Report Transfusion | Sindh Blood Transfusion Authority (SBTA)

Product type

Donor Identification Information

Blood Group

Date of Issue

Date of Submission

Name of the Reporting Facility

Name of the Person Filling Out Form

Title

Telephone Number

Facility Address

Electronic Medical Record #

Name (optional)

Age

Was this product received in good condition?

Yes No

Valid Expiry?

Yes No

Valid Group?

Yes No

Contact Number

Transfusion Started

Transfusion Started Time

Transfusion Stopped

Transfusion Stopped Time

Volume Transfused (approximate in ml)

Did any reaction happen?

Yes No

Transfusion should be started within 30 minutes of the issuance.
If not transfused, the blood should not be kept in home refrigerators.
Patient after transfusion should be observed for any side effects for 24 hours.
If a reaction occurs, a fresh sample for blood grouping and cross-match should be sent to the laboratory for cross verification.