| G_1 | Initials of the child |
| G_2 | Researcher Code |
| G_3 | Date of blood collection |
| G_4 | Time of blood collection |
| G_5 | Time of last meal (khana) / snack (khaja) (If not today enter 8888) |
| G_6 | Time of last breast feed (If not today enter 8888) |
| G_7 | Amount of whole blood (ml) |
| G_8 | Time of Plasma separation |
| G_9 | Hemoglobin level |
| G_10 | Blood group |
| G_11 | Number of Plasma Aliquots |
| G_12 | Time of transfer plasma aliquots from field |