In rural hospitals Are less advanced in terms of technology due to lack of modern medical equipment that the patient is not treated quickly, perhaps to send a patient to keeping the city with modern tools. Because of the inability to perform a certain operation. This may be because it takes time to heal before getting into the city. May cause patient death. As for the shortage of medical personnel providing treatment is not sufficient to meet the needs of the patient. And lack of funding to purchase the various facilities like wheel-chair patient bed rooms, ambulance and patient enough.