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Sangli-Miraj Rd,
opposite Reliance Petrol Pump,
Bhokare Colony, Chandanwadi,
Miraj MH 416410
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Covid-19 Response Initiative
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Covid-19 Response Initiative
Recipient Registration Form
Name :
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Residential Address :
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Mobile No :
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State :
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TELANGANA 1
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District :
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City :
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Taluka :
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Blood Group :
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A RhD positive (A+)
A RhD negative (A-)
B RhD positive (B+)
B RhD negative (B-)
O RhD positive (O+)
O RhD negative (O-)
AB RhD positive (AB+)
AB RhD negative (AB-)
Any Disorder or Disability ? :
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Receiving Info
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Organs
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Time Limit :
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Urgent
24 Hours
48 Hours
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