Blood Donation Camp रक्तदान शिविर June-2022
Full Name पूरा नाम *
Mobile Number *
Age उम्र *
Weight वज़न *
Blood Group ब्लड ग्रुप *
Venue स्थान *
Any comorbidities कोई सहवर्ती रोग
Any surgeries in last 6 months?  पिछले 6 महीनों में कोई सर्जरी? *
Required
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