The Earth NGO

An Organization in Special Consultative Status with the United Nations Economic and Social Council since 2019

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Donate Blood

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Weight *

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Have you ever been deferred or rejected as a donor *

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Any medical conditions or allergies *

Any medication that you are currently taking *

How did you hear about The Earth NGO's blood donation drive *

By submitting this form, I declare that I am in good health and am willing to donate blood voluntarily in case of a medical emergency or as required by The Earth NGO. I understand that The Earth NGO will use my personal information only for the purpose of blood donation and will keep my information confidential.

Need Blood

Patient Name *

Patient Dob *

Attendee Name *

Attendee Mobile Number *

Select Blood Group *

Select Blood Component *

Required Date *

Units *

Location For Donation *

Requisition Form From Doctor ( Image) *

Refer By ( If any ) *

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Subject *

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Priority *

Issues *

Description *

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