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