The ratio of mortality of the Non-communicable disease are been increasing when compared to the communicable disease .This shift is alarming and requires intensive program and also monitoring to see if they meet the needs properly. It is a well established fact that control of hypertension decreases the morbidity and mortality. But still there is no sufcient awareness among patients regarding the importance of BP control and compliance to treatment.This study was to aim on the screening of adherence of the anti hypertensive medications .The clinical audit was conducted as a retrospective analysis of the case records of the hypertensive patients attending as outpatients in the department of Cardiology. Results : Out of 200 patients screened, irrespective of whether they had diabetes or not, it was found that 134 patients (67%) had BP less than or equal to the target and 66 patients (33 %) had BP higher than the target level. Out of 100 Hypertensive patients 83 % patients had adequate control of BP and 17 % had poor control. Out of 100 hypertensive diabetics 51 % had adequate control of BP and rest 49 % had poor control.