Register for SHE-Saves | A Blood Donation Camp by Females

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Gham Power is excited to celebrate this year’s International Women’s Day with a special event SHE-roes: Celebrating Women with Art, Self-Defense and Giving Back.

"SHE-Saves" comes under this event and is a blood donation camp by females, where all the medical personnel and volunteers will be females and they will be facilitating blood donation for people who are of sound health. The donors could be anyone regardless of their gender. The main objective is to save lives through the provision of quality blood.

📍Gham Power, Shah Villa-292, Chun Devi Marg, Maharajgunj, Kathmandu
📅 March 4, Saturday

🕙11 am onwards

☎️9802300736

Full Name *

Gender *

Female

Male

Prefer not to say

Age *

Phone Number *

Address *

Kathmandu

Bhaktapur

Lalitpur

Other

Email Address

Blood Group *

Have you donated blood previously? *

Yes, I had discomfort during my previous donation

Yes, within the last three months

Yes, before three months

Required

Please check that applies to you *

18 to 60 years old

Weight above 45 kg

Have hemoglobin above 12 gm/dl

Have blood pressure 110-160 / 70-96 mmHg

Gotten a tattoo in the last 3 months

You ever tested positive for Covid 19

You ever tested positive for Dengue

Pregnant, breastfeeding, and have at least 8 days since the start of the recent menstruation

Had a medical surgery in the last 2 years

Recent use of drugs or strong medicines (people who take strong medicine for a short period will not able to donate blood from one week up to 2 years)

Required

How did you hear about this event?

Social Media

Friend

Website

Other:

Clear selection

Will you be able to bring another donor with you? If yes, how many people? (approximately) *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Ghampower.com. Report Abuse

Forms