Request Blood Donor – Jamia Blood Connect

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Patient & Hospital Details

Patient Full Name *

Ward / Bed / ICU Room

Hospital / Medical Center *

State *

City *

Area / Locality

Blood Requirement

Component Required *

Whole Blood

Platelets (SDP)

PRBC (Red Cells)

Plasma (FFP)

Units Needed *

2 Units

Urgency Timeline *

Additional notes

Attendant & Verification Contact

Attendant / Family Name *

WhatsApp Mobile Number * A verification code will be sent to this WhatsApp number.

Email (optional)

I confirm that this blood requisition is genuine and under medical supervision. I understand Jamia Blood Connect (AAJMI) is 100% voluntary, non-commercial and free of charge, and that my contact details will be shared with donors who respond.

e911_emergency

Need Blood Within 1 Hour?

Do not wait for form responses during acute trauma or immediate surgery. Call the hospital blood bank and emergency services.

callDial National Emergency: 112

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How Your Request is Handled

Verify Your Number

We send a code to the attendant WhatsApp number to confirm the request is genuine.

Targeted Local Alert

Eligible donors with a compatible blood group in your city and area get an email and WhatsApp alert.

Direct Hospital Connection

Willing donors contact the attendant and go to the hospital blood bank directly.

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100% Non-Commercial

No charges, no commercial trading, no financial exchange. Jamia Blood Connect operates strictly under the humanitarian principle of Khidmat-e-Khalq.

Request a Blood Donor