Clinic Management Software
Deploy Garuda — our platform live since 2018 — in 1 to 2 weeks, or work with us to build exactly what your clinics need.
★★★★★ 5.0 · 21 verified Clutch reviews ↗Two ways we work with clinics
Choose the path that fits your situation. Most clinics with standard workflows deploy Garuda. Clinics with unique requirements build custom.
Deploy Garuda
Our platform — live since 2018, eight integrated modules, multi-tenant. If your workflows fit, you can be live in 1–2 weeks without building anything.
- ✓EMR, scheduling, billing, pharmacy, lab
- ✓AI workflows and patient portal included
- ✓1–2 weeks to go live (single clinic)
- ✓Configurable to your specialty and branding
Commission a custom build
If you need custom workflows, white-label ownership, or something Garuda doesn't cover — we build to your specifications. You own the codebase.
- ✓Built to your exact clinical workflows
- ✓Full codebase ownership
- ✓White-label and resale possible
- ✓Integrates with your existing hospital systems
Eight integrated modules
EMR
Patient history, diagnoses, prescriptions, vitals, allergies, and document attachments. Structured for daily clinical use — fast to access, easy to audit.
Appointment & Scheduling
Multi-doctor, multi-location calendars. Online booking, SMS/WhatsApp confirmation and reminders, waitlist management, and block scheduling.
Pharmacy & Inventory
Drug dispensing linked to prescriptions, stock management, reorder alerts, expiry tracking, and supplier integration.
Lab Management
Lab order creation from consultations, results capture with reference ranges, automatic delivery to patient portal, and abnormal result flagging.
Billing & Insurance
IP, OP, and day-care billing. GST-compliant invoicing, insurance claim generation, payment gateway integration (Stripe, Razorpay), and revenue reporting.
AI Workflows
Diagnosis suggestions from symptoms and vitals, clinical note summarisation, and triage classification. All suggestions clearly marked — AI assists, it does not replace clinical judgment.
Analytics & Reporting
Real-time revenue dashboards, patient flow reports, doctor performance metrics, appointment utilisation, and pharmacy margins.
Patient Portal
Web and Flutter mobile app. Patients book appointments, view lab results, download prescriptions, pay bills, and message the clinic — without calling.
We build and operate clinic software ourselves
HealthTech SaaS Australia — engineering pod for clinic management platform
An Australian HealthTech SaaS company was building clinic management and patient records software for independent GP clinics. Strong product-market fit — but a 2-person engineering team that couldn't keep up with demand. We added an engineering pod, rebuilt CI/CD, and quadrupled shipping velocity over 18 months.
“They rebuilt our engineering foundation while simultaneously shipping product. I've never seen an offshore team integrate this cleanly with an in-house engineer — it felt like one team, not two.”Read full case study →— CTO, Confidential HealthTech SaaS, Australia
When off-the-shelf clinic software stops fitting
Off-the-shelf clinic platforms — Practo, Kareo, a generic hospital management suite — are a reasonable fit for a single-location clinic with standard workflows. One site, conventional billing, a short service list. The subscription is cheap, setup is quick, and you own and maintain nothing.
They stop fitting at predictable moments. A second location that needs shared patient records and one admin view. Billing rules the vendor does not model — package billing across sessions, insurance overlaps, mid-package rate changes. Non-standard lab workflows. A white-label or resale requirement. Or AI features the platform simply does not offer.
At that point the cheap subscription becomes a ceiling: you are limited to the vendor's roadmap and their integration list. This page is for the clinic that has hit that ceiling — or can already see it. Two routes out: deploy Garuda, our own platform, or commission a custom healthcare build you own outright.
Build custom vs. buy off-the-shelf: an honest comparison
The honest version of the build-vs-buy decision is not "custom is always better." It is a set of trade-offs. Off-the-shelf wins on upfront cost and speed for a standard single clinic. Custom wins the moment workflow fit, ownership, or integration depth start to matter.
| Factor | Custom (Squash Apps) | Off-the-shelf |
|---|---|---|
| Workflow fit | Your exact processes | Standard workflows only |
| Multi-location | Full, as complex as needed | Limited in most platforms |
| White-label / resale | Yes | No |
| Integrations | HL7, FHIR, insurance, custom lab APIs | Vendor's list only |
| AI customisation | Built to your requirements | None or basic |
| Source-code ownership | Full | None |
| Upfront cost | Higher | Lower (subscription) |
| Cost at scale | Lower | Rises with users and locations |
If most rows on the right describe constraints you have already run into, a build — or a Garuda deployment you extend — costs less over the life of the system than the subscription that keeps saying no.
How a Garuda deployment actually goes
Deploying Garuda is a configuration and migration exercise, not a build. Timelines depend on how much data has to move and how many integrations you need, but the shape is consistent.
- Single-specialty clinic, standard workflows: typically live in 1–2 weeks.
- Multi-specialty clinic, more complex billing: typically 3–4 weeks.
- Multi-facility rollout, shared patient records: typically 4–8 weeks.
The phases inside that window are the same each time: scope your workflows, configure the modules and branding, migrate existing data, train reception and clinical staff, and go live. Every production update ships as a zero-downtime deployment because clinics do not have a maintenance window — there is a waiting room full of patients regardless of the hour. See the full Garuda platform, or read how we built and run it.
What running Garuda in production taught us
Almost no development shop operates its own hospital management system in production. We have run Garuda since 2018, which means we are not learning healthcare software on your time — we have already hit the failure modes and designed around them.
- Tenant isolation at the database layer. Each clinic's patient data is isolated with PostgreSQL row-level security policies, not application-level filtering. An API bug cannot become a cross-tenant data exposure.
- Synchronous confirmation for patient-critical operations. A lab result or appointment confirmation does not report success until delivery is confirmed one step down the pipeline — no silent drops a clinician relies on.
- AI as an isolated, additive layer. AI suggestions can fail — model timeouts, provider outages — without touching the EMR. If AI is down, the clinician simply works without it.
- Real-world integrations. Lab providers including Agappe and Trivitron via HL7/FHIR where available, with retry-on-failure rather than fire-and-forget.
That operating history is why a Garuda deployment, or a custom build on the same foundations, starts from lessons already paid for. If you need to add capacity to an existing product instead, our healthcare engineering pods bring the same discipline.
20+ years shipping production software. Built Kuyil AI (our AI assistant platform) and Garuda (clinic management SaaS) — along with 500+ client projects across SaaS, HealthTech, FinTech, Logistics and eCommerce.
Personally reviews every engagement’s first sprint — architecture, code quality, delivery discipline. Not a sales handoff. The CTO stays in the room.
Talk to us about your clinic software
Garuda demo, custom build scoping, or a healthcare engineering team — we can help with all three. Response within one business day.
- 1Tell us about your clinicSpecialty, number of doctors, locations, and what you need the software to do.
- 2We recommend the right pathGaruda deployment, custom build, or team augmentation — with timeline and cost estimate.
- 3CTO walkthroughSrijith joins the first call. If Garuda fits, he demos it. If custom makes sense, he scopes it.
- ✓ No sales pressure✓ Reply in 24h✓ NDA available
Frequently asked questions
What is Garuda?
Garuda is Squash Apps' own clinic and hospital management platform, built from scratch in 2018 and in production across multiple clinic deployments. It covers eight integrated modules: EMR, appointment scheduling, pharmacy, lab management, billing, AI-assisted workflows, analytics, and patient portal. It was not acquired or rebranded — we built it, and we run it.
How long does it take to deploy Garuda for a single clinic?
A single-specialty clinic with straightforward workflows is typically live in 1–2 weeks. Multi-specialty clinics with more complex billing or integration requirements take 3–4 weeks. Multi-facility rollouts with shared patient records across locations take 4–8 weeks. Timeline depends on data migration scope, third-party integrations, and how much configuration your workflows require.
Can I white-label Garuda or rebrand it for my clinic?
Garuda deployments are configurable — your clinic name, logo, and colour scheme throughout the interface. Full white-labelling under your own brand name for resale or multi-clinic network deployment is available under a separate licensing arrangement. Speak to us about your specific scenario.
What if I need features or workflows that Garuda doesn't cover?
Two paths. If the gap is something that would benefit all Garuda clinics, we may be able to roadmap it as a platform feature. If it's specific to your practice — unique billing logic, a specialty-specific workflow, or a proprietary integration — we can build it as a custom module on top of Garuda, or we can scope a fully custom system built to your exact requirements.
Does Garuda work for clinics in India and the UAE?
Yes. Garuda handles GST-compliant billing for Indian deployments and is configured for AED invoicing for UAE clinics. We have healthcare market experience in both India and the UAE. If your deployment has specific regulatory or integration requirements for your market, we work through those during the scoping process.
How do you handle multi-location or multi-tenant requirements?
Garuda is built as a multi-tenant system from the ground up — each clinic's patient data is fully isolated from other tenants. Multi-location deployments (multiple branches of the same clinic group sharing patient records and a unified admin view) are a standard Garuda configuration. Network-level deployments with hundreds of independent clinics on shared infrastructure are a separate engagement.
What payment and integration options does Garuda support?
Payment: Stripe and Razorpay out of the box. Lab integrations: HL7/FHIR for standards-compliant lab systems. Patient communication: Twilio (SMS/voice) and MSG91 (WhatsApp). Insurance: depends on the insurer's API availability — we have integrated with multiple Indian insurance providers and can scope UAE insurance integration based on your specific payers.
What does building custom clinic management software cost?
Scope drives cost. A focused first module — scheduling and basic EMR — for a single specialty clinic is typically in the range of $30,000–$60,000. A full-featured multi-module system with billing, lab, pharmacy, and patient portal is typically $100,000–$200,000+, depending on integration complexity and AI features. We give you a transparent estimate after a scoping conversation. If Garuda fits, deployment cost is significantly lower.
What is the difference between clinic management software and a hospital management system?
The two overlap but are scoped differently. Clinic management software is built around outpatient workflows — appointments, consultations, EMR, prescriptions, billing, and a patient portal for a practice with a handful of doctors. A hospital management system adds inpatient concerns: bed and ward management, admission/discharge/transfer, operation-theatre scheduling, and multi-department coordination at the scale of a large facility. Garuda is built for clinics and multi-specialty outpatient practices; if you need full inpatient hospital workflows, we scope that as a custom build on the same foundations.