The water scarcity and deteriorating water quality are major issues of concern to the agrarian state of Punjab, India. The focus of the study is to assess the status of drinking water and sanitation systems of Punjab using an exhaustive dataset of 1575 drinking water samples from 433 sampling locations in 63 urban local bodies of Punjab. Water security index(WSI) indicate that out of 63 urban local bodies, 13 are categorized into good class, 31 fall under fair class, and 19 fall under poor class. The access indicator under sanitation dimension shows that Bathinda region has maximum sewerage network coverage relative to other regions, whereas ca. 50% of the ULBs in Amritsar region do not have sewerage facility. It is clearly depicted that the variation in WSI is mainly attributable to sanitation dimension (10-22.5) as variation in water supply dimension (29-35) is relatively less. Hence,emphasis on indicators and variables of sanitation dimension is required for the improvement of overall WSI. The assessment of qualitative aspects of drinking water and health risk depicts that the drinking water quality of southwest part of the state (i.e. Malwa region) is under good quality class contrary to its poor groundwater quality. Kapurthala district shows high health risk due to the presence of trace metals despite being classified into good class within water security index. The drinking water quality is better and health risks are minimal in regions where drinking water is supplied via treated surface water sources (e.g. Bathinda region). Furthermore, the results of health risk assessment correlate with M[Formula: see text]-WaterQualityIndex outcome owing to presence of trace metals in groundwater above permissible limits. These results will help in identification of shortcomings in water supply and sanitation infrastructure and its management in urban areas.