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Iksha Labs builds safe, full-stack agentic systems for healthcare. Our work spans the technology required to take an agent from a promising model to a dependable healthcare system—including voice, reasoning, evaluation, deployment and monitoring. We apply this stack across patient engagement, care coordination and clinical decision support, with safety, data privacy and regulatory requirements considered throughout development. Our proprietary healthcare policy and guardrail technology adapts each agent to the environment in which it operates. Clinical protocols, consent requirements, data policies, permitted actions and escalation rules can be defined for each organisation and use case. Agents can therefore understand what they are expected to do, recognise when a situation falls outside their authority and involve a human at the appropriate point—enabling safe deployment, reliable execution and predictable outcomes. Krisper is our flagship voice-agent platform for patient management. It handles appointment booking, follow-ups, reminders and coordination through natural voice conversations, while integrating with the systems and operating policies of each healthcare provider. Its multilingual capabilities help organisations serve patients across languages without adding equivalent operational complexity. Krisper has already supported over 100,000 patients across hospitals, clinics and independent care providers. By making patient interactions more accessible, responsive and