Introduction: Medical records ward, is one of the most important sources to access to information about patient’s disease, how they cured and how the management and personnel work. This ward shows it’s efficiency effectively when regards professional standards about organization and structure, equipments and human resources, recipes and policies, performance and services. This research has done to determine performance of the teaching hospitals of Hamedan University of Medical Sciences: 2009.Material and Methods: This research was descriptive and has done by using valid and reliable questionnaire and interview. In this research performance of medical records ward and it’s units, has been evaluated and hospitals have been compared togetherResults: This research show that Beesat’s Medical Records ward, have highest score in performance (91.2%) and Beheshti’s Medical Records ward, have lowest score in performance (44.7). The most important problem in all of them was lack of suitable space.Conclusion: We offer these solutions for improve in medical records performance: use educated and specialist personnel in field of medical records, establish workshops and reeducation classes for medical record’s personnel and dedicate suitable space and equipments for medical records ward.