In this paper, we have implemented a low cost primary healthcare service for the remote rural people of Bangladesh. These services were delivered through our developed advanced telemedicine model. The main aim of this paper is to provide basic healthcare service through the developed low cost hardware. We have developed Arduino based low cost hardware's to be used for this telemedicine services. Remote patients of Bangladesh can get the expert doctors opinion without going to the urban areas. We have collected nine vital signs such as electrocardiogram (ECG), oxygen saturation (SPO2), blood pressure, temperature, body position, glucose level, airflow, height, and weight of patients to be used in our model. We have removed unwanted signals from the collected vital signs through several filtering algorithms. Our system was successfully tested with the patients of Marie Stopes Bangladesh Hospital. From our developed model, rural patients can get primary healthcare services from the pharmacy of any remote village of Bangladesh with the assistance of local doctor by using Raspberry PI. Finally, we can say that the deployment of the developed healthcare service will reduce the cost of the telemedicine services and advances the healthcare facilities for the remote people of Bangladesh.