clinic/netforce_clinic/layouts/clinic_hd_report.xml

<form model="clinic.hd.report">
    <group>
        <field name="date" span="2"/>
        <field name="cycle_id" span="2"/>
        <field name="patient_id" span="2"/>
        <field name="nurse_id" span="2"/>
        <field name="doctor_id" span="2"/>
    </group>
</form>