Radial dysplasia is a longitudinal deficiency of radial bone with abnormal bowing of fore arm. Usually, it is associated with syndromes and it is imperative to look out for other congenital anamolies1. We report a rare case of newborn born in our hospital with features like lumbar vertebral anomaly, cardiac defect (ASD) and limb anomalies like unilateral absent radius and absent thumb, bilateral CTEV. AS the baby had asymptomatic thrombocytopenia only on day 1 of life, by excluding the other congenital conditions like TAR syndrome, Fanconi anaemia, Holt Oram Syndrome etc, the baby is diagnosed to have Incomplete Vacterl syndrome with absence of trachea oesophageal fistula and anal atresia.