14 Patient Records
Blood Transfusion Record
| Last Name: | Room: |
| First Name: | Files checked: |
| Hospital Reg. #: | Dr.: |
| Health Card #: | Diagnosis: |
| Date of Birth: |
| Date | Ab Screen | Ab | Donor Unit # | Comp | Unit ABO/Rh | C/NC | T/NT | Lab # | Tech | Comments |
|---|---|---|---|---|---|---|---|---|---|---|
Prenatal File Card
| Patient: | Health Card # |
| Hospital #: | Date of Birth |
| Physician: | Hospital |
| EDC | |
| Previously Transfused On | # of Miscarriage |
| # of Units Transfused | # of Still Births |
| Maiden Name/Previous Surnames |
| Date | Lab # | M/F Baby | ABO/ Rh | Genotype | DAT | Ab Screen | Ab | Tech |
|---|---|---|---|---|---|---|---|---|