BLOOD BANK, JIPMER, PONDICHERRY

BLOOD DONOR REGISTER

B.P REMARKS
DATE NAME & DONOR WT. mm SYSTEMI BLOOD BLOOD ANY WITH
SL. AGE / Hb COLLECTED
& TIME OF PARTICULARS CONSENT IN Of C GROUP & BAG DONOR SIGNATURE
NO SEX % BY
BLEEDING OF DONOR (SIGN) KGS Hg. EXAMN. Rh TYPE NO. REACTION OF BB MO

1 2 3 4 5 6 7 8 9 10 11 12 13 14
 BLOOD BANK, JIPMER, PONDICHERRY

ISSUE & COMPATIBLITY TEST REGISTER

Name of the

Age / Sex
Hospital Blood Group & Diagnosis or Transfusion
Sl. of Recei Patient Prev.
Date Amount No. & Rh Type Patient Indication for reaction
Year pt No. With Transfusion
Address & Blood Bag Transfusion if any
Telephone No.
1 2 3 4 5 6 7 8 9 10 11

BLOOD BANK, JIPMER, PONDICHERRY

 ISSUE & COMPATIBLITY TEST REGISTER
Details of “ SAFE” Blood Compatibility Test Report
Issue Details

AntibodyA typical
Albumin22%B.
Date of Remarks if

Normal Saline
Done by Require any With
Blood Date of Date of

AHG
BB.Tech. ment Date & Sign. Of Sign. of
Bag No. Collection Expiry To.
Time BB. Tech BB MO.

12 13 14 15 16 17 18 19 20 21 22 23 24
 BLOOD BANK, JIPMER, PONDICHERRY

TTD SCREENING REGISTER

KIT DETAILS HIV- ELISA/RAPID HbsAg- ELISA/RAPID HCV- ELISA/RAPID SYPHILIS- ELISA/RAPID

MFRS /LOT.NO
MF.DT /EXP.DT
P.C. /N.C/
BLK/ CUT OFF

BBMO
SCREENED
Blood Bag SIGN
Sl.No HIV HbsAg HCV SYPHILIS M.P RESULT BY
ID no WITH
LAB.TECH
REMARKS
 BLOOD BANK, JIPMER, PONDICHERRY

MASTER REGISTER OF ALL BLOOD BAGS

Issue Blood group
Blood Sign of
Status Reg .No Rh type
Sl. Bag Name of donor with Age / Date of Date of Sign of BBMO
With date of Or &
No ID.No With Contact details Sex Collection Expiry Lab.Tech With
Testing Discarded Donor
(A or P) Remarks
type(V/R/C)
1 2 3 4 5 6 7 8 9 10 11
 BLOOD BANK, JIPMER, PONDICHERRY

MASTER REGISTER OF ALL BLOOD BAGS

Blood bag Issue Sign of

Type of Donor Status Blood
SL. ID No. Reg .No Name of donor with Age / Date of Date of BBMO
With Date of group
NO With Or Contact details Sex Collection Expiry With
Testing Rh type
A or P V R C Discarded Remarks
1 2 3 4 5 6 7 8 9 10 11 12 13
 BLOOD BANK, JIPMER, PONDICHERRY

ISSUE & COMPATIBLITY TEST REGISTER

if anyTransfusion reaction
Name of the

Previous Transfusion
Sl. Blood Group Diagnosis or

Age / Sex
Patient Hosp. No.
No. Receipt & Rh Type Indication
Date Amount With &
of No. Patient & for
Telephone No. Address
Year Blood Bag Transfusion

1 2 3 4 5 6 7 8 9 10 11
 BLOOD BANK, JIPMER, PONDICHERRY

ISSUE & COMPATIBLITY TEST REGISTER

Details of “ SAFE” Blood Compatibility Test Report
Issue Details

AntibodyA typical
Albumin22%B.
Remarks if
Normal Saline

Done Date of
Blood any With
Date of Date of by BB. Requirement
AHG
Bag Date & Sign. Of Sign. of
Collection Expiry Tech. To.
No. Time BSC. Tech BSC. MO.

12 13 14 15 16 17 18 19 20 21 22 23 24