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BLOOD DONATION FORM
Jamila Sultana Foundation is a welfare health division of Global Pharmaceutical, Islamabad; which is dealing with treatment and prevention of Thalassemia, a genetically inherited blood disorder. The treatment of Thalassemia consists of continuous supply of blood and iron chelating medicine, which is provided free of cost to the patients.
You Can Save Someone's Life.
Donate blood For Good Cause and Serve Humanity.
Name *
Your answer
Father Name *
Your answer
CNIC Number
Your answer
Date of Birth *
MM
/
DD
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YYYY
Weight *
Your answer
Blood Group *
Institute/Off/Res *
Your answer
Last Donation Date
Your answer
Number of Donations
Your answer
Mobile Number *
Your answer
Email
Your answer
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