The main purpose of this study was to determine the: Perception of discharged patients on quality of health care services received, the study was conducted at Muhimbili national hospital, ophthalmology clinic. Specific objectives were: To explore the relationship between health workers and patients during health care provision; To explore the perception of patient on medical Services received; To identify problems incurred during payment of health care services. The study targeted the patients from ophthalmology clinic who were discharged from wards for one week to three months this year 2015 . Respondents were sampled purposively so as to come up with relevant information and fourteen respondents were interviewed during this study. In-depth interview was used to collect primary data on experience, knowledge, cultural and altitudes from selected respondents. This study highlighted the importance of perception of discharged patients on quality of health care services received. Interpersonal relationship was a major concern to many patients most of whom were poor. Poor Communication and lack of health services shows as a source and key factor of not improving patient satisfaction. Patient needed the health facilities to be available always, to be informed and involved in the treatment they received. The recommendations of this study are: The Muhimbili National hospital should ensure that health providers are compassionate and respect to patients, this can be achieved by integrating customer care on job training. Efforts should be put on supportive supervision to health care given to patient at least on monthly basis. The government should provide all necessary equipment, drugs and qualified staff who are able to provide specialized eye services at all levels in hospitals; these could reduce the number of patients attending the Muhimbili National hospital.