Non communicable diseases (NCD) refer to a group of chronic illnesses that are not contagious, have a protracted course, advance slowly overall, and are rarely fully curable. Hypertension is diagnosed when the systolic blood pressure is greater than 140 mmHg and diastolic blood pressure is 90 mmHg or more. Depending on its cause, hypertension can be categorized as either primary or secondary. Majority of cases (90%) are primary (essential hypertension) for which there is no known reason. Hypertension caused due to a known cause is said to be secondary hypertension. Hypertension may result in other consequences such as myocardial infarction, stroke, and renal diseases. The risk factors of hypertension are multifactorial which can be either modifiable or non-modifiable. AIM: The study was aimed at evaluation of risk factors and therapeutic outcome among patients with hypertension. Materials and Methods: A prospective observational study was carried out in 200 patients of age 18 years and above with hypertension. Patients diagnosed with hypertension or treated with antihypertensives, hypertensive patients without comorbidities and newly diagnosed hypertensive patients are included in the study. Patients who are not willing to participate in the study are excluded from the study. Result: The result showed that 19% of the adult population had hypertension and more predominant in age group of 60 years and above. Being a female is an additional risk factor. Rural population carries a high risk, people having primary education carries a high risk, those people with a less income carries a high risk. Conclusion: The etiology of hypertension is multifactorial. The study concludes that the major predisposing factor is age above 60 years, being a female, low educational status, rural residence, low income