प्लाज्मा डोनेशन

यह मानव मित्र प्लाज्मा डोनेशन फॉर्म है, अगर आप स्वेच्छा से प्लाज्मा डोनेट करना चाहते हैं और लोगों की मदद करना चाहते हैं तो यह फॉर्म आपके लिए है। कृपया इस फॉर्म को भरें, हमारी टीम जल्द ही आपसे संपर्क करेगी।

Important:

People who have tested positive for coronavirus and have recovered at least three weeks before donating and tested negative for Covid-19 twice.
The donor must be fit and healthy, and should not be suffering from transmittable diseases.
The donor must be 18–60 years old and should weigh a minimum of 50 kg.

Your Full Name*

Your Father's / Husband's Name*

Your Email ID*

Your Contact Number*

Your Date of Birth*

Your Gender*

Male

Female

Your Blood Group*

Date of Covid-19 positive?*

Why you want to Donate Plasma?*

Your Complete Address

Country*

State / Province*

City*

Street Address1*

Street Address2

Postcode / Zip