Background: Elderly or old age consists of ages nearing or surpassing the average life span of human beings. Population ageing is becoming a major concern both in the developed and developing countries. With increase in the aged population, the number of elderly with ailments is also on the rise. The objective of this study is to determine the socio-demographic characteristics of the elderly population, to identify their morbidity profile and to assess their health seeking behavior. Methodology: A community based cross sectional study of 216 subjects over 60 years old from three slums in the urban field practice area of Osmania Medical College (Amberpet, Golnaka, Zinda Tilismaath nagar) was carried out. Results: Of the total sample of 216 elderly persons, 84(38.9%) were males and 132 (61.1%) were females. Among females, 29.8 % and among males 4.7 % were illiterate. Around 43.5% of the elderly were not in any occupation and majority (75%) of them lived in joint families. The most prevalent morbidity was hypertension (46.9%) followed by Arthritis (30.2%), Diabetes (26.5%), Respiratory problem (24.3%) and Cataract (21%). Majority of the elderly went to private clinics for their treatment. Conclusions: The study has highlighted a high prevalence of morbidity among the elderly. As there is a rapid increase in the number of elderly population, there is an urgent need to develop affordable and accessible geriatric health care services.