To determine and compare accuracy of various Doppler parameters for perinatal outcome. Umbilical artery (UA), Middle cerebral artery (MCA) and Ductus Venosus for predicting adverse perinatal outcome in patients of intrauterine growth retardation (IUGR) and pregnancy induced hypertension (PIH).75 singleton pregnancy with clinically diagnosed of IUGR/PIH or both, having gestational age of 30 weeks were included in the study. Serial examination was carried out & perinatal outcome of each cases were noted. In Doppler examination flowmetery of MCA, Umbilical artery & Ductus Venosus were included in the study. Total 75 patients were included in which 50(66.6%) patients  showed abnormal umbilical artery wave form out of these 41(54.66%) patients has adverse perinatal outcome, while 43(57.33%) patients showed abnormal MCA flow in which 35(46.66%) patients had adverse perinatal out come, but Almost all patients with abnormal MCA/UA PI  had adverse fetal outcome. In Conclusion, MCA / UA PI is most sensitive & specific index in predicting outcome.