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Introduction: Identification of untreated depression could be a chance of opportunity in outdoor settings. Earlier findings show a high proportion of depression among patients visiting outdoor at the tertiary level of care. We want to estimate its burden in an outdoor setting at the primary level of care. Material and Methods: The current study was a facility-based cross-sectional study which was conducted for 3 months at a primary health center (PHC) in a rural area of Patna (Naubatpur), Bihar. Patient health questionnaire (PHQ)-9, along with sociodemographic variables, was included in the development of a semi-structured questionnaire. A trained data collector took one-to-one interview using this questionnaire. Results: The proportion of male and female were almost equal (49% vs. 51%). The mean age of the study subjects was 38.80 ± 13 years. Most study subjects were suffering from depression (59.60%). One-third of them had mild, one-fourth had moderate, and rest had a moderately severe and severe category of depression. The mean score was 6.67 ± 5.08. In mild to the moderate category of depression, higher age group of the study subjects was more affected. In the severe category of depression, younger age group was affected worse. The prevalence of depression was almost doubled in females as compared to males in all category of depression, and this was statistically significant. The prevalence of moderately severe depression was highest in the study subjects who were illiterate. Conclusion: PHQ-9 can be used at PHC to screen the patients with depression.