NFCura Logo
PRE-SEED INVESTOR DECK

NFCURA

A Closed-Loop Digital Prescribing System for the Indian Healthcare Market

THE BUILDERS

The Founders Behind NFCura

Technical founders with hands-on domain depth across full-stack software architecture, health data security, and direct clinical fieldwork.

Harshith R

Harshith R

CEO & Co-founder
Core Platform:Engineered 100% of the live NFCura web & mobile application prototype.
Product & Workflows:Specialist in full-stack architecture, NFC tap-to-access workflows & clinical UI.
Doctor & Clinic Discovery:Conducted 8+ in-depth doctor consultations & OPD workflow mapping across Bangalore clinics.
Manideep Chilukuri

Manideep Chilukuri

CTO & Co-founder
Systems Architecture:Robust clinical data pipelines, relational EHR storage & cloud API services.
Security & Standards:Secure data transit & access controls, architected for upcoming ABDM integration.
Pharmacy & Counter Validation:Field testing prescription QR/NFC validation & counter workflows across retail pharmacies.

Two technical founders. 100% of the platform built in-house.

THE REALITY ON THE GROUND

The Outpatient Reality in India Today

Decades into digital health transformation, outpatient care still ends up as uncoordinated paper files, lost prescriptions, and disconnected diagnostic reports.

Scattered Clinical Reports
Siloed Labs & Clinics

Scattered Clinical Reports

A single patient visit across clinics and diagnostic labs produces over a dozen unlinked paper slips, receipts, and test folders with zero digital coordination.

Years Trapped in Folders
The Patient Burden

Years Trapped in Folders

Chronic patients are forced to manually store and transport kilograms of bulging paper files, fading receipts, and unindexed test histories from doctor to doctor.

Smartphone vs. Paper Care
The Digital Disconnect

Smartphone vs. Paper Care

Patients manage payments, travel, and communication on digital smartphones — yet their life-critical healthcare journey remains trapped in physical paper slips.

The prescription exists. The connected care journey does not.

THE PROBLEM

India's Outpatient Prescription Crisis

Every year, millions of handwritten prescriptions leave clinical consults with zero verification, zero tracking, and zero pharmacy coordination.

CLINICAL STUDY (PMC TRIAL)14× Error Reduction

Prescription Error Rate

Alghamdi et al. (PMC): Clinical error rates drop from 35.7% in handwritten slips to just 2.5% in electronic prescribing.

DOCTOR & CLINIC REALITYClick bar to inspect

Where Paper Workflows Break Down

NIH & Indian clinical survey data: 63.5% of doctors agree paper slips are error-prone; 42.6% require urgent pharmacy call-backs.

5.2 Million/ year

Annual Medical Errors in India

Bhutada (Indian J Crit Care Med): Millions harmed annually by uncoordinated paper slips.

$42 BillionGlobal Cost

Annual Global Medication Harm

WHO: Global economic burden of preventable outpatient medication and dosing errors.

0% Visibility

Zero Doctor-Pharmacy Loop

Once a patient leaves, the clinic has zero visibility into fulfillment or drug substitutions.

The prescription exists. The digital verification and closed loop do not.

CLINICAL EVIDENCE & ROOT CAUSES

Prescription Failures in Indian Practice

Peer-reviewed studies (PubMed Central) documenting how handwriting ambiguity, lack of digital verification, and disconnected pharmacies cause real patient harm.

Indian Case / Clinical StudyWhat Happened (Clinical Breakdown)Why Verification & Audit Matters
South Delhi nursing home
“Injection CP”PMC4924150 ↗

Doctor intended chloramphenicol for typhoid. A nurse interpreted “CP” as chloroquine phosphate for malaria. The child subsequently suffered severe liver toxicity.

Drug identity needed digital verification, not manual human interpretation of an abbreviation.
Indian medication-error case
Ramipril 20.5mg vs 2.5mgPMC4982955 ↗

A written prescription was interpreted as Ramipril 20.5 mg instead of 2.5 mg because of decimal-placement ambiguity. In the same consult, Haloperidol was dispensed instead of Nicorandil with adverse effects.

Dose strength and drug identity need machine-readable verification, not visual guesswork.
Indian pediatric case
Dolopar 125 vs 250PMC3198530 ↗

An 11-month-old infant was prescribed Dolopar 125, but the pharmacy dispensed Dolopar 250 (doubling the concentration). Discovered by the child's father only after six doses had already been administered.

Counter verification must validate prescribed strength against actual product barcode prior to dispensing.
Pharmacy error surveillance program
1,310 recorded errorsPMC6306945 ↗

Researchers recorded 1,310 medication errors across retail pharmacy chains. Prescription-stage issues included missing dose, unclear instructions, and missing prescriber details; dispensing included 58 wrong-drug errors.

The medical record must remain tamper-proof and traceable across prescribing → transcription → dispensing.
Rural Maharashtra hospital
499 prescriptions auditedPMC3562966 ↗

17.6% of prescriptions were completely illegible. The study emphasizes that paper handwriting directly contributes to preventable medication errors and severe patient outcomes.

Proves that handwritten illegibility is an acute, measurable hazard in Indian clinical practice.
“Medical errors in India don't happen from lack of intent. They happen from unverified handwriting, ambiguous abbreviations, and zero closed-loop tracking between doctor and pharmacy.”* Source: Peer-reviewed PMC & clinical pharmacy studies.
THE SOLUTION

NFCura: Connecting the Prescription to What Happens Next

A patient-centered healthcare layer connecting doctors, patients, pharmacies and diagnostic providers through verifiable digital care events.

01  PRESCRIBE

Doctor creates a digital prescription

Linked to the patient's Health ID and securely signed for verification.

✓ECDSA Signature: Cryptographically tamper-proofs diagnosis, medication, and doctor ID.
✓Structured Regimens: Standardized molecules, dosages, frequencies, and recorded vitals.
✓Universal Health ID: Contactless link to patient profile with instant QR & NFC tap.
Doctor→Prescription→Patient
02  VERIFY & FULFILL

Patient presents it at a pharmacy or lab

The provider verifies it, retrieves authorized details and fulfils the medicines or tests.

✓Sub-Second Verification: Pharmacist scans opaque QR code to pull verified doctor orders.
✓Tamper & Duplicate Guard: Alerts counter if slip was altered or previously fulfilled.
✓Live Dispense & Billing: Real-time unit adjustment, pharmacy inventory deduction, and billing.
Patient→Pharmacy / Lab
03  CLOSE THE LOOP

The care event is recorded

Dispensing and diagnostics link back to the patient's record, building a continuous history.

✓Closed-Loop Confirmation: Dispense status and drug substitution sync directly to doctor.
✓Diagnostic Synchronization: Diagnostic test reports automatically link back to patient chart.
✓Continuous History: Permanent, lifelong outpatient EHR timeline across all visits.
Care Event→Patient Record

Verifiable by Design

Digital signatures help confirm prescriptions and care events haven't been altered.

Portable Health Identity

A patient-controlled Health ID with QR + NFC connects authorized healthcare interactions.

Connected Care Workflow

Doctors, pharmacies and labs share one treatment journey, not isolated workflows.

Built for Interoperability

Designed to work alongside India's digital-health ecosystem and relevant ABDM standards.

The prescription shouldn't be the end of the workflow.

It should be the beginning of a connected care journey.

MARKET OPPORTUNITY

A $100B+ Digital Health Wave

Rapid compounding growth across Indian healthcare IT, pharmacy management systems, and clinical infrastructure.

MARKET SIZE PROJECTIONS7.4× Sector Growth

Projected 10-Year Market Size

Grand View Research & IMARC: India Digital Health compounding to $107B+ by 2033; Healthcare IT to $112B+ by 2034.

COMPOUNDING VELOCITYPublished Industry Literature

Annual Growth Rate by Sector (CAGR %)

High compounding momentum across clinical IT (19.7%), digital health (25.1%), and pharmacy management.

TAM: $14.05 BILLION

Total Addressable Market

India Pharmacy Management Systems market projected by 2035 (Market Research Future).

SAM: $2.80 BILLION

Serviceable Addressable

Outpatient e-prescribing and pharmacy verification segment (~20% of TAM) across urban clinical hubs.

SOM: $45M–$65M

5-Year Target

5% penetration of SAM with blended SaaS subscription + per-prescription transaction ARPU.

Positioned at the intersection of a $100B+ digital health wave and mandatory clinical digitization.

GOVERNMENT SCALE & CLINICAL NEED

90 Crore ABHA Accounts & Chronic Burden

India's digital health stack has hit critical mass, while an explosion in chronic conditions requires closed-loop medication management.

NATIONAL INFRASTRUCTURE SCALE6.1× In 5 Years (PIB India)

ABHA Digital Health Identity Trajectory

PIB India: ABHA accounts scaled from 14.7Cr (2021) to 90Cr+ (900 Million) across 256K+ verified healthcare facilities.

CLINICAL CHRONIC BURDENSpringer Meta-Analysis

Chronic Outpatient Disease Prevalence (%)

Springer: 46.1% comorbid cases face high polypharmacy risks, requiring strict lifelong adherence tracking.

90 Crore(900 Million)

ABHA Identity Base

PIB India: Over 65% of citizens registered with universal digital health identifiers.

31.86 Crore(318.6M)

eSanjeevani Teleconsults

IMARC: Massive national transition to electronic, remote healthcare consultations.

46.13%Comorbidity

HTN + Diabetes Overlap

Springer: Strict clinical need for closed-loop prescription and refill adherence.

National identity scale + lifelong medication needs = the inevitable shift to verified prescribing.

UPI Simplified Payments. NFCura Aims to Connect Care.
DATA ARCHITECTURE & INFRASTRUCTURE

Built to Scale: Lightweight Healthcare Data Infrastructure

One prescription is only ~50 KB of structured data — keeping the core healthcare record lightweight while medical files live separately in secure object storage.

~50 KB/ prescription record
~20–35 KB Typical

Conservative planning assumption for a fully structured, queryable clinical payload.

doctor_refDoctor & Clinic
Doctor ID, name, specialization, clinic accreditation
patient_identityPatient Identity
ABHA / Health ID reference, demographic profile
clinical_vitalsClinical Vitals (~10)
Blood pressure, heart rate, temp, SpO2, weight, height
medication_itemsMedicines (Up to 50)
Active molecules, dosage, timing (M-A-N), food, instructions
invoice_metaBilling & Line Items
Consultation charges, pharmacy items, invoice metadata
qr_credentialOpaque QR Pointer
Secure reference URI: https://nfcura.com/rx/<opaque-token>
verification_proofVerification Proof
Cryptographic signature metadata & audit verification
Architectural Separation

Structured clinical records stay lightweight in the database. Diagnostic PDFs, scans, and heavy medical files live in separate secure object storage.

STORAGE SCALING & ECONOMICS$0.18 / GiB-month

Predictable Infrastructure Scaling

PRESCRIPTIONSRAW DATA (@ 50 KB)EST. RAW STORAGE
1,000~50 MB~$0.008 / mo
10,000~500 MB~$0.084 / mo
100,000~5 GB~$0.84 / mo
1,000,000~50 GB~$8.38 / mo
10,000,000~500 GB~$83.82 / mo
Illustrative 1M-Prescription Operation Model≈ $12.28 / month
1M Writes≈ $0.90
10M Reads≈ $3.00
50 GB Storage≈ $8.38 / mo

* Illustrative Firestore Standard pricing assumptions ($0.18/GiB-mo storage, $0.30/1M reads, $0.90/1M writes). Excludes index overhead, network egress, compute, and other Firebase services. Actual billing varies by region and usage.

Firestore DatabaseStructured records: Vitals, Rx items, invoice, verification tokens
Object StorageHeavy files: Scans, PDFs, X-rays
Opaque QR Credential PointerQR stores an authorized reference pointer (/rx/<token>) — not embedded medical files.

NFCura separates the healthcare record from the healthcare file — keeping core data lightweight while supporting rich medical care.

FIELD DISCOVERY & ITERATION

Advisory Consultations & Retail Pharmacy Feedback

Direct photographic proof from university faculty discussions and retail pharmacy feedback sessions.

Hover to Pause
ACADEMIC ADVISORY

Department Heads & Senior Professors

Click any photo to enlarge
Academic advisory consultation
Academic advisory consultation
Academic advisory consultation
Academic advisory consultation
FIELD FEEDBACK

Retail Pharmacy Feedback

Pharmacist Feedback
Retail pharmacy feedback session
Retail pharmacy feedback session
Retail pharmacy feedback session
Retail pharmacy feedback session
Retail pharmacy feedback session
Retail pharmacy feedback session
Retail pharmacy feedback session
Retail pharmacy feedback session
PATIENT EXPERIENCE & PRODUCT

The Universal Health Passport: Patient-Owned & Verified

A frictionless mobile passport that replaces fragmented paper files with structured digital prescriptions, instant pharmacy verification, and continuous history.

Digital Health ID
01

Digital Health ID

Patient-owned universal health passport with QR and linked ABHA credentials.

Women's Care Enabled
02

Women's Care Enabled

Dedicated Women's Care mode with discrete privacy settings and tailored wellness tracking.

Add Family Member
03

Add Family Member

Multi-profile card to create and manage Health IDs for family members and dependents.

Treatments & History
04

Treatments & History

All active and past medical prescriptions organized under patient and family profiles.

Prescription Details
05

Prescription Details

Inside the prescription: structured medicines, dosages, duration, and linked clinical vitals.

PHARMACY WORKFLOW & DISPENSING

The Connected Pharmacy: Zero-Friction Counter Dispensing

A high-speed counter suite for retail chemists: instant QR verification, real-time inventory deduction, live invoice calculation, and anti-fraud duplicate prevention.

1–5/7 screens
Counter Dashboard
01

Counter Dashboard

Daily revenue, dispensed prescription volume, live catalogued stock status, and rapid workflow shortcuts.

Scan Prescription
02

Scan Prescription

Instant camera scanner to scan patient QR codes or prescription tokens and pull verified doctor orders.

Dispensing Activity
03

Dispensing Activity

Comprehensive audit logs tracking patient HIDs, prescribing doctors, dispensed items, and fulfillment timestamps.

Medicine Stock Audit
04

Medicine Stock Audit

Live drug-level inventory breakdown tracking unit dispensing volumes across all active prescriptions.

Dispense & Billing
05

Dispense & Billing

Interactive unit quantity adjustments, live stock checks, real-time invoice calculations, and one-tap fulfillment.

Invoice Generation
06

Invoice Generation

Auto-generated digital invoice with immediate pharmacy inventory deduction and patient record synchronization.

Anti-Duplication Guard
07

Anti-Duplication Guard

Tamper-proof safeguard alerting pharmacist if a prescription was already fulfilled, preventing drug misuse.

CLINICAL WORKSPACE & E-PRESCRIPTION

The Doctor Workspace: Sub-Second Lookup & Structured Prescribing

A high-speed clinical interface designed for outpatient doctors: scan patient health cards, review automated AI summaries and past history, and generate structured prescriptions in seconds.

Doctor Dashboard
01

Doctor Dashboard

Clinical practice overview with live patient queues, daily prescription counts, and fast workflow shortcuts.

Patient Lookup
02

Patient Lookup

Frictionless patient identification via QR health card scanning or ABHA/HID direct search.

Instant QR Scanner
03

Instant QR Scanner

Sub-second camera scanner reading encrypted physical health cards to instantly retrieve verified history.

AI Clinical Summary
04

AI Clinical Summary

Instant patient chart detailing allergies, chronic conditions, recorded vitals, and longitudinal AI synthesis.

Digital Rx & Vitals
05

Digital Rx & Vitals

Streamlined entry for multi-parameter vitals (BP, Temp, SpO2, Pulse) and structured medication regimens.

BUSINESS MODEL

Monetizing the Connected Care Journey

Recurring clinic SaaS forms the base. Usage and provider-network activity expand revenue.

1. CLINIC SaaSBase Revenue

Subscription Pricing Structure

FREE TO START30-Day Trial
₹0/ 30 days
Free for 30 days · Solo doctors
PROCore Tier
₹1,999–₹2,999/ mo
Active clinics
CLINIC
₹5,000–₹15,000+/ mo
Multi-doctor / multi-branch
ENTERPRISE
Custom
Healthcare networks

Recurring subscription = predictable base revenue

2. USAGE + NETWORK
Usage: ~₹1–₹3 / prescriptionIllustrative — pilot validation
NFCura
CLINICSSaaS
PHARMACY~₹1 / verification*Fast, verifiable prescription checks
DIAGNOSTIC LABSNetwork / transaction fee*Doctor request → Patient booking → Test → Report
PATIENTFREE

Patients stay free to maximize adoption and network density.

*Illustrative pricing · *Revenue model to be validated through pilots
Illustrative ScaleIllustrative scenario, not current traction
1,000 ACTIVE CLINICSClinical adoption
→
₹2,000average SaaS
→
₹20L MRR(₹2.4 Cr ARR)
+ usage & provider-network revenue

Recurring SaaS builds the base. Usage expands revenue. The provider network creates the upside.

COMPETITIVE LANDSCAPE

Beyond the Digital Prescription

20 Core Healthcare Capabilities
Capability
PRACTO RAYClinic Management
HEALTHPLIXDoctor-first EMR
EKA CAREConnected Clinic
TATA 1MGConsumer E-Pharmacy
NFCURAClosed-Loop Prescribing
Primary Focus
Clinic Management
Doctor-first EMR
Connected Clinic
Consumer E-Pharmacy
Closed-Loop Prescribing
Doctor-issued digital prescription
✓ Yes
✓ Yes
✓ Yes
✕ No (patient uploads only)
✓ Yes
Cryptographically signed (tamper-proof)
Not documented
Not documented
Not documented
✕ No
✓ YesECDSA-signed JWT
Time-bound expiry credential
Not documented
Not documented
Not documented
✕ No
✓ Yesexpiring tokens
Unique prescription QR per dispense
Not documented
Not documented
Not documented
✕ No
✓ Yescryptographically linked
Sources: Official Practo, HealthPlix, Eka Care and Tata 1mg public documentation (accessed Oct 2026).NFCura: Native ABDM integration, cryptographic verification, and closed-loop prescribing.
GO-TO-MARKET & SCALE PLAN

From Working MVP to Connected Care Network

Start with focused clinic pilots, validate the workflow, then build the infrastructure and team required to scale.

PhaseTimelineStageWhat We Have / BuildGo-To-Market FocusSuccess Gate
Phase 1CURRENT
Months 0–6
PILOT
•Working MVP deployed in clinical fieldwork
•Patient + Doctor + Pharmacy/Lab applications
•Health ID, digital prescriptions & QR access
10–25 pilot clinics (OPDs) · Bangalore first · Direct doctor & clinic operator collaboration to validate workflow
Repeatable workflow + measurable pilot usage
Phase 2
Months 6–12
BUILD
•Hire backend & security engineers; operational tooling
•Production-grade cryptographic signing & key mgmt
•Deeper ABDM integration & audit architecture
50–100 clinics · Bangalore + 1 additional city · Onboard early pharmacy & diagnostic partners
Production-ready infrastructure + repeatable onboarding
Phase 3
Months 12–24
EXPAND
•Deeper ABDM ecosystem integration & interoperability
•Production-grade consent & access architecture
•Real-time verification telemetry & audit compliance
250–1,000 clinics · High-density urban clusters · Build pharmacy & diagnostic network density
Provider network demonstrates repeat usage and network effects
Phase 4
Months 24–48+
SCALE
•Multi-city infrastructure & automation
•Provider, pharmacy & diagnostic network integrations
•Enterprise healthcare partnerships & compliance maturity
5,000+ clinics (target) · Multi-city provider, pharmacy & diagnostic network effects
Repeatable network economics + multi-city adoption
“We've built the MVP. The next round funds the team and infrastructure required to turn it into a scalable healthcare network.”* Illustrative internal clinic targets; subject to pilot validation.
FINANCIAL MODEL

From Paid Pilots to a Scalable Care Network

Clinic SaaS creates recurring revenue. Usage and provider-network activity expand revenue as adoption grows.

01. CLINIC SaaSPredictable Base
₹1,999–₹2,999/ clinic / month

Recurring subscription for clinic workflow and connected care tools.

02. USAGEActivity-Linked
~₹1–₹3/ prescription

Prescription creation, verification and dispensing workflows.

03. NETWORKNetwork Upside
Provider / transaction fees

Pharmacy verification and diagnostic booking coordination.*

Illustrative scale anchor
1,000 Active ClinicsAt ₹2,000 average monthly SaaS revenue per clinic, before usage and provider-network revenue.
₹20L MRR(₹2.4 Cr ARR)
Economic potential of SaaS base
Phase NoteYear 1 is designed for workflow validation and paid pilot conversion — not revenue maximization.
GROWTH & FINANCIAL METRICYEAR 1 — PILOTSYEAR 2 — EARLY SCALEYEAR 3 — EXPANSION
Active clinics25150500
Illustrative SaaS / clinic / month₹2,000₹2,500₹3,000
Annual SaaS revenue₹6L₹45L₹1.8 Cr
Monthly prescriptions5K30K100K
Illustrative revenue / prescription₹3₹3₹3
Annual usage revenue₹1.8L₹10.8L₹36L
Illustrative total revenue₹7.8L₹55.8L₹2.16 Cr
Start with clinic SaaS. Expand through usage. Build the provider network around the patient.*Illustrative planning model based on proposed pricing and adoption assumptions; subject to pilot validation.
THE INVESTMENT ASK

Raising ₹1.5 Crore Pre-Seed

18 months of operational runway to transition our working MVP into production, run clinical pilots, and establish a repeatable connected-care network.

45%₹67.5L
PRODUCT & ENGINEERING

Build the production platform

  • Backend infrastructure & core microservices
  • Secure NFC tap protocols & credential verification
  • EHR interoperability & hospital OPD integrations
Target OutcomeProduction Architecture
30%₹45.0L
PILOTS & GO-TO-MARKET

Turn MVP into repeatable adoption

  • 50 clinic onboarding & doctor workflow setups
  • 150 retail pharmacy & counter reader rollouts
  • Provider success support & on-ground field ops
Target OutcomeHigh-Density Adoption
15%₹22.5L
ABDM, SECURITY & COMPLIANCE

Prepare for healthcare-scale deployment

  • ABDM Milestone 1–3 regulatory certification
  • CERT-In security audits & penetration hardening
  • DPDPA compliance & healthcare data governance
Target OutcomeRegulatory Compliance
10%₹15.0L
OPERATIONS

Keep platform running efficiently

  • High-availability cloud hosting & server telemetry
  • Smart card buffer & NFC validation hardware
  • Administration, tooling & reserve contingency
Target OutcomeRunway & Reliability
18-MONTH MILESTONES
Prove repeatable adoption across the connected-care workflow
50+Clinics
150+Pharmacies
100K+Care Events
APPENDIX & RESEARCH METHODOLOGY

Data Sources & Verified Citations

Every metric, prevalence rate, and financial projection in this deck is grounded in official government records, peer-reviewed medical literature, or primary market research.

Authority TypeSpecific Published Sources & Verified Citations
Government & OfficialPress Information Bureau (PIB India — ABDM May 2026 release), Ministry of Health and Family Welfare (MoHFW), National Health Authority (NHA).
Market Research FirmsGrand View Research (Digital Health 2024–33), IMARC Group (Healthcare IT 2025–34), MarketsandMarkets, Market Research Future (MRFR), Research and Markets.
Peer-Reviewed LiteratureSpringer Systematic Review & Meta-Analysis (2026), PMC / NIH (Alghamdi et al. 2015), Indian Journal of Critical Care Medicine (Bhutada 2020), JAMIA Open.
Industry Reports & MediaWorld Health Organization (Medication Without Harm 2024), CB Insights (State of Digital Health 2025), LinkedIn / Venture Intelligence, Economic Times, Business Wire.

Zero fabricated statistics. Zero invented citations. All figures and projections are directly traceable to published institutional documentation.

NFCura LogoNFCURA

Thank You.

01 / 21