Malignant mixed mullerian tumour of uterus also called carcinosarcoma is a very rare and also very aggressive type of tumour involving both epithelial and mesenchymal component thus is considered as a metaplastic carcinoma. Common presentation of these patients is post-menopausal bleeding with uterine enlargement. Here we present the case of 55 year old women with post-menopausal bleeding. Total abdominal hysterectomy with good vaginal cuff with bilateral salpingo-oophrectomy with bilateral pelvic lymphadenectomy was done and a diagnosis of malignant mixed mullerian tumour with Genital Tuberculosis was made. Keywords: Mixed Malignant Mullerian Tumor.