Surat is India’s 12th largest city with a population of 4.4 million (2011 Census). The city has been growing fast: it has almost doubled in size between 2001 and 2011. The high density, the lack of safe water supply and its location on a river side, combined with high temperatures and humidity, changing rainfall patterns, rapid urban growth and industrial development make Surat highly conducive to vector-borne and water-borne diseases. Real time structured data collection from different Health institutions including Urban Health Centres (UHC’s), Government and Private Hospitals, Laboratories and private practitioners and its efficient analysis were the key challenges faced by Health Department, Surat Municipal Corporation. In order to overcome the above challenge Short Message Service (SMS) enabled integrated Urban Services Monitoring System (UrSMS) was conceptualized and developed for the Surat Municipal Corporation by TARU Leading Edge. This system brings resilience to disease monitoring framework by providing timely information about quality of water supplied from distribution stations and occurrence including outbreak of diseases within Surat.