Background: Nutritional rickets, is a condition caused by vitamin D deficiency in growing children. It is one of the common form of growing bone disease resulting significant disability unless treated properly. Despite scope of adequate sunlight exposure, which is a source of vitamin D in young child in Bangladesh, increased trend of NR is observed. Considering this, the study was designed to observe the pattern of rickets among suspected cases in a tertiary care hospital of Bangladesh. Aim of the study: The aim of this study was to dig out the pattern of rickets among suspected cases in Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh. Methods: The prospective observational study was conducted in in Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh during the period from August 2015 to July 2017. Child aged 1-5 years attending in the mentioned with complaints bowing of leg and/or clinical symptoms consistent with rickets were approached. Suspected rickets cases were investigated further and total 100 cases were analyzed. Informed consent and ethical measures were ensured in each cases. Data analysis was done by SPSS 23. Result: In analyzing the diagnostic findings of the participants we found the highest 79% participants were with nutritional rickets, 11% were with non-nutritional rickets and the rest10% were rickets-like diseases. Lastly in analyzing the spectrum of presentation of children with both the nutritional and non-nutritional rickets we found, 52.22% participants were with bow leg whereas 25.56% were with knock knee, 7.78% were with sabre tibia and 16.67% were with double malleolus. On the other hand, as upper limb deformities we found 27.78% with swelling and/or widening wrists, 11.11% with craniotabes and 12.22% with wide anterior. Besides these, as other deformities we found 26.67% with rib beading, 25.56% with pectus carinatum, 26.67% with delayed growth and 21.11% with delayed dentition. Conclusion: Nutritional rickets is the commonest subtype of rickets in Bangladesh. Generally ‘nutritional rickets’ are found 80% to 90% among the patients with rickets. Sometimes physician may be misguided or be confused by the etiology of rickets like diseases.