Background: Men and women of all ages may have alopecia, the common disorder known as hair loss. It happens when hair follicles gradually decrease, resulting in shorter and thinner hair strands. The present study was conducted to assess patterns of hair loss using trichoscope. Materials & Methods: 140 patients with hair loss of both gendersunderwent the hair pull test and trichomoscopy. The type of symptoms and lesions were observed. Results: Age group 21-30 years had 21, 31-40 years had 24, 41-50 years had 43 and 51-60 years had 52 patients. The difference was non- significant (P> 0.05). The most common symptom was hair fall in 56, thinning of hair in 24, white hair in 5, patchy hair loss in 10, itching in 20 and itchy lesion in 5 cases. The diagnosis was canites in 22, hair cast in 6, lichen plano pilaris in 7, ophiasis in 4, scalp psoriasisin 11, seborrhic dermatitis in 17, telogen effluvium in 13, tinea capitis in 2, traction alopecia areata in 8, trichotillomania in 2, FPHL in 13, alopecia areata in 26, and discoid lupus erythematosus in 9 cases. The difference was significant (P< 0.05). Hair pull test was positive in 92 cases and negative in 48 cases. The difference was significant (P< 0.05). Conclusion: The most common diagnosis was Alopecia Areata followed by canites, Scalp psoriasis, FPHL and Telogen effluvium. Common symptoms were hair fall and thinning of hair.