Varendra University :: UGC Approved Private University in Rajshahi

Patient's Full Name *

Patient's Age *

Patient's Gender *

Required Blood Group *

Date & Time of Transfusion *

Reason for Blood Transfusion *

Student/Employee ID *

Department/Program *

Your Full Name *

Relation with Patient *

Email Address *

Mobile Number *

Location of Transfusion *

Your request helps save lives. Thank you for your compassion.

VU Blood Line