Skin diseases differ in different countries, and within various regions of a country depending on social, economic, racial and environmental factors. Many patients have reported various patterns of skin diseases in different countries. It was a descriptive type of cross sectional study conducted at outpatient department (OPD) of Dhamrai upazilla health complex to know the pattern of skin diseases during the period of June 2018 to December 2018. Total 2000 patients at any age and sex who attended in the OPD of the hospital with different types of skin disorders/diseases were selected as study population. Among the patients 27.05% were less than 10 years of age and 56.04% were female, 45.05% patients were illiterate, 57.03% had monthly family oncome more than Tk 15000 and 40.89% were housewife, 20.01% were students. The diagnosis was made on clinical basis as an expert dermatologist. Lab. investigations were restricted to the cases where they carried diagnostic importance. Majority (57%) were suffering from some infectious among them 33.02% had parasitic infection, 28.3% suffering from fungal infection, 20.1% bacterial infection and 43% from some non-infectious skin diseases among them 37.79% had eczema, 17.87% had papulosquamous disease, 14.25% had acne, 14.01% had urticaria, 8.7% had vitiligo. Infectious skin diseases were the most common skin disease seen in our study, followed by dermatological infections. The emerging challenges for dermatologists are to prevent and reduce these skin diseases.