Tuberculosis continues to be one of the most important public health problem worldwide. It infects one third of the world__ampersandsignlsquo;s population at any point of time. There are approximately 9 million new cases of all form of tuberculosis occurring annually and 3 million people die from it each year. Out of these 95% tuberculosis cases and 98% tuberculosis deaths are contributed by developing countries. India accounts for nearly one third of the global burden of tuberculosis. Around 2.0 million people are diagnosed to be suffering from tuberculosis every year.1 Tuberculosis kills more adults in India than any other infectious diseases. More than 1000 people a day i.e one every minutes die of tuberculosis. Evaluation of the implementation of Revised National Tuberculosis Control Programme in the three Primary Health Centres of Belgaum District. A Longitudinal study, data collected by personal interview in the field, all cases diagnosed for tuberculosis by the Medical Officers of three Primary Health Centers from November 1st 2004 to April 30th 2005. In the present study 48% were males, 52% were females, more than 50% of patients were in the age group of 20-39 years and majority were Hindus(84%). majority of patients were Housewives i.e.37.7% followed by farmers i.e. 23.2% and labours 16%. Out of these 69 cases 43.5% belonged to category I, 18.8% category II and 37.7% category III. The overall average sputum referral in six months was 3.8% and positivity was 11.5%. At the end of Intensive phase out of 31 sputum positive patients, 77% showed sputum conversion to negativity, 13% remained positive and 18% were not available for sputum examination. At the end of continuation phase whose sputum was positive initially 68% were sputum negative and 32% were not available. Overall treatment outcome cured were 30.4%, completed the treatment 40.6%, defaulted 8.7%, died 16% and transferred out 4.3%.