Background: The field veterinary hospital records serve as indispensable sources of valuable information on various farm animal diseases of the respective areas. The current retrospective study was conducted to determine the distribution of clinical diseases of farm animals presented to Atpara Upazila veterinary hospital from January 2007 to December 2010. Methods: Animal, disease and related data from the official register books were stored using the Microsoft Excel spreadsheet program 2010. Descriptive statistics were performed and expressed as the percentage of disease and conditions with a 95% confidence interval (CI). Results: Of the total 6825 clinical cases recorded from the patient register, cattle, goats and sheep were presented at 87.15%, 12.75% and 0.1%, respectively. The vast majority cases were medicinal (91%) followed by gyneco-obstetrical (6%) and surgical (2%) cases. According to etio-pathological nature, the most commonly observed disease categories were parasitic (20.35%), fever (4.67%), dermatitis (6.65%), metabolic and nutritional deficiency disorders (4.59%), anorexia (2.83%), diarrhea (2.52%), arthritis (1.47%), bloat (1.32%), pneumonia (1.29%), and FMD (1.27%). A higher proportion of female cattle and goats were presented compared to that of the males. Similarly, more adult animals were presented as clinical cases than young animals. Conclusions: Among most of the clinical cases in the study area, parasitic diseases were commonly prevalent irrespective of season and host. Appropriate strategic measures should be adopted to control such infection in the study area to minimize farm production loss.