Cancer of the oral cavity is one of the most common malignancy worldwide. The oral cavity cancer is a major public health problem in the Indian subcontinent, where it ranks among the top three cancer types in both incidence and mortality. The substantial risk factor includes tobacco products, alcohol, poor oral hygiene, nutrition, viral and dentition. There is high prevalence of oral cancer in western Odisha due to rampant use of tobacco. Oral cancer generally refers to squamous cell carcinoma of oral mucosal origin, which accounts for more than 90 percent of all malignancies. Early detection is easy and associated with improvement in survival whereas late detection results in significant morbidity and mortality. Well differentiated carcinomas have minimal pleomorphism and few mitosis. Surgery and radiotherapy being the main modality of treatment. In our study the focus is to determine risk factors associated with oral cancer, to determine the commonest site of presentation, to find out the gender and age group with highest incidence, to find the presenting stage at the time of hospital visit.