Blood Bank Details

Blood Bank Address
State*
District*
City


Blood Bank Details
Blood Bank Name*
Parent Hospital Name

Short Name
Category*
Contact Person*

Email
Contact No.*
First Registration Date*

Licence No.
From Date   
To Date   

Component Facility
Apheresis Facility
Helpline No.




Postal Address
Address1*

Address2

Pincode*

Geographical Coordinates(?)
Latitude
Longitude


Website

No of Bed Hospital


Donor Type*
 Voluntary
 Replacement
 Directed
 Autologous
 Family
 Replacement External
Donation Type*
 Leucaperesis
 Plasmapheresis
 Plateletpheresis
 Whole Blood
Component Type
 Cryo Poor Plasma
 Cryoprecipitate
 Fresh Frozen Plasma
 Irradiated RBC
 Leukoreduced Rbc
 Packed Red Blood Cells
 Plasma
 Platelet Concentrate
 Platelet Rich Plasma
 Platelets additive solutions
 Random Donor Platelets
 Sagm Packed Red Blood Cells
 Single Donor Plasma
 Single Donor Platelet
 Whole Blood
Bag Type
 Single (350/450ml)
 Double (350/450ml)
 Triple (350/450ml)
 Quadruple (450 ml) with inline filter
 Quadruple (450 ml) without inline filter
 Penta Bag (450 ml)
 Transfer Bags
 Apheresis Kits
 Triple (350 Ml) CPD/SAGM
 Triple (450 Ml) CPD/SAGM
TTI Type
 HIV 1&2
 Hepatitis-B
 Hepatitis-C
 Syphilis
 Malaria
Remarks