The first level health facility is the spearhead of the first level health data collector for the health office in the territory of Indonesia, in supporting the National Information System development strategy. The management information recording and reporting system as a means of supporting the processing of health data in first level health facility will be useful in producing quality information that is used as a basis in making decisions to establish health programs. This research is a descriptive study with a quantitative approach to measure the description of perceptions and implementation constraints faced by users of the management information recording and reporting system. The survey was conducted on 59 respondents by answering questionnaire questions. Based on the results of the study, the perception of the use of the management information recording and reporting system produces a good perception. While based on perceptions of acceptance: officers aged 36-45 years at tambakaji health centers are better than Ngaliyan health centers. Officers with female gender are the least likely to encounter obstacles, while officers with <5 years of work are most vulnerable to problems. The management information recording and reporting system is very supportive in operational activities in first level health facility.