Rheumatoid Arthritis is a chronic inflammatory multi systemic disorder. In our tertiary care hospital in eastern India, we observed all the patients in both Indoor and Outdoor patients department presenting with Early Rheumatoid Arthritis. We assessed the severity of the disease via DAS 28 score among the patients. It was found that all the patients had moderate to high disease activity during presentation. On further evaluation, it was found that some patients were seronegative. Although seropositive patients have higher disease activity with more progressive disease and multi systemic involvement, DAS 28 score had poor positive correlation with both RA factor and Anti CCP in our study.