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FIFTY

RUPEES

5.50 Rs.50
5INDIA &
INDIA NON JUDICIAL
ooWwwoo

aftuun HARYANA L 507048

ne agreement entered into on


o8-05:Ro3. between First and second
PuT.(TO.
referred to as "Hospital" which address (herein after
repugnant
expression
to the context mean and
shall unless contrary to and/or
includeits Successors repsentatives and
Eermitted assigns) through Dr. KAkESt.kuhA.Dt...
DART (PROPRIETOR) of the FIRST
T. RAAlARKASH HoslTAL
KÔNEY.CtNTAE AD BlooD CENTRE
.....

CANAS..tostTAL.RoAD.KARNAL..
"BLOOD CENTRE SERVICES' SERVICES") which (Herein after referred
expression shal1
Address
to as
and/or repugnant to the context mean unless contrary
pzsentatives and includ
and permitted assigns etc.) Through its Successors
o
entered into and sign this DR. ..NLDHL.
ervices of the second Party. agreement for and on behalf of Blood Centre

assed on our discussions, we have pleasure in


"Direct Client" on the following term contracting with
and conditions: you as our

1. SERVICES TO BE COVERED

To ersure
sufficient supply of blood and blood
To ensure
consistency of high quality with components
minimal risk
ensure screening through
effective system of quality assurance

QUALITY M NAGEMENT SPECIEICATION

DA SUPERSPecIAUTY CETNE PT. LTO


ARandir m, Dayl Sngh Colge
KARIAL-132001(Haryana) OF
OTARPegd. No. 24
25/0R/20 Date TESTED
Panditu . Hosp
Kidney Cene& Blood Bar.
Civil Hospital Road, Ka

NDIA
Supplier undertakes to ensure that all blood
accompanied by
appropriate components supplied will
idated manner documentation and will be
transported in a
heie àre standard

stiibution and transport operating


of procedures for the
0d component storage,
within the supplying and
Blood components will be
receiving
hospitals
Blood Centre issued and transported in
Services Policy. accordance with
A fully
actions to bedocumented
taken by procedure exists covering
each hospital in the
event of a recall of blood
responsibilities and
Staff receives appropriate and
components.
the above
activities and regularly updated training in all of
appropriate records of this training are kept.
Staff receives
he above appropriate and regularly updated training
activities and in all of

appropriate records of this training are kept


3. RECORD MAINTENANCE

It is essential that there is complete traceability for


transferred. all units

records will be maintained of the


the supplier to the distribution of a11 cornponents
receiving hospital and there will
Gocumented process in place to
be a
Confirm
Ieceived the supplied components and when the member of staff who
they were received

Pr.RAMPARKASH toshrAL KONEy ENTAF,B1 ood


Iespornsible
DA.SulER for
SPeCAUTY CEra Bracabilíty of units Services centre
will be
transferred
to
For. blood
transfused. components that, have
i9peeiatity Hospitat will be .Dut SlEASPECIALJTY.CENTAG.PVTATO
responsible for
ate of units in the patient 's note. recording the final
4. TRANSPORT

Blood
for providing Centre
Services will be
poSible fo
transport required items for all
units in transit until products and
has been documented. their arrival at
5. MANDATORY HAEMOVIGILANCE REPORTING
andard
operating procedures for the
and reactions. Al1
Serious Adversenotification of SeriOus
be notified by DuA. SaEa SlecIAr).. Reactions and Serious
3tor to Dr. DRNbhl. (Blood
CÈNTRe PWT. TD
6COMPLIANCE
prnnrAUTY CENTRE PVT. LTD.
A5, r Duyal SCalloge
ne pathology will assure them that the procedures and practices within
satisfy the requirements of this agreement.
7.ARBITRATION AND DISPUTE READRESSAL
ase o any dispute between the parties to
ce xeferred to and be settled by
this agreement, the matter shall
arbitration. Both the parties will decide one
1Iator by mutual consent, who will decide on the
aist dispute and give his
within 15 days. Any dispute arising out of this
subiect to Karnal jurisdiction only. agreement Will be

8.OTHER:
3 the initiation of
the contract the first party wil1 provide with
SOP. You hereby
.aerake to follow all policies and principles ain the document, which can
Lpdated

VALIDITY

= 23reement will be valid for 3 years from date B:o53o .cot:o5-26

SS

ANNEXURE A

QUALITY ASSURANCE PARAME TER

Deliver it to ward nurse/ doctor who shall be


storage till transfused
responsible for proper
Pre donation Counselling
Proficiency testing
he internal QC should be
complemented by regular external
3:participation in a proficiency testing programme. quality assurance
oli ictcy prograrme test, coded "normal" and
"problem" blood s amples
isriput ed from national or regional reference
its 2Sually twice to four times in a year. laboratory to the
ICn with perfornance of other
participating labs.
ort:ication of problens relating to laboratory processes,
techniques a
oe ion f information & education to improve performance
ICOUOnt of best practice
rnin dcdibility of the l aboratory
to cd lietWOrk of
ess borit ory's perl
abstbhange of information.
usAg Samples of known but Lundisclosec
ATTESTED
MonitOrs: KAR:NALPDEMP
DUA SUPERSPECIALITY CENTRE PVT. LTD. P/L
A
B.T.O.
I6Randhir l¡no, Naar Dayal Singh Cole Panditn Paash Hosp
KARNAL-132001(Haryane) Kidney Blood Bar.
Civil Hospioac, Kar
Whether samples are handled correctly
Assays te pertormed accurately &
AesultS are ecorded appropriatelyefficiently
Turn Around Time:

The blood bag receiving t ime in an


within 1 hour and the blood bag routingemergency is defined by the policy as
time as within 2 hours
Transportation:

Check the patients name, age and registration number with the details on
CIOSS-mat ch tag. the
Che k that blood qroup and unit number on the cross
match tag tallies with
those on the blood unit.

Check the expiry date


Check for any leakage, discoloration or haemo l ys is.
Deliver it to ward nurse/ doctor who shall be responsible for proper
storage till transfused
Audits

Internal audits:

Should1 be carried out according to an established programe by responsible


rSOn. External audits:

Should also be performed by a designated approved authority.

Personnel and organization:


-3e3uate nunber of qualified and trained personnel.

B.T.O.
Pandit Rhn Parkash Hospi
Kidney lttBlood Ba..
DUASUPERSPECIALITY CENTRE PVT. LTD. Civil HospBat Road. Ka1
145,Randhir lane, Near Dayal Singh Cologe
KARMAL-132001(Haryana)

AO9

KoTAR}
PRE!
TESTEU
22 RtAL ATTESTED
Notary Public
KARIAL

- 4 MAY 2023

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