MPPHL has established blood bank service in Janakpurdham under the Ministry of Social Development, Madhesh Province. Madhesh Blood Transfusion Service (MBTS) situated in Mujelia Janakpurdham has capacity of storing 1500 units of blood. The MBTS has the facility to separate blood into its various components so they can be used most effectively according to the needs of the patient. It can separate one unit of blood to plasma, platelets, factor VIII, and packed RBC.MBTS also has the facility to check the transfusion reaction which occurs as adverse events associated with the transfusion of whole blood or one of its components.