Introduction:Haemovigilance is a set of surveillance procedures covering the whole transfusion from collection of blood and its components to the follow up of its recepients.Haemovigilance programe of India was launched on 10 th December 2012 . Objective:To identify and prevent occurence or recurrence of transfusion related unwanted events and to increase the safety ,efficacy and efficiency of blood transfusion. Materials And Methods:Transfusion reactions reported over a period of 3 months(march,april,may 2016)were reviewed and analysed. Results:A total of 2445 units of whole blood and components were transfused in this period.In this 1330 units of whole blood,950 units of packed cells,65 units of platelet rich plasma and 100 units of fresh frozen plasma were transfused.Acute transfusion reactions(ATR) encountered were 16(0.65%).Out of which ATRs with whole blood were(n= 7,p=0.13 ),with packed cells were(n= 2, p=0.19),with platelets were(n= 4,p=0.18)and with frozen plasma were (n=3,p=0.53).Allergic reactions were most common ATRs seen with whole blood transfusions.Febrile reactions were the second most ATRs.Least number of ATRs are seen with packed cells.Obstetrics and gynaecology department recieved most of blood transfusions(58.27%),while paediatric department stood second(8.6%). Conclusion:The overall incidence of ATRs in this hospital is 0.65%.Though there are no leucoreduction facilities, the ATRs are less due strict aseptic compatability testing.