{"text":"! \nClelland, Agnes M, CHI: 0809555328, 26-Sep-2008, Dermatology \nPage 1 of 5 \n< : o\\\ufb02 o | \n\\ ) . \n1 \\ O \nHospital|Clinic Day - |Time Hospital \nuse Date ' No. \nonly (023 BLSU \no REFERRAL LETTER \nTransport required? \nMEDICAL IN CONFIDENCE \n\" | RererrAL TO \nDermatology A7 Consultant \/ receiving practitioner \nG General Referral and\/or specialty. clinic \nStobhill Hospital Hospital and hospital address \nHospital location code. \nA G207H] \nEmail address \nI _ \nUrgency of referral\u2019 URGENT trz::;r:ng.are-up of dermatitis:not responding\u2018to \n|| Pate of referral 26-Sep-2008 Date sent 01-Oct-2008 \nPATIENT DETAILS, Patient's-address \nSurname Clelland | 39 Rennie Road \nForename(s) [Agnes M |KILSYTH \n. ] GLASGOW \nTitle - {mrs G65 9PQ \nSex Female J , \nDate of birth [08-Sep-1955 | Contact number(s) \nCHI no. [0800555328 | [voice: 822191 : \u2018 \nREGISTERED GP DETAILS Practice address \nName Dr M Stephens I ) Burngreen Park ! \nGMC code 1348707 GPcode _|L12807 Kilsyth \ni North Lanarkshire \nPractice name . [The Health Centre G65 O0HU \nPractice code |61502 | \" Contact number(s) \nVoice: 0844 477 2552 \n5 {Facsimile: 01236.826231 \n\\l \nREFE.RRING-GP\u2018 DETAILS g\u2018*\u2019%\u2014icms _ 3 | | \nName Dr. Sandra Brown BURNGREEN PARK 7 @ \nGMC code 2856289 | GPcode (10791 KILSYTH \u2122 \no \u2018 STIRLINGSHIRE . . \nPractice name Kilsyth Health Centre (61502) . \n\" | Practice code 61502 . 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