Communication with the patient and the visitor is very important, especially in the case of a person visiting a hospital for various purposes. The communication system inside the hospital should be very smooth and easy to understand for fast movement. To maximize the dissemination of the communication system inside the hospitals, pictograms are used to indicate the message for various department facilities available in the hospital. Pictograms are infographic design considered universal icons used in all the hospitals for the respective departments. Since the perception and the views of the visitors visiting the hospital are different in the Indian context, a comprehensive study needs to be carried out. The objective of the study is to find out the role and effectiveness of pictograms used inside Primary care (rural hospitals) and Secondary & tertiary Care (urban hospitals) for communication and find out how the audience understands the meaning of the pictograms under various cultural backgrounds. The study will also identify the variables that affect the level of comprehension among the target audience and whether it can be used as a tool for communication or is it a barrier for the people.