2016 Activities
Recent Activities

60 Thalassemics visited the Check Up Clinic at Sir Ganga Ram Hospital

 

Abstract Book

Upcoming Events
International Thalassemia Day, May 2017(TBA)
Fundraising event(TBA)
Blood Donation

Thalassemics India
A-9, Nizamuddin West, New Delhi - 110 013 (INDIA)
+(91)-(11)-4659584, 41827334
+(91)-(11)- 4659584
thalcind@yahoo.co.in
(* represent Compulsory Fields)
 
Name (In Capital Letters) Mr./ Ms. Mrs.*
Blood Group*
Age*
Sex*
Nationality
Fathers / Husband's Name *
Address (Residence / Telephone)*
Place of work / study Telephone
Mobile No.
Your E-Mail :

History of past illness (Mark)
Jaundice (Hep- A, B o C)
Cancer
Tuberculosis
Any Heart Disease
Diabetes (if on insulin)
Abnormal Bleeding Tendency
Acute Respiratory Disease/ Asthma
Convulsions
Drug addiction/alcoholism
Sign & Symptoms Suggestive of AIDS
Any skin disease on the puncture site
Polycythaemia Vera
Malaria
Breast Feeding/ Mensturation
Recent Immunization
History of Blood Transfusion
Any Major Surgery
Abortion/ Pregnancy
Typhoid
Tattoo
Unexplained Wt. Loss
Epilepsy
Leprosy
Schizophrenia

Any other disease  
*Weight
*Height
*Would you like to be a regular Donor
 Yes  No
When did you donate last
How often would you like to donate
3 Months
6 Months
1 year and more
*Enter the code shown on image: