Bangladesh     The Virtual Blood Bank                                     
                   Blood Donors                        
        

rokto.org

[ take the call. serve humanity ]

 

Post Urgent Request for Blood

   
Please fill in the following form. Your request will be posted on our web page so that donor can respond.
Name of Patient
   
Age of Patient Years
   
Blood Group
   
Type of Illness
   
Telephone
   
Mobile
   
Name of Hospital/Clinic
   
Phone Number of Hospital/Clinic
   
Doctor's Name
   
Address of Hospital/Clinic
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