A 28-year-old woman from a rural village in Madhya Pradesh presents to the local health facility with complaints of irregular menstrual cycles and mild abdominal pain for 3 months. On examination, she is found to have a blood pressure of 140/90 mmHg and BMI of 32 kg/m². The health worker at the facility refers her to the district hospital for further evaluation. Which level of the Indian public health system is this facility most likely to be?