Background: Blood is scarce. Even with mankind__ampersandsignrsquo;s advances in the field of science, there is still no substitute for blood. Voluntary blood donation is the safest and most ideal method to meet the current shortage we face. College students are a good source of easily accessible, quality blood provided that they are sufficiently motivated and sensitized to the need. Objective: To assess the knowledge, attitude and practices on voluntary blood donation among first year medical college (Allopathic and Ayurveda) students. Materials and methods: The study was conducted on a total of 165 first year students of BLDEU__ampersandsignrsquo;s Shri B. M. Patil Medical College and A. V. S. Ayurveda Mahavidyalaya, Bijapur. A semi-structured questionnaire was used to obtain information regarding knowledge, attitude and practices regarding blood donation. Data was analyzed and presented in the form of percentages and figures. Results: All the students had an incomplete and inadequate knowledge regarding blood donation. Although 87% expressed their desire to donate blood, only 18% had donated before, of which only 14.5% were voluntary blood donations. 18% were not aware of their blood group. 66% felt that donors must be rewarded monetarily. 72% students felt the need of some form of motivation to convince them to donate blood. Conclusion: This study shows that the knowledge, attitude and practices regarding voluntary blood donation is dismal among first year medical students. Measures have to be taken to raise awareness and abolish the myths and fears linked to voluntary blood donation.