Background: COVID-19 is a new corona virus that appeared in late December 2019 in Wuhan, China, and is responsible for the biggest pandemic of infectious illnesses in this century. These constraints, as well as the rising number of COVID- 19 cases, had a signifcant impact on the delivery of healthcare to patients in orthopaedics and trauma. Objective: To determine the number, their distribution and characteristics of patients visiting OPD, ER and IPD in a tertiary care private teaching hospital before and during Covid 19. Methods: This study was conducted in Department of Orthopaedic, Medical Superspecialty Hospital, Kolkata. Retrospective data [Pre Covid data] from March 2019 to 23rd March 2020 and Retrospective+ Prospective data [during Covid data] from 24th March 2020 to March 2021 visiting orthopedic department were collected. This study followed universal Sample size collection method for the entire duration of study periods. Results: Both the initial cases and follow up cases have declined signifcantly during covid compared to pre-covid-era. When means of the number of new patients and follow-up patients per month in the outpatient clinic during the pre-COVID and the COVID period were compared using the MannWhitney U-test, it was found to be highly statistically signifcant (p value = 0.0041 and 0.00006 respectively)