Groundwater quality in the West Midnapore district of West Bengal, India is affected by anthropogenic activities as well as by water quality of Subarnarekha and Kangsabati rivers. This study aims to assess quality of groundwater and river water for drinking and irrigation usage, and assess the health risks of the people consuming the water across the rivers. The study also explores the groundwater-river water interaction. The river water and groundwater samples were collected three times during monsoon season from 14 sites across the rivers. The samples were analyzed for 11 water quality parameters, i.e., pH, total dissolved solids (TDS), total hardness (TH), major anions and cations, and iron (Fe). The groundwater was found slightly acidic (mean pH ~ 6.71) and correlated with nitrate concentrations. Most of the water quality parameters were found within their permissible limits of drinking water. However, elevated concentrations of potassium (K), ammonium (NH4), magnesium (Mg), phosphate (PO4), sodium (Na), and Fe were detected at some places, which were likely due to use of fertilizers. Water quality index (WQI), sodium absorption ratio (SAR), and percentage Na values were computed to evaluate the groundwater quality. The mean WQI value of 37.07 showed that the majority of groundwater samples met drinking water standards. Groundwater was also found suitable for irrigation (SAR ~ 0.26 to 1.62 meq L-1 and percentage Na ~ 13.10% to 78.12%). Health risk assessments suggested minimal immediate risks, though high Na levels in certain areas raised concerns. Piper plot showed that increased calcium concentrations in groundwater were mainly due to interactions between river water and groundwater. Overall, groundwater quality did not present any harmful health hazards to the community. The findings of this study can be instrumental for groundwater managers in identifying potential areas for treating groundwater quality.