Plasma Donation Form

Name *

Enter Full Name

Gender *

• Male
• Female
• Other

Age *

Blood Group *

Tested covid negative on (date) *

Area, City, State *

Please enter the area, city and state where you currently reside

Any health issues (BP, diabetes, etc) *

Antibody Count (Not Mandatory)

Not Mandatory to fill

Submit

FAQ //
PLASMA DONATION REQUIREMENTS

RECOVERED FROM COVID-19? DONATE PLASMA.

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