Pediatric Intensive Care is commonly practised in India both at the pediatric super speciality and pediatric post-graduation level. However, there is a dearth of data on the clinical and etiological spectrum of PICU (Pediatric Intensive Care Unit) admissions from India, especially from post-graduation teaching institutes. Knowledge of this data, can help the paediatricians and the pediatric intensivists in tailor making the PICUs more adaptive for the Indian patients in general and the population they cater to, in specific. Hence the present study was planned for evaluation of Clinical Study of Paediatric Cases Admitted to Paediatric Intensive Care Unit. The present study was planned in Department of Pediatrics, Government Medical College, Bettiah, West Champaran, Bihar. Total 100 cases admitted to the Paediatric intensive care unit (PICU) were enrolled in the present study. All cases admitted in PICU and treated as per the protocol. The clinical profile such as age, sex, history, co morbid conditions, condition on arrival, provisional diagnosis at arrival is noted. The duration of hospitalization and outcome is recorded with final diagnosis. Demographic profile of our PICU patients showed similar characteristics as those of reported in different relevant studies with minor differences in few aspects. This can serve as the basis for developing dedicated and new protocols for the caregivers in an effort to improve the outcome of critical illness.