Nexura OS is the first unified, AI-native healthcare platform for India — connecting hospitals, clinics, pharmacies, and 1.4 billion patients through one warm, intelligent ecosystem.
The Problem
70% of Indian healthcare runs on paper registers. Patients carry physical files across hospitals. Doctors write prescriptions by hand. Pharmacies maintain stock in notebooks. There is no unified patient identity, no longitudinal health record, no real-time data.
70%
Paper-based
clinics still use registers
0
Patient identity
no unified health record
4 hrs
Wait time
average OPD wait in India
₹0
Data liquidity
patient owns nothing
The Solution
Nexura OS unifies every stakeholder — hospitals, clinics, pharmacies, patients, doctors — into a single AI-native platform. One login. One health record. One warm experience.
Hospital OS
18-module HMS with AI clinical intelligence, NEWS2, NABH compliance
Clinic OS
HealthPlix-style EMR with SOAP, drug autocomplete, ABHA lookup (simulated)
Pharmacia
AI pharmacy POS with voice billing, Rx OCR, GST e-invoice, Schedule H
Patient Portal
Unified health record + blood test at home with AI interpretation
Connect
Doctor-patient chat, voice, video across all products
Know Your Health
15 AI tools — symptom checker, derma scan, diet planner, X-ray reader
Market Opportunity
TAM
$372B
Indian healthcare spend (2025)
Growing 12% CAGR. 1.4B population.
SAM
$48B
Digital health + hospital IT
70,000 hospitals + 3M clinics + 850K pharmacies.
SOM (5yr)
$2.1B
Target revenue at 5% SAM penetration
15,000 hospitals + 100,000 clinics + 200,000 pharmacies.
The Ayushman Bharat Digital Mission (ABDM) is India's national mandate to digitize healthcare. Every patient gets an ABHA ID. Every hospital must connect. Every prescription must be digital. This is a forced market creation — and Nexura OS is built natively for it.
680M+
ABHA IDs created
₹41B
Govt digital health budget
2026
Mandatory compliance year
Traction
8
Products shipped
All live with real data
145
Data models
Production-grade Prisma schema
172
API endpoints
REST + real-time polling
15+
AI features
LLM + VLM + ASR powered
Aarogya Multi-Specialty Hospital
Mumbai · 220 beds
Sunrise Pharma Chain
Pune · 12 stores
Dr. Rao Family Clinic
Mumbai · 3 doctors
Business Model
Hospital OS — SaaS
₹50K–₹5L/month per hospital
Tiered by bed count + modules
Clinic OS — SaaS
₹2K–₹15K/month per clinic
Tiered by doctor count
Pharmacia — SaaS + transaction
₹1K–₹8K/month + 0.5% on UPI
Per pharmacy + payment fees
Patient Portal — Freemium
Free for patients
Monetize via blood test + teleconsult
Blood Test at Home
₹199–₹2,999 per test
30% margin after phlebotomist + lab
AI API (B2B)
₹0.50–₹5 per AI call
Symptom checker, Rx OCR, lab interpretation
ARPA (hospital)
avg revenue per account
₹2.4L/yr
Gross margin
SaaS + AI (high margin)
82%
CAC (hospital)
direct sales + demos
₹1.8L
LTV (hospital)
5yr avg retention 85%
₹24L
LTV/CAC ratio
venture-scale unit economics
13.3x
Payback period
fast CAC recovery
9 months
Net Revenue Retention
expansion via modules
128%
Product Suite
Competitive Landscape
| Capability | Nexura OS | Insta HMS | Apollo 24/7 | Practo Ray | Tata 1mg |
|---|---|---|---|---|---|
| Hospital OS (18 modules) | — | — | — | ||
| Clinic EMR (SOAP + drugs) | — | — | — | ||
| Pharmacy POS + GST | — | — | — | ||
| Patient Portal (unified) | — | — | |||
| Blood test at home + AI | — | — | |||
| AI clinical assistant | — | — | — | — | |
| AI lab report interpretation | — | — | — | — | |
| Doctor-patient chat/voice/video | — | — | |||
| 15 AI health tools | — | — | — | — | |
| ABDM-ready (in progress) | — | — | — | ||
| Schedule H + NABH compliance | — | — | — | ||
| Unified patient identity | — | — | — | — |
Nexura OS is the only platform that combines hospital + clinic + pharmacy + patient + AI + blood testing into one unified ecosystem. Competitors do one thing. We do everything.
Regulatory Path
Indian healthcare regulation is complex. We've built Nexura OS to be compliant from day one — not as an afterthought, but as a core architectural principle.
ABDM
Ayushman Bharat Digital Mission
ABHA ID integration, health record exchange, ABDM-compliant APIs
DPDP 2023
Digital Personal Data Protection Act
Patient consent, data localization, right to erasure, audit trail
NABH
National Accreditation Board for Hospitals
Quality indicators, patient safety, infection control tracking
CDSCO
Central Drugs Standard Control Organisation
Schedule H/H1 register, drug traceability, pharmacovigilance
IRDAI
Insurance Regulatory and Development Authority
TPA claims workflow, cashless pre-auth, claim status tracking
GST e-Invoice
IRN-ready JSON, CGST/SGST split, HSN codes, e-way bill
Roadmap
Q1 2026
NowSeed + Pilot Validation
Q2 2026
Product Depth + AI
Q3 2026
Scale + Series A
Q4 2026
Multi-city + Insurance
Q1-Q2 2027
Marketplace + API Platform
Team
Arpit Nayan
Founder & CEO
Full-stack architect. Built Nexura OS from zero — 8 products, 145 data models, 172 API endpoints.
CTO (hiring)
Will lead engineering scale-up. Targeting ex-Practo/Innovaccer/Cerner.
HiringHead of Compliance (hiring)
Will own ABDM + NABH + DPDP certification. Targeting ex-NHA/IRDAI.
HiringVP Sales (hiring)
Will lead hospital + clinic GTM. Targeting ex-Insta/Apollo/Practo.
HiringThe Ask
To scale from pilot to 50 hospitals, 200 clinics, and 100 pharmacies across 4 cities — while building the AI layer that makes Nexura OS the default healthcare OS for India.
$3M
Engineering team (8 hires)
$2M
Sales + GTM (4 cities)
$3M
Compliance + AI infrastructure
Contact: Arpit Nayan · invest@nexuraai.in · Nexura AI Technologies Pvt. Ltd. · CIN: U72900MH2025PTC000001
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