Medical records are created/ generated in health institutions during the process of treating patients as the Hospital clients. General Hospitals in Katsina State have over the years generated and accumulated huge amount of medical records. Valuable as these records are, a lot are misplaced and mutilated in the Hospitals. The study came up with four research questions: what types of medical records have been stored, and devices used in storing medical records, the types of filing system adopted in the General Hospitals in Katsina State, and what methods are used in preserving medical records. A descriptive survey research design was employed for the study to find out how the selected General Hospitals effectively stored, preserved and file their medical records. The staff identified to be managing the medical records was 112. The study used Krejcie and Morgan table to determine the sample size which was 43. Forty three. (43} copies of questionnaire were distributed but 42 were filled and returned which gave a response rate of 97.8%. Data analysis of the bio-data variables were presented in frequencies and percentages. Answers to the three research questions were presented. The three research hypotheses were tested at 0.05 alpha level of significance and One-way ANOVA was used to test the hypotheses. The study revealed that good maintenance of medical records in any format largely depends on good storage, preservation and filing, while poor medical records maintenance resulted in misplaced and delayed access to patient's records. The study concluded that medical records maintenance is not effective because of the manual system they are using in maintaining the records.