The patient waiting in the Emergency room for both the patient assessment and patient transfer out to the assigned destination (ward or intensive care unit) are major indicators in healthcare reform. This is generally assessed by patient satisfaction score. This score is usually lowest in the emergency room worldwide, mostly due to the patient load in the emergency room. We aim to assess the patient satisfaction score and the cause of delay in patient shifting out of the emergency room in our institute as the emergency department is the first point of contact in patients.