Patient records, financial ledgers, and learning platforms aren't generic CRUD apps — they carry domain rules and workflows that don't forgive a naive data model. We build custom platforms on Next.js and Supabase designed to scale past the pilot.
Running on paper or a generic CRM that wasn't built for patient records, prescriptions, or appointment queues — and losing revenue and history to it.
Excel-based accounting that breaks down past a certain size — no audit trail, no multi-user support, no real reporting.
One-way content delivery with no way to adapt to individual students or track mastery at scale.
Built by someone who's run healthcare and education systems from the inside, not just read the spec — the data model reflects how the workflow actually works.
For clinics and businesses that can't depend on a stable connection, the app runs locally and syncs when it can — zero downtime if the connection drops.
Separate views and permissions for admin, staff, and end users, with the audit trail regulated industries expect.
Custom platforms on Next.js + Supabase designed for the workflow you'll have at 10x scale, not just the one you have today.

Digitises patient records, appointments, prescriptions, and billing for clinics that cannot rely on the internet — built for Indian healthcare workflows.

Voucher-driven accounting software with inventory, multi-company support, and real-time reporting — built for Indian SMBs that still run on Excel.

AI-powered education app that turns textbooks into interactive lessons, generates exercises, and tracks mastery — for the 250M+ students in India.
Left on our Google Business and Clutch profiles, quoted exactly as written.
They delivered on time and were very proactive in recommending new capabilities for the marketplace.
SigmaticAI delivered a complete MVP with five feature areas, including a vetted caregiver marketplace, membership plans, courses, and events. The team was proactive, talented, and knowledgeable, recommending new capabilities and using the latest technology.
SigmaticAI delivered exceptional results in building our custom Agentic AI system. Ketan Khamgaonkar’s technical mastery in autonomous agent design, system integration, and workflow execution made project delivery seamless. Implementation was prompt, and the AI agents immediately streamlined our operations. Highly recommend Ketan and the SigmaticAI team!
Working with SigmaticAI has been an outstanding experience. A special mention to Ketan Khamgaonkar, whose deep technical expertise, clear communication, and structured approach made a significant difference throughout our project. Delivery was prompt, and the AI solutions implemented have had an immediate, positive impact on our workflow. Highly recommend Ketan and the SigmaticAI team!
I have purchased clinic software from them.. it has improved efficiency and treatment quality for my patients.. Also it’s very useful for accurate accounting..
Good experience with development and automating process. Great management and quick handover.
Our clinic management work to date has been built for Indian healthcare workflows and regulatory requirements, not US HIPAA compliance. If your project needs HIPAA or another specific regulatory framework, tell us upfront on the discovery call — it changes the architecture from day one, and we'll be direct about what's proven and what's new for us.
Off-the-shelf tools are built for the median workflow, not yours. Clinics, accounting teams, and schools each have specific edge cases — offline reliability, local reporting formats, role structures — that generic SaaS either can't do or charges enterprise pricing to unlock. Custom software pays for itself once you're past a certain size.
Yes — SigmaticAI is based in Nagpur, India and works with clients worldwide. The healthcare and finance case studies so far are built for Indian regulatory and workflow context specifically; the underlying approach to domain modeling transfers to other markets.
Tell us what you're building — we'll tell you the fastest honest path to live.