With increasing life expectancy and prevalence of life style diseases, United States (US) has seen a 30% increase in prevalence of chronic kidney disease (CKD) in the last decade. Unfortunately, from India there is no longitudinal study and limited data on the prevalence of CKD. Chronic Kidney Disease was diagnosed when at least one of the evidence of chronicity like documented renal failure for >3 months, bilateral small kidneys, histological evidence of chronicity or GFR < 30 ml/min for 3 or more months was present.A pre informed written consent was obtained from every case before inclusion in the study. The clinical and demographic profile was recorded in a specially designed proforma. On ultrasonogram bilateral kidneys of group A, 12 patients had bilateral contracted kidneys which correspond to 60% of the study patients indicative of ESRD. 6 patients had normal or slightly enlarged kidney size suggestive of diabetic nephropathy (30%). Findings of ultrasonogram bilateral kidneys in group B revealed 11 patients had bilateral contracted kidneys which correspond to 55% of the study participants indicative of ESRD. 5 patients had normal or slightly enlarged kidney size (25%) and 1 patient was having bilateral enlarged kidneys with multiple cysts of varying sizes suggestive of autosomal dominant polycystic kidney disease (5%).