EkaScribe, Augnito, and AI Medical Scribe by Patient Square overlap, but they’re not solving the same problem. EkaScribe is an India-native ambient scribe wired into ABDM. Augnito is medical dictation, the kind where you speak the note. AI Medical Scribe by Patient Square is an ambient scribe built around code-mixed consults and prescription safety. Nobody has published an independent comparison of the three. So here’s an honest one, built only on what each vendor publishes.
EkaScribe and Patient Square are ambient; Augnito is dictation
publish a price openly: EkaScribe ₹1,499/mo scribe-only, Patient Square ₹1,799 annual ex-GST for scribe plus practice tools. Augnito is sales-gated
Patient Square full-featured, no card; Augnito 7-day; EkaScribe free tier 5 consults/day
Key takeaways
- Augnito is dictation (you speak the note); EkaScribe and Patient Square are ambient (they listen to the consult).
- EkaScribe publishes ₹1,499/month scribe-only (EMR separate); Patient Square ₹1,799 annual ex-GST for scribe plus practice tools; Augnito publishes no price at all. Pair EkaScribe with an EMR and the eka stack runs ₹2,600–3,000/month.
- For live ABDM/ABHA linking today, EkaScribe is the better fit. Our ABDM integration is roadmap, not shipped.
- All three deserve a trial on your own patient mix before you commit; that’s the only fair accuracy test.
Dictation or ambient: which problem are you solving?
This is the first fork, and it matters more than price. Augnito’s core product is medical dictation: the doctor speaks the note aloud, something like “new paragraph, assessment, type 2 diabetes, comma, suboptimal control,” and it’s transcribed with voice commands, in the lineage of Dragon-style tools. It’s fast and accurate for clinicians who already narrate, and Augnito’s marketing cites a large hospital footprint and high accuracy (claims we’ll attribute to them rather than test ourselves).
EkaScribe and AI Medical Scribe by Patient Square are ambient. They listen to the actual conversation between you and the patient and draft the note from it, so you don’t dictate. AI Medical Scribe by Patient Square is an ambient AI medical scribe that builds a live transcript as you speak and hands back a structured SOAP note, ICD-10 suggestions, and a prescription draft the moment the visit ends, ready to review and sign. If you want to stop narrating notes entirely, you want ambient. If you like dictating and just want it faster, Augnito’s category is the one to shortlist.
How do they compare, line by line?
| EkaScribe (eka.care) | Augnito | AI Medical Scribe by Patient Square | |
|---|---|---|---|
| Type | Ambient scribe | Medical dictation | Ambient scribe |
| Published price | ₹1,499/mo Pro scribe-only; free tier 5 consults/day; EMR separate | None published (sales-gated) | ₹2,999/mo list; ₹2,399 monthly; ₹1,799 annual, ex-GST; scribe + practice tools |
| App-store price signal | App listings | App Store India IAPs ₹1,199 / ₹3,299 / ₹11,900 (periods unlabeled) | n/a |
| Indian languages | 20+ named (Hindi, Bengali, Telugu, Tamil, Marathi, Gujarati, Kannada, Malayalam, Punjabi, Urdu and more) | Multiple Indian languages (per Augnito) | English + Hindi + 20+ Indian languages, code-mixing auto-detected |
| Note language | English / structured | As dictated | Clean clinical English |
| What’s drafted | Note + clinical summary | Transcribed dictation | Note + ICD-10 suggestions + Rx draft |
| Rx safety check | Not headlined | Not applicable | Deterministic screener (interactions, renal, pregnancy), re-checked at sign time |
| Audio handling | Cloud servers (India), per eka framing | Per Augnito policy | Processed in memory, never stored |
| ABDM | Live ABDM/ABHA ecosystem | Dictation-focused | On the roadmap (not yet integrated) |
| Trial | Free tier (5/day) | 7-day | 7-day full-featured, no card |
All figures from each vendor’s own pages and listings in June 2026; confirm before buying. Two cells deserve plain talk.
Where EkaScribe is the better choice
If linking records to ABHA under ABDM is something you need today, EkaScribe wins. It’s in the ABDM ecosystem now, and we are not. Our ABDM integration is on the roadmap; we won’t dress that up. eka.care is also India-native, publishes its price openly, and names a deep list of Indian languages. For a clinic whose buying decision turns on ABDM readiness, that’s the honest recommendation, and the broader India scribe roundup says the same.
One thing the SERP won’t tell you, because eka’s review results are all self-published: user reviews on the app stores report friction around renewal sales calls and post-payment activation. Worth reading the store reviews yourself before you commit, and that’s true of any vendor, us included.
Where Augnito is the better choice
Already speak your notes? If you’re a dictation loyalist who wants a fast, accurate Dragon-style tool and isn’t after ambient listening, Augnito is built for exactly that, with a substantial Indian hospital footprint. The catch is price discovery. There’s no public number, so you’ll go through sales. The only verifiable figures are the App Store India in-app purchases (₹1,199, ₹3,299, ₹11,900), and even those don’t label their billing periods. If transparent pricing matters to you, that’s real friction.
Augnito Spectra vs ambient scribe: what the distinction actually means
Augnito has two separate products and people mix them up constantly.
Augnito Spectra is push-to-talk dictation. Press a button, speak your note aloud, the words appear in whatever clinical system is on your screen. It runs as a floating widget on Windows, Web, Chrome, iOS, and Android, and it works directly inside any RIS, LIS, HIS, or EMR — Epic, Cerner, Intersystems — without native integration. You don’t install anything on the hospital server. That EMR-agnostic posture is the real pitch for larger Indian hospital deployments with legacy software no vendor will build an API for.
Augnito Omni is their ambient AI scribe: it listens to the consultation and drafts the note, the same category as EkaScribe and AI Medical Scribe by Patient Square. Omni and Spectra are sold separately.
Most of the Augnito comparisons circulating online don’t make this split. They compare a dictation product (Spectra) against ambient scribes. Those are different tools solving different workflow problems.
Spectra vs ambient: the honest comparison
| Augnito Spectra | AI Medical Scribe by Patient Square | |
|---|---|---|
| Mode | Push-to-talk dictation | Ambient (listens to consultation) |
| What you do during consult | Speak the note aloud | Consult normally; don’t narrate |
| EMR placement | Dictates directly into any EMR / RIS / LIS via floating widget, no integration needed | Works alongside your EMR; exports PDF / DOCX |
| Indian language support | Accent-agnostic dictation; named-language list not published on vendor site | English + Hindi + 20+ Indian languages; code-mixed Hinglish input, English note output |
| Rx / prescription | Not a documented feature of Spectra | Prescription draft with deterministic safety screener |
| Audio handling | Per Augnito data-retention policy (uses de-identified data for model training by default; customers can opt out) | Processed in memory, never stored |
| ABDM / ABHA | Dictation-focused; ABDM not documented | On our roadmap; not live yet |
| Trial | 7-day free trial, no card, no implementation fee (Spectra) | 7-day full-featured, no card |
| Published price | No public price; App Store India IAPs ₹1,199 / ₹3,299 / ₹11,900 (billing periods unlabeled) | ₹1,799 annual, ex-GST (+ 18% GST = ~₹2,123/mo); scribe + practice tools bundled |
A few cells need a direct call-out.
Audio and training data: Augnito’s privacy policy states they use de-identified user data to train their AI by default; customers can opt out. AI Medical Scribe by Patient Square doesn’t store audio at all — the recording is processed in memory and discarded once the note is drafted. Under India’s DPDP Act, purpose limitation and data minimisation are key obligations. Not storing audio is the cleaner answer to both. That said, Spectra is a dictation overlay, not a conversation recorder, so the data-handling surface area is different.
EkaScribe and ABDM: Worth restating because it changes the recommendation. eka.care is live in the ABDM ecosystem today — ABHA linking, ABDM-wired workflows. If a clinic’s buying decision hinges on ABDM readiness right now, EkaScribe is the honest recommendation and we’ll say so. Our ABDM integration is roadmap. We don’t call it live, and we won’t until it ships.
Who should pick Spectra
Spectra is the right shortlist for a doctor or registrar who already dictates and just wants a faster, more accurate recognition engine that drops text wherever the cursor is, with no EHR-side setup. Radiologists dictating reports into a PACS or RIS are the clearest fit — Spectra supports Discharge Summary and Imaging Report templates natively. For outpatient clinics where the doctor wants to finish the consult without narrating it, Spectra is the wrong category. That’s ambient territory.
If you’re comparing the Augnito stack broadly, the EkaScribe alternatives roundup covers how both Augnito products sit against the wider India market. And if you’re deciding on price, the India AI scribe rate card has the full GST-inclusive breakdown.
Where AI Medical Scribe by Patient Square fits
The code-mixed, prescription-heavy clinic. If your consults are Hinglish, with Hindi and English braided together, and you need the note in clean English plus a prescription draft that passes a deterministic safety screen before you sign, that’s what we built. We publish every number in rupees (₹1,799 annual, ex-GST, about ₹2,123 with 18% GST, scribe plus practice tools in one price), gate no features between tiers, and run a 7-day full-featured trial with no card. The audio is never stored, which is also the cleaner answer under the DPDP Act.
The deciding move is the same for all three. Run them on your own OPD. Take our 7-day trial, no card, alongside EkaScribe’s free tier and an Augnito demo, and let your actual patients, accents, and prescriptions pick the winner. Want the full price picture first? The India rate card lays out every figure with GST; for the language question, Hindi and Hinglish handling has a worked example.