This study aimed to figure out the effects of service quality, customer value and satisfaction toward patient loyalty ( study on Puskesmas (cmmunity health center) of Lumbir sub-district of Banyumas regency). It used quantitative research with survey method, and the samples were 96 respondents who did repeated-visit to Puskesmas of Lumbir more than twice. Purposive sampling was used as the sampling technique. Test of validity, reliability, classical assumption and multiple linear regression analysis were used as the data testing technique. The result showed the service quality, customer value and satisfaction gave significant positive impact on the patient loyalty