ABSTRACT: BACKGROUND: In order to plan public health services that are proficient enough to meet the health care needs of the community, a comprehensive knowledge on how diseases are distributed in the spectrum of time and place becomes an imperative. Collecting information just about the morbidity pattern of adults attending a primary health centre would give us a valuable insight into the prevailing health problems in the community. The present study was conducted to understand and illustrate the morbidity profile of adult patients attending an urban health centre in Kancheepuram district, Tamil Nadu. METHODOLOGY: This is a descriptive record based cross sectional study that was conducted in an urban health centre, Anakaputhur, Kancheepuram district, Tamil Nadu. The necessary data was accumulated from January 2019 to June 2019 by using master data collection sheets. Study group: Adults. Data was analysed and presented with descriptive statistics using SPSS 22. RESULTS: Among the records of 2214 cases reviewed, 26.3% had Musculoskeletal diseases, 22.7% cases were Upper respiratory tract infections(URI), 16.7% cases were diagnosed with Hypertension, 12.1% cases were diagnosed with Diabetes mellitus. 8.4 % cases had Acute febrile illness. 5.4% cases were diagnosed with skin diseases.3.3 % cases were Gastrointestinal diseases. 3.1% adult patients had Ear, Nose & Throat and Ophthal diseases. CONCLUSION: The current study offers concise description about the pattern of morbidity among adult patients who were seeking treatment from an Urban Health Centre for a time span of 6 months from the month of January to June in 2019. The insights offered by this study would provide valuable guidance to plan health care services to address the necessities and demands of the patients and make provision for training the health care workers.