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To refer a patient to the hospital, a general practitioner must write a detailed referral letter. It should start with the patient's information, including name, date of birth, patient ID number, and address. Next, describe the medical issue, including examination and investigation findings. For example, "Mr. Smith is a 40-year-old gentleman with a painful, non-mobile lump on his left index finger, measuring approximately 4x4x3 millimeters." Include the patient's past medical history and any relevant drug history, including allergies. Finally, discuss the social history, emphasizing pertinent details that may affect the patient's care.