ILBS referral coordination
New patient referral
Patient & admission identity
Click or upload an HIS generated document for the patient
Lab report, imaging report, facesheet — anything having UHID, IPID, ward and bed number will work
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Patient name
Age
Gender
Select
Male
Female
Other
UHID number
IPID number
Patient location
Ward / unit
Select ward
Aayushman Bharat
COVID General Ward
Comfort Care Ward
DayCare Nephrology
Emergency Ward
G I Bleed ICU First Floor
General Ward A Second Floor
General Ward B Second Floor
General Ward C Second Floor
General Ward D
General ward A (Ph-2)
General ward B (Ph-2)
HDU Phase-II
HPB Surgical ICU Third Floor
ICU Isolation
Liver ICU Phase II
Liver ICU Second Floor
Medical ICU Second Floor
Oncology (Ph-2)
Paediatric General Ward 2nd Floor (Ph-2)
Paediatric Isolation Ward (Ph-2)
Paediatric Medical ICU Second Floor
Paediatric Semi Pvt Ward (Ph-2)
Paediatric Ward Second Floor
Post Operative Area Third Floor
Private Room 2nd floor (Ph-2)
Private Room 4th floor (Ph-2)
Private Room 5th floor (Ph-2)
Private Room Fourth Floor
Private Room Third Floor
Private Room Third Floor (B)
Pulmonolgy Ward(Semi Pvt) SF Ph-2
Renal ICU 4th Floor Ph-1
Semi Private (AUD ) Ward
Semi Private Room 1st floor (Ph-2)
Semi Private Room 2nd floor (Ph-2)
Semi Private Room 4th floor (Ph-2)
Semi Private Room Third Floor
Super Economy Ward
TRANSPLANT ICU
Transplant HDU
VIP Suite 5th Floor (Ph-2)
VIP Suite Fourth Floor
Room / bed number
Referral details
Referring department
Select department
AUD
Anaesthesia & Critical Care
Cardiology
Clinical Nutrition
HPB Surgery
Hepatology
Internal Medicine
Interventional Radiology
Medical Oncology
Nephrology
Neurology
Nuclear Medicine
Oncology
Other
Pediatric Hepatology
Psychiatry
Pulmonary Medicine
Pulmonology
Radiation Oncology
Renal Transplant and Urology
Urology
Referring consultant
Select consultant
Dr Anil Yadav
Dr Deepak Tempe
Dr Mahesh Arora
Dr Priyanka Chuttani
Dr Sonam Mahajan
Dr Stuti Gupta
Dr Udit Dhingra
Dr. Gaurav Sindwani
Dr. Prashant
Dr Balram Mishra
Dr.Arun Sood
Dr. Jaya Benjamin
Dr.Anoop Saraya
Dr Utpala Uday
Dr.Nihar Mohapatra
Dr.Nilesh Patil
Dr.Ragini Kilambi
Dr.Shridhar Sasturkar
Dr.Viniyendra Pamecha
Dr Srajit Singh
Dr.Ankur Jindal
Dr.Ashok Choudhury
Dr.Chitranshu Vashishtha
Dr.Harsh Tevethia
Dr.Ibrar Khan
Dr.Jaifrin Daniel
Dr.Manoj Sharma
Dr.Phool Chand
Dr.Rakhi Maiwall
Dr.Ravi Nishad
Dr.S.K Sarin
Dr.Satender Singh
Dr.Shasthry Sm
Dr.V Rajan
Dr.Vikram Bhatia
Dr.Vinod Arora
Dr.Mradul Daga
Dr.Amar Mukund
Dr.Yashwant Patidar
Dr.Deepti Sharma
Dr.Nikhil Himthani
Dr.Puja Sahai
Dr.Chandani Bhagat
Dr.Hari Meshram
Dr.Rajendra Mathur
Dr Bhargavi Ramanujan
Dr Roshan Koul
Dr.Bikrant Raghuvanshi
Dr.Rajeev Khanna
Dr.Seema Alam
Dr.Vikrant Sood
Dr. Akansha Bhardwaj
Dr.Mohit Varshney
Dr.Arvind Tomar
Dr.Brig. Bhattacharyya
Dr. Saurabh Girotra
Dr.Abhiyutthan Jadaon
Dr.Indernath Verma
Type of referral
Opinion (one-time)
Opinion with follow-up
Transfer request
Urgency
Routine (within 24 hours)
Urgent (2–6 hours)
Consultant to whom referred
Select consultant
Dr Anil Yadav
Dr Priyanka Chuttani
Dr Stuti Gupta
Dr Udit Dhingra
Dr. Gaurav Sindwani
Dr. Prashant
Dr Balram Mishra
Dr.Arun Sood
Dr.Anoop Saraya
Dr Utpala Uday
Dr.Nihar Mohapatra
Dr.Nilesh Patil
Dr.Ragini Kilambi
Dr.Shridhar Sasturkar
Dr.Viniyendra Pamecha
Dr Srajit Singh
Dr.Ankur Jindal
Dr.Ashok Choudhury
Dr.Chitranshu Vashishtha
Dr.Harsh Tevethia
Dr.Ibrar Khan
Dr.Jaifrin Daniel
Dr.Manoj Sharma
Dr.Phool Chand
Dr.Rakhi Maiwall
Dr.Ravi Nishad
Dr.Satender Singh
Dr.Shasthry Sm
Dr.V Rajan
Dr.Vikram Bhatia
Dr.Vinod Arora
Dr.Mradul Daga
Dr.Amar Mukund
Dr.Yashwant Patidar
Dr.Deepti Sharma
Dr.Nikhil Himthani
Dr.Puja Sahai
Dr.Chandani Bhagat
Dr.Hari Meshram
Dr.Rajendra Mathur
Dr Bhargavi Ramanujan
Dr Roshan Koul
Dr.Bikrant Raghuvanshi
Dr.Rajeev Khanna
Dr.Seema Alam
Dr.Vikrant Sood
Dr. Akansha Bhardwaj
Dr.Mohit Varshney
Dr.Arvind Tomar
Dr.Brig. Bhattacharyya
Dr. Saurabh Girotra
Dr.Abhiyutthan Jadaon
Dr.Indernath Verma
Clinical notes
Brief clinical history
Additional notes
Attachments / reports (optional, up to 5 files)
Submitted by
Your name
Your email
Contact number
Submit referral