Anaemia continues to be a major public health problem at all ages worldwide. The present study was conducted in the Department of Pathology and General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi to assess the hematological profile and underlying etiology in elderly person presenting with anaemia in and around Varanasi, over a period of 3 years (2013–2016). In this study, a total of 178 patients of age 60 years and above attending geriatric medicine OPD and general indoor wards were evaluated for the types of anaemia. Anaemia of chronic disease was the commonest type of anaemia and it was followed by iron deficiency, myelodysplastic syndrome and aplastic anaemia. Despite the modern diagnostic advances, geriatric anaemia still remain unreported and inadequately investigated, especially when mild, thereby necessitating evaluation of mild anaemia in this vulnerable population