{$pagetitlelabel ppr edit}

{END editheader}{BEGIN message_block}

{$message}

{END message_block}

{BEGIN container_fields}

PATIENT PER REGIMEN FORM

SiteName	{$SiteName_editcontrol}			Data Consultant Name {$ValidateEntry_editcontrol}
Facility Code	{$formid_editcontrol}	Funding Source	{$Funding_Source_editcontrol}
State	{$State_editcontrol}	Service Type	{$Service_Type_editcontrol}
Phase	{$Phase_editcontrol}	IPName	{$IPName_editcontrol}

Current Number of patients(Adults) on PMTCT	{$AdultPMTCT_editcontrol}
HIV-exposed infants	{$ExposedInfant_editcontrol}
Number of Persons that received PEP in the Period	{$PEP_editcontrol}

REGIMEN	Current No. of Patients
ADULT FIRST LINE (ART/PMTCT)
{$regimen_1_editcontrol}	{$TotalPatient_1_editcontrol}
{$regimen_2_editcontrol}	{$TotalPatient_2_editcontrol}
HIV-EXPOSED INFANTS
{$regimen_17_editcontrol}	{$TotalPatient_17_editcontrol}
{$regimen_18_editcontrol}	{$TotalPatient_18_editcontrol}

ENTRY FOR OTHER REGIMEN NOT STATED ABOVE
REGIMEN	CURRENT No. of patients	REGIMEN CATEGORY
{$regimen_19_editcontrol}	{$TotalPatient_19_editcontrol}	{$RegCat19_editcontrol}
{$regimen_20_editcontrol}	{$TotalPatient_20_editcontrol}	{$Regcat20_editcontrol}
{$regimen_21_editcontrol}	{$TotalPatient_21_editcontrol}	{$RegCat21_editcontrol}
{$regimen_22_editcontrol}	{$TotalPatient_22_editcontrol}	{$RegCat22_editcontrol}
{$regimen_23_editcontrol}	{$TotalPatient_23_editcontrol}	{$RegCat23_editcontrol}
{$regimen_24_editcontrol}	{$TotalPatient_24_editcontrol}	{$RegCat24_editcontrol}
{$regimen_25_editcontrol}	{$TotalPatient_25_editcontrol}	{$RegCat25_editcontrol}
{$regimen_26_editcontrol}	{$TotalPatient_26_editcontrol}	{$RegCat26_editcontrol}
{$regimen_27_editcontrol}	{$TotalPatient_27_editcontrol}	{$RegCat27_editcontrol}
{$regimen_28_editcontrol}	{$TotalPatient_28_editcontrol}	{$RegCat28_editcontrol}
{$regimen_29_editcontrol}	{$TotalPatient_29_editcontrol}	{$RegCat29_editcontrol}
{$regimen_30_editcontrol}	{$TotalPatient_30_editcontrol}	{$RegCat30_editcontrol}

{BEGIN editbuttons}

{BEGIN prev_button}<<<{END prev_button}{BEGIN next_button}>>>{END next_button}

{BEGIN save_button}Save{END save_button}{BEGIN reset_button}Reset{END reset_button}{BEGIN back_button}Back to list{END back_button}{BEGIN close_button}Close window{END close_button}

{END editbuttons}

{END container_fields}

{END container_edit}

{END container_all}