This study examines the epidemiology, clinical features, and management of dengue fever at a tertiary care hospital. A total of 460 patients were analyzed, with a predominance of males and a high prevalence in urban areas. Clinical manifestations included fever, body aches, and hemorrhagic signs, with complications observed in 5.2% of cases. Early hospital presentation was associated with better outcomes, while delays led to increased morbidity and mortality. The findings emphasize the importance of timely diagnosis and intervention, as well as the need for enhanced vector control measures and public health education to mitigate future outbreaks.