Background: Congenital heart disease (CHD) is a significant cause of morbidity and mortality in neonates, with early detection and intervention crucial for improving outcomes. Asymptomatic neonates with cardiac murmurs represent a diagnostic challenge, requiring thorough evaluation to identify underlying structural abnormalities. Aim: This study aimed to investigate the incidence and characteristics of CHD in asymptomatic neonates with cardiac murmurs in a tertiary care hospital setting