rp N SHAMSHAD ASLAM HOSPITAL Blood Arrangement P-First Solutions (PFS) Blood Bank Rawalpindi has established its point at Aslam Uppal Diagnostic Centre (IDC) Wah Cantt. . Shamshad Aslam Hospital has signed an agreement with PFS blood point for provision of Blood when required. . All necessary documents of P-First solutions (PFS) Blood Bank (Registration of PBTA Lahore, MOU Signed with SAH). . SAH has also applied to PBTA Lahore through P-First Solutions (PFS) Blood Bank for issue of registration certificate, which is awaited (Correspondence Document attached). Auborsrprrad eben! rig® Dr. Muhammad Iqbal — Director Shamshad Aslam Hospital SHAWISHAD ASLAMHOSEITA.= E-STAMP TTT ©: Peawesiceosaonsoossz3 we ew Denomination q 7 Amount ns t00/ Le Deserpon GREEN Ok NEMORANDUMOF AU AGIEEMENT le) opicae Nutht Mshahi 5745 03069176) wo ash Aim Mian Agent hua Fas [640395216353] poses: ote NO. 6, hadi san Road Rowe Delisted Oey: Spe a003| Aameurt nords; One Hinde Rupees Ory 1 feasan erement \endornfrmaton: Shar Shh] PB RWP.962| Roan Plaza Bar oad Sie Sacint ol tay oh eS MEE ut abe SEO ‘hp"eSang 8 datStng antares AGREEMENT Between ‘Shamshad Aslam Hospital (SAH) Quaid Avenue Near Uppal Square Lalazar Wah Cantt And P-First solutions (PFS) Blood Centre PATA license number 200/A+/2021 ‘Mega Medical Complex, Police Station Road Rawalpindi 1. Purpose For the availabilty of “Safe Blood Products and Blood Transfusion Consultation” with all and every means and to facilitate the patients of Shamshad Aslam Hospital. SAH & PFS individually “Party-1 & 2 respectively’ and collectively the “Parties”, enter into the folowing agreement. 2. Agreement This agreement made on _24_ March 2022. Wanin such folds os re mutualy acceptable forthe Paris, the folowing feris of Cooperation, amongst oer, end responsbiles of pares iy be pursued her under: 2.4 Suppor by SAH shall include: tux Adequate space as perth requirements for @ comfortable, functional acceptable working of @ PES ‘ood bank Det 222 Provision of 24/7 uniterupted thee phase electcty win generator back up for blood bank equipment 212 Air-conditioning of all rooms under use of PFS Blood Bank Det to provide ambient ‘temperature for optimum working and comfort of donors 24 Provision of internet facility for installation of Blood Establishment Computer Software (BECS). 214 Provide appropriate space for dsl o standees PES & SAH jolt venture of Blood Bank Services. 22 Services by PFS Blood Bank include: 12+ All cept invesiment involving seting up complet bood benk wil be responsibity of PES blood benk seg labs nnn fH, FF od ener anges mate patient Fequirement 24/7, 221 Platlets being of short expiry, the demand shall be met from main center or PES HBBs accoraing to \ ors one Ensure perborate temperature storegesransporaton of blocd products. aL Propir x thatching with Micro-column Gel technique. 220 Eure Qualty Assurance inal erkng of blood Bank227 Platelets and Massive Transfusion Protocols (MTP) for emergencies to be provided from any of Det or PFS Main center depending on inventories. If delays are expected due short inventory then patient Zattendant shall be referred to PFS Main center at Mega Medical Complex. sas PFS have ownership of all products & transfused anywhere after all PFS SoPs are put in place and followed by Senior consultant to address all queries and problems directed towards products and services of PFS, issued from PFS. 12s Prepare and implement all documentations as per requirements of PHC/PBTA. 3. HR Management PFS shall carry out functioning of all blood bank activity through its own staff 24/7. However, PFS Shall support, guide and train SAH staff for clinical transfusion and hemoviglance aspects of transfusion, 4. Financial Arrangements +, PES service charges are attached in Annex. Charges are based on replacement of blood. If no donations are made then system will not work. SAH shall promote and insist on replacement donations and also facilitate through its good wil, blood donation camps. 42. No charges are incurred at time of collection of blood and patient is only charged at the time of issuance, 443 PFS wil pay to 30% share to SAH on all services and sale rendered by PFS. The payment shal be ‘made on monthly basis inthe form of a bank transfer/Cheque to Party 44 The SAH share will be wihin fiteen days of close of each month. Proper record of issued products shall be maintained by PFS for reconciaton at end of each month. 445 In case of any revision in charges by Party-2, it wil be notified to Party-1 in writen one prior fo applcable of new revised charges lst. The tie to revision is not fhed in view of voatiiy in coler exchange rale. The aforementioned agreed percentages shall be appicable on new revised price fist 446 PFS will utlze only IDC Diagnostics services as and when required on full payment. 5, Commencement, Renewal ‘The implementation of broad areas in agreement shall commence after signing contracival agreements between parties, and definite time limit shal be realistic and mutually agreed upon. This agreement wil be effective from the date of the last signature hereto and wil remain in force for 9 time period of one (1) year, with a possibilty for renewal atthe end of one-year-period, subject (0 the Parties’ writen agreement. 6. Dispute Resolution The dispute if any will be resolved as per agreed terms and conditions signed by both Parties. Incase Some dispute is stil not resolved or covered inthis contract then both Parties will forward the matter Jorarbiraton. Arbitrator can be selected and decided mutually at any time by both the Parties to dispute to safeguard their interests. 7. Notice & Communication “Any notice or other formal communication given under this agreement must be in writing (which does ‘rot include e-mail) and may be delivered in person, or sent by post othe Party to be served at the following address: to First Party at: to First Party at: Mirza Mohammd Farman. Director Operations ‘Manager Operations ‘Shamshad Aslam Hospital -Firs{Solutions (PFS) Blood Bank (Quaid Avenue, Uppal Square +4" Floor Mega Medical Complex Lalazar Wah Cant Police Siation Road, Saddar, Rawalpindi Contact No: 0300-5197123 Contact: 0345-2113670 Made siddiquec@yahoo.com Email: mfarman94@hotmail.com thorn vol Lf or at Sich other addr@8s as a Party may notily tothe other Party under this paragraph. Any noticeor other rt Sen by post shall be sen by egstered delivery posveourer. Ay lier ter almunicaton shalbe doomed Rave bong: eprint th tn of erwin ckonldymen ot a8 - itsentby posticotrer:Nidroconecoad) Ae lo 8. General Coordinators Each Party shall designate an administrative office/person to oversee and facilitate the ‘implementation of any disagreements arising out ofthis agreement. 9. Legal Relationship This agreement shall be construed as a statement of purpose to promote @ genuine and mutually beneficial collaboration between the Parties. Nothing in this agreement shell create any legal relationship between the Parties. ll issues shall be resolved mutuelly. 10. Termination Either Party may terminate this agreement by giving at least two (2) months’ notice in wniting to the ‘other Party. This agreement has been drawn up in two (2) original copies in the English language, ‘each Party receiving one duly signed copy hereof. 11. General Consideration Both parties shall honestly and in good faith share all type of information required for building relationship on mutual trust ‘Shamshad Aslam Hosp one V9-2% 02 pote: 24.08. 209% In the presence of Witnesses For Porty-1 For Party-2 witness Witness-t 3, mm LE sire Vi Nome: nba Hsp Rion Name: _Miuhammoc Farman cowie: 940 6— 69513 91- 7 cnc: _4 2000-04 8383-4 Contact: 777-5379 Wy Contact: OBUS- AU ACHE Date: 2% 97 Jor? Date: 4. 02,2023 A biiftgormrns Dr Muhammad Iqbal Director SAH ‘Wah Cant“yueuius2Aog oy} JO 49: yBnoiy yueg 0} SadUENIWO; (Ayo Puesnous ouo) ( Jo 9se9 ain ul Avo pash eqs. ~ r ‘eq yuowked panieoay ‘eamyeutig | C =1000"t “SU : T | ‘ AZ| | Sy” % "3 Oe: ul pied 3 99 0) Kavow | ata Buvepso | ze Fa 2200 uN J0 auouer| SLE > | uoneubisep yy | ‘huowny voisnysuesy |S SS & | pue aimeuBig | s}dis.ay pooja qefund | Bo $3 . ‘heroes | “$B =F | rdieoey wes6 | 42430 ee | pue pansoay = | "palo yyeey Jeak au0 5 e \. 40} NOW JO! | | -bZ8709 ; ees ayer -/000'l Sy} 884 JeMauaYy yueg ay wnos3y pieg si Reuow jeueq oy 49RI0 jo peay, (Aue!) Auowne ‘asoy uo uosiag | pavapual, ANnowy ‘ayy pue seour aun jo ssaippe pue | wounk ase ae ay) jo siejnomed yng | uoneubisep 40 eweN AinS€8I] BUT 70 Tea ——| a 7a Uy pais 38 OL veunedeg our Aa us panes 9q 01 | “ouiios ea BS UIP (ueisiied jo quER aIeIS | (ueisied Jo yueg jeuonen) Aunseail-ang / funseas, {__ 28429 TeuorstaoigPan Punjab Blood Transfusion Authority 1-Birdwood Road, Lahore CERTIFICATE OF REGISTRATION (This is nota Substitute of License) This bs to contily that —G” Kit Nltans ZB Bank, stated at enlisted in the data base ——Ciuinitian Goeapind has, Sf Panjel Blood Tre er co po er at Se. Ne 395 2 ZO egisten wader Sefe Blood Transfusion Oocdinance, (008, Thess not w sata of Lat which wild be ised on satisfactory dnspucticis, rgpint hyp desigma ted, noted cnspection committer, SD YZ. Gon Seanderd.- Blood Transfusion Seices"ts ba reviled: The eee Band not complying with Uagaideline provided, : | ollinel' te sasuad Leanie GeeSee License No 0200/A#/2024-26 Reistration No PTA PS-0394 Punieb B Blood.Transtusion Authority eS : ee, Frid 9 Bld Tra Fs n fy ‘ Blood Center P-First Solutions Police Station Raod, Saddar, Dist: Rawalpindi Pefesing Bleed Colleton 2 CGieying 3 Dirration Ey 4 Pherage d.' Gress 5p Ming 6 6. Ohrening ee npn Pepa & Snunehaemateleyy yy «Ts “mass in S-yeeers upe : | Trenle 31 2020 1, 2016 a ish Authority i iiyy 0m P-FIRST 0 —woLurio ne PROF BRIG (Retd) NUZHAT MUSHAHID TI(M) FCPS(HAEM), CTM (TRANSFUSION, UK) ‘CEO & Technical Consultant P-Firstsolutions Blood Bank 4" Floor Mega Medical Complex Police Station Road, Sadder, Rawalpind! Tel: +92-51-8733871 No. PFS/PBTA/6-2023 Dated 22 December 2023 To, The Secretary Punjab Blood Transfusion Authority » 176-C 6-Scotch Corner, Upper Mall Scheme HHSPS Shahrah-e-Quaid-e-Azam Lahore Phone: 042-99205492 Subject: Submission of New Registration Forms References: A. PFS/PBTA/02-2023 dated 30 October 2023. B. PFS/PBTA/03-2023 dated 07 November 2023. C. PFS/PBTA/0S-2023 dated 13 December 2023. 1. Please find enclosed copies of registration forms of under mentioned healthcare/Blood establishment, duly filled as per PBTA new prescribed format for registration & the provision of blood/blood components. a. Shamshad Aslam Hospital Wah Cantt b. Capital Diagnostic Center Wah Cantt ¢. Umer Hospital Wah Cantt Rest of documents already have been submitted vide references AtoC. (copy attached) ‘Approval of same is requested for establishment of blood services for hospital patients at earliest. Thanking, ro ‘Adm SAH ‘Adm Umer Hospital cc: 1 2. Adm CDC 3. 4, Office File sn roeriiga ged Oomln near Meas Medes Coreln |) io@ptatttonscom wr fstslsons.comital Blood banking Services are provided by the. a CJ Receiving Hospital b GC) Supplying Hospital Please specify services available at Receiving Hospital a. Oo Temporary storage. b. &) Cross match c. ©) Blood grouping 6. AVERAGE REQUIREMENT PER MONTH OF RECEIVING HOSPITAL a) Whole Blood-------------------- d) Platelets—!2=—. erent, e) Others— ~ — 7. QUALITY MANAGEMENT SPECIFICATION The Supplier undertakes to ensure that all blood components supplied will be panied by appropriate documentation and will be transported in a validated jiner (Transport Blood Containers with Temperature) which ensures that the * suppliedcomponents remain within specification throughout the transport period and <2 until they are transferred to controlled temperature storage. The supplying and --gecelving hospitals will adhere to the quality system for hospital blood banks as required by the PBTA/ PHCRegulations. The following particulars will be apply:- = © There are standard ‘operating procedures for the storage, distribution and transport of blood and blood components within the supplying and receiving hospitals, © Blood components will be issued and transported in accordance with thePBTA/PHC transfer policy. © A fully documented procedure exists covering responsibilities and actions to be taken by each hospital In the event of a recall of blood components. © “Cold Chain” procedures, supported by documentary evidence, ensure specified Note: Please fill the form carefully, Incomplete application will be rejectedFrom Dated_2.1°%) Jor? bto_ 2 2.04% (Maximum one year) 2. DISTANCE BETWEEN SUPPLYING AND RECEIVING HOSPITAL (INKMS) NO Ves ee NO i 3. SERVICE OBIECTIVES seal 5 j. (tei 4 The objective of this Agreement isto secure for (Receiving ospital veenabracl Loon He “fs the provision of blood components and/or related services when and where the said has ‘ very low workload and also as a temporary arrangement until its own blood bank is not \ established or Is lacking in such quality services for the best provision of safe and healthy blood and blood products to patients. To a level that satisfies the requirements of the Punjab Blood Transfusion Authority. jy 4+ SEBVICESTO BE COVERED The main elements of the services to be covered by this agreement are:- Please mark relevant boxes: - a Provision of blood/ blood components. 3 ae Of seeenng of donated blood. (Component preparation. (& Storage of blood/ACC. (Storage ‘of Components. - cross Match, ‘The supplying blood Bank will supply blood and blood components in com, pliance with the PBTA/ PHC Regulations. It is recognized that the requirements of the Regulationsare to be met assess compliance with the Regulations. For reference, the main applicable laws are:- a) Punjab Blood Transfuslon Safety Act. 2016. b) PHC indicator 21 for category 1 Hospital Note: Please fill the form carefully, Incomplete application will be rejectedMEMORANDUM OF UNDERSTANDING (MOU) hiss 2 technical agreement for the provision af hland/ blood components aruiner blood transfusion services. (As a temporary arrangement) to Gye lte _fRecessing Hospital) This agreement made on Dated eth 4 Between supplying Hospital/Blood Bank/Blood Centre/ address I icense Expiry Date. ‘SS Cell No. (QA RIES IEY,..Ermall 42 ha6 \aeveh(2, (Please attach copy of license} yrs coon. es pa atts \\ |= UZ HAT MUSHAHID MBBS FCPS Mee) CIM ETI ME (Name / Signature & Designation onbchalf of {he Supplying Hosanetarubonentleynateend \ P FIRST SOLUTIONS Receiving Hospital/Blood Bank @ Name of Blood Bank/Hospital SAN sires Ld A J Cell No. (I .. Email. Name / Signature & Designation on behalf of the Receiving Hospital with complete address) (To be filled by PBTA / DBS!) pataticenseNo,_0200/A| 2021 pate_30 -03- 21 Date of Expiry of this agreement._3.4.-42- 2023 Note: Please fill the form carefully, Incomplete application will be rejectedWP bios is suc issued by PBTA& WHO will be followed. t Blood is supplied on replacement basis number of donors which will be needed or one unit request from receiving hospital as donor serology reports will identify fate of safe blood collection. Staff will receive appropriate and regularly updated training in all of the above activities and appropriate records of this training are kept. TRACEABLITY \t is essential that there is complete traceability for all units transferred. Full records will be maintained of the distribution of all components from the supplier to the receiving hospital and there will be a documented process in place to confirm the ‘member of staff who received the supplied components and when they were received The originating Blood bank will be responsible for full blood screening including QC and logy according to WHO criteria.(ELISA or CLIA.) ICT screening is_no_ longer commended by WHO for blood donation screening). N OF ENTRY UNITS (RECEIVING HOSPITAL] After blood components that have been transfused, receiving hospital will be responsible for returning the empty units back to the originating blood bank for final documentation within the transfusion laboratory computer system/ Log Blood. For blood components that have not been transfused. Receiving Hospital will be responsible for recording the final fate of the components, including the reason they were not used and transferring the information back to the originating Blood bank for final documentation within the transfusion laboratory computer system and notification of the Blood Service. Irrespective of whether the blood was transfused or discarded, the receiving hospital must return the traceability document/ label to the 3 origination Blood Bank. No unit will be accepted that have been transferred back for storage once out of their storage temperature. The return policy of non-transfused bldod and blood components must be elaborate and clear between two. a. Timeline for returning none transfused blood/components. _tethen -- SERIA date c. Responsibility of discard. wn Rec singe NENA: teteeeeneenee