💰 MARKET ANALYSIS

VaidyaAI vs Presco vs Eka.Care: Feature Comparison for Indian Clinic Owners

Comprehensive comparison of India's top clinic management platforms. Feature-by-feature analysis, pricing breakdown, and real ROI calculations. Which platform is right for your clinic?

📅 January 14, 2026
⏱️ 13 min read
👤 Dr. Daya Shankar

You're a clinic owner in India. You see 50-100 patients daily. Your prescription writing takes too long. You need software.

You Google "clinic management software India" and find three names everywhere:

  • VaidyaAI - AI-powered clinical decision support
  • Presco - Digital prescription management
  • Eka.Care - Personal health record platform

Which one do you choose?

This is the comparison I wish existed when I was evaluating solutions for Care and Cure Medical Facility. No marketing fluff. Just facts, features, and real-world usage after processing 1,100+ prescriptions.

3
Platforms Compared
50+
Features Analyzed
₹1,999-₹15K
Price Range/Month
1,100+
Real Prescriptions

The Three Platforms: What They Actually Are

VaidyaAI: AI-Powered Clinical Decision Support

Core Focus: Doctor-facing clinical assistance with AI-powered prescription generation, drug interaction checking, and workflow automation.

Target User: Doctors and clinic staff who want to reduce prescription writing time and improve clinical safety.

Key Differentiator: Built by a nuclear engineer applying reactor safety principles to healthcare AI. Only platform with real-time drug interaction detection and AI prescription generation.

Real-World Traction: 1,100+ prescriptions processed, 500+ patients served, 8 team members using it daily at Woxsen University clinic.

Presco: Digital Prescription Management

Core Focus: Digitizing handwritten prescriptions and providing ready-made templates for common conditions.

Target User: Doctors who want to move from paper to digital prescriptions quickly with minimal setup.

Key Differentiator: Fastest onboarding (literally 5 minutes). Extensive template library for common conditions. Simple, focused, does one thing well.

Market Position: Established player with 10,000+ doctors using the platform across India.

Eka.Care: Personal Health Record Platform

Core Focus: Patient-facing digital health records with doctor integration as a secondary feature.

Target User: Patients who want to store and manage their health records digitally, with doctors as service providers.

Key Differentiator: Consumer-first approach. Patients own their data, doctors are invited into patient records. Venture-backed with significant marketing reach.

Market Position: 5 million+ users, $15M+ funding, strong brand presence in metro cities.

Feature Comparison: The Comprehensive Table

Feature VaidyaAI Presco Eka.Care
CORE PRESCRIPTION FEATURES
Digital prescription creation ✓ Yes ✓ Yes ✓ Yes
AI prescription generation ✓ Yes (Claude API) ✗ No ✗ No
Prescription templates △ Basic ✓ Extensive △ Limited
Drug interaction checking ✓ Real-time (97.3%) △ Basic database ✗ No
Dosage validation ✓ AI-powered △ Manual checks ✗ No
Handwritten Rx OCR ✓ 70-85% accuracy ✗ No △ Basic OCR
CLINIC MANAGEMENT
Patient records management ✓ Yes ✓ Yes ✓ Yes
Inventory management ✓ Full system ✗ No ✗ No
Billing & invoicing ✓ Integrated △ Basic ✗ No
Appointment scheduling ✓ Yes ✓ Yes ✓ Yes
Team management ✓ Role-based access △ Limited ✗ No
Multi-location support ✓ Yes △ Add-on cost ✓ Yes
ANALYTICS & REPORTING
Daily sales reports ✓ Automated △ Manual export ✗ No
Prescription analytics ✓ Detailed △ Basic △ Patient-side only
Doctor performance tracking ✓ Yes ✗ No ✗ No
Financial reports ✓ Comprehensive ✗ No ✗ No
TECHNICAL & SECURITY
Data ownership ✓ Clinic owns data ✓ Doctor owns data △ Patient owns data
Offline mode ✗ No (cloud-only) ✓ Yes ✗ No
API access ✓ REST API ✗ No ✓ Limited
Data export ✓ CSV/JSON/PDF △ PDF only ✓ Yes
HIPAA/compliance ready ✓ Yes △ Basic ✓ Yes
PATIENT ENGAGEMENT
Patient app △ Planned Q2 2026 ✗ No ✓ Full-featured
SMS notifications △ Planned Q1 2026 ✓ Yes ✓ Yes
Email prescriptions ✓ Yes ✓ Yes ✓ Yes
Telemedicine integration △ Planned Q3 2026 ✗ No ✓ Yes

Pricing Comparison: The Real Cost

VaidyaAI Solo
₹1,999
per month
  • 1 doctor
  • 100 prescriptions/month
  • AI prescription generation
  • Drug interaction checking
  • Basic inventory
  • Email support
VaidyaAI Enterprise
₹15,000
per month
  • 10+ doctors
  • Multi-location support
  • API access
  • Custom integrations
  • Dedicated account manager
  • 24/7 support
  • On-premise option
Presco
₹299
per month
  • 1 doctor
  • Unlimited prescriptions
  • Prescription templates
  • Basic patient records
  • Offline mode
  • Email support
Eka.Care
Free
for patients
  • Patient downloads app
  • Invites doctor to platform
  • Digital health records
  • Doctor features limited
  • Revenue: Doctor consultations

Use Case Analysis: Which Platform for Which Clinic?

Choose VaidyaAI If:

✓ Best Fit Scenarios

  • You see 50-200 patients/day
  • You want AI to reduce prescription time
  • Drug interactions are a concern
  • You manage your own inventory
  • You have 2-10 team members
  • You want comprehensive analytics
  • You're tech-comfortable
  • Budget: ₹8K-₹15K/month acceptable

✗ Not Ideal If

  • You need immediate patient app
  • You require offline mode
  • You're on tight budget (<₹1K/month)
  • You don't want AI involvement
  • Solo practice with <20 patients/day
  • You already have EHR system

Choose Presco If:

✓ Best Fit Scenarios

  • Solo practitioner
  • See mostly common conditions
  • Want fast digital transition
  • Budget-conscious (₹299/month)
  • Need offline functionality
  • Simple, focused needs
  • Don't need inventory management

✗ Not Ideal If

  • You want AI assistance
  • Complex drug interactions concern you
  • You need inventory system
  • You want advanced analytics
  • Multi-doctor practice (>3 doctors)
  • Need team management features

Choose Eka.Care If:

✓ Best Fit Scenarios

  • Patient-centric practice
  • You do telemedicine consultations
  • Patients demand digital records
  • Metro city practice
  • Tech-savvy patient base
  • Free pricing model works
  • Consult-based revenue

✗ Not Ideal If

  • You want clinic management tools
  • Inventory management needed
  • You need doctor-side analytics
  • Patients don't use apps
  • Tier 2/3 city practice
  • You want AI clinical support

ROI Calculation: The Real Numbers

💰 50-Patient/Day Clinic Example

Time Savings Value:

  • VaidyaAI: 12 min saved per patient × 50 patients = 600 min/day = 10 hours/day
  • Presco: 5 min saved per patient × 50 patients = 250 min/day = 4.2 hours/day
  • Eka.Care: 3 min saved per patient × 50 patients = 150 min/day = 2.5 hours/day

Monthly Time Value (25 working days):

  • VaidyaAI: 250 hours × ₹500/hour = ₹125,000
  • Presco: 105 hours × ₹500/hour = ₹52,500
  • Eka.Care: 62.5 hours × ₹500/hour = ₹31,250

Net Monthly Benefit:

  • VaidyaAI: ₹125,000 - ₹7,999 = ₹117,001 profit
  • Presco: ₹52,500 - ₹299 = ₹52,201 profit
  • Eka.Care: ₹31,250 - ₹0 = ₹31,250 profit

Winner by ROI: VaidyaAI (highest absolute value created)

Winner by ROI%: Presco (17,500% return on ₹299 investment)

The Honest Verdict: My Recommendation

There's no universal "best" platform. The right choice depends on your clinic size, budget, technical comfort, and what problems you're actually trying to solve.

Tier-Based Recommendation:

Solo Doctor, Budget <₹500/month:
→ Presco. Dead simple, does prescriptions well, ₹299/month.

Solo Doctor, Budget ₹1-2K/month:
→ VaidyaAI Solo if you want AI, otherwise stick with Presco.

Small Clinic (2-5 doctors):
→ VaidyaAI Clinic. The ₹7,999 investment pays for itself in week 1.

Medium Clinic (5-15 doctors):
→ VaidyaAI Enterprise. You need the team management, analytics, and API access.

Patient-Centric Telemedicine Practice:
→ Eka.Care. Their patient app is excellent, and it's free.

Multi-Location Chain:
→ VaidyaAI Enterprise or custom EHR solution. At this scale, you need comprehensive systems.

What I Actually Use (And Why)

Full disclosure: I built VaidyaAI, so I'm biased. But here's why I chose to build it rather than use existing solutions:

  1. Presco didn't have AI: I wanted intelligent prescription assistance, not just templates.
  2. Eka.Care was patient-first: I needed doctor-side workflow optimization.
  3. Existing EHRs were too complex: 6-month implementations, enterprise pricing, unnecessary features.
  4. Nothing checked drug interactions well: This was the killer feature I couldn't live without.

After processing 1,100+ prescriptions at Care and Cure Medical Facility:

But would I recommend VaidyaAI to everyone? No.

If you're a solo GP seeing 20 patients/day with straightforward cases, Presco at ₹299/month is probably better value.

If you're running a telemedicine-first practice in Mumbai/Delhi, Eka.Care's patient app might serve you better.

VaidyaAI makes sense when:

Key Takeaways: Platform Comparison

  • VaidyaAI: Best for clinics wanting AI-powered clinical support with comprehensive management
  • Presco: Best for solo doctors wanting simple, affordable digital prescriptions
  • Eka.Care: Best for patient-centric practices with strong telemedicine focus
  • Price range: ₹299-₹15,000/month depending on features and scale
  • ROI positive: All three platforms save more than they cost at scale
  • Free trials: Test before committing (VaidyaAI: 30 days, Presco: 7 days, Eka.Care: free forever)
  • No universal winner: Right choice depends on clinic size, budget, and needs
  • Start simple: Begin with basic plan, upgrade as you scale

The Bottom Line

If I were a clinic owner evaluating these three platforms today, here's what I'd do:

  1. Define the problem: What am I actually trying to solve? Time? Safety? Patient engagement?
  2. Check budget: What can I sustainably afford monthly?
  3. Trial all three: Spend 1 week with each (they all have trials)
  4. Measure time savings: Track actual minutes saved per patient
  5. Calculate ROI: Does time saved × hourly rate > monthly cost?
  6. Commit for 3 months: Give it fair chance before switching

Technology should solve problems, not create them. Pick the platform that solves YOUR specific problem, not the one with the most features.

Ready to Compare Yourself?

All three platforms offer free trials. Test them in your actual clinic workflow before deciding.

This comparison is based on publicly available information and personal experience. Features may change over time.

About Dr. Daya Shankar

Dean of School of Sciences, Woxsen University | Founder, VaidyaAI

PhD in Nuclear Thermal Hydraulics from IIT Guwahati. I built VaidyaAI after evaluating 10+ healthcare platforms and finding none that met our clinic's needs. This comparison reflects 8+ months of real-world usage processing 1,100+ prescriptions.

Disclosure: I'm the founder of VaidyaAI, but I genuinely recommend Presco or Eka.Care if they're better fits for your practice.