Introduction: Palliative care is needed by every needy patient in a different aspect (medical, nursing, psychological, social, cultural and spiritual). Aim: To describe the clinical spectrum of the patients in patients receiving palliative care. Methodology: A retrospective study was conducted on the patients reported to the Palliative Unit of a tertiary care hospital, India from 2016 to 2018. With the help of standardized proforma patient__ampersandsignrsquo;s information were collected. A total of 1584 patients were reported during this period out of which complete information of 610 patients were retrieved which was used for the analysis. Statistical analysis was conducted with SPSS using the chi-square test to compare the difference between gender at a significance level p__ampersandsignlt;0.05. Results: The three most prevalent symptoms of palliative care patients were pain (70.32%), generalised weakness and anorexia(26.06%), breathlessness and sleeplessness (13.44%) whereas amongst the patients who were complaining of pain 250 reported having continuous type (106 males and 144 females) and 179 of intermittent type (98 males and 81 females). Conclusion: Efforts must be towards the direction of reducing the pain and suffering of these patients. Therefore, management of pain should be the physicians__ampersandsignrsquo; prime concern and they must familiar with all aspects of palliative medicine and care..