This document describes a zero energy primary health care centre building in rural Tamil Nadu. Key features include solar panels that provide renewable energy, a rainwater harvesting system to collect and store rainwater, greywater recycling to reuse water, and a biogas plant fueled by cow dung for cooking. Passive cooling strategies include rammed earth walls, a tile roof, and inducing ventilation through a central courtyard and clerestory windows. Materials like linoleum flooring and lime mortar also aid thermal regulation with low conductivity.