The purpose of this study was to determine how application of SIMRS in RSUD Dr. Achmad Mochtar city of Bukittinggi. This research is a qualitative-descriptive research. The type of research used is descriptive qualitative using interview and observation techniques. In this study using a sample of two people who work in the field of SIMRS. It can be concluded based on the results of the study that the application of e-governance in SIMRS RSUD. Dr. Achmad Mochtar Bukittinggi as a whole has been going well which has had an impact on facilitating employees in carrying out their work in terms of service to patients but it does have various problems, starting from the insufficient number of employees and the network which is often disconnected