This Stand Alone Report of the Comptroller and Auditor General of India contains the results of Performance Audit of Select District Hospitals in Tripura for the period 2014-19. A Performance Audit on National Rural Health Mission (NRHM) covering the period 2011-2016 was featured in the report of the Comptroller and Auditor General of India (CAG) for the year ended 31 March 2016, Government of Tripura. During 2019, CAG decided to carry out a Performance Audit of healthcare services being provided at District Hospitals to assess the availability of resources identified as essential by Indian Public Health Standards (IPHS) for District Hospitals and to evaluate the overall quality of healthcare services provided by these hospitals in some selected domains. In this Performance Audit we have focused on patient care given by the primary and secondary care levels in the State. We assessed the availability of basic infrastructure facilities in the State, adequacy of manpower in the selected State and District Hospitals and various services provided therein like Out-Patient and In-patient services, Maternity and Child Care services, Emergency Services, Drug Management, Infection Control, Bio-Medical Waste Management, Diagnostic Services, Fire control measures and select services of Cancer Care and AIDS Prevention and Treatment, based on pre-determined performance indicators/ criteria in the sampled district level and block level hospitals (CHC and PHC). We have adopted the Indian Public Health Standards (IPHS) guidelines as well as State norms as applicable for benchmarking various audit findings.