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Introduction: Dengue fever is one of the most common arbo virus mediated outbreaks, being reported from different parts of the world. Dengue fever (DF), Dengue hemorrhagic fever (DHF) and Dengue shock syndrome (DSS) are different modes of presentation of the disease. Now as the outbreaks are hitting different geographic locations, different clinical manifestations are more and more being reported recently. Our aim of this study is to document varied clinical manifestations of dengue patients in a tertiary care centre of eastern India. Materials and Methods: Total 74 MAC ELISA positive dengue patients are included in this observational study and analyzed. Results: Most common clinical feature was fever (100%) followed by headache (62.16%). Atypical features like transaminitis and different neurological manifestations were present in 83.83% and 11.11% cases respectively. Conclusion: One should aware of different atypical presentations of dengue fever to diagnose and intervene timely.