Background Health & Family Welfare department of Maharashtra Government provides preventive and curative healthcare services to states 112.3 million population through 12,977 facilities. Such a mammoth service distribution arrangement needs a robust yet easy to use Information System to help the State in delivering the services at optimal level. The service Network of Health system works through a structured set of connections of Health facilities with Administrative and executive responsibilities lying at various levels from state, district, urban areas and talukas. Health Posts (in urban areas) and Health Centres (in rural areas) are the farthest arms of this service delivery system. The H&FW has various vertical segments responsible for diverse healthcare services provided to its citizens. Each segment collects data for its regular process monitoring. The need To ensure delivery of all health services with justice and equity, it is strongly felt that a periodical convergence of all key information, location-wise, is essential. Regular analysis of such information along with timely action may lead to best possible utilization of available Health resources. Maharashtra Health MIS GIS is such an Endeavour. Health Service delivery Institutions are the places where a citizen faces the moment of truth. Adequacy of infrastructure, capacity of service providers, availability of tools-tackles-medicines, and each essential component of quality service delivery ultimately shows a better outcome. Maharashtra Health MIS GIS is capable of bringing out the as is scenario to the administrators and implementers in various levels of Health Service system.