INTRODUCTION: Newborn deaths account for 45% of deaths among children under the age of five globally. Low birth weight (LBW) contributes to 60% to 80% of all neonatal deaths. Identifying the factors influencing neonatal mortality of LBW neonates will help in planning measures for further reduction of neonatal mortality & morbidity. With this background, we conducted this study to evaluate the clinical profile and outcome of LBW neonates in a district level SNCU. AIMS & OBJECTIVES: The aims & objectives of this retrospective study were to know the clinical profile and outcome of low birth weight (LBW) neonates in a district level SNCU. MATERIAL & METHODS: We retrospectively analyzed the computerized data of a district level SNCU, for the period of twelve months. Admission, treatment and short term outcome profile of inborn low birth weight (LBW) was analyzed thoroughly. Inborn delivery analysis was also done. RESULT: Total number of live birth was 6123 of which 1631(26.7%) was LBW neonates. (14.3%) were preterm LBW & rest was term SGA. 19.5% of LBW neonates needed care in SNCU. 48.7% (155 out of 318) were preterm LBW. 75.2% were cured, 14.4% expired and 8.2% needed referral to higher centre. Common indications of admission were jaundice, sepsis, birth asphyxia etc. Prematurity, birth asphyxia, RDS, sepsis etc were the common causes death. CONCLUSION: Analyzing the data, it was found that 62.6% of total admission is constituted by LBW babies <2500 g. Mortality & morbidities of preterm LBW neonates are much higher than LBW with full term IUGR. Countries can reduce their neonatal mortality by reducing the birth of LBW babies & their mortality.