Apple Watch Series 5 - When will the ECG app functionality Be available in Sri Lanka?

Thanks for asking about the new ECG feature.

Check here for availability in your region: ECG

ECG requires the current non-beta version of iOS and watchOS. For additional help with the ECG feature on your Apple Watch, take a look at these articles.

Heart rate notifications on your Apple Watch - Apple Support

Taking an ECG with the ECG app on Apple Watch Series 4 or later - Apple Support

If you have any other questions please reach out to our team here: https://apple.co/HeartFeatures. If you believe that you are experiencing a medical emergency, please dial your local emergency services.

Take care 

Check with your country health authority.

In the meantime see this list: watchOS - Feature Availability - Apple

Requires approval from your government