Aim: To compare cross match and transfusion ratio with utilization of blood components Objectives: To find the cross match and transfusion ratio and compare them with utilization of blood components. Methodology: It is a retrospective study done in Saveetha Medical Hospital Blood Bank for a period of 1 year, Crossmatch to transfusion ratio calculated using the formula, C/T ratio= Number of units cross-matched / number of units transfused. Result: total number of crossmatched units of blood components was 3913and components issued was 2043 Overall C/T ratio was 1.91 which indicates efficient blood usage by all the departments of our hospital. Conclusion: Change of blood ordering patterns with use of restrictive transfusion strategy and MSBOS can avoid the over ordering of blood