DONOR CARD

BE A HERO ! BE AN ORGAN DONOR !!

FIRST NAME

LAST NAME

AGE

BLOOD GROUP

GENDER

MALE

FEMALE

TRANSGENDER

ORGANS YOU WISH TO DONATE

Heart

Kidney

Pancreas

cornea

Any part of my body

ADDRESS

CITY

DISTRICT

PINCODE

PHONE

EMAIL

IN CASE OF EMERGENCY CONTACT

FIRST NAME

LAST NAME

REALTIONSHIP

AGE

BLOOD GROUP

GENDER

MALE

FEMALE

TRANSGENDER

PHONE

EMAIL

I HEREBY DECLARE THAT

I understand that this is not a living donor card

I understand that my organs will be donated after my death

I agree to the terms and conditions