<%%VALUE(last_name)%%> <%%VALUE(first_name)%%> <%%VALUE(gender)%%> <%%VALUE(sexual_orientation)%%> <%%VALUE(age)%%> <%%VALUE(city)%%> <%%VALUE(mobile)%%> <%%VALUE(tobacco_usage)%%> <%%VALUE(alcohol_intake)%%> <%%VALUE(history)%%> <%%VALUE(surgical_history)%%> <%%VALUE(obstetric_history)%%> <%%VALUE(genetic_diseases)%%> <%%VALUE(Status)%%> <%%VALUE(Patient_status)%%> <%%VALUE(Location)%%> <%%VALUE(date_visited)%%>