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The study assessed health record Control in primary health care settings, with particular focus on Ikorodu Local Government Primary Health Care Centre, Lagos State. Effective health record Control is essential for ensuring continuity of care, supporting clinical decision-making, improving patient outcomes, and strengthening health system performance. Despite its importance, many primary health care facilities face challenges related to inadequate infrastructure, insufficient training, poor documentation practices, and limited adoption of electronic health record systems. The study adopted a descriptive survey research design. The population comprised patients attending Ikorodu Local Government Primary Health Care Centre, from which a sample of one hundred (100) respondents was selected using simple random sampling technique. Data were collected using a structured questionnaire designed by the researcher. The instrument was validated by the research supervisor to ensure face and content validity. Data collected were analyzed using frequency tables and simple percentages, while the stated hypothesis was tested using Chi-Square (χ²) statistical analysis at a 0.05 level of significance. Findings revealed that effective health record Control significantly influences patient care and service delivery in primary health care settings. The study identified key challenges including reliance on paper-based systems, incomplete documentation, inadequate training of health personnel, and limited digital infrastructure. The results further indicated that improved documentation practices and adoption of electronic systems can enhance efficiency, accuracy, and quality of care. The study concluded that strengthening health record Control systems is critical to improving patient outcomes and overall health service performance. It recommended investment in digital infrastructure, continuous training of health workers, implementation of standardized record-keeping protocols, and regular monitoring to ensure compliance and data quality.