TMSS came into existence for the wellbeing of unprivileged, discriminated, neglected, exploited and oppressed people. Medical facility is the most important one among the basic human needs. Access to good medical treatment by the neglected and unprivileged people has become dearth now. TMSS had long felt the need of adding a Medical College to the many educational and social welfare institutions through which, over the years it has served the country. TMSS Medical College (TMC) has been established recently as a constituent program of TMSS to build a strong health service provider. Despite three decade’s continuous endeavors of thousands of renowned NGOs for the country’s grassroots level comprehensive development, the achievement of the NGOs appeared to many of the Economist as truffle and negligible because lack of backward & forward linkage and scope.