Internal patient transfer is a crucial aspect of hospital operation that involves moving patients within the hospital for various reasons, such as changes in medical conditions, shifting to a different department or unit, or transferring to a different level of care. Effective identification of internal patient transfer is essential for ensuring patient safety, optimizing resource utilization, and improving hospital workflow. This study was conducted in a multispecialty hospital based in Chennai, A total of 85 transfers were tracked which includes, the emergency department, wards, ICU and post- operative The sampling technique used is simple random through the standard checklist, The statistical tool used are percentage analysis, standard deviation and Pareto analysis. The major finding of this study is having a delay in internal patient transfer. the contributing factors are bed availability, staffing & communication breakdown. Delays can result in increased patient length of stay, decreased patient satisfaction, and increased healthcare costs. To address these issues, hospitals can implement strategies such as optimizing bed management and improving communication between units shortage of staff in post-op care. Interdepartmental coordination and required equipment are very important in a Healthcare setup