Background: The pattern of child illness speacially neonatal illness varies depending on the location and period. examining the trend of newborn admissions. Being a low- and middle-income nation (LMIC), Bangladesh, understanding hospital admission patterns and post-care outcomes is crucial for a child's survival. In addition, Bangladesh has difficulty keeping up with and achieving the Sustainable Development Goal (SDG) in terms of newborn deaths and child mortality. Objective: This study's goal was to learn more about hospitalised patients' admission trends and treatment outcomes. Methods and Materials: The present retrospective study was carried out within the Department of Pediatrics at Prime Medical College Hospital in Rangpur, Bangladesh, spanning from January 2016 to November 2016. This study included a cohort of 1053 who were admitted at Prime Medical College Hospital. The cohort consisted of both inborn and outborn neonates throughout the specified period. Results: The most prevalent complications observed were perinatal asphyxia with hypoxic-ischemic encephalopathy (HIE) accounting for 24.8% (n=109), preterm low-birth-weight newborns comprising 34.2% (n=150), and neonatal septicemia representing 16.6% (n=73). The prevalence rates of Meconium Aspiration Syndrome and Neonatal Jaundice were found to be 3.4% and 5.7%, respectively. The leading cause of death were perinatal asphyxia accompanied with hypoxic-ischemic encephalopathy 19, which accounts for 50% of the total death, followed by preterm low birth 39.5%.The causes children admission in the hospital and highest cause of the admission is Respiratory system 30% (n=614) and Gastrointestinal (GI) tract 22.5% (n=614) and major cause of the child death 41.7% (n=12) and Nutritional disorder 25%. Though 97% of the patients have shown improvement in their health conditions and were subsequently discharged, while 1.95% unfortunately succumbed to mortality. Conclusion: The leading causes of neonatal ....