The fourth edition integrates post-Covid updates and NMC recommendations with expanded sections on growth and development, nutrition, immunization (including corona vaccines), neonatology, paediatric drugs, instruments, X-rays, poisoning, emergency paediatrics, musculoskeletal diseases, rheumatology, and includes intriguing new chapters on ECG, OSCE (Objective Structured Clinical Examination) and Covid-19. This manual is not just a book, but a collective endeavour designed to enrich the students' critical knowledge and clinical acumen of medical practitioners alike.