REGISTERS FOR BLOOD BANK

. DONOR MASTER RECORD

Srl no./Date of donation/Name ofdonor/Age/Sex/Address/Phone no/ Occupation/weight/Hb/BP/Pulse/Donor no/Tube no./Date of expiry / component prepared(yes or no)/Bagtype/Quantity in ml/Type of donor(Voluntary or Replacement/If replacement patient name/ Time of phlebotomy/Any donor reaction/HIV status/HBV status/HCV status/Syphilis status/Malaria status/Antibody status/if positive titre/identification of antibody/signature of the M.O

2.DONOR REGISTRATION RECORD
 Sr. No/Date of donation/Name of the donor/Address/Age/Sex/date of donation/type of
donor/ Signature of receptionist/ Signature of donor

3. DONOR DEFERREL REGISTER

 Srl. No/Date of donation/Name of donor/address/Age/Sex/Type of donor/Cause for deferral/Permanent or temporary/signature of M.O
4. DONOR REFERRAL REGISTER

Srl. No/Date/Date of donation/Name of donor/address/Age/Sex/Type of donor Seroreactive for/referred to/Name of ICTC/signature of M.O

5. PATIENT REGISTRATION REGISTER
Serial no./Date/Name of patient/Age/Sex/Hospital/Unit/IP no. of patient/Diagnosis/Time of receiving sample at blood bank/No. of unit demanded/When required/Signature of
receiver of sample.

6. PATIENTS CROSSMATCHING REGISTER
Srl no./Date/Name of the patient/Age/Sex/Blood group of patient/Hospital/Unit/Ward/Bed no./ I P no of the patient/Diagnosis/Requirement of blood or component/No. of unit demanded/No. of units cross matched/Donor no./Blood group of units/Compatibility report/Signature of Technician/Signature of M.O


7. ISSUE REGISTER
Srl No./Date/Name of the patient/Age/Sex/Blood group of the Patient/ Hospital/Unit/Ward/Bed No./IP no. of the patient/Diagnosis/Donor unit cross matched/Blood group of donor unit/Type of component cross matched/Quantity in ml/compatibility report/Time & date of issue/Signature of technician/M.O/ person receives the units.

8. BLOOD COMPONENT REGISTER
 Srl. No/Donor No./Blood group/Type ofblood bag/Anti coagulant used/Date ofblood collection/Date of preparation/Packed red cells/Date of expiry/Platelet concentrate/Date of expiry/Fresh Frozen plasma/Date of Expiry/T TI screening status/whether discarded/Sign of technician.
9.  CELL GROUPING REGISTER
Anti A
Anti B
Anti AB
Anti D ( 1)
Anti D (2)
Name of the Kit





Name of the manufacture





Batch No. / Lot No.





Date of manufacture





Date of expiary





Srl no                                                     -             
 Date of testing                                 -             
 Donor no.                                           -             
 Anti A                                                   -             
 Anti B                                                   -             
 Anti AB                                                                -             
Anti D ( 1)                                            -             
 Anti D (2)                                            -             
 Inference                                           -
Signature of technician                  -
10. SERUM GROUPING REGISTER

Date of preparation of cell suspension

% of cell suspension

 Srl No./Date of testing/Donorno./A cell/B cell/O cell/Inference/Sign of technician/Sign of M.O

11. CROSSMATCH REPORT WITH FEED BACK FORM
12. ELISA SCREENING REGISTER
Name of the kit
HIV
`HBV
HCV
Name of the manufacture



Batch no. / Lot No.




Date of manufacture



Date of Expiary



Average of negative control:
 Average of positive control:
Calculation of cutoff value:
HBV.
Average of negative control:
 Average of positive control:
 Calculation of cutoff value
HCV
Average of negative control:
 Average of positive control:
 Calculation of cutoff value        
HIV
Srl. No                                      /
Date of testing
Donorno
Well no
Inference
Signature of technician
Signature of M.O
HCV
Srl. No                                      /
Date of testing
Donorno
Well no
Inference
Signature of technician
Signature of M.O
HBV
Srl. No                                      /
Date of testing
Donorno
Well no
Inference
Signature of technician
Signature of M.O
13. RAPID SCREENING REGISTER
Name of the kit
HIV
HBV
HCV
VDRL
MALARIA
Name of the Kit





Name of the manufacture





Batch no. / Lot no





Date of manufacture





Date of expiry






HIV
Srl. No                                     
Date of testing
Donorno
Well no
Inference
Signature of technician
Signature of M.O






HBV
Srl. No                                      /
Date of testing
Donorno
Well no
Inference
Signature of technician
Signature of M.O
HCV
Srl. No                                      /
Date of testing
Donorno
Well no
Inference
Signature of technician
Signature of M.O
VDRL
Srl. No                                      /
Date of testing
Donorno
Well no
Inference
Signature of technician
Signature of M.O

MALARIA
Srl. No                                      /
Date of testing
Donorno
Well no
Inference
Signature of technician
Signature of M.O

14. CONSUMABLE INVENTARY REGISTER

(HIV Elisa, HBV Elisa,HCV Elisa, HIV Rapid, HBV Rapid, HCV Rapid, VDRL,
Single bag, Double bag. Triple bag, Quadruple bag, Anti A, Anti B, Anti AB, AntiD, AntiA1, Anti H, Coombs, Bovine Albumin)

Srl no
Date/Stock forwarded
New stock received
Total stock in hand
Kit name
Manufacter's name
Batch no.
Date of expiry
Stock consumed
Balance stock
Signature of the store keeper
Signature of M.O


15. BLOOD UNIT DESCARD REGISTER
Srl no/
Donor no
Blood group
Reason for discard
Date of discard
Item discarded
Sign of the staff discarding the units
Sign of M.O
Signature of the staff receiving the discarded
Unit for disposal


16. BALANCE STOCK OF BLOOD/BLOOD PRODUCTS (Item wise & Group
wise)


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