Responding to the ravages of the second wave of Covid 19 pandemic in India, the Foundation collaborated with various private/non-government organisations to set up three (3) Pre-hospital Covid Care Centres (C3) in different locations in West Bengal. We supported the centres with nursing personnel from among trained rural youth, developed systems and processes that would ensure a lean and cost-effective operation, implemented Covid Severity Score (CSS) software for automated serial monitoring of patients, oxygen cylinders and oxygen concentrators. Patients were treated at no cost to them. This helped reduce load on hospitals from patients, who do not require hospitalisation but monitored medical care, by treating them close to home and earlier identification of patients requiring hospitalisation and referral at a better physiological state. The organisations included QSYN (Quarantine Students Youth Network) at Thakurpukur, ATMA Foundation (Dr. Atanu Saha) at Don Bosco School Kolkata and Nehru memorial Techno Global Hospital (Barrackpore). 27 Health Workers, specially trained in Covid Care, were employed at these centres and provided the bulwark of clinical functions.