The Indian healthcare sector is undergoing a transformation with improved services becoming available to larger populations. However, healthcare in rural areas still remains a significant challenge resulting in reduced life expectancy at birth and infant mortality rates almost twice that in urban cities. Health Care is an absolute necessity and there is very little facilities available in rural India. Information and Communication Technology (ICT) has become a major tool in delivery of health services and has had a revolutionary impact on how we live and perceive the world. In response to the challenges of globalization and local development, healthcare service delivery reforms are inevitably becoming one of the major trends in India. The rising cost of healthcare and sustained poor quality mandates deployment of better practices and continual improvement in healthcare operations at a much faster rate than historically achieved. There have been many attempts to improve quality in healthcare, but most have been based on management fads and have been unsustainable. This paper talks about case study on impact of technology management in public health service delivery.