Background: Road Traffic accidents (RTAs) account for significant but preventable cause of mortality and morbidity with resultant heavy economic burden on healthcare systems. The pattern of Injury varies with the type and speed of vehicle, the position of the victim in the vehicle, use of protective gadgets and whether the victim is a pedestrian. Material and Methods: The aim of the study is to study the pattern of injuries from road traffic accidents presented to emergency department of our rural hospital. This descriptive case series was done prospectively from 1^st February 2018 to 1^st August 2018. There were 98 patients in the case series. All the patients with recent injuries were included. Injuries more than 72 hours old were excluded. Results: Majority of patients had lower limb injuries – 43 (47%), followed by head and neck injuries - 27 (28%), Multiple Injuries - 16 (15.2%), upper limb injuries - 6(5.7%), abdomino-perineal injuries 5 (4.8%), chest injuries - 1 (0.9%). Majority of patients were given curative management and discharged – 59 (60%), while 37 patients were either admitted or referred to a higher center. 2 patients left against medical advice. Conclusion: Males from 3^rd to 4^th decade, motorcyclists suffered from lacerations in lower extremities and the cause being skidding due to rain, bad road conditions, reckless driving or being under influence of alcohol.