Abstract: Congenital anomalies (CAs) are a major cause of stillbirths and neonatal mortality in India. The extent and patterns vary over time and across different geographical locations. The objective of the study was diagnosis of CAs using ultrasound (USG), different demographic patterns, types of CA, mode of delivery, gestational age and associated maternal risk factors in both booked and unbooked urban and rural pregnant women at Department of Obstetrics and Gynecology, Lal Ded Hospital (tertiary health care setting), Government Medical College (GMC), Srinagar. Pregnancy outcome of both booked and unbooked pregnant women were followed till delivery for the ascertainment of CAs.