OST or Offline Storage Files represent user's mailbox data in offline mode on local machine upon registration with Exchange Server using Microsoft Outlook. It is automatically created on the first use of Microsoft Outlook upon connectivity with server. Once the file is created, the data is synchronized with the email server so that it is available offline as well in case of disconnectivity from email server.
The XLTM file extension represents files that are generated by Microsoft Excel as Macro-enabled template files. XLTM files are similar to XLTX in structure other than that the later doesn't support creating template files with macros. Such template files are used to generate and set the layout, formatting, and other settings along with the macros to facilitate creating similar XLSX files then.
You can also convert OST into many other file formats. Please see the complete list below.