Name of Reporting Institution	{{ hospital.name }}	ID	{{ hospital.h_num }}	Officer-in-Charge	{{ hospital.first_name ~ ' ' ~ hospital.last_name }}
State	{{ hospital.state }}	District	{{ hospital.district }}	Block / Town / City	{{ hospital.taluka }}
IDSP Reporting Week	1	Start Date	{{ start_date|date('d-m-Y') }}	End Date	{{ end_date|date('d-m-Y') }}	Date of Reporting	{{ 'now'|date('d-m-Y') }}