Brief description highlighting the concern or situation at hand. Include details about the patient's condition, symptoms, and related issues. [PATIENT INITIALS] experiencing [SYMPTOMS AND CURRENT CONDITION] requiring transfer to higher level of care for [SPECIFIC REASON].

Provide relevant background details. This might include any known complications, related treatment history, and relevant clinical findings.[PATIENT INITIALS] has history of [RELEVANT MEDICAL OR OBSTETRIC HISTORY].

Provide your assessment of the situation based on given conditions. This may include your interpretation of the patient's current status, the level of urgency, and next steps needed. Based on current symptoms, [PATIENT INITIALS] requires immediate [SPECIFIC TREATMENT OR PROCEDURE].

Suggest actionable recommendations clearly. This might include what actions need to be taken, who needs to be involved, and any additional steps for treatment or consultation. Recommend [PATIENT INITIALS] for immediate transfer to [SPECIFIC HIGHER CARE LEVEL FACILITY] for [TREATMENT OR PROCEDURE].