Thalassaemia and Congenital Blood Diseases Center

العربیة کوردی

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General Directorate of Slemani Health - Thalassaemia and Congenital Blood Diseases Center

Blood donator's name:
Date of birth:
Address:	Mobile no:
Blood Group:	Email:
Sex:
Weight :
Height :
HB:
Have you ever donated blood :	when :
		تێبینی
Do you use any drug?
Do you have any chronic disease?
Did you visit health centers for Surgery, Dental problem?
Did you recieve blood?
Pregnancey, Breast feeding, period?
Have you used alchol during the past 24 hours?
Do you ready to donate boold in case of needs?
Best time to contact you: Week days: Saturday: Sunnday : Monday: Tuesday: Wednesday: Thursday: Friday: At:

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Hemoglobin is made of two proteins: Alpha globin and beta globin	Thalassemia is a general name for a group of inherited blood diseases	Hemoglobin is made of two proteins: Alpha globin and beta globin

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Thalassemia and Congenital Blood Diseases center ©2012
TCBDC
Iraq- Sulaimany, Bakhtiaree Q.,
Hakaree street No113, House No 44Executive director: Aram Jamal Sabir
[email protected] , [email protected]
+964 0770 000 0000
+964 53 000 0000