The Medical Council of India was established in February 1934 under and act of parliament namely the Indian Medical Council Act 1933. This colonial act was repealed in 1956 by the Indian Medical Council Act, 1956. The Act was further amended in the years 1964, 1993 and 2001. The council functions as an advisory body on medical education. It aims to establish uniform standards of medical education and recognition of medical qualifications granted by universities/ medical colleges in India and abroad. Audit Objectives: This performance audit was conducted by the CAG of India to verify whether: (i) the Council met the principle objective of keeping uniform standards of medical education while recommending for establishment and recognition of a new medical college - both at undergraduate and postgraduate levels; (ii) the Council maintained uniform standards of medical education by conducting periodical inspections of existing medical colleges; and (iii) the Council was maintaining and updating regularly the Indian Medical Register (IMR) and took appropriate action against physicians found delinquents as per professional conduct. Audit Findings: The performance audit revealed non-adherence to prescribed standards in (i) establishment of certain new medical colleges, (ii) increase of seats in certain existing medical colleges without having the requisite facilities/ standards; (iii) renewal of permission for yearly admission in some cases without fulfilling the requisite minimum standards pointed out in the respective inspection reports.