TB is one of the most prevalent infectious diseases that has been killing people for millennia. It typically affects the lungs, though it may also harm other region of the body, notably kidneys, spine, and brain. The study aimed to evaluate the risk factors of transmission of TB among family members and to investigate its transmission pattern through household contacts. This cross-sectional study was conducted and data was collected from National tuberculosis program in divisional headquarter hospital Mirpur, Azad Kashmir. Considering all the SOPs, sputum samples were collected for detection of pulmonary TB. Samples were tested using Gene-Xpert MTB/RIF. A significant association (p=0.000) was found between MTB and absence of history of cough. No association (p=0.170) observed between spending time with patient and transferring of MTB traces into participant’s body. A significant association (p=0.000) found between wearing mask and reducing risk of having MTB traces. There is no association (p=0.385) of eating and sitting with patients and transferring of MTB traces into participant’s body. Our findings elucidate that MTB transfer is not related to the history of cough and also wearing mask near the patients reduced the risk of MTB transfer. The individuals who involve in cleaning patient’s room are at high risk of getting MTB traces transferred to their body. Spending time with patients and sitting or eating next to the patients did not appear to be associated with transfer of MTB traces.