A comprehensive documentation of medical records helps in reducing diagnostic and treatment errors, and aids in improving quality of care to patients with head and neck cancer. A retrospective study was conducted on 25 Head and Neck Oncology case sheets using the standards adopted by the British Association of Head and Neck Oncosurgeons (BAHNO). A total of 10 questions were used to assess the completeness of the case sheets and the results were analyzed. A total average score of 81.6% was achieved and we have a target of more than 90% to be achieved in the near future. Engaging more fellows and supervision of cancer records by conducting frequent audits would help in achieving our projected target.