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Please fill the following information to post your blood request.
Title
Patient Name
Blood Group
-----Select-----
A+
A-
A1+
A1-
A1B+
A1B-
A2+
A2-
A2B+
A2B-
AB+
AB-
B+
B-
O+
O-
Patient Age
When Need Blood ?
State
Select Country First
Blood Unit / Bag (S)
Purpose
Mobile Number
Hospital Name
Country
Afghanistan
Åland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
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Belau
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Bouvet Island
Brazil
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British Virgin Islands
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Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
CuraÇao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
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Fiji
Finland
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French Guiana
French Polynesia
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Gambia
Georgia
Germany
Ghana
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Japan
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Jordan
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Kuwait
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Laos
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Libya
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Macao S.A.R., China
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Pitcairn
Poland
Portugal
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Reunion
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Russia
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Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Martin (Dutch part)
Saint Pierre and Miquelon
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San Marino
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Senegal
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January 26, 2022
