A baby was born to Mrs.Pramila Bote, aged 24 years Resident of Madi-4, Chitwan (Dist.), Nepal on 10th May, 2006 at 5.00 a.m. The delivery was normal. The baby was brought to the CMS Teaching Hospital for observation and kept in NICU under the close observation of the Dept. of Paediatrics. Surprisingly the baby has normally two hands and abnormally two hands coming from midline of body and congenital defect of right leg with four breast nipples.