STATE OF ART MODEL BLO 23/80n/a 2jm

PRESTRANSFUSTON, Br OOD
LOOD
Patien Age/| Wd.
va
Gg05
OSPITAL,
Cell ABO
Grouping M.G.M. MEDICAL
Date Time
Particulars
No.
Ce
Regd. Sex| ANTI"A"|ANIT"B"|ANTIT"AB'jaNTm COLLEGE. INDORE
ECORD AND CROSS MATCH REGISTER fed
No
Result Ammn chon
Recipient's Name 26 lient B.B
1Group| Blood Group

QuantityOmpo-Expiry
nent

Cross Match
Cross Matc
N S ENZALB COD Done Seen
SKR-|Amou
No.
ee-Reas-
Amount RD No.| ons Relerred
MB by by by Cons.
Donor Unit No.:
|Recipient'sName: M
tlopr
Donor Unit No. :
3823°
Recipient's Name
t
Donor Unit No.
www.ee RK |29j
Donor Unit No.:
Reapient's Nanie:
Donor Unit No. :
Recipiect's Name :
Nnigaezii Nane
hnaeran a
 Hnugsae Sel D
M.Y. HOSPITAL, INDORE
REGISTER NO. 1

Blood FOR WHOM D O NATE D Signature/Thumb Signature of

VD RD Impression of donor for Pheiebotomist/ Signature
Group Patient's name Age of M.O.
Sex Wd.No. Consent Nurse/Tech.

Ot haclantaf 62 TO 394o 2
2 247?v</_
 MAHA
BLOODBANK
I.Y.H. INDORE
Received
X Match Issued
EGISTER Indication
Blood Consultant For Transfusion Repor
Ward
el /C
Group
ex No.
mTH Lama
R 197/34/>0|
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