If you run a counselling or therapy clinic in India, the search for clinic management software turns up a long list of names, many of them built for medical clinics or for practices abroad. This guide is for clinic owners and admins who want a short, fair look at five options before they book demos.
We make Leshya, so read our description of it with that in mind. Every detail about the other four is as listed on its website in October 2026. Features and prices change, so check each company's own pages on the day you decide.
What a counselling clinic needs from the software
A solo counsellor needs a calendar, a payment step and reminders. A clinic needs all of that and also needs coordination: one view of every counsellor's bookings, roles so an admin decides who does what, payments online and at the front desk in one record, a receipt for each payment, and client history that stays with the clinic when a counsellor leaves.
Some clinics also want session notes and clinical records inside the same tool. Others keep notes elsewhere and care more about a clinic page where clients can find the team and book. Decide which group you are in first, because the five options below split along that line.
Leshya
Leshya has a clinic workspace made for counselling clinics in India. Your clinic gets its own address at yourclinic.leshya.app, with every counsellor who takes bookings listed on it. You invite counsellors by email, choose their roles and whether they take bookings, and set hours once for the whole practice or per counsellor. A front desk view shows bookings across the team, and the desk can book for a client who calls or walks in, with no account needed. Clients pay online, or in cash, UPI or card at the desk, and both land in one ledger. Every payment gets a receipt link, and your GSTIN prints on it once you add it in clinic settings. Reminders go out 24 hours and 1 hour before a session by email and push, and client history stays with the clinic.
Leshya does not keep session notes or clinical records, and it has no video room of its own; it can create a Google Meet or Microsoft Teams link for an online session. It may suit a counselling clinic with several counsellors that wants a shared front desk, a clinic page and rupee payments at the desk, and keeps notes in another tool. Plans differ by team size and are shown on the clinics page.
Every Leshya page and counsellor website follows WCAG 2.1 AA practices, so clients who are blind or have low vision can browse and book with a screen reader.
Practo Ray
Ray is clinic software from Practo, and it is the name many people in India compare first, which is why it comes up in searches for Practo alternatives. Its page lists appointment SMSes with rescheduling and cancellation by patients, online payment before a visit, staff collection of due payments, patient history and templates, follow ups, encryption, two factor authentication and backups, and describes Ray as Ayushman Bharat Digital Mission compliant, as listed on its website in October 2026. It offers a 7 day free trial and lets you manage several practices under one account. It is written for medical clinics, and its page links to a separate plans page for prices. Ray may suit a clinic that wants patient records, templates and follow up tools in the same software.
Jane
Jane (jane.app) describes itself as one connected system for scheduling, charting, billing, payments and communication. It lists clinical documentation, an AI Scribe, telehealth, intake forms, secure messaging, insurance billing, payroll and Jane Websites, as listed on its website in October 2026. Its plans are priced in US dollars, at $59, $79 and $99 a month, with additional practitioners licensed separately, and it offers a demo rather than a free trial. Its pages did not say which countries Jane Payments works in, so a clinic that wants to be paid in rupees should ask Jane first. Jane may suit a clinic that needs charting, insurance billing and payroll in one system and is comfortable with dollar pricing.
Carepatron
Carepatron is practice management software that lists online booking, automatic reminders, telehealth meetings, clinical notes, treatment plans, an AI scribe, invoicing, insurance claims and online payments, and says it supports clinicians in 120+ countries, as listed on its website in October 2026. It lists a Free plan at $0 with paid plans above it in US dollars, and extra practitioners billed per user. Its pages did not say which payment processors or currencies it supports. Carepatron may suit a clinic that wants notes, treatment plans and video in one tool and wants to start on a free plan.
SimplePractice
SimplePractice describes itself as an electronic health record (EHR) and practice management system based in California, as listed on its website in October 2026. Its help pages document use in the US and Canada, and its online payment setup asks for US banking details. It lists Starter at $49, Essential at $79 and Plus at $99 a month, with a 30 day free trial. SimplePractice may suit a practice in the United States or Canada that needs an EHR with clinical notes and video inside the same product. A clinic in India should ask it about payments and data before relying on it.
Which fits your need
You want clinical records and notes inside your clinic software: look at Practo Ray, Jane, Carepatron or SimplePractice, going by what each lists.
You run a counselling clinic in India and want a shared front desk, a clinic page, walk-in bookings and cash, UPI and card at the desk in one ledger: Leshya is made for that, with notes kept in a separate tool.
You need insurance billing or payroll: Jane and Carepatron list insurance features, and Jane lists payroll. Leshya offers neither.
You want to try before you pay: Carepatron lists a Free plan, Practo Ray and SimplePractice list free trials, Jane offers a demo, and Leshya shows its clinic plans on the clinics page and offers a demo with a real person.
Some clinics use two tools: one for notes, and Leshya for the clinic page, bookings and payments.
Some of your clients use a screen reader: Leshya's booking pages follow WCAG 2.1 AA practices. Ask any other vendor how its client booking works with assistive technology.
Questions to ask any vendor
How is a team priced: per counsellor, per clinic, or by booking volume? Ask for every charge in writing, including payment gateway charges and currency conversion.
Can an admin remove a counsellor, and what access does that counsellor lose at once? Can the desk record a cash or UPI payment, and does it get a receipt? Can we export our client list if we leave? Does it work for clients who book in person as well as online?
Moving a clinic over
Do not switch everything on one day. Set up the clinic, invite two or three counsellors, and run one week of real bookings beside your old method. Test a desk payment and a receipt yourself. Then move the rest of the team and tell clients where to book.
Common questions
It is software that runs the admin of a clinic: bookings across several practitioners, roles, payments, receipts, reminders and client records. Some tools also keep clinical notes.

