Inhaling the tobacco smoke is known health hazard that may cause many serious respiratory disorders such as COPD, asthma, lung cancer, bronchitis, etc., especially among rural women of low and middle-income countries. Continuous exposure of passive tobacco smoke may also adversely affect the respiratory health. In this study, total 145 rural women of 20-60 years age group, those involved in tobacco smoking, were selected from the Kanpur region. A high prevalence (N=121, 83.4%) of passive smoking was found among total tobacco smoking rural women. The highest percentage (54%) of active smokers was found between 50 to 60 years age group. Agricultural women showed the highest involvement in active tobacco smoking (42%) while the passive tobacco exposure was found highest among factory workers (28%). Bidi was found most popular tobacco smoking pattern among rural women (66%). Clinical manifestations such as coughing, sputum formation, difficulty in breathing, weakness, sore throat, headache, were found significantly higher among active smokers. The study concludes that the rate of passive smoking is very high among tobacco smoking rural women. Active smoking is most common among agricultural women while least common among students. Clinical manifestations were found significantly higher among active smokers than passive smokers.