Blood Drop
Blood In Need Facility
Gift Your Blood, Gift Life!
 An initiative inspired by Jagadguru Narendracharyaji Maharaj's
noble thought, Live and help others to Live
(तुम्ही जगा, दुसऱ्याला जगवा)


Blood Drop
Blood Request Form
 
Request Type
Organization Name
Patient's Name*
Patients Gender
Age of Patients   years
Contact Person
Contact Number(Cell)*
Email ID*
 
Blood Group Required
Number of bottles
Blood Required Date
(mm/dd/yyyy)

Address
(for Blood Donation)
State
District
Taluka
Pin Code*
Reason
Remark

         

रक्तदान श्रेष्ठदान
 
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