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Plasma Donor Directory
This data will be compiled and used for the people in need of Plasma amid the Covid-19 situation.
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* Indicates required question
Full name
*
Your answer
Blood Group
*
A +ve
A -ve
B +ve
B -ve
O +ve
O -ve
AB +ve
AB -ve
Gender
*
Male
Female
Prefer not to say
City
*
Your answer
Contact number (+91 XXXXXXXXXX)
*
Your answer
Covid-19 diagnosis date
*
MM
/
DD
/
YYYY
Medical conditions (if any)
Your answer
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