Introduction: Tetanus is endemic and it remains a major public health problem even today, with a high morbidity and mortality. Aims and Objectives: To study socio-demographic characteristics, clinical presentations, complications, treatment and the outcome of the adult tetanus patients admitted to the Infectious Diseases Hospital, N.M.C.H., Agamkuan, Patna. Materials and Methods: The data of all the patients of tetanus who were admitted from February 2019 to July 2019, were collected, compiled and analysed. Source of Data: During this period all tetanus patients who were admitted to the Infectious Diseases Hospital, N.M.C.H., Agamkuan, Patna were included in this study. Type of study: Prospective study with detail history taking and clinical examination. Statistical Analysis: Statistical analysis was done by using MS Excel 2007 Results: Out of 50 cases of tetanus, 37 were males and 13 were females. Most common presenting symptoms were trismus, neck stiffness, body spasms/stiffness and dysphagia. Majority of patients belonged to low socio-economic group. The ages of the patients and the presence of complications had a statistically significant relationship with respect to the outcome (survival versus death). Conclusion: Tetanus is a vaccine preventable illness and effective immunization, proper wound management & awareness in the society is needed. Its prevalence is high among lower socio economic groups with high morbidity and mortality among extremes of age.