Aim: To examine the clinical manifestations of Covid-19 in paediatric patients. Material and methods: The research was conducted over the period of 2 years from dec 2020 to dec 2022 in. Patients reported to OPD of clinic. This study included individuals under the age of 18 who had a medical history of respiratory or gastrointestinal symptoms, or fever, and had been recently exposed to a confirmed case of COVID-19. Results: A cohort of 200 children underwent evaluation. Fifty percent of the total number of children, which is equivalent to 100 individuals, was confirmed to have contracted COVID-19 through a positive SARS-CoV-2 RT-PCR test. Fifty percent of the patients who were diagnosed with COVID-19 had a pre-existing chronic medical condition. it was observed that 71% of the children exhibited fever, while 37% of them displayed excessive crying and dry cough. These patterns include Pattern A, characterised by minimal symptoms with only one or two present; Pattern S, marked by a sudden onset of four symptoms within the initial 24-36 hours; and Pattern D, which involves a sequential onset of symptoms over a period of several days. Conclusion: It is imperative for clinicians to acknowledge that the clinical manifestations of COVID-19 in paediatric patients are more diverse than previously documented and distinct from those observed in adults. Frequently, these symptoms are non-specific and may include gastrointestinal manifestations, thus necessitating heightened clinical vigilance.