Platelets Donors Request Form | RBF Platelets Donors Club Jaipur

RBF Platelets Donors Club, Jaipur

Step 1

Fill the Form with correct details

Step 2

All the respective donors will receive SMS with your requirement

Step 3

They will contact you and donate Platelets as needed.

Full name *

Email *

Patient's name *

Relationship with patient *

Phone Number *

Need Platelets

Blood Group Needed *

Hospital name *

When do you need the Donor? *

Urgency Level *