Background: Carcinoma of the cervix remains a leading cause of cancer-related morbidity and mortality among women in developing countries, where organized screening coverage is limited and most patients present only after the disease becomes symptomatic. Objective: To describe the pattern of clinical presentation, disease stage and clinical findings among women with histologically confirmed carcinoma cervix attending a tertiary-level teaching hospital in Bangladesh. Methods: This cross-sectional, prospective study was conducted in the Department of Obstetrics and Gynaecology, Rangpur Medical College Hospital, over one year. Fifty consecutive patients diagnosed with carcinoma cervix who fulfilled the inclusion criteria were enrolled after informed consent and data on presenting symptoms, clinical stage, general and local examination findings and imaging correlates were recorded on a structured questionnaire and analyzed as frequencies and percentages. Results: Most patients (60%) were 41-50 years old. Blood-stained per-vaginal discharge (94%), foul-smelling discharge (50%) and post-coital bleeding (50%) were the commonest complaints. Forty-eight patients (96%) presented in stage IIB or beyond. Nearly all patients (100%) were anaemic, 80% had a cauliflower-like cervical growth and 92% had squamous cell carcinoma on histopathology. Ultrasonography showed cervical growth in 52%, hydronephrosis in 44% and pelvic lymphadenopathy in 22% of patients. Conclusion: Carcinoma cervix in this tertiary-hospital population presents predominantly with abnormal vaginal bleeding and discharge at an advanced clinical stage, underscoring the continued need for symptom awareness and organized early-detection services.