Background and Aim: All over the world majority of neonatal deaths are concentrated in the first day and first week with about 1 million die on first day of life and close to 1 million die within next 6 days of life. There is poor availability of quality and quantity of infrastructure and utilization of neonatal care services in our country. The aim of the present study is to assess outcome of neonates discharged from SNCU in tertiary care hospital, Western UP. Material And Methods: The present study was conducted in department of Pediatrics in SVBP Hospital attached to LLRM Medical College. The present study was conducted over a period of one year i.e., from January 2018 to January 2019. After discharged, follow-up was done to all patients. We looked for anthropometry measurement, neurological assessment, mortality and morbidity we made telephonic contacts and SMS regarding their follow-up visit. All morbidities were recorded at every immunization visit and finally at 12 months. Result: Out of 201 patients, 4 patients died during follow up: 2 at 6 weeks of age, 1 at 14 weeks of age and 1 at six months of age. Out of 201 patients 54.2% and 58.7% developed P.E.M. at 6 month and 12 months respectively. Out of 201 patients 19.7% and 13.6% developed Stunting at 6 month and 12 months respectively. Out of 201 patients 18.2% and 16% developed Microcephaly at 6-month and12 month respectively. Out of 201 patients 10.8% of patient of perinatal asphyxia developed Microcephaly, 35.1% patients were neurologically abnormal, and 32.4 % had developmental delay during follow-up. In 15 no patient (7.5% develop visual abnormality). Conclusion: Our study concludes that regular follow up of patient up to 1year age helped us in early diagnosis of sequelae and early intervention to rescue and prevent further comorbities and mortality.