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Background: Since decades there has been growth in pediatric critical care hence there is a need to have a standard way of assessing severity of illness and the risk of mortality. PRISM score is based on the physiological derangement by disease process which is determined within 24 hrs of admission and includes 14 variables including clinical and laboratory measures. The score has been found to have good assessment of the risk of mortality Aims: to determine the relationship between mortality & different PRISM scores. The present study aims at PICU admissions with sample size of 100. Methodology: An observational prospective study was carried out at a tertiary care center in Moradabad Uttar Pradesh targeting children aged 1 month to 12 years in PICU. A thorough and focused clinical examination was done and blood samples were drawn within 24 hrs of admission to assess the PRISM score variables. Results: A total of 100 children between 6months to 12 years with a median of 10 months were enrolled into the study between the months of January 2018 and march 2018. 90% deaths were noted with score more than 39 as compared to 35% with PRISM score of 20-29. Conclusion- there is increased in number of deaths score with increasing PRISM score.