x = pulse rate is normally distributed with mean 69.6 and SD 11.3
z = (x - mean)/SD = (x - 69)/11.3 is normally distributed with mean 0 and SD 1
want to find P(x < 60)
transform above inequality using formula for z:
P(x < 60) = P(z < (60-69)/11.3) = P(z < -0.796) = 0.213