Every year, nearly four million new-born babies die in the 1st month of life. India carries the single largest share (around 25-30%) of neonatal deaths in the world. Neonatal deaths constitute two thirds of infant deaths in India; 45% of the deaths occur within the 1st two days of life.. Over the years, the IMR has reduced worldwide, as well as in India, but neonatal mortality rate has not decreased proportionately. The neonatal mortality rate (NMR) in India is 29 per 1000 live births. The Millennium Development Goals (MDGs) 2015 have not been achieved which focused on decreasing NMR of India to <10. Although the time frame to achieve the MDGs has been extended, a significant work has been done in the area of improving neonatal mortality in India. Hence based on above findings the present study was planned for Clinical Assessment of the Outcomes of the Neonates Admitted to SNCU in Anugrah Narayan Magadh medical College Gaya, Bihar. The present study was planned in Department of Pediatrics, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India. The study was conducted from the Feb 2018 to Nov 2018. In the present study 50 cases of neonates admitted to sick neonatal intensive care unit (SNCU) were enrolled. Data regarding the place of delivery, inborn delivery or out born, gender, gestational age, weight on admission, Indication for admission, mode of delivery, final diagnosis, duration of stay and treatment outcome were collected. The data generated from the present study concluded that birth asphyxia, RDS and neonatal sepsis are leading causes of mortality in newborns. In spite of many advances in neonatal care above factors still continue to be the leading causes of mortality in neonates. The majority of morbidities and subsequently the mortalities can be prevented by improving antenatal care, maternal health, timely intervention, referring at appropriate time to tertiary care centres for high risk cases, preventing preterm deliveries and care of neonates at centres with facility.