<%%VALUE(id)%%> <%%VALUE(date)%%> <%%VALUE(first_name)%%> <%%VALUE(last_name)%%> <%%VALUE(reason)%%> <%%VALUE(date_of_last_menstrual_cycle)%%> <%%VALUE(weight)%%> <%%VALUE(emergency_contact_number)%%> <%%VALUE(phone_number)%%> <%%VALUE(status)%%>