No active pre-cordial, no bulging, no thrill , no having . EKG show normal sinus rhythm rate 76 – 90/min,PMI at 5th ICS ,MLC . S1S2 normal , no murmur, no gallop , no pericardial rub . Peripheral pulses normal rhythm and equal forcefully. (eg.radial, popliteal, dorsalis pedis , posterior tibial pulses). O2saturation 98 - 100 % Capillary refill time 2 sec.