{BEGIN formid_fieldblock}
|
{BEGIN formid_label}{$label viral_load formid}{END formid_label}
|
{$formid_editcontrol}
|
{END formid_fieldblock}
{BEGIN SiteName_fieldblock}
|
{BEGIN SiteName_label}{$label viral_load SiteName}{END SiteName_label}
|
{$SiteName_editcontrol}
|
{END SiteName_fieldblock}
{BEGIN State_fieldblock}
|
{BEGIN State_label}{$label viral_load State}{END State_label}
|
{$State_editcontrol}
|
{END State_fieldblock}
{BEGIN Funding_Source_fieldblock}
|
{BEGIN Funding_Source_label}{$label viral_load Funding_Source}{END Funding_Source_label}
|
{$Funding_Source_editcontrol}
|
{END Funding_Source_fieldblock}
{BEGIN Service_Type_fieldblock}
|
{BEGIN Service_Type_label}{$label viral_load Service_Type}{END Service_Type_label}
|
{$Service_Type_editcontrol}
|
{END Service_Type_fieldblock}
{BEGIN Phase_fieldblock}
|
{BEGIN Phase_label}{$label viral_load Phase}{END Phase_label}
|
{$Phase_editcontrol}
|
{END Phase_fieldblock}
{BEGIN IPName_fieldblock}
|
{BEGIN IPName_label}{$label viral_load IPName}{END IPName_label}
|
{$IPName_editcontrol}
|
{END IPName_fieldblock}
{BEGIN Drug_1_fieldblock}
|
{BEGIN Drug_1_label}{$label viral_load Drug_1}{END Drug_1_label}
|
{$Drug_1_editcontrol}
|
{END Drug_1_fieldblock}
{BEGIN BeginningBal_1_fieldblock}
|
{BEGIN BeginningBal_1_label}{$label viral_load BeginningBal_1}{END BeginningBal_1_label}
|
{$BeginningBal_1_editcontrol}
|
{END BeginningBal_1_fieldblock}
{BEGIN QtyReceived_1_fieldblock}
|
{BEGIN QtyReceived_1_label}{$label viral_load QtyReceived_1}{END QtyReceived_1_label}
|
{$QtyReceived_1_editcontrol}
|
{END QtyReceived_1_fieldblock}
{BEGIN Qty_Dispensed_1_fieldblock}
|
{BEGIN Qty_Dispensed_1_label}{$label viral_load Qty_Dispensed_1}{END Qty_Dispensed_1_label}
|
{$Qty_Dispensed_1_editcontrol}
|
{END Qty_Dispensed_1_fieldblock}
{BEGIN Positive_Adjst_1_fieldblock}
|
{BEGIN Positive_Adjst_1_label}{$label viral_load Positive_Adjst_1}{END Positive_Adjst_1_label}
|
{$Positive_Adjst_1_editcontrol}
|
{END Positive_Adjst_1_fieldblock}
{BEGIN Negative_Adjst_1_fieldblock}
|
{BEGIN Negative_Adjst_1_label}{$label viral_load Negative_Adjst_1}{END Negative_Adjst_1_label}
|
{$Negative_Adjst_1_editcontrol}
|
{END Negative_Adjst_1_fieldblock}
{BEGIN QtySOH_1_fieldblock}
|
{BEGIN QtySOH_1_label}{$label viral_load QtySOH_1}{END QtySOH_1_label}
|
{$QtySOH_1_editcontrol}
|
{END QtySOH_1_fieldblock}
{BEGIN Remark_1_fieldblock}
{END Remark_1_fieldblock}
{BEGIN Drug_2_fieldblock}
|
{BEGIN Drug_2_label}{$label viral_load Drug_2}{END Drug_2_label}
|
{$Drug_2_editcontrol}
|
{END Drug_2_fieldblock}
{BEGIN BeginningBal_2_fieldblock}
|
{BEGIN BeginningBal_2_label}{$label viral_load BeginningBal_2}{END BeginningBal_2_label}
|
{$BeginningBal_2_editcontrol}
|
{END BeginningBal_2_fieldblock}
{BEGIN QtyReceived_2_fieldblock}
|
{BEGIN QtyReceived_2_label}{$label viral_load QtyReceived_2}{END QtyReceived_2_label}
|
{$QtyReceived_2_editcontrol}
|
{END QtyReceived_2_fieldblock}
{BEGIN Qty_Dispensed_2_fieldblock}
|
{BEGIN Qty_Dispensed_2_label}{$label viral_load Qty_Dispensed_2}{END Qty_Dispensed_2_label}
|
{$Qty_Dispensed_2_editcontrol}
|
{END Qty_Dispensed_2_fieldblock}
{BEGIN Positive_Adjst_2_fieldblock}
|
{BEGIN Positive_Adjst_2_label}{$label viral_load Positive_Adjst_2}{END Positive_Adjst_2_label}
|
{$Positive_Adjst_2_editcontrol}
|
{END Positive_Adjst_2_fieldblock}
{BEGIN Negative_Adjst_2_fieldblock}
|
{BEGIN Negative_Adjst_2_label}{$label viral_load Negative_Adjst_2}{END Negative_Adjst_2_label}
|
{$Negative_Adjst_2_editcontrol}
|
{END Negative_Adjst_2_fieldblock}
{BEGIN QtySOH_2_fieldblock}
|
{BEGIN QtySOH_2_label}{$label viral_load QtySOH_2}{END QtySOH_2_label}
|
{$QtySOH_2_editcontrol}
|
{END QtySOH_2_fieldblock}
{BEGIN Remark_2_fieldblock}
{END Remark_2_fieldblock}
{BEGIN Drug_3_fieldblock}
|
{BEGIN Drug_3_label}{$label viral_load Drug_3}{END Drug_3_label}
|
{$Drug_3_editcontrol}
|
{END Drug_3_fieldblock}
{BEGIN BeginningBal_3_fieldblock}
|
{BEGIN BeginningBal_3_label}{$label viral_load BeginningBal_3}{END BeginningBal_3_label}
|
{$BeginningBal_3_editcontrol}
|
{END BeginningBal_3_fieldblock}
{BEGIN QtyReceived_3_fieldblock}
|
{BEGIN QtyReceived_3_label}{$label viral_load QtyReceived_3}{END QtyReceived_3_label}
|
{$QtyReceived_3_editcontrol}
|
{END QtyReceived_3_fieldblock}
{BEGIN Qty_Dispensed__fieldblock}
|
{BEGIN Qty_Dispensed__label}{$label viral_load Qty_Dispensed_}{END Qty_Dispensed__label}
|
{$Qty_Dispensed__editcontrol}
|
{END Qty_Dispensed__fieldblock}
{BEGIN Positive_Adjst_3_fieldblock}
|
{BEGIN Positive_Adjst_3_label}{$label viral_load Positive_Adjst_3}{END Positive_Adjst_3_label}
|
{$Positive_Adjst_3_editcontrol}
|
{END Positive_Adjst_3_fieldblock}
{BEGIN Negative_Adjst_3_fieldblock}
|
{BEGIN Negative_Adjst_3_label}{$label viral_load Negative_Adjst_3}{END Negative_Adjst_3_label}
|
{$Negative_Adjst_3_editcontrol}
|
{END Negative_Adjst_3_fieldblock}
{BEGIN QtySOH_3_fieldblock}
|
{BEGIN QtySOH_3_label}{$label viral_load QtySOH_3}{END QtySOH_3_label}
|
{$QtySOH_3_editcontrol}
|
{END QtySOH_3_fieldblock}
{BEGIN Remark_3_fieldblock}
{END Remark_3_fieldblock}
{BEGIN Drug_4_fieldblock}
|
{BEGIN Drug_4_label}{$label viral_load Drug_4}{END Drug_4_label}
|
{$Drug_4_editcontrol}
|
{END Drug_4_fieldblock}
{BEGIN BeginningBal_4_fieldblock}
|
{BEGIN BeginningBal_4_label}{$label viral_load BeginningBal_4}{END BeginningBal_4_label}
|
{$BeginningBal_4_editcontrol}
|
{END BeginningBal_4_fieldblock}
{BEGIN QtyReceived_4_fieldblock}
|
{BEGIN QtyReceived_4_label}{$label viral_load QtyReceived_4}{END QtyReceived_4_label}
|
{$QtyReceived_4_editcontrol}
|
{END QtyReceived_4_fieldblock}
{BEGIN Qty_Dispensed_4_fieldblock}
|
{BEGIN Qty_Dispensed_4_label}{$label viral_load Qty_Dispensed_4}{END Qty_Dispensed_4_label}
|
{$Qty_Dispensed_4_editcontrol}
|
{END Qty_Dispensed_4_fieldblock}
{BEGIN Positive_Adjst_4_fieldblock}
|
{BEGIN Positive_Adjst_4_label}{$label viral_load Positive_Adjst_4}{END Positive_Adjst_4_label}
|
{$Positive_Adjst_4_editcontrol}
|
{END Positive_Adjst_4_fieldblock}
{BEGIN Negative_Adjst_4_fieldblock}
|
{BEGIN Negative_Adjst_4_label}{$label viral_load Negative_Adjst_4}{END Negative_Adjst_4_label}
|
{$Negative_Adjst_4_editcontrol}
|
{END Negative_Adjst_4_fieldblock}
{BEGIN QtySOH_4_fieldblock}
|
{BEGIN QtySOH_4_label}{$label viral_load QtySOH_4}{END QtySOH_4_label}
|
{$QtySOH_4_editcontrol}
|
{END QtySOH_4_fieldblock}
{BEGIN Remark_4_fieldblock}
{END Remark_4_fieldblock}
{BEGIN Drug_5_fieldblock}
|
{BEGIN Drug_5_label}{$label viral_load Drug_5}{END Drug_5_label}
|
{$Drug_5_editcontrol}
|
{END Drug_5_fieldblock}
{BEGIN BeginningBal_5_fieldblock}
|
{BEGIN BeginningBal_5_label}{$label viral_load BeginningBal_5}{END BeginningBal_5_label}
|
{$BeginningBal_5_editcontrol}
|
{END BeginningBal_5_fieldblock}
{BEGIN QtyReceived_5_fieldblock}
|
{BEGIN QtyReceived_5_label}{$label viral_load QtyReceived_5}{END QtyReceived_5_label}
|
{$QtyReceived_5_editcontrol}
|
{END QtyReceived_5_fieldblock}
{BEGIN Qty_Dispensed_5_fieldblock}
|
{BEGIN Qty_Dispensed_5_label}{$label viral_load Qty_Dispensed_5}{END Qty_Dispensed_5_label}
|
{$Qty_Dispensed_5_editcontrol}
|
{END Qty_Dispensed_5_fieldblock}
{BEGIN Positive_Adjst_5_fieldblock}
|
{BEGIN Positive_Adjst_5_label}{$label viral_load Positive_Adjst_5}{END Positive_Adjst_5_label}
|
{$Positive_Adjst_5_editcontrol}
|
{END Positive_Adjst_5_fieldblock}
{BEGIN Negative_Adjst_5_fieldblock}
|
{BEGIN Negative_Adjst_5_label}{$label viral_load Negative_Adjst_5}{END Negative_Adjst_5_label}
|
{$Negative_Adjst_5_editcontrol}
|
{END Negative_Adjst_5_fieldblock}
{BEGIN QtySOH_5_fieldblock}
|
{BEGIN QtySOH_5_label}{$label viral_load QtySOH_5}{END QtySOH_5_label}
|
{$QtySOH_5_editcontrol}
|
{END QtySOH_5_fieldblock}
{BEGIN Remark_5_fieldblock}
{END Remark_5_fieldblock}
{BEGIN Drug_6_fieldblock}
|
{BEGIN Drug_6_label}{$label viral_load Drug_6}{END Drug_6_label}
|
{$Drug_6_editcontrol}
|
{END Drug_6_fieldblock}
{BEGIN BeginningBal_6_fieldblock}
|
{BEGIN BeginningBal_6_label}{$label viral_load BeginningBal_6}{END BeginningBal_6_label}
|
{$BeginningBal_6_editcontrol}
|
{END BeginningBal_6_fieldblock}
{BEGIN QtyReceived_6_fieldblock}
|
{BEGIN QtyReceived_6_label}{$label viral_load QtyReceived_6}{END QtyReceived_6_label}
|
{$QtyReceived_6_editcontrol}
|
{END QtyReceived_6_fieldblock}
{BEGIN Qty_Dispensed_6_fieldblock}
|
{BEGIN Qty_Dispensed_6_label}{$label viral_load Qty_Dispensed_6}{END Qty_Dispensed_6_label}
|
{$Qty_Dispensed_6_editcontrol}
|
{END Qty_Dispensed_6_fieldblock}
{BEGIN Positive_Adjst_6_fieldblock}
|
{BEGIN Positive_Adjst_6_label}{$label viral_load Positive_Adjst_6}{END Positive_Adjst_6_label}
|
{$Positive_Adjst_6_editcontrol}
|
{END Positive_Adjst_6_fieldblock}
{BEGIN Negative_Adjst_6_fieldblock}
|
{BEGIN Negative_Adjst_6_label}{$label viral_load Negative_Adjst_6}{END Negative_Adjst_6_label}
|
{$Negative_Adjst_6_editcontrol}
|
{END Negative_Adjst_6_fieldblock}
{BEGIN QtySOH_6_fieldblock}
|
{BEGIN QtySOH_6_label}{$label viral_load QtySOH_6}{END QtySOH_6_label}
|
{$QtySOH_6_editcontrol}
|
{END QtySOH_6_fieldblock}
{BEGIN Remark_6_fieldblock}
{END Remark_6_fieldblock}
{BEGIN Drug_7_fieldblock}
|
{BEGIN Drug_7_label}{$label viral_load Drug_7}{END Drug_7_label}
|
{$Drug_7_editcontrol}
|
{END Drug_7_fieldblock}
{BEGIN BeginningBal_7_fieldblock}
|
{BEGIN BeginningBal_7_label}{$label viral_load BeginningBal_7}{END BeginningBal_7_label}
|
{$BeginningBal_7_editcontrol}
|
{END BeginningBal_7_fieldblock}
{BEGIN QtyReceived_7_fieldblock}
|
{BEGIN QtyReceived_7_label}{$label viral_load QtyReceived_7}{END QtyReceived_7_label}
|
{$QtyReceived_7_editcontrol}
|
{END QtyReceived_7_fieldblock}
{BEGIN Qty_Dispensed_7_fieldblock}
|
{BEGIN Qty_Dispensed_7_label}{$label viral_load Qty_Dispensed_7}{END Qty_Dispensed_7_label}
|
{$Qty_Dispensed_7_editcontrol}
|
{END Qty_Dispensed_7_fieldblock}
{BEGIN Positive_Adjst_7_fieldblock}
|
{BEGIN Positive_Adjst_7_label}{$label viral_load Positive_Adjst_7}{END Positive_Adjst_7_label}
|
{$Positive_Adjst_7_editcontrol}
|
{END Positive_Adjst_7_fieldblock}
{BEGIN Negative_Adjst_7_fieldblock}
|
{BEGIN Negative_Adjst_7_label}{$label viral_load Negative_Adjst_7}{END Negative_Adjst_7_label}
|
{$Negative_Adjst_7_editcontrol}
|
{END Negative_Adjst_7_fieldblock}
{BEGIN QtySOH_7_fieldblock}
|
{BEGIN QtySOH_7_label}{$label viral_load QtySOH_7}{END QtySOH_7_label}
|
{$QtySOH_7_editcontrol}
|
{END QtySOH_7_fieldblock}
{BEGIN Remark_7_fieldblock}
{END Remark_7_fieldblock}
{BEGIN Drug_8_fieldblock}
|
{BEGIN Drug_8_label}{$label viral_load Drug_8}{END Drug_8_label}
|
{$Drug_8_editcontrol}
|
{END Drug_8_fieldblock}
{BEGIN BeginningBal_8_fieldblock}
|
{BEGIN BeginningBal_8_label}{$label viral_load BeginningBal_8}{END BeginningBal_8_label}
|
{$BeginningBal_8_editcontrol}
|
{END BeginningBal_8_fieldblock}
{BEGIN QtyReceived_8_fieldblock}
|
{BEGIN QtyReceived_8_label}{$label viral_load QtyReceived_8}{END QtyReceived_8_label}
|
{$QtyReceived_8_editcontrol}
|
{END QtyReceived_8_fieldblock}
{BEGIN Qty_Dispensed_8_fieldblock}
|
{BEGIN Qty_Dispensed_8_label}{$label viral_load Qty_Dispensed_8}{END Qty_Dispensed_8_label}
|
{$Qty_Dispensed_8_editcontrol}
|
{END Qty_Dispensed_8_fieldblock}
{BEGIN Positive_Adjst_8_fieldblock}
|
{BEGIN Positive_Adjst_8_label}{$label viral_load Positive_Adjst_8}{END Positive_Adjst_8_label}
|
{$Positive_Adjst_8_editcontrol}
|
{END Positive_Adjst_8_fieldblock}
{BEGIN Negative_Adjst_8_fieldblock}
|
{BEGIN Negative_Adjst_8_label}{$label viral_load Negative_Adjst_8}{END Negative_Adjst_8_label}
|
{$Negative_Adjst_8_editcontrol}
|
{END Negative_Adjst_8_fieldblock}
{BEGIN QtySOH_8_fieldblock}
|
{BEGIN QtySOH_8_label}{$label viral_load QtySOH_8}{END QtySOH_8_label}
|
{$QtySOH_8_editcontrol}
|
{END QtySOH_8_fieldblock}
{BEGIN Remark_8_fieldblock}
{END Remark_8_fieldblock}
{BEGIN Drug_9_fieldblock}
|
{BEGIN Drug_9_label}{$label viral_load Drug_9}{END Drug_9_label}
|
{$Drug_9_editcontrol}
|
{END Drug_9_fieldblock}
{BEGIN BeginningBal_9_fieldblock}
|
{BEGIN BeginningBal_9_label}{$label viral_load BeginningBal_9}{END BeginningBal_9_label}
|
{$BeginningBal_9_editcontrol}
|
{END BeginningBal_9_fieldblock}
{BEGIN QtyReceived_9_fieldblock}
|
{BEGIN QtyReceived_9_label}{$label viral_load QtyReceived_9}{END QtyReceived_9_label}
|
{$QtyReceived_9_editcontrol}
|
{END QtyReceived_9_fieldblock}
{BEGIN Qty_Dispensed_9_fieldblock}
|
{BEGIN Qty_Dispensed_9_label}{$label viral_load Qty_Dispensed_9}{END Qty_Dispensed_9_label}
|
{$Qty_Dispensed_9_editcontrol}
|
{END Qty_Dispensed_9_fieldblock}
{BEGIN Positive_Adjst_9_fieldblock}
|
{BEGIN Positive_Adjst_9_label}{$label viral_load Positive_Adjst_9}{END Positive_Adjst_9_label}
|
{$Positive_Adjst_9_editcontrol}
|
{END Positive_Adjst_9_fieldblock}
{BEGIN Negative_Adjst_9_fieldblock}
|
{BEGIN Negative_Adjst_9_label}{$label viral_load Negative_Adjst_9}{END Negative_Adjst_9_label}
|
{$Negative_Adjst_9_editcontrol}
|
{END Negative_Adjst_9_fieldblock}
{BEGIN QtySOH_9_fieldblock}
|
{BEGIN QtySOH_9_label}{$label viral_load QtySOH_9}{END QtySOH_9_label}
|
{$QtySOH_9_editcontrol}
|
{END QtySOH_9_fieldblock}
{BEGIN Remark_9_fieldblock}
{END Remark_9_fieldblock}
{BEGIN Drug_10_fieldblock}
|
{BEGIN Drug_10_label}{$label viral_load Drug_10}{END Drug_10_label}
|
{$Drug_10_editcontrol}
|
{END Drug_10_fieldblock}
{BEGIN month1_10_fieldblock}
|
{BEGIN month1_10_label}{$label viral_load month1_10}{END month1_10_label}
|
{$month1_10_editcontrol}
|
{END month1_10_fieldblock}
{BEGIN month2_10_fieldblock}
|
{BEGIN month2_10_label}{$label viral_load month2_10}{END month2_10_label}
|
{$month2_10_editcontrol}
|
{END month2_10_fieldblock}
{BEGIN desc_10_fieldblock}
|
{BEGIN desc_10_label}{$label viral_load desc_10}{END desc_10_label}
|
{$desc_10_editcontrol}
|
{END desc_10_fieldblock}
{BEGIN expiryDate_10_fieldblock}
|
{BEGIN expiryDate_10_label}{$label viral_load expiryDate_10}{END expiryDate_10_label}
|
{$expiryDate_10_editcontrol}
|
{END expiryDate_10_fieldblock}
{BEGIN expiryQty_10_fieldblock}
|
{BEGIN expiryQty_10_label}{$label viral_load expiryQty_10}{END expiryQty_10_label}
|
{$expiryQty_10_editcontrol}
|
{END expiryQty_10_fieldblock}
{BEGIN Drug_11_fieldblock}
|
{BEGIN Drug_11_label}{$label viral_load Drug_11}{END Drug_11_label}
|
{$Drug_11_editcontrol}
|
{END Drug_11_fieldblock}
{BEGIN month1_11_fieldblock}
|
{BEGIN month1_11_label}{$label viral_load month1_11}{END month1_11_label}
|
{$month1_11_editcontrol}
|
{END month1_11_fieldblock}
{BEGIN month2_11_fieldblock}
|
{BEGIN month2_11_label}{$label viral_load month2_11}{END month2_11_label}
|
{$month2_11_editcontrol}
|
{END month2_11_fieldblock}
{BEGIN desc_11_fieldblock}
|
{BEGIN desc_11_label}{$label viral_load desc_11}{END desc_11_label}
|
{$desc_11_editcontrol}
|
{END desc_11_fieldblock}
{BEGIN expiryDate_11_fieldblock}
|
{BEGIN expiryDate_11_label}{$label viral_load expiryDate_11}{END expiryDate_11_label}
|
{$expiryDate_11_editcontrol}
|
{END expiryDate_11_fieldblock}
{BEGIN expiryQty_11_fieldblock}
|
{BEGIN expiryQty_11_label}{$label viral_load expiryQty_11}{END expiryQty_11_label}
|
{$expiryQty_11_editcontrol}
|
{END expiryQty_11_fieldblock}
{BEGIN Drug_12_fieldblock}
|
{BEGIN Drug_12_label}{$label viral_load Drug_12}{END Drug_12_label}
|
{$Drug_12_editcontrol}
|
{END Drug_12_fieldblock}
{BEGIN ValidateEntry_fieldblock}
|
{BEGIN ValidateEntry_label}{$label viral_load ValidateEntry}{END ValidateEntry_label}
|
{$ValidateEntry_editcontrol}
|
{END ValidateEntry_fieldblock}
{BEGIN Downtime_12_fieldblock}
|
{BEGIN Downtime_12_label}{$label viral_load Downtime_12}{END Downtime_12_label}
|
{$Downtime_12_editcontrol}
|
{END Downtime_12_fieldblock}