Background: This study was carried out with the objectives to study the clinical profile and to find the outcome of children admitted to paediatrics intensive care unit (PICU) of IMS & SUM Hospital, BBSR. Methods: A retrospective study was carried in children aged more than 28 days to 14 years admitted in PICU from January 2020 to June 2021 (18 months). Results: Total 199 patients were admitted. Out of them 136 (68.3%) were males, whereas 63 (31.7%) were females. 88(44%). The mean length of stay was 4.2±4.6 days (range 1- 29 days, median 3 days). 47 patients were intubated and mechanically ventilated during this period. The mean day of mechanical ventilation was 4.1±4.6 days. Of the 15 patients died 7 patients (47%) had malignancies. Other causes of death included 2 septic shock (13.3%), 2(13.3%) ARDS. The mean duration of the PICU stay of the patients who died was 4.2±3.6 days (range 1-11 days). Conclusions: The mortality rate at the PICU was 7.5%. Malignancies, septic shock, ARDS were the common cause of death and the maximum deaths has happened in less than 2 days of admission.