Blood Donor questionnaire and consent form Blood Donor List-Namchi

VOLUNTARY BLOOD DONATION CAMP ORGANIZED BY SHQ (NE II/13TH BN THQ ITBP FORCE ON 17.10.2007 AND ORGANIZED BY SIKKIM STATE BLOOD TRANSFUSION COUNCIL

S No

NAME

AGE

SEX

ADDRESS

CONTACT 
NO

BLOOD GROUP

ACCEPTED/
DEFERRAL

1.

Udit Narayan

29

M

ITBP

9434861785

B+

Accepted

2.

S.K.Nair

40

M

-Do-

266232

B+

Accepted

3.

Francis T.P.

40

M

-Do-

9332474052

A+

Accepted

4.

Polly P.J.

39

M

-Do-

Not Given

A+

Accepted

5.

Mrutyunjaya Mishra

31

M

-Do-

9474351773

B+

Accepted

6.

Dr.Ashish Sharma

35

M

c/o “A”Coy BNITBP Raj Bhawan Gangtok

9932010247

B+

Accepted

7.

Kartik Chandra Dey

26

M

ITBP

Not Given

A+

Accepted

8.

S.C.Gupta

47

M

Dy. Commandant ITBP

9434755265/ 271018

A+

Accepted

9.

Dawa sherpa

36

M

ITBP

9232780195

O+

Accepted

 

 

VOLUNTARY BLOOD DONATION CAMP ORGANIZES By.SIKKIM POLICE ON THE OCCATION OF 150 YEARS COMMEMOATION OF MATHMA GANDHI SECOND OCTOBER AND SPONSERED:-By Sikkim State Blood Transfusion Council Dated:-02/10/2007.


SL.NO

NAME

AGE

SEX

ADRESS

CONTACT NO

BLOOD GROUP

DEFFERAL/
ACCEPTED

1.

Bikash Tamang

32

M

S.A.P. Pangthang

94343-39080

B+

Accepted

2.

Alkamit Tamang

34

F

Police Head Quarter

94743-57660

O+

Accepted

3.

Phurba Sherpa

42

M

-Do-

94342-41415

B+

Accepted

4.

Subash Gurung

34

M

SAP Pangthang

94348-70081

B+

Accepted

5.

Sandup Lepcha

25

M

-Do-

94743-55782

A+

Accepted

6.

Dawa Rinchen lama

25

M

_Do-

94344-46156

AB+

Accepted

7.

Sridhar Rao

40

M

-Do-

94340-24546

B+

Accepted

8.

Hasta Bdr Tamang

36

M

SAP Pangthang

97330-98960

B+

Accepted

9.

Mohan Prasad Rai

35

M

-Do-

94348-67807

A+

Accepted

10.

Sudhan Chettri

26

M

-Do-

94341-79251

A+

Accepted

11.

Sunder Rai

26

M

-Do-

94341-79521

A+

Accepted

12.

Bhagat Thapa

37

M

-Do-

Not given

O+

Accepted

13.

Shri B.K.Roka

56

M

DO

Not Given

A+

Deferral

14.

Sambu Pradhan

52

M

DO

Not Given

O+

Deferral

15.

Santa Bdr Rai

40

M

DO

Not Given

A+

Deferral

16.

Indra Kumar Limboo

28

M

DO

Not Given

A+

Deferral

17.

Harka Man Subba

35

M

DO

Not Given

A+

Deferral

19.

O.D.Bhutia

35

M

DO

Not Given

A+

Deferral

20.

P.K.Pradhan

51

M

DO

Not Given

O+

Deferral

21.

Mahendra Pradhan

27

M

DO

Not Given

B+

Deferral

22.

Karma Loday Bhutia

29

M

DO

Not Given

A+

Deferral

23.

Purna Bdr Subba

32

M

DO

Not Given

A+

Deferral

24.

Dik Bdr Pradhan

35

M

DO

Not Given

A+

Deferral

25.

Jasbir ghatraj

32

M

DO

Not Given

A+

Deferral

26.

Birbal Subba

47

M

DO

Not Given

O+

Deferral

27.

Wongyal Bhutia

29

M

DO

 

A+

Deferral

28.

Mohan Rai

29

M

DO

Not Given

B+

Deferral

 

Voluntary Blood Donation Camp Organized by Bharatiya Gorkha Para Sangha Sikkim Rajya Sabha and sponsored by S.B.T.C. Gangtok Dated 25.8.07

Sl.No

Name

Age

Sex

Adress

Contact No

Blood Group

Donated/Deferral

1.

Chetan Rai

48

M

S.N.T. Driver,s conductor association

943448168

B+

Donated

2.

Deven Rai

42

M

-Do-

9434137237

O+

Donated

3.

Dawa Sherpa

29

M

-Do-

-

O+

Deferral

4.

C.B.Chettri

50

M

-Do-

-

B+

Deferral

5.

Manu Ram Sharma

53

M

-Do-

9434489037

O+

Donated

6.

C.P.sharma

48

M

Tungla Bong

-

B+

Deferral

7.

L.D.Dulal

30

M

Central Pandam

-

O+

Deferral

8.

Sashi Gurung

43

F

Singtam Bhanu Park

-

O+

Deferral

9.

Sangay Lama

34

M

Himali samaj Kalyan Sangha DPH

-

O+

Deferral

10.

Arjun Rai

20

M

Kham Dong

97333134223

B+

Donated

11.

Niraj Baraily

23

M

Lall Market Gangtok

9434357778

A+

Donated

12.

C.L.Thakur

52

M

SPDC Gangtok

-

O (To be Confindental

Deferral

13.

Kuldip Giri

38

M

STNM Hospital

-

A+

Deferral

14.

Ved Prakash Gupta

41

M

Deorali

9434144254

B+

Donated

15.

Leela Dardolal

30

M

Central Pandam

9832470368

O+

Donated

16.

Deepak Pradhan

27

M

Upper Sichey

9733099109

A+

Donated

17.

Mrs.Babita Pradhan

29

F

Tadong Govt College

9434632395

A+

Donated

 

Voluntary Blood Donation Camp Organize by Sikkim Bar Association Date 4/8/2007 and Sponsored by SBTC STNM Complex Gangtok East Sikkim


Sl.No

Name

Age

Sex

Adress

Blood Group

Contact No

Deferral/Donated

1.

D.B.Kotwal

30

M

Gangtok

O+

9832555560

Donated

2.

RameshSharma

30

M

Rank

O+

9832560521

Donated

3.

A.K.Ghatani

27

M

Lamachaney Bld Deorali Bazar

A+

9733077581

Donated

4.

D.R.Thapa

38

M

Children Park Gangtok East Sikkim

O+

9434103269

Donated

 

VOLUNTARY BLOOD DONATION CAMP ORGANISED BY MANAV UTTHAN SEWA SAMITI & SPONSORED BY S.B.T.C HELD ON 27.07.2007

 

SL.
NO

DONOR’S NAME

AGE

SEX

ADDRESS

BLOOD GROUP

DONATED /DEFERRAL

Contact Number

01.

Chianku Sherpa

16

F

Manav Utthan Sewa Samiti

B+VE

Deferral

-

02.

Vijay Gurung

17

M

-DO-

B+VE

Deferral

 

03.

Bikash Rai

24

M

-DO-

A+VE

Donated

9733061965

04.

Pavitra Pradhan

44

F

-DO-

AB+VE

Donated

221520

05.

Anita Tamang

37

F

-DO-

AB+VE

Donated

9733214037

06.

Ram Basnett

29

M

-DO-

B+VE

Donated

220475

07.

Siraj Dorjee

15

M

-DO-

B+VE

Deferral

-

08.

Jeena Pariyar

27

F

-DO-

B+VE

Donated

9933470166

09

Pradeep SEwa

20

M

-DO-

O+VE

Donated

220475

10.

Indra Bdr.Bhujel

27

M

-DO-

A+VE

Donated

9733186975

 

 

“VOLUNTARY BLOOD DONATION CAMP” HELD ON 16.04.2007, ORGANISED BY BAPTIST CHURCH, GANGTOK, SIKKIM & SPONSORED BY STATE BLOOD TRANSFUSION COUNCIL, GANGTOK, SIKKIM.

Sl.
No.

Donor’s Name

Age

sex

Address

Blood Group

Remarks

Contact Number

01.

Mr. Mani Biswakarma

34

M

Baptist Church, Bagay Khola.

O+ve

Not donated

-

02

Ms.Karuna Tamang

21

F

Bardang, B.C.

O+ve

Donated

9933264776

03.

Ms.Rebica Shah

19

F

Bayag Khola, B.C

A+ve

Not donated

-

04

Mr.Mahesh Rai

21

M

Maizitar, B.C

O+ve

Not donated

-

05

Mr.Robin Bhujel

21

M

Maizitar, B.C

AB+ve

Donated

9832413345

06

Mr.Shyam Gurung

36

M

Maizitar, B.C

O+ve

Not donated

-

07

Ms.Martha Mangar

23

F

Bardang, B.C

A+ve

Not donated

-

08

Ms.Richa Sharma

19

F

Bardang, B.C

O+ve

Not donated

-

09.

Mr.Amar Sharma

24

M

Bardang, B.C

O+ve

Donated

9832037576

 

 

 

“VOLUNTARY BLOOD DONATIO CAMP” HELD ON 06.04.2007 ON THE EVE OF GOOD FRIDAY BY UNITED CHRISTIAN WELFARE SOCIETY OF SIKKIM & SPONSORED BY S.B.T.C. GANGTOK SIKKIM.

 


SL.NO

NAME

AGE

SEX

ADDRESS

BLOOD GROUP

REMARKS

Contact number

01.

Sagar Chandra Pradhan

34

M

E.P.C.S.

O +

Donated

98323431890

02.

Suresh Chettri

35

M

Word of Life

O +

Donated

9434867646

03.

Robin Gurung

22

M

E.P.C.S.

O +

Donated

2272490

04.

Azemit Lepcha

23

F

E.P.C.S.

A +

Donated

9832390490

05.

Anita Thapa

28

F

A.G.Church

B +

Donated

-

06.

Manisha Ghimirey

18

F

A.G.Church

B +

Not Donated

    -

07.

Suraj Subba

21

M

E.P.C.S.

A +

Donated

9832557637

08.

Kabir Rai

24

M

E.P.C.S.

A +

Donated

9933411374

09.

Rajesh Rai

34

M

Word of Life

O +

Donated

9434750088

10.

D.B. Kharka

50

M

OMEGA

O +

Not Donated

 

11.

Pemba Lepcha

41

M

E.P.C.S.

B +

Donated

9933081004

12.

Sheela Bujel

43

F

ST. Thomas

B +

Not Donated

 

13.

Augustin Trithatri

20

M

ST. Thomas

O +

Donated

94745782609

14.

Peter Dorjee

19

M

-do-

A +

 

 

15.

Damian Lepcha

20

M

-do-

O +

Donated

9333735054

16.

Salvarious Chettri

25

M

-do-

A +

Donated

9434103292

17.

Sargam  Lepcha

19

M

-do-

A +

Donated

9434103292

18.

Susana (sukmit) Lepcha

27

F

-do-

B +

Donated

9723022639

19.

Wilfred Daniel Chettri

49

M

-do-

B +

Donated

9832436358

20.

Solumsi Pradhan

18

F

-do-

O +

Not Donated

 

21.

Rosemary Bhutia

21

F

-do-

A +

Donated

   -

22.

Chrrstana Lepcha

19

F

-do-

O +

Donated

9933675979

23.

Mosess Rongung

25

M

-do-

A +

Donated

280102

24.

Pirya Lepcha

20

   F

-do-

O +

Not Donated

 

25.

Subash Rai

29

   M

-do-

A +

Donated

9434153490

26.

Simon Moktan

43

   M

-do-

B +

Donated

   9932295448

 

 

“VOLUNTARY BLOOD DONATION CAMP” ORGANISED BY DIET (H.R.D.D DEPARTMENT) HELD ON 12.03.2007 AND SPONSERED BY S.B.T.C, GANGTOK.

Sl.
No

Name

Age

Sex

Address / Contact No

Blood Groups

Accepted /Deferral
 

01.

Shanti Chettri

24

F

T.T.I.(Diet)/ 232712

AB +

Accepted

02.

Chung Chung Bhutia

25

F

-do- /205309

B +

Accepted

03.

Gayatri Dhakal

23

F

-do- / 231136

B +

Accepted

04.

Pintso Lepcha

22

M

-do- / 9832389942

O +

Accepted

05.

Vishal Tamang

23

M

-do- / 9932296067

O +

Accepted

06.

Dipen Gurung

23

M

-do- / 9832317828

B +

Accepted

07.

Pavitra Sharma

24

F

-do- / 259436

B +

Accepted

08.

Pem Doma Lepcha

25

F

-do- / 257643

B +

Accepted

 

VOLUNTARY BLOOD DONATION CAMP HELD ON 22.02.2007 ORGANISED BY BUDDHAS LIGHT INTERNATIONAL ASSOCIATION OF AND SPONSERED BY SBTC.

 

SL.
NO.

NAME’S

AGE

SEX

ADDRESS

CONTACT NO

BLOOD GROUP

DONATED/DEFERRAL

01.

Dilip  Dong

33

M

Buddha’s Light International Association

9434137127

B +

Donated

02.

Vineeta Pakhrin

30

F

-do-

9832032681

O +

Donated

03.

Nim Ongdup Lepha

24

M

-do-

22604

AB +

Donated

04.

Pema Tamang

39

M

-do-

9832032890

B +

Donated

05.

Lakpa Norbu Bhutia

33

M

-do-

9474350618

B +

Donated

06.

C.L. Sharma

30

M

-do-

9832055257

A +

Donated

07.

Prakash Pradhan

42

M

-do-

203907

AB +

Donated

08.

Bhim Thapa

37

M

-do-

9832086192

A +

Donated

09.

Rajesh Sunwar

29

M

-do-

9832349474

O +

Donated

10.

Mahendra Gurung

29

M

-do-

9434110085

O +

Donated

11.

Avinash Yakha

31

M

-do-

9434046472

A +

Donated

12.

Krishna Bdr. Gurung

35

M

-do-

9832390246

AB +

Donated

13.

Prakash Tamang

38

M

-do-

9434178973

B +

Donated

14.

Krishna Chettri

21

M

-do-

270583

AB +

Deferral

15.

Kamel Kr.Tamang

21

M

-do-

9832013087

O +

Deferral

VOLUNTARY DONATION CAMP HELD ON 20TH SEPTEMBER 2006

ORGANISED  BY INDO-TIBET BORDER POLICE  TRANSFUSION COUNCIL.

GANGTOK.

SL. NO.

NAME

AGE

SEX

ADDRESS

BLOOD GROUP

1.

Naresh Kumar

34

M

I.T.B.P.

B+

2.

Kartar Singh

33

M

I.T.B.P.

O+

3.

Siyaram Singh

23

M

I.T.B.P.

A+

4.

Anil Singh

26

M

I.T.B.P.

A+

5.

Dipendra Singh

25

M

I.T.B.P.

O+

6.

Uma Sankar

28

M

I.T.B.P.

A+

7.

Yudhvir Singh

26

M

I.T.B.P.

B+

8.

Rajpal Sahu

28

M

I.T.B.P.

B+

9.

Ravindra Kumar

30

M

I.T.B.P.

A+

10.

Prakash Chand

30

M

I.T.B.P.

B+

11.

Indra Pratap Singh

25

M

I.T.B.P.

B+

12.

Vijay Shedage

27

M

I.T.B.P.

A+

13.

Didar Singh

22

M

I.T.B.P.

A+

14.

Subodh Kumar Dev

23

M

I.T.B.P.

O+

15.

Santosh T.S.

36

M

I.T.B.P.

A+

16

Amrik Singh

30

M

I.T.B.P.

O+

 

VOLUNTARY BLOOD DONATION CAMP HELD ON 7.6.2006 ORGANISED

BY T.N.S.S. SCHOOL, CLASS XII STUDENTS AND SPONSORED

BY SIKKIM STATE BLOOD TRANSFUSION.

SL. NO.

NAME

AGE

SEX

ADDRESS

BLOOD GROUP

1.

Aneet Rai

18

M

T.N.S.S. Class XII

AB+

2.

Mahindra Sharma

18

M

T.N.H.S. Complex, Gangtok

B+

3.

Sonam Pintso

22

M