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Background: Tuberculosis (TBC) a health problem in the community because the method of transmission is very fast and can lead to resistance if it is not treated quickly. Indonesia is the third largest contributor to TBC in the world after China. The results of the study of TB prevalence in Indonesia in 2013-2014 found the prevalence of TBC for all types and ages 660 per 100,000 population and it is estimated that there are 1,600,000 people with TB. In the Minister of Health Regulation Number 67, in 2016 it is stated that the diagnosis of tuberculosis is used by theMRT method. Objective: The purpose of this article is to find out a description of the pattern of MRT examination referrals in health facilities. Methode: Cross sectional study design, total sample 33,630 cases. This study is a further analysis of data from the Evaluation Study of Diagnosis of TB with TCM in Indonesia, 2018. Data sources were individual data of patients who performed MRT examinations from 44 health facilities (42 hospitals and 2 health centers) in 42 districts / cities in 26 provinces. Data analysis with univariate and crostabulation. Results: The total sample was 33,630 cases from 44 health facilities. There is an increase in the frequency of MRT examinations every years, from 178 in 2014 until 17,284 in July 2018. Most patients who refer MRT examinations come from internal facilities (71.5%), then from Puskesmas (18.7%), other hospitals ( 5.8%) and at least from independent / clinical doctors (3.3%). The purpose of conducting referrals to MRT examinations is mostly for examination of new pulmonary tuberculosis (76.1%), then drug resistant tuberculosis (19.8%), HIV-Tuberculosis (3.2%) and the least is DM-Tuberculosis (1.0 %). Conclusion: The total number of MRT examinations increases every years from 2014 until 2018. Referral to MRT examinations mostly comes from internal facilities and at least from public private sektor (medical doktor)/clinicians. The most average of MRT examination from the referral facility is for new pulmonary tuberculosis examination. The use of MRT for the purpose of examining HIV-TBC and DM-TBC is very low, ranging from 0.6-4.0%. Keywords: tuberculosis, molecular rapid test, hospital, health facilities