3,999Copilot plus AI Receptionist, follow-ups, priority support, ROI analytics

On Copilot at ₹2,399 per clinician as the monthly equivalent on annual billing, ex-GST plus 18% GST, the AI Copilot EHR is bundled. The scribe drafts a structured SOAP note, ICD-10 suggestions, and a prescription draft for clinician review. Pick Assist at ₹1,599 per clinician as the monthly equivalent on annual billing, ex-GST plus 18% GST, if you keep an existing record system and want Practice Copilot alongside it. Start your 7-day free trial to test the workflow.

Hidden costs that don’t show on the headline

Build a quote sheet instead of guessing which charges are hidden. Give every vendor the same rows: subscription or licence; doctor, staff, and location quantities; migration; messages; storage; modules; onboarding; training; support; renewal; export; and tax. Mark each row included, capped, separately priced, or unknown.

The Patient Square GST math, once: ₹2,399 × 1.18 = ₹2,830.82, about ₹2,831 per clinician as the monthly equivalent including GST on annual billing. Preserve the applicable tax treatment stated in every other vendor quote.

Complete cost worksheet

Do not stop at the five headline rows. Use the same sheet for every supplier:

Cost rowQuantity and rateYear oneLater annualEvidence
Base subscription or licence
Doctor and staff seats
Extra clinic or location
Scheduling and clinical record
Documentation or scribe
Billing, reports, pharmacy, inventory, lab
SMS, WhatsApp, voice, or email usage
Storage, attachments, and archive
Setup, templates, and configuration
Data cleaning and migration
Interfaces and third-party fees
Training, support, and go-live
Devices, connectivity, and printing
Internal doctor and staff time
Export, termination, and transition
GST and other applicable tax

Ask the vendor to mark included items, caps, overage rates, and exclusions. “Included” without a limit is incomplete evidence.

Year-one total = subscription or licence + setup + migration + interfaces + training + devices + internal implementation time + applicable tax.

Later annual total = recurring plan + seats + usage + storage + interfaces + support + internal operating time + applicable tax.

Use the contract’s real invoice schedule. If an annual rate is paid upfront, cash leaves upfront even when the pricing page displays a monthly equivalent.

Five steps before signing

  1. Model per-doctor and per-location quotes against your actual doctor, staff, location, and growth counts.
  2. Choose subscription versus on-premise on a three-to-five-year TCO using written infrastructure, support, and upgrade quotes.
  3. Confirm whether the EHR is bundled or separately priced.
  4. Surface every hidden cost: migration, messages, modules, onboarding, and applicable GST. Get an all-in first-year number.
  5. Run a trial on a real clinic day and record task completion, errors, and staff time.

For an OPD clinic, compare your written requirements with Copilot at ₹2,399 per clinician as the monthly equivalent on annual billing, ex-GST plus 18% GST, then use Start your 7-day free trial before committing.

FAQ

Common questions

How much does clinic software cost in India?

Vendors use different units and bundles, so compare a written quote rather than a market average. Patient Square Assist starts from ₹1,599 per clinician as the monthly equivalent on annual billing, ex-GST plus 18% GST. The bundled Patient Square EHR starts from Copilot at ₹2,399 per clinician as the monthly equivalent on annual billing, ex-GST plus 18% GST.

Should I choose per-doctor or per-clinic pricing?

Preserve the vendor's billing unit, then model your real doctor count, staff count, locations, and growth. A per-doctor quote and a per-clinic quote are not comparable until both are converted into written year-one and recurring totals.

Is subscription or one-time licence cheaper for clinic software?

A subscription has a recurring seat cost; a perpetual licence moves more cost up front and leaves infrastructure, upgrades, and support to the buyer or a partner. Compare the written first-year and recurring totals instead of assuming either model is cheaper.

What are the hidden costs of clinic software in India?

Ask each vendor to price migration, extra users and locations, messages, storage, add-on modules, onboarding, training, support, renewal, export, and applicable GST as separate rows. Preserve the tax treatment stated in each quote, and keep any unanswered row marked unknown rather than treating it as zero.

Does clinic software price include the EHR in India?

Not always; ask what is included in the quoted tier. Patient Square bundles the AI Copilot EHR into its Copilot tier at ₹2,399 per clinician as the monthly equivalent on annual billing, ex-GST plus 18% GST. The scribe drafts a structured SOAP note, ICD-10 suggestions, and a prescription draft for clinician review.

How much is Patient Square in India?

Patient Square's Practice Copilot has three per-clinician tiers, ex-GST plus 18% GST. Assist is ₹1,999 month to month or ₹1,599 as the monthly equivalent on annual billing. Copilot is ₹2,999 month to month or ₹2,399 as the monthly equivalent on annual billing and adds the AI Copilot EHR plus WhatsApp messaging. Autopilot is ₹4,999 month to month or ₹3,999 as the monthly equivalent on annual billing. Hospital Copilot is separately demo-priced and can use the complete Patient Square HIS/EHR or work alongside an existing HIS/EHR.

Sources

  1. Patient Square India pricing: current Practice Copilot tiers and tax treatment.
  2. Practo Ray: current clinic plan prices.
  3. HealthPlix: current published EMR prices.
  4. Eka Care: current doctor and clinic plan prices.
  5. KiViHealth: current term prices and trial.