The present article seeks to understand the recent scenario of primary health care facilities, personnel and delivery of related services in the context of primary health care in rural West Bengal. A qualitative research design has been chosen and one Primary Health Centre and four Sub-Centres of the Paschim Medinipur district have been purposively selected for this study. Data have been collected through 1) participant observation on the processes of service delivery and 2) unstructured interviews with both medical and non-medical staffs. Data analysis and interpretation were based on the thematic content analysis method. In rural areas, the Sub-Centre is the first contact point between the primary health care system and the community whereas the Primary Health Centre is the first contact point between the community and the medical officer. According to the doctors and health workers, shortcomings in manpower, supplies and infrastructure are crucial determinants for the quality of care and also influence utilization of these facilities.