Kidney Paired Donation

   
 

     
 
Donor
 
  Treating Physician /Hospital  
  Full Name  
  Phone  
  Alternate Phone  
  E–mail  
  Alternate E–mail  
  Age  
 
  Sex   Male Female
  Height  
(cm)
  Weight  
(kg)
  Address  
  City / District  
  State  
  Blood Group *  
 
 

If the donor has the same blood group as the recipient or has O blood group, the issue of blood group mismatch doesn't arise and there is no need to register here, unless there is an issue of crossmatch positivity ( HLA mismatch).

  Relation with patient  
  Diabetes   No Yes
  HIV   No Yes
       



 
     

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