Researchers often use individually designed criteria for enrolment, diagnostic classifications, and reference standards, thereby hindering the interpretation and comparability of their findings. Reliable data on the clinical profile of all forms of TB amongst children in India are not available. Most surveys conducted have focused on pulmonary TB and no significant studies on extra pulmonary TB specially on childhood tuberculosis are available. Hence the present study was planned to assess the clinical profile of the pulmonary tuberculosis in the paediatric patients The 50 childrens diagnosed with the pulmonary tuberculosis in the NMCH Patna from Jun 2018 to Dec 2018 were evaluated in the present study. A detailed clinical history, family history of contact with TB disease, and physical examination for each child was recorded in a standardized format. All patients undergoes the chest X-ray for the knowing the radiographic findings. In conclusion, childhood tuberculosis is common in our setting with the pulmonary TB being the most common one. The diagnosis of tuberculosis is very difficult in children. There is no gold standard test for the diagnosis of childhood TB. Most of the cases were diagnosed on the basis of epidemiological and clinical suspicion supported by various investigation results. Thus further research into the epidemiology, immune mechanisms, diagnosis, treatment and prevention of childhood tuberculosis is urgently needed. Advances in our understanding of tuberculosis in children would provide insights and opportunities to enhance efforts to control this disease.