The observation results of the medical record filiing unit in Kademangan Public Health Service Bondowoso found that, in a week, 51 of 366 outpatient medical records were on wrong location or lost (misfile) The impact of misfile is the delay of service patients in search of medical records, duplication of numbers record the medical, and the contents of medical records document become not sustainable. This study aimed to analyze the factors that cause medical records misfile in Kademangan Public Health Service Bondowoso. This study used qualitative methods and data obtained through interview, observation, and USG (Urgency, Seriousness, Growth) method. The results of the research showed that the priority problem of misfile’s causes was the less of leadership motivation such as reward and punishment. The alternative solutions were giving punishment  or reward to medical record officer, especially to the filling officer to create their discipline in doing their work. The discipline of the filing officers in conducting work makes the management of filing medical record run optimally.