Background: Casualty Medical Officer has to give emergency treatment first and stabilize the patient. He also has to carry out thorough documentation of different medicolegal cases. Dr. Vikhe Patil Memorial Hospital is a tertiary care center, situated in rural area near Ahmednagar, Maharashtra. Objectives: 1. To study profile of different clinicomedicolegal cases at tertiary care center. 2. To analyze the data for better patient care. Study Design: Present study is record based retrospective study conducted at Casualty of Dr. Vikhe Patil Memorial Hospital attached to Padmashree Dr Vithalrao Vikhe Patil Foundation’s Medical College, Ahmednagar from 1st January 2015 to 30th November 2015. Results: Present study reveals 224 medicolegal cases. Out of total cases, road traffic accidents constitutes majority of cases (138, 61.60%), followed by poisoning( 30, 13.40%), burns(22, 9.80%), physical violence (14, 6.25%), fall from height(10, 4.5%), sexual offenses and trauma by animal(4, 1.7% each) and snake bite (2, 0.9%). Present study reveals male domination (152, 67.85%). Most of the cases occurred between age group of 2130 years (66, 29.40%), followed by 3140 years (44, 19.40%). Maximum number of the cases was from rural area (170, 75.90%). The study also reveals maximum number of cases occurred in May (30, 13.40%), followed by April and October (28, 12.50% each).