“…23 In 2021, a study of Afroz etal, found that the incidence of Bombay phenotype was 0.006% in two centres of Dhaka city. 24 Recent report showed that, in Bangladesh about 40 persons had Bombay blood group, but no report or document found on the Para Bombay phenotype in this country 6,15,23 Arrangement of compatible units of blood for this critical and rare E-Beta thalassaemia patient having Para -Bombay phenotype is really challenging. 2,7, 8 21 From the above evaluation this patient should be transfused with only Bombay phenotype (Oh or OHm) type of blood (Photograph-I), Para Bombay or autologous blood for transfusion, if allo-anti -H or anti-HI in their serum is clinically significant ( i.e.…”