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Objective: Common clinical presentations of colorectal cancer include iron-deficiency anemia, rectal bleeding, abdominal pain, change in bowel habits, abdominal mass, weight loss and intestinal obstruction or perforation. The rationale of this study was to see the most common clinical presentation of colorectal cancer. Materials & methods: A total of 105 patients of both sex and of age 30-70 year, diagnosed as a case of colorectal cancer on CT scan abdomen confirmed on histopathology at stage I, II and stage III were included. Patients with previously treated for colorectal carcinoma were excluded. Case sheet patients were prepared for age & sex and symptoms of colorectal cancer (Bleeding per rectum, altered bowel habits, anemia, weight loss). Results: Mean age was 58.69 ± 7.91 years. Out of 105 patients, 69 (65.71%) were males and 36 (34.31%) were females with male to female ratio of 2:1. TNM staging revealed 28 (26.67%) patients with stage I, 33 (31.43%) with stage II and 44 (41.90%) with stage III carcinoma. The main presentation was rectal bleeding in 91 (86.67%) followed by altered bowel habits in 76 (72.38%), anemia in 35 (33.33%) and weight loss in 26 (24.76%) patients. Conclusion: Th is study concluded that the rectal bleeding was the most common presentation of colorectal carcinoma and there was statistically insignificant diff erence of all clinical symptoms among diff erent age groups, gender and stage of carcinoma. [ABSTRACT FROM AUTHOR]