Good governance has in recent times appeared as the new intonation to address the failures of public systems, especially in the arena of public health. Health is a state subject and the primary responsibility of providing health care is with state governments. Majority of states' expenditure accounts of ail public expenditure on the health sector. Statelevel variations on expenditure on health over the years show a proportion to total government expenditure it shows a declining trend after 1985-86. This article examined the allocations of health budget for the light of commitments made in municipal governance of budget. The present study was carried out to assess the budget allocation and expenditure pattern for health including private and public health. The findings revealed that the budget allocation for total health care was less, compared to that of maternity home and child care budgets. The study focused on trends in BBMP spending on Health Sector. The results conveyed that the BBMP spending on health sector as per state Real GDP for BBMP Budgetary allocation was low compared to real allocation. These figures indicate the status of ignorance of urban public health sector. The study suggested that the prime importance of health care both at micro and macro levels needs to be attentive at budget allocation and at management strategic decisions to regulate the health care policy to achieve this sectors as one of the millennium development goals which is most vital for growing urban population through both public and private partnership interventions.