Background: Organophosphate toxicity is a worldwide problem as this is equally easily available in rural and urban areas. Furthermore, the complications and outcome of the organophosphate poisoning was also examined. Aim: to determine the frequency of organophosphate poisoning and its outcomes in this region with limited laboratory and ICU facilities. Place and duration of study: SKBZ/AK CMH Muzaffarabad from January 2019 to December 2019. Methodology: This observational, prospective analytical study was planned in Department of Medicine, SKBZ/AK CMH Muzaffarabad. A total of 110 suspected poisoned patients were included having age between 12-60 years. Patients who had taken more than one poison were excluded from the study. The organophosphate poisoning was identified through pupil size, increased secretion and Glasgow Coma Scale. Results: The average age of the patients was 24.38±6.35 years. The male to female ratio was 1:1.69. Majority 77 (70%) of the patients were single and resident in rural areas 59 (53.6%). The incidence rate of organophosphate poisoning was 90 out of 110 (81.81%). There were at least 75% cases of organophosphate poisoning among all poisoned cases with p value 0.03. The survival rate was 93.3% (84 out of 90). The most important factor affecting survival rate was the time lag between ingestion of the poison and initiation of specific therapy with p value 0.022. Conclusion: Organophosphate poisoning has high incidence although has good prognosis and not a very problematic death rate. We also concluded that the survival rate can be improved through reduction in time lag before start the treatment. Keywords: Cause of poisoning, Organophosphate poisoning, Complication of Organophosphate poisoning