Background: Acute pediatric poisoning is a major health concern causing significant morbidity and mortality in pediatric practice in the critical care setting. Majority of poisonings are accidental and unintentional and occur in the toddlers and preschool age children. The objectives of this study were to assess the pattern of pediatric poisoning and its outcomes in a tertiary care setting. Methods: Prospective observational study conducted in the Department of Pediatrics, Maternity and Child Care Hospital Anantnag over a study period of one year extending from April 2019 to April 2020.204 patients were enrolled in the study. Prevalence of admissions was 2.40%. More males were admitted compared to females. (1.42:1). Majority of patients belonged to rural background (n = 114,55.88%).