Dear Sofiya,
Regarding the below patient, there is a question to the doctor.
Could you kindly forward the following question to the doctor?
Patient Name : Mr/Ms
D.O.B :
Patient No. / EMC Ref :
Date of first symptom :
Date of first visit for this symptom :
Invoice No : (Dr )
Diagnosis :
Symptom the patient informed :
< Questionnaire >
Thank you so much for your cooperation in advance.
Kind regards,