Referring patients to the Outpatient clinic

* Only to be completed by doctors.

[[[["field29","equal_to","Yes"]],[["show_fields","field30"]],"and"],[[["field31","equal_to","SKGH"]],[["show_fields","field15"]],"and"],[[["field31","equal_to","RCDR"]],[["show_fields","field33"]],"and"],[[["field31","equal_to","SKHM"]],[["show_fields","field34"]],"and"],[[["field31","equal_to","SKHWC"]],[["show_fields","field32"]],"and"]]
1
Referred By
Patient details
Gender
Reference to
Reason for Referral
Clinical Data
keyboard_arrow_leftPrevious
Nextkeyboard_arrow_right