[% PROCESS site/lab_number.tt %]
:: [% data.patient_case.patient.last_name | upper %],
[% data.patient_case.patient.first_name | ucfirst %]
[% data.patient_case.patient.middle_name | ucfirst %]
::
[% data.request_report.diagnosis.name %]
Referral infomation:
[% data.referrer_department.referrer.name %] @
[% data.patient_case.referral_source.display_name | html %]
Check this before sending »
[% site.html.submit %] [% site.html.reset %]