Health services are essentially social services. It is one of the many services system that has emerged to facilitate of individual as well as social goals. Health is one of the major dimensions in socio economic development. The main objectives of the study are; To analyse the spatial distribution of primary health care centre in Madurai district. To analyse the socio-economic conditions of patients in Madurai district. To analyze the patient perception and satisfaction level who avail these PHC services. The study area Madurai district lies between 9 30′ north to 10 30′ North latitudes and 77 30′ east to 78 30′ East longitudes. The data for the present study was collected from primary and secondary source. The random sampling technique is adopted to collect the primary data in all 13 blocks of Madurai district. Altogether about 260 sample respondents have been interviewed from the study area for the Questionnaire method. The data has been analysed by means of Descriptive statistical techniques. To identify health service area in Madurai District, spatial analysis techniques were applied. A detailed fieldwork was carried out at all levels to study the socio-economic characteristics of the respondent and their utilization pattern.