e-Referral System [ Booking EA ][ Triage Nurse ][ SOPD Nurse ][ Doctor ][ SOPD EA ][ Admin ]
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chan@ha.org.hk
Internal Case No.: -000000-xxx
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Mandatory fields
HK ID:
SOPD No:
Patient Phone:
Patient Name:
Triage Code:
Optional fields
Patient Chinese Name:
Secondary Phone:
Gender
Date of Birth:
Age:
Booking Date:
Booking to Scan Dates: -102795(w)5(d)
Referral Date:
Add Remark:
Scanned Time:
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