| 1. Blood Donor Register
: Indicating
|
i) | | Serial
number | |
ii) | | Date
of Bleeding | |
iii) | | Name
of Donor with particulars
| |
iv) | |
Age | |
v) | |
Weight | |
vi) | |
Hemoglobin | |
vii) | |
Blood Pressure | |
viii) | | Medical
Examination | |
ix) | |
Signature of Medical Officer Bleeding the Donor |
| x) | |
Bottle bag number | |
xi) | | Patient's
detail for donated in case of recipient donation |
| xii) | |
Remarks on donation (Volunta | 2. Blood
Stock Register : Indicating
| i) | | Bottle
bag number | | ii) | | Date
of collection | |
iii) | | Date
of Expiry | | iv) | | Quantity
in ml. | | v) | | ABO.Rh
Group | | vi) | | Result
for Testing of HIV | |
vii) | | Malaria |
| viii) | | V.D.R.L. |
| ix) | | Hepatatis |
| x) | | B
Surface Antigen | |
xi) | | Irregular
Antibodies (if any) | |
xii) | | Name
of Door with Particulars | |
xiii) | |
Utilization Issue Number | |
xiv) | | Components
Prepared or Discarded | |
xv) |
| Certified by Medical Officer
Incharge | Group stock register shall
be maintained Note : similar records shall be made
for Blood components. 3. Issue Register : Indicating
| Serial Number | Date
and Time of Issue | Bottle Number |
| ABO/Rh Group | Total
Quantity in ml. | Name of the Recipient |
| Group of Recipient | Details
of Cross Matching | Indication for Transfusion |
| Unit/institution | Report | |
Particulars of product supplied (Whole Human Blood,
Red Cell/Platelet concentrates, cryprecipiates etc.). quantity supplied, compatibility
report, signature of issuing persons. 4. Register for
A.C.D./C.P.D./CPD-A, bottles/bags giving Details of
firm
Batch Number
Date of Supply
Result
of Testing. 5. Register of Diagnostic Reagents used
: Name of the reagents details of batch number and
date old supply nd date of use.
6. Blood Bank
must issue the cross-matching report of the blood of the patient
alongwith the blood bottle.
7. Transfusion advance Reaction Records.
8. Records
of purchase, use and stock in hand of disposable needles, syringes,
Plastic bags, sets shall be maintained.
| 
