INTRODUCTION: Ear is an important complex of the facial complex, which gives an impression of the bearer's age and sex. From aesthetic point of view the shape, size and spatial location of the ears are very important. Any abnormality is an indication of anomaly in the subject. The biometrics of ear is a very interesting issue as during crime scene investigation, ear marks and measurements are often used for identification in the absence of valid fingerprints. Ear biometrics can positively identify an individual using comparative analysis of the human ear and its morphology.MATERIALS AND METHODS: This study was carried out among residents of Ramnagar Gaupalika-7, Sarlahi,Nepal, one of the core region of Madhesh Nepal dated Jan2020 to March2020 .The cohort consists of independent adults of age group 17-35 and consenting adults from the metropolis. Ethical approval was sought and obtained from the supervising ethical committee of the

A 50 year old smoker male, presented with complaints of insidious and progressive shortness of breath for three years and cough with expectoration for one year. Patient gave history of smoking 20 bidis/day for the last 35 years. On physical exam, blood pressure was 130/86, heart rate-98/min, respiratory rate-30/min, and O 2