diff --git a/care/facility/api/serializers/patient_consultation.py b/care/facility/api/serializers/patient_consultation.py
index 38d5908a8a..4178ab75cd 100644
--- a/care/facility/api/serializers/patient_consultation.py
+++ b/care/facility/api/serializers/patient_consultation.py
@@ -402,6 +402,15 @@ class PatientConsultationDischargeSerializer(serializers.ModelSerializer):
     death_datetime = serializers.DateTimeField(required=False, allow_null=True)
     death_confirmed_doctor = serializers.CharField(required=False, allow_null=True)
 
+    referred_to = ExternalIdSerializerField(
+        queryset=Facility.objects.all(),
+        required=False,
+        allow_null=True,
+    )
+    referred_to_external = serializers.CharField(
+        required=False, allow_blank=True, allow_null=True
+    )
+
     def get_discharge_prescription(self, consultation):
         return Prescription.objects.filter(
             consultation=consultation,
@@ -420,6 +429,7 @@ class Meta:
         model = PatientConsultation
         fields = (
             "discharge_reason",
+            "referred_to",
             "referred_to_external",
             "discharge_notes",
             "discharge_date",
@@ -430,6 +440,17 @@ class Meta:
         )
 
     def validate(self, attrs):
+        if attrs.get("referred_to") and attrs.get("referred_to_external"):
+            raise ValidationError(
+                {
+                    "referred_to": [
+                        "Only one of referred_to and referred_to_external can be set"
+                    ],
+                    "referred_to_external": [
+                        "Only one of referred_to and referred_to_external can be set"
+                    ],
+                }
+            )
         if attrs.get("discharge_reason") != "EXP":
             attrs.pop("death_datetime", None)
             attrs.pop("death_confirmed_doctor", None)
diff --git a/care/facility/tests/test_patient_consultation_api.py b/care/facility/tests/test_patient_consultation_api.py
index fc5f21c945..acf2e5d50e 100644
--- a/care/facility/tests/test_patient_consultation_api.py
+++ b/care/facility/tests/test_patient_consultation_api.py
@@ -235,6 +235,49 @@ def test_referred_to_external_empty_string(self):
         )
         self.assertEqual(res.status_code, status.HTTP_200_OK)
 
+    def test_referred_to_empty_facility(self):
+        consultation = self.create_admission_consultation(
+            suggestion="A",
+            admission_date=make_aware(datetime.datetime(2020, 4, 1, 15, 30, 00)),
+        )
+        res = self.discharge(
+            consultation,
+            discharge_reason="REF",
+            discharge_date="2023-07-01T12:00:00Z",
+            discharge_notes="Discharged with empty referred_to_external",
+            referred_to=None,
+        )
+        self.assertEqual(res.status_code, status.HTTP_200_OK)
+
+    def test_referred_to_and_external_together(self):
+        consultation = self.create_admission_consultation(
+            suggestion="A",
+            admission_date=make_aware(datetime.datetime(2020, 4, 1, 15, 30, 00)),
+        )
+        res = self.discharge(
+            consultation,
+            discharge_reason="REF",
+            discharge_date="2023-07-01T12:00:00Z",
+            discharge_notes="Discharged with null referred_to_external",
+            referred_to_external="External Facility",
+            referred_to=self.facility.external_id,
+        )
+        self.assertEqual(res.status_code, status.HTTP_400_BAD_REQUEST)
+
+    def test_referred_to_valid_value(self):
+        consultation = self.create_admission_consultation(
+            suggestion="A",
+            admission_date=make_aware(datetime.datetime(2020, 4, 1, 15, 30, 00)),
+        )
+        referred_to_external = "Test Hospital"
+        res = self.discharge(
+            consultation,
+            discharge_reason="REF",
+            discharge_date="2023-07-01T12:00:00Z",
+            referred_to_external=referred_to_external,
+        )
+        self.assertEqual(res.status_code, status.HTTP_200_OK)
+
     def test_referred_to_external_valid_value(self):
         consultation = self.create_admission_consultation(
             suggestion="A",