Background: Pulmonary tuberculosis (PTB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. Nasal tuberculosis was initially documented in 1761.Hence; the present study was conducted for assessing incidence of nasal involvement in pulmonary tuberculosis patients. Materials & methods: A total of 100 cases of pulmonary tuberculosis were enrolled. Complete demographic and clinical details of all the patients was obtained. A Performa was made and complete clinical findings were recorded separately. Patients with head and neck symptoms were assessed separately. Nasal swabs were taken in all the patients and were sent to assess involvement of tuberculosis infection. Incidence of nasal involvement by tuberculosis was done. All the results were recorded in Microsoft excel sheet and was subjected to statistical analysis was done using SPSS software. Results: Mean age of the patients was 45.8 years. 56 percent of the patients were males while the remaining were females. 61 percent of the patients of rural residence. Incidence of nasal tuberculosis was 28 percent. Non-significant results were obtained while correlation occurrence of nasal tuberculosis with age, gender and residence. Conclusion: Although it is an uncommon clinical presentation, the resemblance of tuberculosis (TB) to conditions with unfavorable outcomes, coupled with the challenges associated with diagnosing TB, necessitates its consideration in the evaluation of patients exhibiting granulomatous or ulcerative lesions in the nasal region.