Blood Donation 25/4/2022
25/4/2022
3PM - 8PM
KULAI - AEON MALL
Sign in to Google to save your progress. Learn more
FULL NAME ( AS PER IC ) 姓名 *
NRIC 身份证号码 *
BIRTH 生日日期 *
MM
/
DD
/
YYYY
CONTACT NUMBER 联系号码 *
GENDER 性别
IT HAS BEEN MORE THAN 8 WEEKS SINCE YOUR LAST BLOOD DONATION （您距离上一次的捐血时间已超过8星期以上） *
What to know before donating blood 捐血前須知
1.Get enough sleep 充足的睡眠

2. Adequate hydration 充足的水分
Drink some of your favorite beverages 1 to 2 hours before donating blood 應在捐血前1至2小時開始飲用一些您喜歡的飲品。

3. Don’t donate your blood with empty stomach 不要空腹捐血
Those who have not eaten breakfast, lunch or feel hungry can cause hypoglycemia and dizziness. 未進食早餐、午餐或感肚餓者，会导致血糖过低晕眩等状况。

4. Avoid taking any medicines before blood donation for one week. 捐血前一星期内避免摄取任何药物

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms