Blood Bank

Reference: AIIMSRIS/202603011952081788

---

---

Description

gEH Efr*vr Al MS Rrshikesh I litftTrrm erd{q qTsln s ft{+ lr6rrh T{ cons.ent Form foJ t-he Transfusion of Blood/Blood components affi qrq si qq{ 1er6' xfr-qr t r r< qr fr ryfc< u r< er*+a $n ft enr.d.rfr . ffi<s, qrqr ecl ffi ffiRA * ET d fEqqvqertr Blood transfusion in a life saving medical procedure blood can be given as nVhole blood' or as components such as Red cells, Platelets, Plasma and Cryoprecipitate. r. ge fu q0-q qkffi qn * vtt fue{ nqr BR Sqrf{d $rqi qor Ri w € r '[w.epatientagreethatadminist.ationofblood/orcompon-entsinthe^interestofpropermedicalcare. 2. q/rr{Irt{|nlrmq lqF[RFFFtEqitR iFrr<q g FRilFR slcr.rdf s €qrc{|{stirqgEq(t I 'l1rylypa!"entagle-ethatadministrationofbloodand/orcomponentsintheinterestofpropermedicalcare. 3. qrq{ciiqqq{dEf6{firqlqrdeffiqqqrffiqfirqql+qlqRfiriaqrfrf+t'IE*iffi$w?vrrg6q{q[{{ tt*'*-+egsnenqsl+sacl+q{*slq,q-rdEfl C,(fqsdrqilqdv{,iltlsfuq3Tfi r{AFffr t- l/My patient undeFtand that blood/blood components to be administered have been prepared and tested in accordance with rules established by national regulation. Howevet there is still a very small chance that an adverse reaction can occur such as : fever with or without chills and rlgot itching and hives, which ar€ trcatable, Rarelyand unpredictable life threatening event can also occur. +. Vfu qfts ql T6qn Rqt'rqt tfr qs.qi.{. tWss{., &aEffi rfr tsTq{r trr aqr qAf(qr EilR*r{qd qf{q[{ , trdi*ero-Ww{mw19.11*'.rrvrr*tySretrdT*,raqrv{fl tr l/my patient have been infoFed. lhal despite mandatory screening for blood borne infectlons such as HM s. q H F ef m ati q tis { r B q , f H iT ep f a ti t l it q is F C T .S iF yp s hi R lis c a ,q nd s M {' a lT la { ri e a, , { t E he d r r is q k E of l E ac } q a u q ir { in q g f t u he q s , e e i r n # fu q c l ti a on q s r {isq n tF ot c to q t l a E lly q e y ti f m lR in + at q e R d. dcfi5{i flqblRqrrqrtl l/My patient have had the opportunity to ask question about transfusion, ahernatives to transfusion, risk of not o.fi t r fa t

---

Tender Details

• Published 01 Mar 2026
• Closing N/A