Keeping in view the importance of referral system and centrality of outpatient department in a health care unit the present study at SKIMS will be undertaken to assess profile of patients attending outpatient department, their rationale for referral and thereby forming a policy of referral for health care institutions. In order to study the referral pattern of patients and the rationale of referral, with profile of the referred patients as well as to study the specialty wise profile of patients attending Outpatient Department of SKIMS and to evolve a referral policy for health care institutions of Kashmir. The article is devised to develop a referral policy for Health Care institutions of Kashmir