Tuberculosis is one of the most common cause of morbidity and mortality among worldwide mainly in developing countries. The World Health Organization reported that about 1 million children develop TB each year out of total 10 million TB cases. Aims: to study clinical profile of patients of tuberculosis and applicability of different scoring systems. • Material and methodology: cross sectional study performed over a period of 2 years. 40 hospitalized pediatric patients of tuberculosis were evaluated in accordance with 4 different diagnostic scoring systems. Results: more incidence of TB in less than 5 year of age. Most common presenting complain was fever followed by cough and weight loss. Around ¾ children were severely malnourished. Moderate anemia and high value of ESR was observed in almost all cases. Amongst 4 scoring systems MKJS showed good reliability and sensitivity (95%).