Convert this PDF page image to markdown format. Follow these guidelines:

1. Maintain accurate markdown syntax and structure
2. Preserve document hierarchy (headers, lists, tables)
3. Replace images with descriptive text in brackets like [Image: {{ image_description_format | default('description') }}]
4. Ensure 1:1 transcription accuracy (do not summarize{% if strict_transcription %} - be extremely precise{% endif %})
5. Maintain proper formatting for tables, lists, and text blocks
6. Use appropriate header levels (# ## ###) based on visual hierarchy
7. Preserve any mathematical formulas or equations in text format
8. Include any footnotes or references found on the page
{% if additional_instructions %}
9. {{ additional_instructions }}
{% endif %}

{% if page_number %}
This is page {{ page_number }} of the document.
{% endif %}

{% if preserve_formatting %}
Pay special attention to:
- Table structures and alignment
- List formatting (ordered/unordered)
- Code blocks or monospace text
- Special formatting like bold, italic, underline
{% endif %}

Return only the markdown content, no additional commentary.
