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To refer a patient to the hospital, a general practitioner should write a comprehensive referral letter. Start with the patient's details, including name, date of birth, patient ID, and address. Next, describe the medical issue, including examination and investigation findings. For instance, you might write about a patient, Mr. Smith, a 40-year-old man with a painful, non-mobile lump on his left index finger, measuring approximately 4x4x3mm. The letter should also include the patient's past medical history, relevant drug history, and any known drug allergies. Additionally, address the social history, highlighting any pertinent factors related to the patient's condition.
