Abstract: The emergency department is the most critical area of any hospital. The time taken for each patient for triaging, consultation and referral can affect the disease outcome of the patient. The present study was undertaken to determine the average waiting period of patients visiting a tertiary level emergency department. The present study comprised 38 emergency admissions for duration of two weeks. A participatory observational method was used to collect data. The study revealed that the average total waiting period from entry till disposal was 2.46 Hours with a mean deviation of 1.26 hours. The key factors responsible for the delays are examination of patient, time taken for consultation, emergency investigations or imaging, unavailability of vehicles for transport, admission procedure etc.