Riyadh - Jeddah - Dammam Blood Donation Request - متبرع بالدم الرياض/ جدة السعودية
if you are looking for blood donor for yourself or any person you know of please fill this information
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Select Your city *
Blood Group Required *
Hospital Name (Blood Bank ) *
No of Blood units (Donor ) required *
Blood group exchange possible *
Means hospital Blood Bank will accept other type of blood group or need same type type yes if other type is acceptable
Care Taker   Mobile Number / Whatsapp *
Care Taker Name *
Patient File Number *
Patient Name *
Patient Age *
Patient Medical History *
Blood bank working timings *
Example 4pm till 10 pm
Deadline date / required Before / End Date *
Blood donation is required to be completed before which date
MM
/
DD
/
YYYY
Patient Care Taker  Name *
Prefer way to contact Care Taker *
Blood Bank location coordinates
Blood required for
Any comments note
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