hi Sonia,
Your query is Referral fees paid to doctor.
i take up second case, where doctor is inhouse (on salary) then any amount paid to employee, whether it be commission then included in salary.If hospital is paying professional fees to inhouse doctor then such referral fee would also form part of seciton 194 J.Because , such referral is paid to him Only Because that Doctor is referring the patient and he is covered in professional category.
Further , your first case, Referrel fees paid to outside doctor, i would say covered under section 194J.Being a Doctor(Professional) can only do such Referral services..So deduct tds U/S 194 j.
Hope you are clear.
Rajesh