The study aimed at android application for monitoring medical record with a case study of fine pharmacy wakiso and it was guided by the following objectives; To analyze the importance of records monitoring practice to Fine Pharmacy Wakiso, to analyze the state of records monitoring practice at Fine Pharmacy Wakiso, to determine how record monitoring affects the quality of health service delivery at the Fine Pharmacy Wakiso and to design an android electronic records management system. The study employed qualitative approach and descriptive methods to describe the characteristics of the research variables. It was qualitative in that opinions of the people were required and the researcher contextualized them according to his/her understanding. Quantitative data included annual company reports. The existing system is studied to establish its weak and strong points. The system was designed on Microsoft widow platform using SQLite for database design and java language that accepts running on virtual device. Once the application is installed, any authenticated user can access it from any work station by clicking on its icon on the interface of his android screen. The system was composed of two sections, the database and the graphic user interface as is architecture with inputoutput modules containing the user interface, the medical records system needed to be efficient in retrieving relevant data for medical record monitoring. The purpose of the design phase was to plan the solution of the problem specified by the requirements document. This phase was the first step in moving from the problem domain to the solution domain.in other words, starting with what was needed; design took us towards satisfying the needs. The design of a system was the most critical factor affecting the quality of the software. It has impact on the late phases as well as testing and maintenance of the software. The system should be well maintained and protected from unauthorized users.