The baby check score card was used in a busy polyclinic to identify babies with different grades of illness attending as out-patients. A total of 90 paediatric patients in the age group 1 to 6 months were screened during February to June 1995. These patients were seen by the junior physicians. They filled in the score card and graded the illness, as they perceived, into well or mild, moderate, and severe. The scores, as described by the original authors, were then assigned to the various signs and symptoms recorded in the score card, by the investigators. The total scores obtained were correlated with the grades of illness (grade 1-well or mild, grade 2-moderate, and grade 3-severe). The scores ranged from 0 to 41. Forty-three cases were well or mildly ill; 41 moderately ill; and six seriously ill. The scores generally correlated with the grades of illness. Those with lower scores had milder illness and were sent home with reassurance. Six cases who were seriously ill all scored over 20 and were referred for tertiary care. The scoring system appeared to be fairly accurate in identifying high-risk infants. It could be used as a valuable tool for screening infants for severity of illness with reasonable accuracy in our set-up.