Bone marrow examination (aspiration and biopsy) carried out in 30 cases having pancytopenia, had megaloblastic anemia as the commonest cause (46.6%) of pancytopenia. Other common conditions presenting as pancytopenia were micro-normoblastic erythroid hyperplasia (16.6%), aplastic anaemia (13.3%). Uncommon causes of pancytopenia were Acute Leukemia (AL), Myelodysplastic Syndrome (MDS), Myelofibrosis (MF) and Multiple Myeloma (MM).