Cardiovascular diseases and Cerebro-vascular diseases account for majority of the burden of NCDs. Stroke is one the major component of these, posing public health challenges. 1 in 6 people suffer with stroke in their life time. The impact of stroke can be short or long term, depending on which part of the brain is affected and how quick it is treated. This hospital based case                       study was undertaken with aim to study the prescribing pattern and the functional outcomes in cerebral stroke. Study was carried out in the Santhiram Medical hospital, Nandyal, Andhra Pradesh, India. Methodology: Patients visiting the neurology clinic were asked to answer the questionnaire covering functional outcomes by using functional assesment scales to determine the clinical status of the patient; Most of the patient’s data were collected from case sheets. A total of 150 patients were included in the observational study. Data from case sheets were analysed to assess the prescribing pattern and the questionnaires like mRS, SSQOLS, MMSE scales were used to interview the stroke patients to assess the functional outcomes. Results: Our study presents that there is a minimal Modified Rankin Scale (MRS) score progress in patients. MRS, SSQOL, MMSE scales, which showed improvement in the quality of life and cognition in stroke patients after treatment. Conclusion: In conclusion, that significant functional gains in rehabilitation process of                         stroke can be attained by combination therapy, lifestyle changes, and better management of risk factors said to possess the major effect on recovery of stroke with improved quality of life and symptoms.