Background: The e-Rakt Kosh is an ambitious project to digitize blood banks across country for various objectives leading to smooth functioning for the benefit of patients. Most blood banks in the country have adopted it but there are ground realities that act as barriers in full implementation and adoption of this program. The knowledge of common issues that the staff of the blood bank feels toward the well-functioning of the program is beneficial to chart out strategies for improvement. Study: A questionnaire based study focusing on difficulties in the proper usage of the e-Rakt Kosh portal were noted and analyzed. Result: Seven key issues were identified that acted as roadblocks to the proper adoption and implementation of online entry and record keeping. Inappropriate manpower, computers and training were key parameters along with technological glitches of the online entry procedure. Conclusion: Proper and periodic assessment of performance is vital along with adequate manpower and infrastructure support in order to make this project a success in every blood bank.