2. Anemia dengan gejala tanpa melihat kadar HB, segera dirujuk 3. Anemia berat dengan indikasi transfusi (Hb < 5,8 g/dl) 4. Anemia karena penyebab yang tidak termasuk kompetensi dokter layanan primer, misalnya anemia aplastik, anemia hemolitik, dan anemia megaloblastik 5. Jika didapatkan kegawatan (misalnya perdarahan aktif atau distres pernafasan) pasien segera dirujuk Referral Case 1. Anemia without symptoms with Hb <8 g / dl 2. Anemia with symptoms without looking to the Hb level, immediately referred 3. Severe anemia with transfusion indication (Hb <5.8 g / dl) 4. Anemia due to causes not including the competence of primary care doctors, such as aplastic anemia, haemolytic anemia, and megaloblastic anemia 5. If there is any emergences situation found (eg. active bleeding or respiratory distress) the patient should be referred immediately