Blood Donation

Guide

Eligibility • Medical Screening • Rules • Regulations • Care

"One Donation. Three Lives Saved."

Basic Eligibility Criteria

Who Can Donate?
CriterionRequirementNotes
Age18 – 65 yearsFirst-time donors ≤ 60 recommended
Body WeightMinimum 45 kgWeight ≥ 55 kg → 450 mL collected
Haemoglobin≥ 12.5 g/dL (Female)
≥ 13.0 g/dL (Male)
Tested via CuSO₄ drop or digital Hb meter
Systolic BP100 – 160 mmHgMeasured before donation
Diastolic BP60 – 100 mmHgMust be within normal range
Pulse Rate60 – 100 bpmRegular rhythm required
Body Temperature≤ 37.5°C (99.5°F)No fever on donation day
General HealthFeeling wellNo illness in past 2 weeks
⚡ COLLECTION VOLUME: 350 mL if weight 45–54 kg  |  450 mL if weight ≥ 55 kg  — per NBTC guidelines

Donation Frequency

How Often Can You Donate?
ComponentIntervalMax / YearNotes
Whole BloodEvery 90 days (3 months)4 timesMost common donation type
Platelets (Apheresis)Every 14 daysUp to 24Same-day procedure ~2 hrs
PlasmaEvery 28 daysUp to 13Yellow liquid component
Double Red CellsEvery 112 days3 timesRequires higher Hb
GranulocytesAs directedVariableRare; for severe infection patients

Medical Screening at the Blood Bank

What Happens Before Your Blood Is Taken — The Info Rarely Explained to Donors

Before every donation, a trained medical officer performs a confidential health screening. Here is exactly what is checked:

Test / CheckMethod UsedPass ThresholdWhy It Matters
Haemoglobin (Hb)CuSO₄ drop test or digital Hb meter≥ 12.5 g/dLPrevents donor anaemia
Blood PressureManual sphygmomanometer100–160 / 60–100 mmHgEnsures cardiac safety
PulseManual or digital oximeter60–100 bpm, regularDetects arrhythmia
Body TemperatureOral / ear thermometer≤ 37.5°CScreens active infection
Skin & Vein InspectionVisual by nurseNo lesions; good accessPrevents donor injury
HIV AntibodyELISA / rapid test on donated bloodNon-reactiveProtects recipient
Hepatitis B (HBsAg)ELISA on donated bloodNon-reactivePrevents HBV transfusion
Hepatitis C (Anti-HCV)ELISA on donated bloodNon-reactivePrevents HCV transfusion
Syphilis (VDRL/RPR)Serological testNon-reactivePrevents syphilis
Malaria ParasiteMalaria antigen testNegativeTropical disease screen
Blood Group & RhABO + Rh typingConfirmed & labelledCross-match accuracy
Donor History FormVerbal + written questionnaireNo high-risk activityBehavioural screening
🔒 All test results on donated blood are STRICTLY CONFIDENTIAL and handled by licensed pathologists only.

Temporary Deferral Conditions

You Can Donate Later — Just Wait
Condition / SituationWait PeriodReason
Cold / Flu / FeverUntil recovered + 7 daysActive viral load risk
Dental Extraction3 daysBacteraemia risk
Dental Scaling / Filling1 dayMinor tissue trauma
Minor Surgery6 monthsRecovery & anaemia risk
Major Surgery12 monthsHealing + blood loss
Tattoo or Body Piercing6–12 monthsBloodborne infection window
Vaccination (Live virus)4 weekse.g. MMR, BCG, OPV, Varicella
Vaccination (Killed/toxoid)48 hourse.g. Flu shot, Hepatitis B
COVID-19 Vaccine28 daysPer revised NBTC circular
Childbirth / C-section6 monthsPost-partum recovery
Miscarriage / Abortion3–6 monthsHormonal & blood recovery
BreastfeedingUntil breastfeeding stopsNutritional needs of infant
Malaria (Confirmed)3 months after recoveryParasite clearance
Malaria Endemic Area Visit3 months after returnParasite window period
Typhoid Fever12 months after recoverySystemic bacterial infection
Jaundice (non-viral)3 monthsLiver function check
Alcohol Consumption24–48 hoursBlood viscosity & safety
Aspirin / NSAIDs3 days (platelets only)Platelet aggregation affected
Antibiotic Course7 days after last doseActive infection concern
Blood Transfusion Received12 monthsWindow period for TTIs
Endoscopy / Colonoscopy1 weekMinor mucosal trauma
Acupuncture (non-sterile)12 monthsInfection risk

Permanent Deferral Conditions

Cannot Donate — Ever
ConditionReason
HIV Positive (any stage)Incurable; recipient safety absolute priority
Hepatitis B (HBsAg+, chronic)Chronic carrier; transfusion-transmissible
Hepatitis C (Anti-HCV+)No cure available; lifelong recipient risk
HTLV I/II InfectionLeukaemia / lymphoma risk to recipient
Syphilis (untreated/chronic)Spirochaete transmission via blood
Heart Disease (active/treated)Donor cardiovascular safety
Cancer (any type)Risk of transmission; donor health
Epilepsy (on medication)Seizure risk during needle procedure
Insulin-dependent Diabetes (Type 1)Organ impact & donor stability risk
Chronic Kidney DiseaseMetabolic instability
Chronic Liver Disease (cirrhosis)Clotting factor deficiency
Babesiosis (history of)Parasite persists in red cells
Chagas DiseaseEndemic parasite; transmissible
CJD / vCJD (or at risk)Prion disease — no reliable test exists
IV Drug Use (ever)Permanent bloodborne disease risk
Received Dura Mater / Corneal GraftCJD prion transmission risk
Haemophilia / Clotting DisordersRecipient safety + donor blood loss

Medication-Based Deferral

Common Drugs That Affect Eligibility
Drug / MedicationWait / ActionNotes
Aspirin72 hrs (platelets only)Whole blood: no deferral needed
Warfarin / Blood Thinners7 days after stoppingINR must normalise first
Isotretinoin (Accutane)1 month after last doseTeratogen — recipient risk
Finasteride1 month after last doseSevere teratogen
Dutasteride6 months after last doseLonger half-life than finasteride
Etretinate (Tegison)Permanent deferralLong half-life teratogen
Acitretin3 years after last doseSevere teratogen; long clearance
Oral ContraceptivesNo deferralSafe to donate
Hormone Therapy / HRTNo deferral if stableDonor must feel healthy
Antibiotics (acute course)7 days after completionActive infection concern
Systemic Steroids (long-term)Reviewed by medical officerImmune suppression review
ImmunosuppressantsPermanent deferralTransplant / autoimmune patients

Pre & Post Donation Care

Essential Steps for a Safe Experience
✅ BEFORE DONATION — DO THIS
Hydrate well — Drink 500 mL extra water 2 hrs before
Eat a light iron-rich meal — Include spinach, lentils, or eggs
Avoid fatty foods — Fat affects infection testing accuracy
Sleep 7–8 hours — Reduces dizziness risk
Carry valid photo ID — Aadhaar / PAN / Passport required
Wear loose clothing — Easy upper-arm access needed
Avoid alcohol 48 hrs prior — Affects blood quality
No strenuous exercise — On the day of donation
Disclose ALL medications — Full honest disclosure required
✅ AFTER DONATION — DO THIS
Rest 10–15 minutes — Stay in the observation area
Press & keep plaster on — For at least 3–4 hours
Drink extra fluids — Juice, water, coconut water
Eat snacks provided — Biscuit and juice at donation camp
Avoid driving 30 min — Possible light-headedness
No heavy lifting 24 hrs — Rest arm used for donation
Avoid alcohol 24 hrs — Post-donation dehydration risk
Exercise next day only — Light activity okay after 4 hrs
Iron-rich diet 7 days — Red meat, spinach, legumes

Indian Regulatory Framework

Legal & Official Guidelines — NBTC, CDSCO, Drugs & Cosmetics Act
Regulation / BodyKey Provision
Drugs & Cosmetics Act, 1940 (Schedule F, Part XII-B)Governs licensing, operation & quality standards of all blood banks in India
National Blood Transfusion Council (NBTC)Apex body under MoHFW; sets all national standards & policies for blood transfusion
State Blood Transfusion Councils (SBTCs)Implement NBTC policies; oversee state-level blood bank licensing
Voluntary Blood Donation PolicyAll paid/commercial blood donation is BANNED in India since 1998
CDSCO (Central Drugs Standard Control Organisation)Licenses blood banks; conducts compliance inspections
NACO (National AIDS Control Organisation)Mandates HIV screening on every single donated unit
Blood Bank LicensingEvery blood bank must hold a valid licence from State Drug Controller
Informed ConsentDonor must sign a voluntary consent form before donation proceeds
Medical Officer CertificationA registered MO must certify donor fitness before blood is drawn
Donor Deferral RegisterAll deferred donors must be recorded; register reviewed quarterly
Blood Component PreparationMandatory separation into RBCs, plasma, platelets where feasible
Labelling StandardsEvery bag: blood group, Rh, volume, date, expiry, screening status
Cold Chain RequirementsWhole blood: 2–6°C | Platelets: 20–24°C agitated | FFP: ≤ −25°C
Cross-Matching MandateCompulsory ABO + Rh cross-match before any transfusion
Haemovigilance Programme (HvPI)All adverse transfusion reactions must be reported to CDSCO/NBTC
Lookback / TraceabilityEach donation traceable from donor to recipient for up to 30 years

Blood Group Compatibility Chart

Who Can Give & Receive What?
A+
Blood Group
Donate to: A+, AB+
Receive from: A+, A−, O+, O−
~27% of India
A−
Blood Group
Donate to: A+, A−, AB+, AB−
Receive from: A−, O−
~1% of India
B+
Blood Group
Donate to: B+, AB+
Receive from: B+, B−, O+, O−
~37% of India
B−
Blood Group
Donate to: B+, B−, AB+, AB−
Receive from: B−, O−
~2% of India
O+
Blood Group
Donate to: A+, B+, O+, AB+
Receive from: O+, O−
~36% of India
O−
Blood Group
Donate to: ALL blood groups
Receive from: O− only
~2% of India
Universal Donor
AB+
Blood Group
Donate to: AB+ only
Receive from: ALL blood groups
~9% of India
Universal Recipient
AB−
Blood Group
Donate to: AB+, AB−
Receive from: A−, B−, O−, AB−
~1% of India
🩸 O− is the Universal Donor (red cells)  ·  AB+ is the Universal Recipient  ·  AB is the Universal Plasma Donor

Quick Reference — Emergency Contacts

National Blood Transfusion Council

nbtc.naco.gov.in
Policy & Donor Registry

eRaktkosh (MoHFW Portal)

eraktkosh.in | 1800-180-1104
Blood bank locator — 24×7, Free

Tamil Nadu STBC

Dial: 104
TN blood bank directory & helpline

Indian Red Cross Society

011-23716441
Blood donation drives & camps

NACO — HIV Queries

1097 (Toll-Free)
Confidential HIV counselling

National Health Mission

104
Health helpline — India-wide

Every Drop Counts.

A single whole-blood donation takes just 8–10 minutes and can save up to 3 lives.
Be a hero — register as a donor today at your college blood donor registry.