Background: The patient with a physical and psychological trauma that come to medical center, to have a right that should be respected. Respecting patient bill of rights will enhance the quality of hospital services. This study was performed to determine the patients' awareness of their rights and observing the rate on the patient's perspective in Imam Reza Hospital in Kermanshah. Material and Methods: cross-sectional descriptive survey conducted, 221 patients hospitalized in Imam Reza hospital with convenience sampling method were selected. Data collection tool was a valid and reliable, three-part questionnaire (demographic information, awareness and respect for patient rights). Data were analyzed by SPSS version 18 using descriptive statistics, independent t-test, ANOVA and chi-square test. Results: In this study, 52/5% patients were female and 47/5% were male. Average length of hospitalization was 6/2 ± 3/8 days. 59/3% of patients have a low awareness of their rights and 72/4% observing rate were moderate. There was a statistically significant relationship between observing rate patient rights and patient awareness of their rights (P= 0/001). Conclusion: This study showed that awareness and observing rate of patients’ rights were not favorable. Therefore recommended that effective measures for patient education about their rights and regulatory programs designed to observance these rights are taken.