The study depicits that more than three fourth of donor are female i.e 83.6% and more than three fourth of recipients are male i. 80.4%. The current study depicits that there is significant statistical association between PRAI and DSAII report of pretransplant pair. i.e (P:0.002), between CDC and PRAII report of pretransplant pair. (p:0.000), between DSA I and COVID 19 infection of pretransplant pair. (p:0.033) and between DSA II and COVID infection report of pretransplant pair. (p:0.008).