Whatever the cause of ear discharge, when treated correctly the condition resolves completely with full restoration of the functions of ear. If untreated or improperly treated it can lead to the complications, which may cause disability or endanger the patient’s life. According to WHO survey 42 million people worldwide have hearing loss. The major cause for hearing retardation is otitis media. Therefore, diagnosis and management of every case of ear discharge is extremely important. Hence based on above reports findings the present study was planned for Occurrence and Clinical Features of the Chronic Suppurative Otitis Media (CSOM) in Patients Admitted to NMCH. The present study was planned in Department of ENT, Nalanda Medical College and Hospital Patna, Bihar, India. The study was conducted from November 2017 to April 2018. Total 50 patients diagnosed with the chronic suppurative otitis media (CSOM) were enrolled in the present study. The clinical study includes thorough history taking, Otological examination tuning fork examination (for screening), pure tone audiometry and tympanometry. Daily detailed examinations were done by ENT surgeons, medical officer trained in audiological equipments and audiologist, using Arphi diagnostic audiometer 2001 and Amplaid 756 tympanometer. The data generated from the present study concludes that the prevalence has been found to be high in 5 – 20 years age group, especially if members of the group studied belong to the lower socio-economic class. This could be due to enhanced risk factors inherent in children of the lower socioeconomic class. Otitis media is the main cause for deafness in this age group. Primary ear care education to teachers, students and guardians as well as early diagnosis with prompt treatment of otitis media can prevent these from developing hearing impairment and its resultant complications