Purpose: The elderly population has been rising in recent years all over the globe. Anemia of Elderly (AOE) or geriatric anemia in old age group is being widely observed. Independent of its cause anemia has shown to affect physical function among elderly. Various studies have shown the prevalence of anemia in elderly aged >65 years as approximately 10% which rises to 50% in individuals aged >80 years. The study was conducted with the aim to evaluate and study hematological profile and etiological spectrum of anemia in elderly. Method: It was a cross-sectional study conducted from November 2014 to February 2016.Elderly anemics aged 60 years and above visiting Department of Medicine, GTB hospital were evaluated and studied. Results: Nutritional anemia was the most common cause of anemia in elderly. Folic acid deficiency was the most common nutritional deficiency. Conclusions: Nutritonal anemia is the most common cause of anemia in elderly living in low to medium group countires while Nutritional anemia, ACD and unexplained anemia are in equal proportion in west.Folic acid reserves deplete early in elderly and their monitoring can help in predicting poor dietary intake in at risk elderly and those living in senior citizen homes.