{BEGIN formid_fieldblock}
|
{BEGIN formid_label}{$label arv_pmtct formid}{END formid_label}
|
{$formid_editcontrol}
|
{END formid_fieldblock}
{BEGIN SiteName_fieldblock}
|
{BEGIN SiteName_label}{$label arv_pmtct SiteName}{END SiteName_label}
|
{$SiteName_editcontrol}
|
{END SiteName_fieldblock}
{BEGIN State_fieldblock}
|
{BEGIN State_label}{$label arv_pmtct State}{END State_label}
|
{$State_editcontrol}
|
{END State_fieldblock}
{BEGIN Funding_Source_fieldblock}
|
{BEGIN Funding_Source_label}{$label arv_pmtct Funding_Source}{END Funding_Source_label}
|
{$Funding_Source_editcontrol}
|
{END Funding_Source_fieldblock}
{BEGIN Service_Type_fieldblock}
|
{BEGIN Service_Type_label}{$label arv_pmtct Service_Type}{END Service_Type_label}
|
{$Service_Type_editcontrol}
|
{END Service_Type_fieldblock}
{BEGIN Phase_fieldblock}
|
{BEGIN Phase_label}{$label arv_pmtct Phase}{END Phase_label}
|
{$Phase_editcontrol}
|
{END Phase_fieldblock}
{BEGIN IPName_fieldblock}
|
{BEGIN IPName_label}{$label arv_pmtct IPName}{END IPName_label}
|
{$IPName_editcontrol}
|
{END IPName_fieldblock}
{BEGIN Drug_1_fieldblock}
|
{BEGIN Drug_1_label}{$label arv_pmtct Drug_1}{END Drug_1_label}
|
{$Drug_1_editcontrol}
|
{END Drug_1_fieldblock}
{BEGIN QtyReceived_1_fieldblock}
|
{BEGIN QtyReceived_1_label}{$label arv_pmtct QtyReceived_1}{END QtyReceived_1_label}
|
{$QtyReceived_1_editcontrol}
|
{END QtyReceived_1_fieldblock}
{BEGIN Qty_Dispensed_1_fieldblock}
|
{BEGIN Qty_Dispensed_1_label}{$label arv_pmtct Qty_Dispensed_1}{END Qty_Dispensed_1_label}
|
{$Qty_Dispensed_1_editcontrol}
|
{END Qty_Dispensed_1_fieldblock}
{BEGIN QtySOH_1_fieldblock}
|
{BEGIN QtySOH_1_label}{$label arv_pmtct QtySOH_1}{END QtySOH_1_label}
|
{$QtySOH_1_editcontrol}
|
{END QtySOH_1_fieldblock}
{BEGIN Remark_1_fieldblock}
{END Remark_1_fieldblock}
{BEGIN Drug_2_fieldblock}
|
{BEGIN Drug_2_label}{$label arv_pmtct Drug_2}{END Drug_2_label}
|
{$Drug_2_editcontrol}
|
{END Drug_2_fieldblock}
{BEGIN QtyReceived_2_fieldblock}
|
{BEGIN QtyReceived_2_label}{$label arv_pmtct QtyReceived_2}{END QtyReceived_2_label}
|
{$QtyReceived_2_editcontrol}
|
{END QtyReceived_2_fieldblock}
{BEGIN Qty_Dispensed_2_fieldblock}
|
{BEGIN Qty_Dispensed_2_label}{$label arv_pmtct Qty_Dispensed_2}{END Qty_Dispensed_2_label}
|
{$Qty_Dispensed_2_editcontrol}
|
{END Qty_Dispensed_2_fieldblock}
{BEGIN QtySOH_2_fieldblock}
|
{BEGIN QtySOH_2_label}{$label arv_pmtct QtySOH_2}{END QtySOH_2_label}
|
{$QtySOH_2_editcontrol}
|
{END QtySOH_2_fieldblock}
{BEGIN Remark_2_fieldblock}
{END Remark_2_fieldblock}
{BEGIN Drug_3_fieldblock}
|
{BEGIN Drug_3_label}{$label arv_pmtct Drug_3}{END Drug_3_label}
|
{$Drug_3_editcontrol}
|
{END Drug_3_fieldblock}
{BEGIN QtyReceived_3_fieldblock}
|
{BEGIN QtyReceived_3_label}{$label arv_pmtct QtyReceived_3}{END QtyReceived_3_label}
|
{$QtyReceived_3_editcontrol}
|
{END QtyReceived_3_fieldblock}
{BEGIN Qty_Dispensed_3_fieldblock}
|
{BEGIN Qty_Dispensed_3_label}{$label arv_pmtct Qty_Dispensed_3}{END Qty_Dispensed_3_label}
|
{$Qty_Dispensed_3_editcontrol}
|
{END Qty_Dispensed_3_fieldblock}
{BEGIN QtySOH_3_fieldblock}
|
{BEGIN QtySOH_3_label}{$label arv_pmtct QtySOH_3}{END QtySOH_3_label}
|
{$QtySOH_3_editcontrol}
|
{END QtySOH_3_fieldblock}
{BEGIN Remark_3_fieldblock}
{END Remark_3_fieldblock}
{BEGIN Drug_4_fieldblock}
|
{BEGIN Drug_4_label}{$label arv_pmtct Drug_4}{END Drug_4_label}
|
{$Drug_4_editcontrol}
|
{END Drug_4_fieldblock}
{BEGIN QtyReceived_4_fieldblock}
|
{BEGIN QtyReceived_4_label}{$label arv_pmtct QtyReceived_4}{END QtyReceived_4_label}
|
{$QtyReceived_4_editcontrol}
|
{END QtyReceived_4_fieldblock}
{BEGIN Qty_Dispensed_4_fieldblock}
|
{BEGIN Qty_Dispensed_4_label}{$label arv_pmtct Qty_Dispensed_4}{END Qty_Dispensed_4_label}
|
{$Qty_Dispensed_4_editcontrol}
|
{END Qty_Dispensed_4_fieldblock}
{BEGIN QtySOH_4_fieldblock}
|
{BEGIN QtySOH_4_label}{$label arv_pmtct QtySOH_4}{END QtySOH_4_label}
|
{$QtySOH_4_editcontrol}
|
{END QtySOH_4_fieldblock}
{BEGIN Remark_4_fieldblock}
{END Remark_4_fieldblock}
{BEGIN Drug_5_fieldblock}
|
{BEGIN Drug_5_label}{$label arv_pmtct Drug_5}{END Drug_5_label}
|
{$Drug_5_editcontrol}
|
{END Drug_5_fieldblock}
{BEGIN QtyReceived_5_fieldblock}
|
{BEGIN QtyReceived_5_label}{$label arv_pmtct QtyReceived_5}{END QtyReceived_5_label}
|
{$QtyReceived_5_editcontrol}
|
{END QtyReceived_5_fieldblock}
{BEGIN Qty_Dispensed_5_fieldblock}
|
{BEGIN Qty_Dispensed_5_label}{$label arv_pmtct Qty_Dispensed_5}{END Qty_Dispensed_5_label}
|
{$Qty_Dispensed_5_editcontrol}
|
{END Qty_Dispensed_5_fieldblock}
{BEGIN QtySOH_5_fieldblock}
|
{BEGIN QtySOH_5_label}{$label arv_pmtct QtySOH_5}{END QtySOH_5_label}
|
{$QtySOH_5_editcontrol}
|
{END QtySOH_5_fieldblock}
{BEGIN Remark_5_fieldblock}
{END Remark_5_fieldblock}
{BEGIN Drug_6_fieldblock}
|
{BEGIN Drug_6_label}{$label arv_pmtct Drug_6}{END Drug_6_label}
|
{$Drug_6_editcontrol}
|
{END Drug_6_fieldblock}
{BEGIN QtyReceived_6_fieldblock}
|
{BEGIN QtyReceived_6_label}{$label arv_pmtct QtyReceived_6}{END QtyReceived_6_label}
|
{$QtyReceived_6_editcontrol}
|
{END QtyReceived_6_fieldblock}
{BEGIN Qty_Dispensed_6_fieldblock}
|
{BEGIN Qty_Dispensed_6_label}{$label arv_pmtct Qty_Dispensed_6}{END Qty_Dispensed_6_label}
|
{$Qty_Dispensed_6_editcontrol}
|
{END Qty_Dispensed_6_fieldblock}
{BEGIN QtySOH_6_fieldblock}
|
{BEGIN QtySOH_6_label}{$label arv_pmtct QtySOH_6}{END QtySOH_6_label}
|
{$QtySOH_6_editcontrol}
|
{END QtySOH_6_fieldblock}
{BEGIN Remark_6_fieldblock}
{END Remark_6_fieldblock}
{BEGIN Drug_7_fieldblock}
|
{BEGIN Drug_7_label}{$label arv_pmtct Drug_7}{END Drug_7_label}
|
{$Drug_7_editcontrol}
|
{END Drug_7_fieldblock}
{BEGIN QtyReceived_7_fieldblock}
|
{BEGIN QtyReceived_7_label}{$label arv_pmtct QtyReceived_7}{END QtyReceived_7_label}
|
{$QtyReceived_7_editcontrol}
|
{END QtyReceived_7_fieldblock}
{BEGIN Qty_Dispensed_7_fieldblock}
|
{BEGIN Qty_Dispensed_7_label}{$label arv_pmtct Qty_Dispensed_7}{END Qty_Dispensed_7_label}
|
{$Qty_Dispensed_7_editcontrol}
|
{END Qty_Dispensed_7_fieldblock}
{BEGIN QtySOH_7_fieldblock}
|
{BEGIN QtySOH_7_label}{$label arv_pmtct QtySOH_7}{END QtySOH_7_label}
|
{$QtySOH_7_editcontrol}
|
{END QtySOH_7_fieldblock}
{BEGIN Remark_7_fieldblock}
{END Remark_7_fieldblock}
{BEGIN Drug_8_fieldblock}
|
{BEGIN Drug_8_label}{$label arv_pmtct Drug_8}{END Drug_8_label}
|
{$Drug_8_editcontrol}
|
{END Drug_8_fieldblock}
{BEGIN QtyReceived_8_fieldblock}
|
{BEGIN QtyReceived_8_label}{$label arv_pmtct QtyReceived_8}{END QtyReceived_8_label}
|
{$QtyReceived_8_editcontrol}
|
{END QtyReceived_8_fieldblock}
{BEGIN Qty_Dispensed_8_fieldblock}
|
{BEGIN Qty_Dispensed_8_label}{$label arv_pmtct Qty_Dispensed_8}{END Qty_Dispensed_8_label}
|
{$Qty_Dispensed_8_editcontrol}
|
{END Qty_Dispensed_8_fieldblock}
{BEGIN QtySOH_8_fieldblock}
|
{BEGIN QtySOH_8_label}{$label arv_pmtct QtySOH_8}{END QtySOH_8_label}
|
{$QtySOH_8_editcontrol}
|
{END QtySOH_8_fieldblock}
{BEGIN Remark_8_fieldblock}
{END Remark_8_fieldblock}
{BEGIN Drug_9_fieldblock}
|
{BEGIN Drug_9_label}{$label arv_pmtct Drug_9}{END Drug_9_label}
|
{$Drug_9_editcontrol}
|
{END Drug_9_fieldblock}
{BEGIN QtyReceived_9_fieldblock}
|
{BEGIN QtyReceived_9_label}{$label arv_pmtct QtyReceived_9}{END QtyReceived_9_label}
|
{$QtyReceived_9_editcontrol}
|
{END QtyReceived_9_fieldblock}
{BEGIN Qty_Dispensed_9_fieldblock}
|
{BEGIN Qty_Dispensed_9_label}{$label arv_pmtct Qty_Dispensed_9}{END Qty_Dispensed_9_label}
|
{$Qty_Dispensed_9_editcontrol}
|
{END Qty_Dispensed_9_fieldblock}
{BEGIN QtySOH_9_fieldblock}
|
{BEGIN QtySOH_9_label}{$label arv_pmtct QtySOH_9}{END QtySOH_9_label}
|
{$QtySOH_9_editcontrol}
|
{END QtySOH_9_fieldblock}
{BEGIN Remark_9_fieldblock}
{END Remark_9_fieldblock}
{BEGIN Drug_10_fieldblock}
|
{BEGIN Drug_10_label}{$label arv_pmtct Drug_10}{END Drug_10_label}
|
{$Drug_10_editcontrol}
|
{END Drug_10_fieldblock}
{BEGIN QtyReceived_10_fieldblock}
|
{BEGIN QtyReceived_10_label}{$label arv_pmtct QtyReceived_10}{END QtyReceived_10_label}
|
{$QtyReceived_10_editcontrol}
|
{END QtyReceived_10_fieldblock}
{BEGIN Qty_Dispensed_10_fieldblock}
|
{BEGIN Qty_Dispensed_10_label}{$label arv_pmtct Qty_Dispensed_10}{END Qty_Dispensed_10_label}
|
{$Qty_Dispensed_10_editcontrol}
|
{END Qty_Dispensed_10_fieldblock}
{BEGIN QtySOH_10_fieldblock}
|
{BEGIN QtySOH_10_label}{$label arv_pmtct QtySOH_10}{END QtySOH_10_label}
|
{$QtySOH_10_editcontrol}
|
{END QtySOH_10_fieldblock}
{BEGIN Remark_10_fieldblock}
{END Remark_10_fieldblock}
{BEGIN Drug_11_fieldblock}
|
{BEGIN Drug_11_label}{$label arv_pmtct Drug_11}{END Drug_11_label}
|
{$Drug_11_editcontrol}
|
{END Drug_11_fieldblock}
{BEGIN QtyReceived_11_fieldblock}
|
{BEGIN QtyReceived_11_label}{$label arv_pmtct QtyReceived_11}{END QtyReceived_11_label}
|
{$QtyReceived_11_editcontrol}
|
{END QtyReceived_11_fieldblock}
{BEGIN Qty_Dispensed_11_fieldblock}
|
{BEGIN Qty_Dispensed_11_label}{$label arv_pmtct Qty_Dispensed_11}{END Qty_Dispensed_11_label}
|
{$Qty_Dispensed_11_editcontrol}
|
{END Qty_Dispensed_11_fieldblock}
{BEGIN QtySOH_11_fieldblock}
|
{BEGIN QtySOH_11_label}{$label arv_pmtct QtySOH_11}{END QtySOH_11_label}
|
{$QtySOH_11_editcontrol}
|
{END QtySOH_11_fieldblock}
{BEGIN Remark_11_fieldblock}
{END Remark_11_fieldblock}
{BEGIN Drug_12_fieldblock}
|
{BEGIN Drug_12_label}{$label arv_pmtct Drug_12}{END Drug_12_label}
|
{$Drug_12_editcontrol}
|
{END Drug_12_fieldblock}
{BEGIN QtyReceived_12_fieldblock}
|
{BEGIN QtyReceived_12_label}{$label arv_pmtct QtyReceived_12}{END QtyReceived_12_label}
|
{$QtyReceived_12_editcontrol}
|
{END QtyReceived_12_fieldblock}
{BEGIN Qty_Dispensed_12_fieldblock}
|
{BEGIN Qty_Dispensed_12_label}{$label arv_pmtct Qty_Dispensed_12}{END Qty_Dispensed_12_label}
|
{$Qty_Dispensed_12_editcontrol}
|
{END Qty_Dispensed_12_fieldblock}
{BEGIN QtySOH_12_fieldblock}
|
{BEGIN QtySOH_12_label}{$label arv_pmtct QtySOH_12}{END QtySOH_12_label}
|
{$QtySOH_12_editcontrol}
|
{END QtySOH_12_fieldblock}
{BEGIN Remark_12_fieldblock}
{END Remark_12_fieldblock}
{BEGIN Drug_13_fieldblock}
|
{BEGIN Drug_13_label}{$label arv_pmtct Drug_13}{END Drug_13_label}
|
{$Drug_13_editcontrol}
|
{END Drug_13_fieldblock}
{BEGIN QtyReceived_13_fieldblock}
|
{BEGIN QtyReceived_13_label}{$label arv_pmtct QtyReceived_13}{END QtyReceived_13_label}
|
{$QtyReceived_13_editcontrol}
|
{END QtyReceived_13_fieldblock}
{BEGIN Qty_Dispensed_13_fieldblock}
|
{BEGIN Qty_Dispensed_13_label}{$label arv_pmtct Qty_Dispensed_13}{END Qty_Dispensed_13_label}
|
{$Qty_Dispensed_13_editcontrol}
|
{END Qty_Dispensed_13_fieldblock}
{BEGIN QtySOH_13_fieldblock}
|
{BEGIN QtySOH_13_label}{$label arv_pmtct QtySOH_13}{END QtySOH_13_label}
|
{$QtySOH_13_editcontrol}
|
{END QtySOH_13_fieldblock}
{BEGIN Remark_13_fieldblock}
{END Remark_13_fieldblock}
{BEGIN Drug_14_fieldblock}
|
{BEGIN Drug_14_label}{$label arv_pmtct Drug_14}{END Drug_14_label}
|
{$Drug_14_editcontrol}
|
{END Drug_14_fieldblock}
{BEGIN QtyReceived_14_fieldblock}
|
{BEGIN QtyReceived_14_label}{$label arv_pmtct QtyReceived_14}{END QtyReceived_14_label}
|
{$QtyReceived_14_editcontrol}
|
{END QtyReceived_14_fieldblock}
{BEGIN Qty_Dispensed_14_fieldblock}
|
{BEGIN Qty_Dispensed_14_label}{$label arv_pmtct Qty_Dispensed_14}{END Qty_Dispensed_14_label}
|
{$Qty_Dispensed_14_editcontrol}
|
{END Qty_Dispensed_14_fieldblock}
{BEGIN QtySOH_14_fieldblock}
|
{BEGIN QtySOH_14_label}{$label arv_pmtct QtySOH_14}{END QtySOH_14_label}
|
{$QtySOH_14_editcontrol}
|
{END QtySOH_14_fieldblock}
{BEGIN Remark_14_fieldblock}
{END Remark_14_fieldblock}
{BEGIN Drug_15_fieldblock}
|
{BEGIN Drug_15_label}{$label arv_pmtct Drug_15}{END Drug_15_label}
|
{$Drug_15_editcontrol}
|
{END Drug_15_fieldblock}
{BEGIN QtyReceived_15_fieldblock}
|
{BEGIN QtyReceived_15_label}{$label arv_pmtct QtyReceived_15}{END QtyReceived_15_label}
|
{$QtyReceived_15_editcontrol}
|
{END QtyReceived_15_fieldblock}
{BEGIN Qty_Dispensed_15_fieldblock}
|
{BEGIN Qty_Dispensed_15_label}{$label arv_pmtct Qty_Dispensed_15}{END Qty_Dispensed_15_label}
|
{$Qty_Dispensed_15_editcontrol}
|
{END Qty_Dispensed_15_fieldblock}
{BEGIN QtySOH_15_fieldblock}
|
{BEGIN QtySOH_15_label}{$label arv_pmtct QtySOH_15}{END QtySOH_15_label}
|
{$QtySOH_15_editcontrol}
|
{END QtySOH_15_fieldblock}
{BEGIN Remark_15_fieldblock}
{END Remark_15_fieldblock}