Step 1: char ch; ch = 'A'; here variable ch is declared as an character 

type an initialized to 'A'.

Step 2: printf("The letter is"); It prints "The letter is".

Step 3: printf("%c", ch >= 'A' && ch <= 'Z' ? ch + 'a' - 'A':ch);

The ASCII value of 'A' is 65 and 'a' is 97.

Here

=> ('A' >= 'A' && 'A' <= 'Z') ? (A + 'a' - 'A'):('A')

=> (TRUE && TRUE) ? (65 + 97 - 65) : ('A')

=> (TRUE) ? (97): ('A')

In printf the format specifier is '%c'. Hence prints 97 as 'a'.

Step 4: printf("Now the letter is"); It prints "Now the letter is".

Step 5: printf("%cn", ch >= 'A' && ch <= 'Z' ? ch : ch + 'a' - 'A');

Here => ('A' >= 'A' && 'A' <= 'Z') ? ('A') : (A + 'a' - 'A')

=> (TRUE && TRUE) ? ('A') :(65 + 97 - 65)

=> (TRUE) ? ('A') : (97)

It prints 'A'

Hence the output is

The letter is a
Now the letter is A