A prospective observational study was conducted at Bhimavaram hospitals Bhimavaram, to assess the symptoms, risk factors and prescribing patterns in cerebral stroke patients. A total of 80 patients of age group 20-90 (mean age 63.1) were considered in the study which includes both the genders. These patients were assessed regarding their demographics, symptoms, risk factors and prescribing patterns. The incidence of stroke was higher in males (70%) compared to females (30%). Out of these study population 85% experienced Ischemic stroke, 11% Transient ischemic attack (TIA) and 4% Hemorrhagic stroke. These patients presented weakness as common symptom, Hypertension as prominent risk factor and anti-platelet agents as commonly prescribed drugs. Early management of Hypertension and Diabetes may reduce the risk of stroke. Our study suggests that life style changes play a key role in prevention of stroke.