OBJECTIVES: Our main objective was to investigate the degree of adherence of WHO recommended patient care indicators in health care facilities operatin in Galle Sri Lanka  METHODS: A total of 422 patients attending to the Outpatient Department in selected Hospitals in Galle district in Southern Province. Average Dispensing Time (ADT), Percentage of Drugs Actually Dispensed (PDAD), Percentage of Drugs Adequately Labeled (PDAL) and Patients Knowledge on Correct Dosage (PKCD) were compared in these selected Teaching, General and District Hospitals in Galle. RESULTS:  ADT in DH (1.16 min) and GH (1.07 min) were high when compared to ADT in TH (0.81 min). PDAD was 100% in DH, 97.79% in GH and lowest in TH (94.64%). PDAL was highest in 22.66% in TH, 17.57% in GH and lowest in DH (1.57%).  PKCD was 100% in GH and lowest in DH (0%) and only 50 % in TH in Galle District.  We noted that there was a significant difference in ADT, PKCD and average number of drugs labeled in all three categories (p <0.05). But there was no significant difference in average no of drugs prescribed and dispensed in three categories of these hospitals. We noted that dispensers spend only short dispensing time and there was a tendency for dispensing errors. We found that PDAL was very low in all Hospitals but PDAD was significantly high. Even though the ADT was high in DH, PKCD was 0% due to unorganized dispensing practices. We also noted 100% PKCD only in GH due to practice of well prepared correct labeling system.  CONCLUSIONS: Therefore we suggest to implementing proper dispensing techniques by introducing well prepared printed drug labeling system and commencement of recorded announcements to improve patient’s knowledge on drug administration.