Background: Rational antibiotic use is critical in Otorhinolaryngology (ENT) due to the high prevalence of both viral and bacterial upper respiratory tract infections (URTIs). Over-prescription contributes to antimicrobial resistance (AMR). Objective: To evaluate the patterns of antibiotic prescription in the ENT outpatient department using WHO prescribing indicators. Methods: A prospective, cross-sectional study was conducted over four months. Data from 891 patient encounters were analyzed for drug class, dosage form, and adherence to the WHO AWaRe classification. Results: Out of 891 patients, 72% were prescribed at least one antibiotic. Beta lactams were the most frequent (54%), followed by macrolides (19%). The percentage of drugs prescribed by generic name was 100%.. Conclusion: There is a significant reliance on broad-spectrum "Watch" group antibiotics. Implementing antimicrobial stewardship (AMS) programs is essential to align prescribing habits with evidence-based guidelines.