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Blood Transfusion Notes

Sr Particulars Notes
no
1 Type of blood component
2 Blood bag number
3 Date of collection
4 Date of expiry
5 Patient’s blood group
6 Donor’s blood group
7 Atypical antibodies , HIV,
HBSAg, HCV,MP VDRL
8 Blood checked by Dr.
9 Blood started by Dr.
10 Blood started under observation
of staff signature
11 Blood started at
12 Blood finished at
13 Any reaction / stopped due to any
reason
Vital signs Temprature Pulse Respirations Blood
Pressure
Before starting
transfusion
Between
transfusion
After completion
of transfusion

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