{BEGIN container_fields}
{BEGIN addheader}
{END addheader}{BEGIN message_block}
{END message_block}
{BEGIN SiteName_fieldblock}
| {BEGIN SiteName_label}{END SiteName_label} |
|
{$label arv_pmtct SiteName} |
{$SiteName_editcontrol} |
 |
|
{$label arv_pmtct formid} |
{$formid_editcontrol} |
{$label arv_pmtct Funding_Source} |
{$Funding_Source_editcontrol} |
|
{$label arv_pmtct State} |
{$State_editcontrol} |
{$label arv_pmtct Service_Type} |
{$Service_Type_editcontrol}
|
|
{$label arv_pmtct Phase} |
{$Phase_editcontrol} |
{$label arv_pmtct IPName} |
{$IPName_editcontrol} |
| |
{END SiteName_fieldblock}
{BEGIN addbuttons}
{BEGIN save_button}
Save{END save_button}{BEGIN reset_button}
Reset{END reset_button}{BEGIN cancel_button}
Cancel{END cancel_button}{BEGIN back_button}
Back to
list{END back_button}{BEGIN backToMenu_button}{END backToMenu_button}
{END addbuttons}
S/NoDrugsBasic UnitQuantity
Received During the Repoting PeriodQuantity Received Duringthe Repoting
PeriodEnding Balance(Physical Count)RemarksARV
FOR PREGNANT MOTHERS 1
{$Drug_1_editcontrol} 60 tabs
{$QtyReceived_1_editcontrol}
{$Qty_Dispensed_1_editcontrol}
{$QtySOH_1_editcontrol}
{$Remark_1_editcontrol} 2
{$Drug_2_editcontrol} 30 tabs
{$QtyReceived_2_editcontrol}
{$Qty_Dispensed_2_editcontrol}
{$QtySOH_2_editcontrol}
{$Remark_2_editcontrol}ARV FOR EXPOSED BABIES
3
{$Drug_3_editcontrol} 30 tabs
{$QtyReceived_3_editcontrol}
{$Qty_Dispensed_3_editcontrol}
{$QtySOH_3_editcontrol}
{$Remark_3_editcontrol} 4
{$Drug_4_editcontrol} 25ml
{$QtyReceived_4_editcontrol}
{$Qty_Dispensed_4_editcontrol}
{$QtySOH_4_editcontrol}
{$Remark_4_editcontrol} 5
{$Drug_5_editcontrol} 100ml
{$QtyReceived_5_editcontrol}
{$Qty_Dispensed_5_editcontrol}
{$QtySOH_5_editcontrol}
{$Remark_5_editcontrol}OPPORTUNISTIC
INCTIONS DRUGS 6
{$Drug_6_editcontrol} btls
{$QtyReceived_6_editcontrol}
{$Qty_Dispensed_6_editcontrol}
{$QtySOH_6_editcontrol}
{$Remark_6_editcontrol} 7
{$Drug_7_editcontrol} tabs
{$QtyReceived_7_editcontrol}
{$Qty_Dispensed_7_editcontrol}
{$QtySOH_7_editcontrol}
{$Remark_7_editcontrol} 8
{$Drug_8_editcontrol} tabs
{$QtyReceived_8_editcontrol}
{$Qty_Dispensed_8_editcontrol}
{$QtySOH_8_editcontrol}
{$Remark_8_editcontrol} HIV TEST KITS
9
{$Drug_9_editcontrol} 1 test
{$QtyReceived_9_editcontrol}
{$Qty_Dispensed_9_editcontrol}
{$QtySOH_9_editcontrol}
{$Remark_9_editcontrol} 10
{$Drug_10_editcontrol} 1 test
{$QtyReceived_10_editcontrol}
{$Qty_Dispensed_10_editcontrol}
{$QtySOH_10_editcontrol}
{$Remark_10_editcontrol} 11
{$Drug_11_editcontrol} 1 test
{$QtyReceived_11_editcontrol}
{$Qty_Dispensed_11_editcontrol}
{$QtySOH_11_editcontrol}
{$Remark_11_editcontrol} 12
{$Drug_12_editcontrol} 1 test
{$QtyReceived_12_editcontrol}
{$Qty_Dispensed_12_editcontrol}
{$QtySOH_12_editcontrol}
{$Remark_12_editcontrol}LABORATORY REAGENTS
13
{$Drug_13_editcontrol}
{$QtyReceived_13_editcontrol}
{$Qty_Dispensed_13_editcontrol}
{$QtySOH_13_editcontrol}
{$Remark_13_editcontrol} 14
{$Drug_14_editcontrol}
{$QtyReceived_14_editcontrol}
{$Qty_Dispensed_14_editcontrol}
{$QtySOH_14_editcontrol}
{$Remark_14_editcontrol} 15
{$Drug_15_editcontrol}
{$QtyReceived_15_editcontrol}
{$Qty_Dispensed_15_editcontrol}
{$QtySOH_15_editcontrol}
{$Remark_15_editcontrol}{END container_fields}
{$footer}{END body}