This stand alone report of the CAG of India contains Performance Audit of Select District Hospitals in Assam for the period 2014-15 to 2018-19. District Hospitals are set up for providing a plethora of services for preventive, diagnostic and curative health care to the people in the district, at an acceptable level of quality, and be responsive and sensitive to the needs of the people. The focus of the audit is to assess the role of the district hospitals in providing the envisaged health care services to the people in an affordable and timely manner to the expected quality standard. Audit Objectives: The objectives of carrying out an outcome audit of district hospitals were to assess: i. adequate and essential resources - manpower, drugs, infrastructure, equipment, and consumables were available for effective functioning of the district hospitals; ii. timely and quality healthcare was delivered through line services like OPD, IPD, ICU, OT, trauma & emergency, etc., and diagnostic services; iii. support services like drug storage, sterilisation, hygiene, waste management, infection control, ambulance, etc., were aiding the line departments in providing a safe and sterile environment in the hospitals; and iv. adequate and timely healthcare services were available in selected services relating to maternal and infant care.