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Blood Donation Form

Bind Samaj Vikas Sangh (BSVS) has orgnized Blood Donation Camp on every year. This camps are vital events that play a crucial role in saving lives and promoting community health. These camps provide an opportunity for individuals to contribute to the well-being of others by donating blood, which is essential for medical treatments, surgeries, and emergency care.

Please fill the form below:
Personal Details
Gender
Communication Address
Blood Group Details
What is your Blood Type?
Is this first time donation?

Health Security Checkup
Do you suffer of any diseases?

Do you have allergies?

Have you ever has positive Blood test for HbsAg, Hcv, HIV?

Do you have any Cardiac Problem?

Do you suffer any bleeding disorder?

Do you take medication?

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