Anemia is as a base for many diseases. Elderly are susceptible to severe complication due to anemia compared to the younger ones. It is necessary to evaluate the anemic status in adult and elderly patients. According to WHO male <13g/dL and female <12g/dL should be termed as anemic. Anemia was found to affect 23.9% of the global population. Anemia increases with age and it is more prevalent in females less than 75 years compared to males. However, data regarding patterns of anemia in Hyderabad is very less. The present research is aimed to study the prevalence and morphological patterns of anemia >45years in a Dr. VRK Women‟s Medical College & Research Centrefor a period of three months. Observational study of patients >45 years who have attended clinical pathology lab in hospital for a period of 45 days was carried out. Patients having hemoglobin concentration below the normal value, i.e; <13g/dL for male and <12g/dL for female were selected. Complete blood count and peripheral smear were collected from these selected patients records. Out of 1000 anemic patients, 425 were found to be above 45 years old. Most common pattern of anemia is normocytic normochromic anemia (69.9%) followed by microcytic hypochromic anemia (26.7%), then macrocytic anemia amounting to (1.3%) and (2.1%) were dimorphic anemia according to the present study