LAKSHMI ONKAR Memorial Foundation

Request Blood

Provide the details below to instantly alert matching donors.

person Patient Information

Patient's Full Name *

Age *

Gender *

Male

Female

Other

Diagnosis / Reason (Optional)

bloodtype Requirement Details

Urgency Level *

warning Critical / ICU

schedule Urgent (24-48h)

event Planned Surgery

Blood Group Required *

A+

A-

B+

B-

O+

O-

AB+

AB-

Bombay

Other

Specify Blood Group

Component Needed *

Whole Blood

SDP (Platelets)

PRBC (Red Cells)

FFP (Plasma)

RDP

Other

Specify Component

Units *

Date *

Time *

location_on Donation Location

Venue Type *

local_hospital At the Hospital

store External Blood Bank

Hospital / Blood Bank Name *

Address (Street/Area) *

City *

Pincode *

Google Maps Link (Highly Recommended)

call Attendant Contact

Attendant's Name *

Primary Phone *

Alternate Phone (Optional)

I confirm this is a genuine medical emergency and I have explicit consent to share these medical details. I agree that volunteer donor contact details will be used strictly for this emergency and must not be saved, shared, or misused in any way.

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Confirm Request

You are about to alert matching donors in your area.

Requirement: --

Venue: --

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Request Sent Successfully

Nearby donors have been notified via WhatsApp.

Mandatory Next Steps

Keep the patient's blood sample ready.
Keep the hospital requisition form signed.
Keep your phone line open for donor calls.