Tuberculosis (TB) is an infectious and debilitating disease. It is one of the ten leading causes of death worldwide and the leading cause of death from an infected person. Tuberculosis is very common in the elderly but is often overlooked due to comorbidities and overlapping clinical features. The increasing number of elderly people and the high risk of this age group contracting tuberculosis (TB) is a problem for India. This study aims to estimate the burden of tuberculosis in adults. This is a survey of TB patients over 50 years of age (1) registered with the NTEP of the State Chest and Tuberculosis Departments. Amritsar Medical College. Collect clinical data and review clinical results. Chest x-ray showed consolidation/cavitation in most patients (84%). The overall success rate in this study was 85%, and the return rate of sputum at the end of the intensive phase in patients with phlegm was found to be 91.66%%. The overall failure rate was 8% and the overall mortality rate was 7%.