Background: Acute pancreatitis, characterised by inflammation, auto-destruction and activation of pancreatic enzyme is a common gastro-intestinal cause of hospital admission. Understanding the etiology, clinical profile and clinical outcomes of these patients in regional setting is key for appropriate management. Methods: A hospital based observational study was carried out between August 2011 and July 2013 among patients above 18 years of age who presented to the outpatient department with acute pancreatitis. Patients demographic, clinical information, and laboratory findings was obtained at admission. All patients were subjected to ultrasonography and patients with severe disease were subjected to Computed Tomography. The clinical severity and outcomes were recorded. Data was summarised as mean (SD) for continuous variables and proportions for categorical variables.