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Healthcare · Telemedicine

Telemedicine app development

Patient and doctor apps for video, audio and chat consultations, with e-prescriptions, payments and records built around India's telemedicine rules.

Telemedicine app screens: operations console in a browser, doctor app on a tablet and patient app on a phone
Illustrative previewWhat the patient books, what the doctor sees and what the front desk manages, in one flow.

At a glance

The short version

What it is

Video, audio and chat consultation platforms with scheduling, e-prescriptions, payments and records, designed around the Telemedicine Practice Guidelines.

What you get
  • Patient app
  • Doctor app
  • Operations console
How it works
  1. Patient app
  2. Patient and doctor apps
  3. Doctor app
  4. Operations console
Runs on
  • Android
  • iOS
  • Cross-platform
  • Web app
  • Admin
Cost depends on
  • Video approach
  • Consultation modes
  • Doctor network model
and 1 more factor

Flutter and the related logo are trademarks of Google LLC. We are not endorsed by or affiliated with Google LLC.

How to start

Tell us what you need in your own words. You talk to the developers who would build it and get a written, line-item estimate.

Get a project estimate

Online consultations that hold up in real conditions

A consultation that drops halfway is worse than none. Patients join from moving trains, basements and villages with one bar of signal; doctors fit teleconsults between OPD patients. Our telemedicine app development plans for that: adaptive video that falls back to audio, chat with photo sharing, and reconnection to the same session.

Around the call, the platform handles scheduling, prepayment and refunds, consent, doctor verification, prescriptions carrying the doctor's registration details, and a record of each consultation. AI can help with intake forms or draft summaries for the doctor to review, but it never counsels patients or prescribes.

Challenges

What makes telemedicine hard to get right

  1. Unreliable networks

    Audio fallback, reconnection and chat let the doctor finish when bandwidth drops.

  2. Doctors' limited time

    Doctors on phones between OPD patients need a one-tap queue, quick notes and templates.

  3. Guideline duties

    Identification, consent, prescribing limits and record keeping belong in the flow, not in memory.

  4. Refunds and failed calls

    Clear rules for delayed doctors and failed calls, with automatic refunds and reconciliation.

What is included

Patient app, doctor app and clinic operations

  • Platform: Android, iOS and web

    Patient app

    • Doctors by speciality, language and fee
    • Instant or scheduled consults with family profiles
    • Pre-consult questionnaire and report upload
    • Prescriptions, invoices and follow-up booking
  • Platform: Android, iOS and web

    Doctor app

    • Waiting-room queue with patient history at a glance
    • Consult notes with speciality templates
    • E-prescriptions with registration number and digital signature
  • Platform: Web

    Operations console

    • Doctor onboarding and registration checks
    • Fees, revenue share and payouts
    • Refunds, escalations and call-quality logs

How it works

How an online consultation works, from booking to records

Each step is built around the Telemedicine Practice Guidelines, so the doctor has what they need to consult responsibly.

  1. Patient app

    Step 1: Patient books a slot

    The patient chooses a doctor by speciality, language and fee, picks a slot or an instant consult, and pays by UPI or card.

  2. Patient app

    Step 2: Pre-consult details

    A short questionnaire, consent and past reports are shared before the call, so the doctor starts informed.

  3. Patient and doctor apps

    Step 3: Video consultation

    The call starts from a waiting room; if the network weakens, it falls back to audio or chat and can rejoin the same session.

  4. Doctor app

    Step 4: E-prescription

    The doctor writes notes with templates and issues a signed prescription carrying their registration number.

  5. Patient app

    Step 5: Records and follow-up

    The prescription, invoice and consult summary are saved to the patient's records, and a follow-up can be booked in one tap.

  6. Operations console

    Step 6: Payout and refunds

    Doctor fees and revenue share are settled, and failed or delayed consults are refunded under your policy.

Platforms

Where patients and doctors connect

Patients and doctors use phone apps or a browser; your operations team works in a web console.

  • Mobile

    Android app

    Apps for Android phones and tablets, tested on budget and mid-range devices and published on Google Play or privately.

  • Mobile

    iOS app

    Apps for iPhone and iPad, built to Apple's guidelines and released through TestFlight and the App Store.

  • Mobile

    Cross-platform mobile app

    One Flutter or React Native codebase for Android and iOS, with native modules where a feature needs them.

  • Web

    Web application

    Browser-based applications with logins, roles and workflows, such as customer portals, SaaS products and internal tools.

  • Back office

    Admin dashboard

    Back-office panels for operations, support and finance teams: orders, users, content, reports and permissions.

Technology

Technology for stable video consultations

These keep calls working on weak networks, records secure and bookings in sync across apps.

  • Mobile

    Flutter

    Build Android and iOS apps from one shared codebase, so you launch on both platforms faster with a consistent experience.

    Used for

    • Mobile apps
    • Delivery apps
    • E-commerce apps
    • Booking apps
  • Builds interactive screens in the browser, such as dashboards, admin panels and portals, that respond instantly as your team works.

    Used for

    • Web apps
    • Admin panels
    • Dashboards
    • Customer portals
  • A modern web technology for fast, search-friendly websites, online stores and web applications that load quickly on mobile.

    Used for

    • Business websites
    • Online stores
    • Web apps
    • Customer portals
  • Backend

    Node.js

    Runs the server side of apps: fast, scalable back ends that power your app, website and integrations.

    Used for

    • App back ends
    • Live order tracking
    • Chat and notifications
    • Payment processing
  • Backend

    NestJS

    A structured way to build back ends on Node.js, so large business systems stay organised, testable and easy to hand over.

    Used for

    • Business app back ends
    • SaaS platforms
    • Marketplaces
    • Admin panel back ends
  • A reliable database for the records your business runs on: orders, payments, bookings and stock, kept accurate and easy to report on.

    Used for

    • Orders and customers
    • Payments and ledgers
    • Stock and inventory
    • Bookings
  • Data

    Redis

    Keeps frequently used data in fast memory, so apps stay quick on busy days and live features like order tracking feel instant.

    Used for

    • Faster apps
    • Live order status
    • Shopping carts
    • Job queues and alerts
  • Cloud & DevOps

    AWS

    Cloud hosting for your app, website and data, with data centres in India and room to grow when traffic rises.

    Used for

    • App hosting
    • File and photo storage
    • Backups
    • Busy sale days

Flutter and the related logo are trademarks of Google LLC. We are not endorsed by or affiliated with Google LLC.

Integrations

Video, payments and health-system connections

  • Video

    • Agora, 100ms or self-hosted LiveKit

      Chosen on cost, call quality in India and data location.

  • Payments

    • Razorpay or Paytm payment gateway

      Prepaid consults by UPI, cards and wallets, with automated refunds.

  • Health records

    • ABDM

      ABHA verification and consented record sharing.

  • Prescriptions

    • eSign service providers

      Aadhaar eSign or DSC-based signing through licensed providers.

  • Fulfilment

    • Pharmacy and lab partner APIs

      Prescriptions and test orders sent with the patient's consent.

  • Calling

    • Exotel

      Masked phone consults when video is not possible.

Plain-English glossary

Telemedicine terms, in plain English

Telemedicine Practice Guidelines
The 2020 rules for registered doctors consulting remotely in India: identify the patient, record consent, choose a suitable mode and follow limits on what can be prescribed. The platform supports each duty.
Managed video API
A service that carries the audio and video of each call, so it does not have to be built from scratch. It is quicker to launch and billed per minute; self-hosting gives more control but costs more to build and run.
Audio fallback
When the connection weakens, the call drops video and continues as audio, so the doctor can finish the consultation instead of starting again.
E-prescription
A digital prescription with the doctor's name, qualifications and registration number, signed through Aadhaar eSign or a digital signature certificate and sent to the patient as a PDF.
Virtual waiting room
An online queue where patients wait until the doctor admits them, so doctors can move between OPD patients and online consults without missing anyone.

Product preview

Booking, video call, prescription and operations screens

  • Telemedicine patient app booking slots on a phone, with open time slots
    Patient app. Patients pick a doctor by speciality, language and fee, then book a slot and pay in one step, with automatic refunds if a consult fails.
  • Telemedicine app consultation video consultation on a phone, with call controls
    Consultation. The call adapts to the patient's network and can switch to audio or chat, so a weak signal does not end the consultation.
  • Telemedicine doctor app e-prescription on a tablet, with input fields and an action button
    Doctor app. Doctors complete notes and prescriptions with templates, and the signed PDF carrying their registration number reaches the patient at once.
  • Telemedicine app operations console consultations today table in a web browser, with 4 rows and status labels
    Operations console. The operations team tracks every consult, refunds failed calls and settles doctor fees from one table.
Illustrative preview

Sample screens: names, prices and figures are examples, not client data.

Work

Sample telemedicine project

  • Healthcare software

    Illustrative sample

    Clinic booking & telemedicine app

    An illustrative patient app, doctor app and clinic admin for in-person and video consultations, with digital prescriptions and consent-based record access.

    • Clinics
    • Patient + doctor apps

    Runs on

    • Android
    • iOS
    • Cross-platform
    • Admin

    Built with

    • Flutter
    • NestJS
    • PostgreSQL
    • AWS
    • Firebase
    • +1 more

Services

Our role in a telemedicine build

  • Mobile app development

    Native and cross-platform Android and iOS apps, from first release through regular store updates, built by our in-house designers and engineers.

  • Flutter development

    Android and iOS apps from one Dart codebase, built by engineers who know when Flutter is the right call and when native code is needed.

  • Web application development

    Browser-based products, customer portals, dashboards and internal tools, built on clean data models with secure roles and integrations.

  • API development

    Secure, documented REST and GraphQL APIs, plus integrations that connect your apps to payment, logistics, GST, messaging and business systems.

  • UI/UX design

    Product design for web and mobile apps: research, user flows, wireframes, prototypes and design systems that engineers can build from.

Industries

Providers offering online consultations

Cost drivers

Telemedicine budget drivers

  1. Video approach

    Managed video APIs are quicker to integrate and billed per minute; self-hosting costs more to build and run but gives more control.

  2. Consultation modes

    Scheduled, instant, chat-first and follow-up consults each add states to handle and test.

  3. Doctor network model

    One clinic's doctors are simpler than a marketplace with revenue share and payouts.

  4. Fulfilment and existing systems

    Digital signatures, pharmacy and lab routing, ABDM and HMS links each add integration work.

Estimates are written from your scope, with the effort and assumptions behind each line item.

How pricing works

FAQ

Frequently asked questions

How do the Telemedicine Practice Guidelines (2020) affect the app design?

The guidelines set duties for registered medical practitioners: identifying the patient, obtaining consent, choosing a suitable mode, limiting which medicines may be prescribed in each type of consult, and keeping records. They also bar AI-based platforms from counselling patients or prescribing. The platform supports these duties through doctor verification, consent logging, prescription templates and records; your advisers should still review the flows.

Should we use a video API provider or host our own video servers?

For most launches, a managed provider such as Agora or 100ms is practical: faster integration, call quality tuned by the provider, and per-minute billing. Self-hosting an open-source stack such as LiveKit on Indian cloud servers gives more control over data and can cost less at high volumes, but you take on TURN servers, scaling and monitoring. Many teams start managed and revisit later.

What happens when a patient's connection drops during a video consult?

The app watches connection quality and switches to audio-only before the call fails. If it drops completely, both sides can rejoin the same session within a set window, or continue over chat or a masked phone call. If the consult cannot be completed, the doctor marks it incomplete and the system offers a free reschedule or refund under your policy.

Can doctors issue digital prescriptions from the app?

Yes. Prescriptions carry the doctor's name, qualifications and registration number, patient details and the date, and are signed through Aadhaar eSign or a digital signature certificate. Patients receive a PDF they can forward to a pharmacy. We base the layout on the sample format in the guidelines, though whether a pharmacy accepts a digital prescription remains its own decision.

Next step

Taking your consultations online?

Tell us about your doctors, patients and current consultations. We will map the flow against the guidelines and send a line-item estimate.

Or reach us directly

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