Abstract: Extra pulmonary tuberculosis is substantially higher in Himachal Pradesh State of India than the national average according to the available data. The aim of the study was to understand the clinco-epidemiological profile of patients diagnosed as EPTB cases. The study was a questionnaire based cross sectional survey in low and high prevalence tuberculosis units of Himachal Pradesh. Of the 86 patients enrolled, 70.9% were from high prevalence TU and 29.1% were from low prevalence TU. Mean age of the patients was 26.67�11.72 years. Of 86 patients 57 (66.3%) were in the age group of 15-34 years. Overall, pleural TB was the most common type of EPTB followed by lymph node TB (53 cases, 61.6% and 20 cases, 23.2%, respectively). Pleural TB was more common among male patients (32; 37.2% in males vs. 21; 24.4% in females) whereas lymph node TB was found to be more common in females.