Objectives: Student’s absenteeism is a continuous problem in medical education despite mandatory attendance policies introduced by universities. Medical education demands high attendance for good understanding and grasps over the subject. The objective of present study is to assess the strength of association between class attendance percentage and marks obtained in internal examination of Anatomy subject. Methods: Retrospective observational studies of first MBBS students who have passed Anatomy examination in 2017 and 2018 (150 students in each batch) were included and their attendance as well as marks of internal examination of both theory and practical were retrieved and correlated. Statistical analysis was carried out to find the strength of association between attendance and internal marks. Results: The findings in present study suggest a positive improvement in mean marks obtained in both theory and practical exam as percentage of attendance increases. Conclusion: The findings of present study support the evidence that there is a significant correlation between attendance percentages their academic performance in theory and practical.