MIS FORMAT
Comparative Data from various medical colleges (Month : ______________)
Blood Bank
Sr.
No.
Name of the College
/Hospital
No. of blood units used No. of blood units used without replacement No. of Blood Unit collected with voluntaery replacement No. of Blood units brought from other bloodbank No. of HIV positive units No. of Hepatitis B & C Postitive Units No. of Blood Donation Camps No. units collected through blood donation camps Component Separation facility
yes/no
1                    
2                    
3                    
4                    
5                    
6                    
7                    
8                    
9                    
10