[% patient = data.patient_case.patient %]
  Patient:     [% patient.last_name | upper %], [% patient.first_name | ucfirst %] [% patient.middle_name | ucfirst %]
  Lab No:      [% config.lab_number_prefix %][% data.request_number %]/[% data.year - 2000 | format('%02d') %]
  Patient ID:  [% data.patient_case.unit_number %]
  NHS No:      [% patient.nhs_number %]
  DoB:         [% patient.dob ? patient.dob.strftime('%d.%b.%Y') : '' %]
  Hospital:    [% data.patient_case.referral_source.display_name %]
  Clinician:   [% data.referrer_department.referrer.name %]
  Specimen:    [% specimen_map.item(data.id).sample_code.join(', ') %]
  Received:    [% data.created_at.strftime('%d.%b.%Y') %]
  Diagnosis:   [% data.request_report.diagnosis.name %]
  Reported by: [% history.reported.user.first_name | ucfirst %] [% history.reported.user.last_name | ucfirst %]