Background:Trend of medico legal cases is a fundamental part of the prevention of avoidable causalities in future and to study the crime rate in area. In present study an attempt is made to know the burden of medico legal cases. The aim of present study is to describe the profile, pattern and trend of medico-legal cases and identify errors in the medico-legal reports. METHOD:This is a Retrospective, descriptive, non-interventional study, conducted in emergency department of Government Medical College and Hospital Jalaun during the period from 1st January 2023 to 31th December 2023. This is a tertiary care teachinghospital where patients are referred from most of private hospitals. Patients from district hospitals of the region are also admitted in this college. Conclusions:In majority of places, duty of casualty medical officer is accomplished by MBBS doctor whois not expert in handling of medico legal cases. Therefore medico-legal work should be doneunder the direction of forensic medicine expert to avoid inaccuracy in giving the opinion. The presentstudy showed that male outnumbered female and maximum cases were of youngergeneration. Most common aetiology was of road traffic injuries. Such incidences can beprevented by giving awareness through proper education and training of safety standards byadministrators through road safety programs.