Stroke is the most common neurological emergency1. Stroke is the third most common cause of death in developed nations after ischaemic heart disease and cancer.2 The AHA estimates that 780 000 strokes occur each year; 600 000 of these are new strokes, and 180 000 are recurrent strokes.3 According to year book of the department of Medicine at DMCH (2009) 14.7% of total admission was stroke patients. Stroke is a complex disease that requires the efforts and skills of all members of the multidisciplinary team.4 A coordinated care of the stroke patient results in improved outcomes, decreased lengths of stay, and decreased costs.5 Stroke patient die off either due to the primary disease or due to complications.