Congenital heart disease one of the leading cause of morbidity and mortality in pediatric age group. The reported incidence is 8 per 1000 births. The reported incidence is 8 per 1000 births .Objective is to study the pattern of clinical presentations in various Congenital heart diseases. This prospective study included children (birth to 12 yrs) with history and examination suggestive of congenital heart disease. Diagnosis confirmed by Echocardiography. Out of 82 cases, 78 cases were diagnosed Acyanotic and 4 were Cyanotic CHD. ASD (37.8%) remained the majority of cases. Female (54%) outnumbered male. Common clinical manifestations were Breathlessness (75%), Chest retractions (30%), failure to thrive (18%) , Cyanosis (4%) and Feeding difficulty (24%). Among the cases studied, 24% had history of recurrent lower respiratory tract infections. Murmur with or without thrill and cardiomegaly were the most important cardiac finding. Frequently observed complications were heart failure and growth failure. Conclusion: Early diagnosis, close monitoring and timely intervention goes a long way in reducing morbidity and mortality in CHD.