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Background: Anemia is a worldwide problem with highest incidence in developing countries. India has the highest prevalence of nutritional anemia predominantly in women and children.Methods: An observational and analytical study was carried out for period of 12 months. We studied 261 adult patient for typing the anemia. We perform the hematology parameter by automated hematologyanalyzer,For confirmation PBS and bone marrow examination, serological test like serum iron profile , vit B12 and folic acid levels in blood is done Result: Total 261 cases of anemia included in the study. Microcytic hypochromic anemia were63.2 %of cases, macrocytic anemia cases were 36.77% of cases. Large number of iron deficiency anemia's were seen in female with reproductive age group and megaloblastic anemia seen with age 50-60 years of age in both sex. Conclusion:For the diagnosis of nutritional anemia haemogram by automated hematology parameter, PBS, serum iron profile , serum vit B12 and folic acid is required