Medical records document a patient's history, treatments, and test results, creating continuity of care so that any provider who sees the patient later has an accurate picture rather than relying on memory. Many facilities in Nigeria and across Africa still rely heavily on paper-based records, though electronic health record (EHR) systems are increasingly adopted because they reduce lost files, make records searchable, and can flag issues like drug allergies automatically. Whether paper or digital, records must be accurate, timely, and legible or properly entered, since an error or omission can directly affect a patient's future care. Health data privacy principles require that records be accessible only to authorized staff, stored securely, and shared only through proper consent or legal channels, a responsibility that extends to every support worker who touches patient files.