Since the number of patients in your case is 34, the population size is at most 34 for you. Typically, you would choose a number for options.PopulationSize that is smaller than the total population (for example in your case, you can try 10 or experiment with different values). This number corresponds to the size of the starting population for the genetic algorithm.
The GenomeLength variable in the example corresponds to the nVars variable. It is the number of desired features to be used for classification. Again, typically, this number is less than the total number of features (in your case 208). So in your case, you would want this number to be less than 208. You can try several things: 10, 20, 50 etc., ans see what results you get.