Stroke is a heterogenous, multifactorial disease regulated by modifiable and non-modifiable risk factors. A stroke is defined as the abrupt onset of a focal neurological deficit lasting more than 24hrs it is also called cerebrovascular accident or apoplexy. Modifiable risk factors like hypertension, diabetes mellitus, alcohol consumption, smoking, cardiac problems, migraine, and dyslipidemia. Evaluation of these ischemic and hemorrhagic stroke risk factors may contribute to more effective prevention. A retrospective observational cohort study of six months duration was conducted at secondary care hospital with 100 cases in the neurology department from Dec 2021 to June 2022, regarding patient demographic, past history, type of stroke, and its treatment was collected and analyzed using Microsoft excel 2010 of all reviewed cases the most modifiable risk factors were hypertension(86%), diabetes mellitus(64%), alcohol consumption(27%), smoking(23%), migraine(19%), dyslipidemia (11%). The majority of patients were in the age group of 36 to 55 yrs(n=49). In our study, we found that males(68%) and females(32%) thus males are more prone to stroke. We concluded that ischemic and hemorrhagic strokes are at an equal incidence rate of 50% each. The major modifiable risk factors are hypertension and diabetes mellitus which can be prevented by regular follow-up and medications as prescribed.Stroke is a heterogenous, multifactorial disease regulated by modifiable and non-modifiable risk factors. A stroke is defined as the abrupt onset of a focal neurological deficit lasting more than 24hrs it is also called cerebrovascular accident or apoplexy. Modifiable risk factors like hypertension, diabetes mellitus, alcohol consumption, smoking, cardiac problems, migraine, and dyslipidemia. Evaluation of these ischemic and hemorrhagic stroke risk factors may contribute to more effective prevention. A retrospective observational cohort study of six months duration was conducted at secondary care hospital with 100 cases in the neurology department from Dec 2021 to June 2022, regarding patient demographic, past history, type of stroke, and its treatment was collected and analyzed using Microsoft excel 2010 of all reviewed cases the most modifiable risk factors were hypertension(86%), diabetes mellitus(64%), alcohol consumption(27%), smoking(23%), migraine(19%), dyslipidemia (11%). The majority of patients were in the age group of 36 to 55 yrs(n=49). In our study, we found that males(68%) and females(32%) thus males are more prone to stroke. We concluded that ischemic and hemorrhagic strokes are at an equal incidence rate of 50% each. The major modifiable risk factors are hypertension and diabetes mellitus which can be prevented by regular follow-up and medications as prescribed.