Papanicolaou (PAP) smear is a cyto-diagnostic technique, which is a simple, safe, non- invasive and effective method for detection of pre-cancerous and non- cancerous changes in cervix as well as vagina. Clinical follow up of reported abnormal cases was done by revisiting the records or by following it up with histopathological specimens of the same patient received in our department and cytology-histopathological correlation was done. A total of 2624 PAP smears were analysed during the study period. 51 smears had abnormal PAP findings, out of which 44 cases had histopathology correlation. The present study encountered that cervical cytology is more sensitive in diagnosing glandular malignancy than squamous cell abnormalities.