Blood Donation Form - W.H.Y. Foundation
--> Donating blood is a safe process. A sterile needle is used only once for each donor and then discarded.
--> The actual blood donation typically takes less than 10-12 minutes. The entire process, from the time you arrive to the
time you leave, takes about an hour and 15 min.
--> The average adult has about 10 units of blood in his body. Roughly 1 unit(300ml) is given during a donation.
--> All donated blood is tested for HIV, hepatitis B and C, syphilis and other infectious diseases before it can be transfused
to patients.
--> In India blood donation is voluntary and unpaid, this is normal in developing countries as demanded by WHO.
Full Name *
Your answer
Age *
Your answer
Blood Group *
Contact Number *
Your answer
Email Address *
Your answer
Last Donation Date
MM
/
DD
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YYYY
Before Your Donation
--> Maintain a healthy iron level in your diet by eating iron rich foods, such as red meat, fish, poultry, beans, spinach, iron-
fortified cereals and raisins.
--> Drink an extra 16 oz. of water or nonalcoholic fluids before the donation.
--> Eat a healthy meal before your donation. Avoid fatty foods, such as fries or ice cream before donating.
(Fatty foods can affect the tests we do on your blood. If there is too much fat in your blood, your donation cannot be
tested for infectious diseases and the blood will not be used for transfusion.)
--> If you are a platelet donor, remember that your system must be free of aspirin for two days prior to donation.
--> Remember to bring your ID proof.
After Your Donation
--> Drink an extra four (8 ounce) glasses of liquids and avoid alcohol over the next 24 hours.
--> Remove the wrap bandage (if you had one put on your arm) within the next hour.
--> Keep the strip bandage on for the next several hours.
--> To avoid a skin rash, clean the area around the strip bandage with soap and water.
--> Do not do any heavy lifting or vigorous exercise for the rest of the day.
--> If the needle site starts to bleed, apply pressure to it and raise your arm straight up for about 5-10 minutes or until
bleeding stops.
--> If you experience dizziness or lightheadedness after donation, stop what you are doing and sit down or lie down until
you feel better.
--> Avoid performing any activity where fainting may lead to injury for at least 24 hours.
Understand the Donor and Receipent chart
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