Introduction: Even though there have been significant advances in our understanding of the advantages of early palliative care integration with disease management, many people with chronic life-threatening illnesses either do not receive any palliative care services at all or only receive them in the final stages of their illness. The aim of the present study was to assess patient satisfaction among terminally ill cancer patients for palliative care services provided at the tertiary care unit. Materials and methods: The current study, which involved 100 palliative patients getting care from a palliative clinic, was an observational study with a cross-sectional design. In this study, purposive sampling was employed and an interview schedule was used to acquire the data. Result: The majority of patients (40%) are between the ages of 41 and 50, live in rural areas (36%), and make <20,000 Rs/month (32%). The majority of patients had their cancer diagnosed between 3 and 6 months (40%), were receiving palliative care (66%), had begun taking morphine 3–6 months earlier (41%), and visited the hospital for palliative care every 15 days (65%). Patients who responded to the survey expressed satisfaction (44%) with the palliative care they received, the technical service level (53%) of the palliative center, and the manner in which doctors and other healthcare workers interacted with them (37%). Patients who discussed their experiences with their doctors were unanimous in saying that their medical professionals attended to their financial needs (66%) and gave them enough time during consultations (50%). Most people agree that the center's palliative care services were accessible and practical (52%). Conclusion: In this research, palliative care clinic for treating medical cancer and to provide supportive/palliative care services at tertiary care facilities have expanded more slowly, and patients feel satisfied with the service.