Corona virus disease 2019 (Covid-19) is pandemic caused by the severe acute respiratory syndrome corona virus 2 (SARS-CoV-2). This has begun in China and had spread to other countries. On 11 March 2020- WHO declared covid-19 as pandemic. Children suffering with Covid 19 infection were increased though at the beginning of pandemic paediatric cases were less. Materials and methods: This study was conducted in one of the Covid-19 tertiary care hospital in pediatric wing. This was a retrospective study conducted in patients admitted between may-2021 to October 2021. Clinical profile and outcomes were studied for children aged 1 month to 12 years admitted in Covid-19 tertiary care hospital with positive nasopharyngeal swab for SARS-CoV2 infection. Diagnosis clinical grading and treatment of covid-19 cases was done based on guidelines by Govt of India. Results: The median age (IQR) of children admitted were 9 (4-13 years) and male children (N=54, 55.6%) outnumber females with a male: female ratio of 1.25:1. There was no relationship between gender and incidence of COVID infection in children (p=0.12, Chi square test). Conclusion Severe life-threatening illnesses in the form of ARDS, GBS, KD and other multisystem involvement are seen in these patients. Therefore, it is mandatory in current scenario to have a high degree of suspicion for COVID-19 in children admitted in pediatric intensive care units (PICUs) with an unexplained diagnosis, persistent fever and high levels of inflammatory markers.