e-Referral System [ Booking EA ][ Triage Nurse ][ SOPD Nurse ][ Doctor ][ SOPD EA ][ Admin ]

chan@ha.org.hk

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.2020)- AMENDED

.2020)- AMENDED

rral-Letter.pdf

ersion_20191015

Page of

Mandatory fields

HK ID:

SOPD No. or MRN No.:

Triage Code:

Patient Name:

Patient Phone:

Optional fields

Specialty:

Patient Chinese Name:

Secondary Phone:

Gender

Date of Birth (i.e. 25/12/2023):

Age:

Referral Date (i.e. 25/12/2023):

Appointment Date / Time: (24hr, e.g. 19:00, 13:30)

:

Remarks:

Create Time:

Save Draft

Send to Triage Nurse

Delete

Draft (0)

Returned (0)

Completed (0)

2024-09-09

No patient in queue