Healthcare delivery systems in India are organized through a multi-level structure designed to provide preventive, promotive, curative, and rehabilitative services to the population. From an Operations Management in Health Care perspective, the system involves planning, organizing, coordinating, and managing healthcare resources such as infrastructure, manpower, equipment, medicines, and information systems to ensure efficient and accessible healthcare services. The Indian healthcare delivery system operates through both public and private sectors and follows a hierarchical structure consisting of primary, secondary, and tertiary levels of care. The primary level of healthcare is the foundation of the healthcare delivery system and serves as the first point of contact between individuals and healthcare providers. It focuses mainly on basic healthcare services, disease prevention, health promotion, and early diagnosis. Primary healthcare facilities include Sub-Centres, Primary Health Centres (PHCs), and Health and Wellness Centres. These facilities are generally located in rural and semi-urban areas to improve healthcare accessibility for communities. The major functions of primary healthcare include maternal and child healthcare, immunization programmes, family planning services, treatment of common illnesses, health education, nutritional support, and screening for diseases. In operations management, primary care facilities play an important role in reducing the burden on higher-level hospitals by managing minor health issues and preventing disease progression. Efficient supply chain management, adequate staffing, availability of essential medicines, and