Background: A well functioning Pediatric Intensive Care Unit (PICU) contributes significantly in improving survival of critically sick children. Method: We retrospectively studied medical record of all children aged 1 month to 12 years old admitted in our PICU over a five years period. Data was collected in a predefined proforma that included age, gender, comorbidities and final diagnosis at the time of death. Patients who left the hospital against medical advice (LAMA) were also noted. Result: Out of 3343 admissions, 292 patients died with mortality rate of 8.7%; male: female ratio of 1.5:1. 37.32% deaths belonged to 1month to 1 years age group and 48.48% cases died within 24 hours of admission. Respiratory System diseases were the commonest cause of mortality (28) followed by Infectious diseases(25%). Conclusion: Mortality rate is quite low in our PICU. A higher mortality rate was associated with more severe condition of patients during admission to PICU.