A clinical audit is a vital component of clinical governance. It studies processes to diagnose the glitches, approaches used to deliver health care and treatment, utilization of resources, and the effect of outcome along with quality of life of the patient. A gap between expected and actual performance a set of key questions must be answered. It is the starting point in the improvement journey to achieve the excellence. Clinical Audit is the science which rests on the accountability mechanism and play its role to set the right directs towards brilliance.