{BEGIN rtlCSS}{END rtlCSS}{BEGIN styleCSSFiles}{END styleCSSFiles}{BEGIN pageCSSFiles}{END pageCSSFiles} {BEGIN body} {$header}
{BEGIN container_all}
{BEGIN container_edit}
{BEGIN editheader}

{$pagetitlelabel arv_pmtct edit}

{END editheader}{BEGIN message_block}
{$message}
{END message_block}
{BEGIN container_fields}
{BEGIN formid_fieldblock} {END formid_fieldblock}{BEGIN SiteName_fieldblock} {END SiteName_fieldblock}
{BEGIN formid_label}{END formid_label}
{BEGIN SiteName_label}
SiteName {$SiteName_editcontrol} coat of arms    
Facility Code {$formid_editcontrol} Funding Source {$Funding_Source_editcontrol}
State {$State_editcontrol} Service Type {$Service_Type_editcontrol}
Phase {$Phase_editcontrol} IPName {$IPName_editcontrol}
{END SiteName_label}
 
{BEGIN State_label}
 S/No  Drugs  Basic Unit

 Quantity Received During

the Repoting Period

 Quantity Received During the Repoting Period

 Endig Balance

(Physical Count)

 Remarks
ARV FOR PREGNANT MOTHERS
 1   {$Drug_1_editcontrol}  60tabs   {$QtyReceived_1_editcontrol}   {$Qty_Dispensed_1_editcontrol}   {$QtySOH_1_editcontrol}   {$Remark_1_editcontrol}
 2   {$Drug_2_editcontrol}  30tabs   {$QtyReceived_2_editcontrol}   {$Qty_Dispensed_2_editcontrol}   {$QtySOH_2_editcontrol}   {$Remark_2_editcontrol}
ARV FOR EXPOSED BABIES
 3   {$Drug_3_editcontrol}  30tabs   {$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}   {$Remark_5_editcontrol}
 OPPORTUNISTIC INFECTIOUS DRUGS
 6   {$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}   {$Qty_Dispensed_14_editcontrol}   {$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 State_label}
 
{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}
{$footer}{END body}