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To refer a patient to a hospital, a general practitioner should write a clear referral letter. Start with patient details: name, date of birth, ID number, and address. Describe the medical issue, including examination and investigation findings. For instance, introduce the patient, such as "Mr. Smith is a 40-year-old gentleman who presented with a lump on his left index finger," detailing its size, location, and characteristics. Include the patient's past medical history, relevant drug history, allergies, and pertinent social history to provide context. Ensure the letter is concise yet comprehensive to assist the receiving physician in understanding the patient's condition and needs.
