Objective: To evaluate the predictors of mortality in extramural neonate. Study Design: Observational study. Place and Duration of Study: Tertiary care teaching hospital of central India for duration of one year. Material and Methods: All extramural referral neonates admitted were included in the study. Demographic, maternal and neonatal variables were analyzed. Results: The mortality rate was 33.40% with male predominance. On univariate analysis, male sex (p=0.03), neonates born to parents of lower socioeconomic class (p=0.01), preterm birth (p