Head injury is considered to be a global burden of mortality, which is growing rapidly around the world due to increasing traffic. Besides this, many other causes like fall from height, falling of heavy objects on head, obviously homicide and some others are responsible issues for death due to head injury. In this study, those causes are referred as proximate or immediate causes because those are direct reason for injury or death and head injury referred as ultimate cause because it is the real cause of death. Present data among 101 victims, who died of head injury, has been collected from the Midnapore Medical College and Hospital (MMCH) record. Only those who died due to head injury were included in the study after obtaining necessary approval from the appropriate authorities, while the rest of the cases, which showed multiple injuries in the body, were excluded. Verbal consent was obtained from the relatives of the victims before collecting the case studies. Present study showed that out of all the deaths due to head injury, road traffic accident (RTA) was the predominant reason of death among the males (p<0.000) and also among the females. In Midnapore town, it was found that adult males are more prone to accidents than their female counterparts, and the sex difference was found to be significant. The present study also highlighted violence and assaults playing important roles pertaining to head injury. Death as a result of suicide and encounter showed comparatively lower frequency than that of accidents and murders. Present study further showed a declining trend in prevalence of death due to head injury.