Blood Bank

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Credits Management Blood Group Blood Group Double Check

Patient Code

Hospital File number

First Name

Last Name

Grand Father

Mother Name

Marital Name

Services

Hospital

Date Of Entrance

Personal Info
Hospital Info
Lab And Clinic
Serology

Date Of Birth

Gender

Declared B.G.

Telephone

Email Address

Address

	Date	Physician Name	Bed	Class	Seq	Remark
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	Date	DAT	IAT	Titer	Plat	React	Screen
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	Date
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