{BEGIN rtlCSS} {END rtlCSS} {BEGIN styleCSSFiles} {END styleCSSFiles} {BEGIN pageCSSFiles} {END pageCSSFiles}
{BEGIN body} {$header}| {BEGIN FacilityCode_label}{$label facilityinfo FacilityCode}{END FacilityCode_label} | {$FacilityCode_editcontrol} |
| {BEGIN Received_Date_label}{$label facilityinfo Received_Date}{END Received_Date_label} | {$Received_Date_editcontrol} |
| {BEGIN Departure_Date_label}{$label facilityinfo Departure_Date}{END Departure_Date_label} | {$Departure_Date_editcontrol} |
| {BEGIN UserName_label}{$label facilityinfo UserName}{END UserName_label} | {$UserName_editcontrol} |
| {BEGIN SiteName_label}{$label facilityinfo SiteName}{END SiteName_label} | {$SiteName_editcontrol} |
| {BEGIN IPName_label}{$label facilityinfo IPName}{END IPName_label} | {$IPName_editcontrol} |
| {BEGIN Funding_Source_label}{$label facilityinfo Funding_Source}{END Funding_Source_label} | {$Funding_Source_editcontrol} |
| {BEGIN Service_Type_label}{$label facilityinfo Service_Type}{END Service_Type_label} | {$Service_Type_editcontrol} |
| {BEGIN LGA_label}{$label facilityinfo LGA}{END LGA_label} | {$LGA_editcontrol} |
| {BEGIN State_label}{$label facilityinfo State}{END State_label} | {$State_editcontrol} |
| {BEGIN Physical_Address_label}{$label facilityinfo Physical_Address}{END Physical_Address_label} | {$Physical_Address_editcontrol} |
| {BEGIN Contact_label}{$label facilityinfo Contact}{END Contact_label} | {$Contact_editcontrol} |
| {BEGIN Phone_Number_label}{$label facilityinfo Phone_Number}{END Phone_Number_label} | {$Phone_Number_editcontrol} |
| {BEGIN Reference_No_label}{$label facilityinfo Reference_No}{END Reference_No_label} | {$Reference_No_editcontrol} |
| {BEGIN EntryDate_label}{$label facilityinfo EntryDate}{END EntryDate_label} | {$EntryDate_editcontrol} |