Free alternatives · Industry and professional
OPDNotes
Records an outpatient consultation and drafts the case note, an Indian-format prescription and ICD-10 codes for the doctor to check, edit and sign.
A free alternative to Freed, built by Surge Software. Free. You pay only what third-party services cost us, at cost.
Live at opdnotes.com
Walkthrough
See OPDNotes in action
The problem
What it solves for a business
For: Outpatient doctors and small clinics in India who write notes and prescriptions by hand or type them after each patient.
- Writing the case note and prescription after every patient eats into a busy OPD day.
- Most AI scribes cap notes, lock coding and letters behind higher plans, and do not write an Indian prescription.
- It is hard to tell which line of an AI note to trust, and recordings that stop silently mean lost notes.
How it works
OPDNotes, step by step
- 01
Ask consent and record
The doctor records the patient's consent using the script provided, then records the consultation on a phone or computer.
- 02
Transcript while you talk
Audio is sent in 30-second pieces and turned into text during the visit.
- 03
Draft note and prescription
After Stop, a draft note, prescription, codes and safety flags follow in about a minute.
- 04
Doctor checks and signs
The doctor reviews each line against the transcript, edits anything, and signs; nothing is final until then.
- 05
Print, share or export
Print the prescription, share a plain-language patient summary, or export PDF, FHIR, HL7 or CSV. The recording is deleted at sign-off by default.
Comparison
OPDNotes vs Freed
| OPDNotes | Freed | |
|---|---|---|
| Price | Free. You pay only what third-party services cost us, at cost. | $39 (40 notes) to $104-119 Premier a month; 7-day trial, no permanent free plan |
| Note limit | No note limit | Starter capped at 40 notes a month |
| Coding and letters | ICD-10/CPT suggestions and letters included | Premier plan only |
| Indian prescription format | Generic names in capitals, 1-0-1 dosing, brand-to-generic mapping | No |
| Indian code-mixed speech | Accepts English mixed with Hindi and other Indian languages; note in English | Captures 14 languages; note in English |
| Line-by-line evidence | Each diagnosis and medicine links to transcript lines | No |
| Pre-sign safety checks | Interactions, allergies, paediatric strengths, unmentioned medicines (assistive) | No |
| Bad network | Audio pieces queued on the device and retried | Needs a continuous connection; users report re-recording |
Freed details are taken from its public website and may have changed since (Starter $39/month for 40 notes; Core $59 or $79; Premier $104 or $119 per clinician (checked 25 Oct 2026)).
Why switch
Advantages over Freed
Everything included, no cap
Coding, letters, exports and unlimited notes are in the free product. Freed puts coding, EHR push and letters on its $104-119 Premier plan.
Written for an Indian OPD
Drafts a prescription in the Indian format with generic names and spoken brands mapped to generics.
Shows its work
Every diagnosis and medicine links back to the transcript, and medicines never mentioned are flagged before the doctor signs.
Published errors
Surge publishes its note-writing test on synthetic cases at /benchmark, including the mistakes it found.
Features
What it does today
- Record, dictate, upload audio or type the conversation; understands English mixed with Hindi and other Indian languages, notes written in English
- Indian-format prescription draft: generic names in capitals, strength, 1-0-1 dosing, before/after food, duration, registration number; spoken brands mapped to generics (458-brand table)
- Evidence links: tap a diagnosis or medicine to see where it was said in the transcript
- Pre-sign checks labelled assistive: drug interactions, allergy clashes, adult strengths for children, medicines never mentioned in the conversation, missing vitals
- ICD-10 and CPT suggestions, SOAP, Indian OPD and specialty templates, referral, fitness and leave letters
- Recording that survives network drops (pieces queued on the device) with a mic meter and alarms if recording stops
- PDF, print, FHIR R4, HL7 v2 and CSV export; style rules learned from the doctor's edits, shown and editable in Settings
- Clinic roles, invites, shared templates, audit log, two-step sign-in, audio deleted at sign-off by default
Use cases
How teams use OPDNotes
Busy general OPD
A GP records each Hinglish consultation and signs a reviewed note and printed prescription before calling the next patient.
Teleconsultation
A doctor shares the video call's browser tab so both voices are captured, then reviews and signs the teleconsult note.
Small clinic with an HMIS
A clinic exports signed notes as FHIR, HL7 or CSV into its existing records system.
Clinic with weak internet
A clinic with patchy internet keeps recording; pieces upload when the connection returns.
Under the hood
Where AI is used, and where it is not
The model
Text: Qwen3.8-27B on Surge's own vLLM server. Speech: faster-whisper (medium) on Surge's server CPU. Claude or Sarvam only if a clinic opts in; no silent fallback.
Rules and code
Code normalises the prescription format, maps brands to generics, validates ICD-10 codes against a WHO code table, checks interactions and allergies, and flags any medicine not found in the transcript.
People in the loop
The doctor reviews, edits and signs every note; drafts are not final and checks are labelled assistive. OPDNotes is a documentation tool and does not diagnose or prescribe.
Book a working session
A working session with our architects on one of your use cases. You bring a process and sample documents; we leave you with a scoped plan: model, hosting, integrations, timeline and cost range.