After obtaining institutional ethical clearance and CTRI registration this study has been conducted over 13 months as a single cantered study in our tertiary center to assess the role of early integration of POCUS in abdomino-thoraco-pelvic-breast malignancy patients admitted to our palliative care ward. When our study population presents to our palliative care ward with some acute medical condition, POCUS evaluation of the thorax, abdomen, DVT 2-point test (femoral vein and popliteal vein), ONSD is done for all patients irrespective of symptoms. The POCUS diagnosis will be correlated with the physical examination findings by a palliative physician and any new finding potential to change the management plan is recorded as a positive POCUS outcome. This examination is done on the same day of admission after the clinical examination. Out of these 320 examined cases, 91 patients had positive POCUS outcomes (28%). Also, the early presentation to palliative care since diagnosis as seen with the highest of 72 patients presenting within 2 months of diagnosis, increases the responsibility of the palliative physician to improvise his skill on this easily available and reliable diagnostic tool. Oncology patients with an increase in survival are seen along with advances in treatment options, so there is a major cohort of palliative patients whose acute symptoms are also inadequately evaluated contributing it all blindly to the incurable nature/ stage of the disease, poor ECOG-PS of the patients. But this bedside POCUS with its versatile nature is capable to provide a non-invasive, affordable, time-saving report and helping in the management of the symptoms to improve the quality of life in these patients.