A broken bone or a fracture is a very painful injury. Immediate first aid is crucial for broken bones. This study was undertaken with the objective to assess the knowledge about first aid knowledge regarding fractures among Ortho OPD patients in civil hospital Rohru, District Shimla. Material & Methods: This cross sectional study was conducted between Aug- December 2020 among Ortho OPD patients in civil hospital Rohru selected by convenience sampling technique.Information regarding their socio-demographic characteristics and knowledge, about first aid knowledge regarding fractures were obtained using a self-administered, pre-tested, semi-structured questionnaire. Data was analyzed using epi info v7 software using appropriate statistical tests. Results: In the present study 35% (140) of the patients fall were below 40 years of age while 65% (260) were above 40 years. 54% (216) of patients were male and 46% (184) were female. among the total patients maximum 301(75.25%) replied that immobilization of the injured area is the first aid measure in case of fracture followed by apply pressure to the wound with a sterile bandage, a clean cloth or a clean piece of clothing 289 (72.25%), and apply a splint to the area above and below the fracture sites 205(51.25%). Still 95 (23.75%) didn’t know about any first aid measure in case of fracture. Conclusion: Good first-aid care of fractures is always important. Any negligence can increase pain and bleeding and can damage tissues around the injury. This can lead to complications in the repair and healing of the injury later on.