Dhaka Medical College And Hospital (DMCH)

Department of Surgery
Unit III

Blood Transfusion order :

BT Note :
Date :
Patient’s Name :
Time :
Age :
With all aseptic precautions, please
Blood group : transfuse ___ unit ____________ @ ___
drops/min for first 10 minutes. If no reaction
occurs, then please transfuse @ ___
Bag No :
drops/min.

Lab Reference No : If any reaction occurs then Immediately

stop the transfusion and call the duty
Screening : doctor.
 Inj. Avil
1 ampoule I/V STAT
Cross matching :  Inj. Cotson
1 ampoule I/V STAT
 Call the duty doctor