Step 1: Focus on the reagent in use. A single Anti-D reagent applied to the patient cells is the hallmark of Rh typing, so the process being shown is Rh (D) grouping.
Step 2: Read the agglutination pattern. Clumping with Anti-D means the cell carries the D antigen and is labelled D positive; a smooth, clump-free reaction means the D antigen is absent and the cell is D negative.
Step 3: Recall that anti-D is not a naturally occurring antibody. Sensitisation happens through pregnancy or transfusion, which is why D status is critical in obstetrics and transfusion practice.
Step 4: The choices naming specific ABO types with signs are distractors, because they would require anti-A and anti-B reagents. The image only tests for the Rh group.
$Anti\text{-}D + cells \rightarrow agglutination = D\ positive$
\[\boxed{Rh\ group}\]