Blood request

A request for blood for a patient.

Blood group

How many units (optional)

Name of the hospital

Needed by (optional)

Mobile number for donors to call

This number is shown on the site with the request, so that donors can call directly.

Anything important (optional)

Do not write the patient’s name.

Your details

A name is not needed. The number above is the one donors will call. Privacy policy

Your name (optional)

Rudrapur City may contact me on this number, by phone or WhatsApp, to check this information.

I agree that the contact number above may be shown on the site with this request.

You must be 18 or older to send this form. If you are under 18, ask a parent or guardian to send it. Terms of use

Nothing you send is published directly. Everything is checked first.