 The objective of this study was to monitor the frequency of different adverse transfusion reactions and to assess the compliance of clinical staff with the process of sending proper transfusion reaction workup within the specified time. Methods, a retrospective audit was conducted at the Blood Bank of Kikutkana Memorial Cancer Hospital and Research Center, Lahore, Pakistan, and included all transfusion reaction forms received between July 1, 2017 and June 30, 2018. The forms were analyzed for type of blood component, time in which they were received by the Blood Bank, whether or not the form was completely filled, whether or not all required samples were provided, and the type of reaction. Results, a total of 12,787 units were dispensed and transfused during the study period, resulting in 50-0.39% transfusion reactions. Allergic was the most common type, 24%, followed by hemolytic, 18%, febrile non-hemolytic, 15%, and other types, 31%. Red cells accounted for. This article was authored by Mohamed Hassan, Imran Ahmed Siddiqui, Zahid Kumar, and others. We are article.tv. Links in the description below.