Telehealth is the need of the hour for both healthcare providers & patients. This helps to be innovative with the newer concepts that can be fine-tuned with an Indian perspective. Teleconsultation provides a conjoint system for small, medium, and large-sized hospitals to manage the day-to-day activities and managerial strategies that can be included in multi-specialty telemedicine services rendered to collaborate with peripheral units. The study which is undertaken is cross-sectional, descriptive in nature, with observatory method, the structured data collected which is qualitative and quantitative data collected, which is taken while commissioning the project for telehealth in a hub and scope model for a large-sized hospital situated in a suburban rural area in India. These aspects are elaborated which prove insight into project commissioning, challenges, and limitations faced during the operations of telehealth centers, quality, training, and regulatory aspects of telehealth services in India. The aspects of Telemedicine/Telehealth, Affordability, Accessibility, Reliability, and Scope with the relevance of clinical importance, and role in non-communicable diseases are discussed. Remote patient monitoring (RMP) is also called the Store and Forward form of teleconsultation in which the patients upload images to come up with medical diagnoses are incorporated. Hub and scope model and Vendor analysis model have been depicted. The measurement model will provide the relevance of vendor analysis for commissioning the telemedicine projects. Telehealth technology helps to diagnose diseases by a remotely situated medical specialist who can evaluate the patients, situated at distance, with fluctuations and variations in medical conditions. These patients may be situated at home where the medications can be modified accordingly. With the help of telehealth technology, connecting digitally the remote, rural, and terrane areas; we can provide urban amenities in perspective health care services to the neediest humans in a holistic approach. The integration of healthcare that results in a continuum of care is vital. Real-time data for the effective management of staff and caregivers efficiently is enumerated.