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How to Donate
Register As a Blood Donor
Request Blood
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Your request through SMS will go to
1 : 10
donor of selected Blood group and Area.
If you have not recieved any response from Blood donors , kindly re-submit the request again after 15 minutes.
Information you provide will remain confidential and will not be used for any marketing purpose.
Access to this information is limited to staff with a genuine and essential need to have such access and will not be available to offenders or other persons.
Request Blood
*
Name :
Enter Full Name
*
Requested Blood Group :
A +ve
A -ve
B +ve
B -ve
AB +ve
AB -ve
O +ve
O -ve
*
Requested Blood Unit :
Enter Blood Units
Contact Details
*
Email :
Enter Email ID
Not a Valid Email ID
Note : Email Address will provide you
the Login Access to your account to update personal details.
*
Mobile Number :
Enter Contact Mobile Number
*
Area :
--Select--
Mannagudda
Kankanadi
Kapikad
Lalbhag
Bejai
jyothi
Nanthoor
Kadri
Adyar
Any
Urwa
surathkal
PVS
Statebank
Thokkotu
padil
kodikal
Mangaladevi
KASARAGOD
Pumpwell
Select Area
*
Hospital Name :
Enter Hospital Name
I hereby declare that the particulars furnished above are true and correct, and I am willing to Donate Blood on request.
You must select this box to proceed.