Objectives: The present study is designed to determine the current pattern of common indication for admissions in neonatal care unit of a tertiary care hospital. Methodology: This Cross sectional study was conducted in Neonatal Unit,KhyberTeaching Hospital, Peshawar, from January 2015 to July,2016. Total 241 patients who fulfilled the inclusion criteria were selectedby Non probability consecutive sampling.Data was collected by using pre designed Performa.The data collected was analyzed in SPSS 24. Results: In this study mean age was 5 days with SD �� 1.521. Sixty three percent neonates were male while 37% neonates were female. Forty two percent neonates had low birth weight, 24% neonates had birth asphyxia, 20% neonates had neonatal jaundice, 17% neonates had preterm birth, 19% neonates had neonatal sepsis, 7% neonates had meconium aspiration syndromewhile 2% neonates had pneumonia. Conclusion: Common pattern of admissions showed that low birth weight is the most common reason for admission followed by birth asphyxia, neonatal jaundice, preterm birth, neonatal sepsis, meconiumaspiration syndrome and pneumonia. Key Words: neonatal care unit neonates, asphyxia, neonatal jaundice, preterm birth.