# REVISIONDATA

ACTIONTIME: 2015-03-04 15:21:49
SOURCE:
<!DOCTYPE html>
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    <TITLE>
      < DIV contentEditable=false id class='simple-xt-tag' style='background-image: ; display: inline-block;' ruleindex="272">pagetitle</DIV>
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    {BEGIN body}
      {$header}
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                {BEGIN container_edit}
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                        <SPAN>
                          <H1>
                            {$pagetitlelabel arv_art edit}
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                      {BEGIN container_fields}
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                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
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                                  <P align="center">
                                    <FONT size="4"></FONT>
                                  </P>
                                  <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
                                    <P align="center">
                                      <FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - Antiretroviral and Cotrimoxazole</FONT></FONT>
                                    </P>
                                  </TD>
                                </TR>
                              </TBODY>
                            </TABLE>
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                            <TABLE style="width: auto;" class="fieldGrid">
                              <TBODY>
                                {BEGIN formid_fieldblock}
                                  <TR class="{$fielddispclass_formid}" data-fieldname="formid">
                                    <TD style="width: auto;" class="rnr-label">
                                      {BEGIN formid_label}
                                        <TABLE style="width: 390px;" border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                SiteName
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="3">
                                                {$SiteName_editcontrol}
                                                &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="5" colSpan="1">
                                                <IMG style="width: 118px; height: 73px;" border="0" alt="coat of arms" src="images/coat.jpg" width="241" height="207">
                                                &nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                              <TD class=" runner-cc" rowSpan="5" colSpan="2">
                                                &nbsp;&nbsp;&nbsp;<FONT 
            size="4">Data Consultant Name</FONT><FONT 
size="3">{$ValidateEntry_editcontrol}</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Facility&nbsp;Code
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$formid_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;Funding&nbsp;Source
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$Funding_Source_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;State
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$State_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;Service&nbsp;Type
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$Service_Type_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Phase
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$Phase_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;IPName
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$IPName_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END formid_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                    </TD>
                                  </TR>
                                {END formid_fieldblock}
                                {BEGIN SiteName_fieldblock}
                                  <TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
                                    <TD style="width: auto;" class="rnr-label">
                                      {BEGIN SiteName_label}
                                        <TABLE style="width: 1367px;" border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;S/No
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                &nbsp;Drugs
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Basic&nbsp;Unit
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  &nbsp;Beginning&nbsp;Balance<BR>for&nbsp;Reporting&nbsp;Period
                                                </P>
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                &nbsp;Quantity&nbsp;Received<BR>during&nbsp;Reporting&nbsp;Period
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  Quantity&nbsp;Dispensed
                                                </P>
                                                <P>
                                                  During&nbsp;Reporting&nbsp;Period&nbsp;
                                                </P>
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                &nbsp;Positive&nbsp;Adjust.
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                Negative&nbsp;Adjust.&nbsp;
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  &nbsp;Ending&nbsp;Balance
                                                </P>
                                                <P>
                                                  (Physical&nbsp;Count)
                                                </P>
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                Remarks&nbsp;
                                              </TD>
                                            </TR>
                                            <TR style="height: 22px;">
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">FIXED DOSE COMBINATION ADULT FIRST LINE</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;1
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_1_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_1_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_1_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_1_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_1_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_1_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_1_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_1_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;2
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_2_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_2_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_2_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_2_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_2_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_2_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_2_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_2_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR style="height: 26px;">
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;3
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_3_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_3_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                <FONT face="Arial Black">{$QtyReceived_3_editcontrol}</FONT>
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed__editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_3_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_3_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_3_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_3_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;4
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_4_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_4_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_4_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_4_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_4_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_4_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_4_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_4_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;5
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_5_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_5_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_5_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_5_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_5_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_5_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_5_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_5_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">SINGLE DOSE ADULT FIRST LINE</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;6
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_6_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_6_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_6_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_6_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_6_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_6_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_6_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_6_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;7
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_7_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_7_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_7_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_7_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_7_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_7_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_7_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_7_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;8
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_8_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_8_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_8_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_8_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_8_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_8_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_8_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_8_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">ADULT SECOND LINE DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;9
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_9_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_9_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_9_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_9_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_9_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_9_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_9_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_9_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;10
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_10_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_10_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_10_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_10_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_10_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_10_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_10_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_10_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC FIXED DOSE COMBINATION</FONT>
                                              </TD>
                                            </TR>
                                            <TR style="height: 24px;">
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;11
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_11_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_11_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_11_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_11_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_11_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_11_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_11_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_11_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;12
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_12_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_12_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_12_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_12_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_12_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_12_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_12_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_12_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;13
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_13_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_13_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_13_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_13_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_13_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_13_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_13_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_13_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;14
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_14_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_14_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_14_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_14_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_14_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_14_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_14_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_14_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC SINGLE DOSE</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;15
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_15_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_15_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_15_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_15_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_15_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_15_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_15_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_15_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;16
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_16_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_16_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_16_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_16_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_16_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_16_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_16_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_16_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;17
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_17_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_17_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_17_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_17_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_17_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_17_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_17_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_17_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;18
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_18_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_18_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_18_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_18_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_18_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_18_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_18_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_18_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;19
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_19_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_19_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_19_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_19_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_19_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_19_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_19_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_19_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC SECOND LINE DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;20
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_20_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_20_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_20_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_20_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_20_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_20_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_20_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_20_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;21
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_21_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_21_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_21_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_21_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_21_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_21_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_21_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_21_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" 
            size="3">OPPORTUNISTICS INFECTIOUS DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;22
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_22_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_22_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_22_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_22_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_22_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_22_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_22_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_22_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;23
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_23_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_23_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_23_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_23_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_23_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_23_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_23_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;24
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_24_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_24_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_24_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_24_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_24_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_24_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;25
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_25_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_25_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_25_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_25_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_25_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_25_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_25_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_25_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;26
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_26_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_26_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_26_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_26_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_26_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_26_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_26_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_26_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;27
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_27_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_27_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_27_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_27_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_27_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_27_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_27_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_27_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;28
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_28_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_28_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_28_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_28_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_28_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_28_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_28_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_28_editcontrol}
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END SiteName_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                    </TD>
                                  </TR>
                                {END SiteName_fieldblock}
                                <TR style="height: 32px;" class="{$fielddispclass_State}" data-fieldname="State">
                                  <TD class="rnr-label">
                                  </TD>
                                  <TD class="rnr-control style3">
                                    &nbsp;
                                  </TD>
                                </TR>
                              </TBODY>
                              <TBODY>
                                {BEGIN ValidateEntry_fieldblock}
                                  <TR class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
                                    <TD class="rnr-label">
                                      {BEGIN ValidateEntry_label}
                                      {END ValidateEntry_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                      &nbsp;
                                    </TD>
                                  </TR>
                                {END ValidateEntry_fieldblock}
                              </TBODY>
                            </TABLE>
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                            &nbsp;
                          </DIV>
                          {BEGIN editbuttons}
                            <DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
                              <DIV class="rnr-buttons-right">
                                {BEGIN prev_button}
                                  <A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>
                                    <<<
                                  </A>
                                {END prev_button}
                                {BEGIN next_button}
                                  <A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}>
                                    >>>
                                  </A>
                                {END next_button}
                              </DIV>
                              <DIV class="rnr-buttons-left">
                                {BEGIN save_button}
                                  <A class="rnr-button main" href="#" {$savebutton_attrs}>
                                    Save
                                  </A>
                                {END save_button}
                                {BEGIN reset_button}
                                  <A class="rnr-button" href="#" {$resetbutton_attrs}>
                                    Reset
                                  </A>
                                {END reset_button}
                                {BEGIN back_button}
                                  <A class="rnr-button" href="#" {$backbutton_attrs}>
                                    Back to list
                                  </A>
                                {END back_button}
                                {BEGIN close_button}
                                  <A class="rnr-button" href="#" {$closebutton_attrs}>
                                    Close window
                                  </A>
                                {END close_button}
                              </DIV>
                              <P>
                              </P>
                            </DIV>
                          {END editbuttons}
                        </DIV>
                      {END container_fields}
                    </DIV>
                  </DIV>
                {END container_edit}
              </DIV>
            </DIV>
          {END container_all}
        </DIV>
        <DIV class="rnr-middle">
          <DIV class="rnr-left {$blockclass_left}">
          </DIV>
          <DIV class="rnr-center {$blockclass_center}">
          </DIV>
          <DIV class="rnr-right {$blockclass_right}">
          </DIV>
        </DIV>
        <DIV class="rnr-bottom {$blockclass_bottom}">
        </DIV>
        {$footer}
      </DIV>
    {END body}
  </BODY>
</HTML>


ACTIONTIME: 2015-03-04 15:21:59
SOURCE:
<!doctype html>
<html  {$html_attrs}>
	<head>
		<meta http-equiv="X-UA-Compatible" content="IE=Edge">
		<title>< DIV  
 contentEditable=false id class='simple-xt-tag' style='background-image: ;  
 display: inline-block;' ruleindex="272">pagetitle</DIV></title>

		<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
		<link REL="stylesheet" href="styles/default.css" type="text/css">
		{BEGIN rtlCSS}<link REL="stylesheet" href="styles/defaultRTL.css" type="text/css">
		{END rtlCSS}
		{BEGIN styleCSSFiles}<link REL="stylesheet" href="{$stylepath}" type="text/css">
		{END styleCSSFiles}
		{BEGIN pageCSSFiles}<link REL="stylesheet" href="{$pagestylepath}" type="text/css">
		{END pageCSSFiles}
	</head>
	
	<body class="{$stylename} function-edit" {$bodyattrs}>
	{BEGIN body}{$header}
	<div class="rnr-page">
		<div class="rnr-top {$blockclass_top}">
			

{BEGIN container_all}<div class="rnr-c rnr-cv rnr-c-all">


<div  class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">

{BEGIN container_edit}<div class="rnr-c rnr-cv rnr-c-edit">

{BEGIN editheader}<div  class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><span>	<h1>{$pagetitlelabel arv_art edit}</h1>
</span></div>{END editheader}


{BEGIN message_block}<div  class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}"><div class="rnr-message">{$message}</div></div>{END message_block}



<div  class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">

{BEGIN container_fields}<div class="rnr-c rnr-cv rnr-c-fields">


<div  class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}"><table class="fieldGrid">
	{BEGIN formid_fieldblock}<tr class="{$fielddispclass_formid}" data-fieldname="formid">
	<TD style="width: auto;" class="rnr-label">
      {BEGIN formid_label}<TABLE style="width: 390px;" border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
        <TBODY>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> SiteName</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol} &nbsp;    
                   &nbsp;</TD>
          <TD style="width: 5px;" rowSpan="5" colSpan="1"><IMG style="width: 118px; height: 73px;" border="0" alt="coat of arms" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;</TD>
          <TD class=" runner-cc" rowSpan="5" colSpan="1"><FONT size="4">Data   
                                  Consultant Name</FONT><FONT size="3">
            {$ValidateEntry_editcontrol}</FONT></TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> 
            &nbsp;Facility&nbsp;Code</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> 
            &nbsp;Funding&nbsp;Source</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;State</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> 
            &nbsp;Service&nbsp;Type</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}
        </TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;Phase</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> &nbsp;IPName</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1"> &nbsp;</TD></TR>
      </TBODY></TABLE>{END formid_label}
	</td>
	<td class="rnr-control style3">
		</td>
</tr>
{END formid_fieldblock}
	{BEGIN SiteName_fieldblock}<tr class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
	<TD style="width: auto;" class="rnr-label">
      {BEGIN SiteName_label}<TABLE style="width: 1367px;" border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
        <TBODY>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;S/No</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"> &nbsp;Drugs</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> 
            &nbsp;Basic&nbsp;Unit</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"> 
            &nbsp;Quantity&nbsp;Received<BR>during&nbsp;Reporting&nbsp;Period</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            <P> Quantity&nbsp;Dispensed</P>
            <P> During&nbsp;Reporting&nbsp;Period&nbsp;</P></TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            <P> &nbsp;Ending&nbsp;Balance</P>
            <P> (Physical&nbsp;Count)</P></TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"> Remarks&nbsp;</TD>
        </TR>
        <TR style="height: 22px;">
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3">ARV FOR       
                                          
          PREGNANT&nbsp;MOTHERS</FONT>&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;1</TD>
          <TD rowSpan="1" colSpan="1">
            {$Drug_5_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1"> 30 TABS</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}
          </TD>
          <TD rowSpan="1" colSpan="1">
            {$Qty_Dispensed_5_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_5_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_5_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;2</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_1_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR style="height: 26px;">
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;3</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"><FONT face="Arial Black"></FONT>
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;4</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;5</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3">ARV FOR       
                                          EXPOSED BABIES</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;6</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_17_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_17_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_17_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_17_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_17_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;7</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_18_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_18_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_18_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_18_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_18_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;8</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_19_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_19_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_19_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_19_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_19_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" 
            size="3">OPPORTUNISTICS INFECTIOUS DRUGS</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;9</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_22_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_22_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_22_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_22_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_22_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;10</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_23_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_23_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_23_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_23_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_23_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;11</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_24_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_24_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_24_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_24_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_24_editcontrol}</TD></TR>
        </TBODY></TABLE>{END SiteName_label}
	</td>
	<td class="rnr-control style3">
		</td>
</tr>
{END SiteName_fieldblock}
	{BEGIN State_fieldblock}{END State_fieldblock}
	{BEGIN Funding_Source_fieldblock}{END Funding_Source_fieldblock}
	{BEGIN Service_Type_fieldblock}{END Service_Type_fieldblock}
	{BEGIN Phase_fieldblock}{END Phase_fieldblock}
	{BEGIN IPName_fieldblock}{END IPName_fieldblock}
	{BEGIN Drug_1_fieldblock}{END Drug_1_fieldblock}
	{BEGIN BeginningBal_1_fieldblock}{END BeginningBal_1_fieldblock}
	{BEGIN QtyReceived_1_fieldblock}{END QtyReceived_1_fieldblock}
	{BEGIN Qty_Dispensed_1_fieldblock}{END Qty_Dispensed_1_fieldblock}
	{BEGIN Positive_Adjst_1_fieldblock}{END Positive_Adjst_1_fieldblock}
	{BEGIN Negative_Adjst_1_fieldblock}{END Negative_Adjst_1_fieldblock}
	{BEGIN QtySOH_1_fieldblock}{END QtySOH_1_fieldblock}
	{BEGIN Remark_1_fieldblock}{END Remark_1_fieldblock}
	{BEGIN Drug_2_fieldblock}{END Drug_2_fieldblock}
	{BEGIN BeginningBal_2_fieldblock}{END BeginningBal_2_fieldblock}
	{BEGIN QtyReceived_2_fieldblock}{END QtyReceived_2_fieldblock}
	{BEGIN Qty_Dispensed_2_fieldblock}{END Qty_Dispensed_2_fieldblock}
	{BEGIN Positive_Adjst_2_fieldblock}{END Positive_Adjst_2_fieldblock}
	{BEGIN Negative_Adjst_2_fieldblock}{END Negative_Adjst_2_fieldblock}
	{BEGIN QtySOH_2_fieldblock}{END QtySOH_2_fieldblock}
	{BEGIN Remark_2_fieldblock}{END Remark_2_fieldblock}
	{BEGIN Drug_3_fieldblock}{END Drug_3_fieldblock}
	{BEGIN BeginningBal_3_fieldblock}{END BeginningBal_3_fieldblock}
	{BEGIN QtyReceived_3_fieldblock}{END QtyReceived_3_fieldblock}
	{BEGIN Qty_Dispensed__fieldblock}{END Qty_Dispensed__fieldblock}
	{BEGIN Positive_Adjst_3_fieldblock}{END Positive_Adjst_3_fieldblock}
	{BEGIN Negative_Adjst_3_fieldblock}{END Negative_Adjst_3_fieldblock}
	{BEGIN QtySOH_3_fieldblock}{END QtySOH_3_fieldblock}
	{BEGIN Remark_3_fieldblock}{END Remark_3_fieldblock}
	{BEGIN Drug_4_fieldblock}{END Drug_4_fieldblock}
	{BEGIN BeginningBal_4_fieldblock}{END BeginningBal_4_fieldblock}
	{BEGIN QtyReceived_4_fieldblock}{END QtyReceived_4_fieldblock}
	{BEGIN Qty_Dispensed_4_fieldblock}{END Qty_Dispensed_4_fieldblock}
	{BEGIN Positive_Adjst_4_fieldblock}{END Positive_Adjst_4_fieldblock}
	{BEGIN Negative_Adjst_4_fieldblock}{END Negative_Adjst_4_fieldblock}
	{BEGIN QtySOH_4_fieldblock}{END QtySOH_4_fieldblock}
	{BEGIN Remark_4_fieldblock}{END Remark_4_fieldblock}
	{BEGIN Drug_5_fieldblock}{END Drug_5_fieldblock}
	{BEGIN BeginningBal_5_fieldblock}{END BeginningBal_5_fieldblock}
	{BEGIN QtyReceived_5_fieldblock}{END QtyReceived_5_fieldblock}
	{BEGIN Qty_Dispensed_5_fieldblock}{END Qty_Dispensed_5_fieldblock}
	{BEGIN Positive_Adjst_5_fieldblock}{END Positive_Adjst_5_fieldblock}
	{BEGIN Negative_Adjst_5_fieldblock}{END Negative_Adjst_5_fieldblock}
	{BEGIN QtySOH_5_fieldblock}{END QtySOH_5_fieldblock}
	{BEGIN Remark_5_fieldblock}{END Remark_5_fieldblock}
	{BEGIN Drug_6_fieldblock}{END Drug_6_fieldblock}
	{BEGIN BeginningBal_6_fieldblock}{END BeginningBal_6_fieldblock}
	{BEGIN QtyReceived_6_fieldblock}{END QtyReceived_6_fieldblock}
	{BEGIN Qty_Dispensed_6_fieldblock}{END Qty_Dispensed_6_fieldblock}
	{BEGIN Positive_Adjst_6_fieldblock}{END Positive_Adjst_6_fieldblock}
	{BEGIN Negative_Adjst_6_fieldblock}{END Negative_Adjst_6_fieldblock}
	{BEGIN QtySOH_6_fieldblock}{END QtySOH_6_fieldblock}
	{BEGIN Remark_6_fieldblock}{END Remark_6_fieldblock}
	{BEGIN Drug_7_fieldblock}{END Drug_7_fieldblock}
	{BEGIN BeginningBal_7_fieldblock}{END BeginningBal_7_fieldblock}
	{BEGIN QtyReceived_7_fieldblock}{END QtyReceived_7_fieldblock}
	{BEGIN Qty_Dispensed_7_fieldblock}{END Qty_Dispensed_7_fieldblock}
	{BEGIN Positive_Adjst_7_fieldblock}{END Positive_Adjst_7_fieldblock}
	{BEGIN Negative_Adjst_7_fieldblock}{END Negative_Adjst_7_fieldblock}
	{BEGIN QtySOH_7_fieldblock}{END QtySOH_7_fieldblock}
	{BEGIN Remark_7_fieldblock}{END Remark_7_fieldblock}
	{BEGIN Drug_8_fieldblock}{END Drug_8_fieldblock}
	{BEGIN BeginningBal_8_fieldblock}{END BeginningBal_8_fieldblock}
	{BEGIN QtyReceived_8_fieldblock}{END QtyReceived_8_fieldblock}
	{BEGIN Qty_Dispensed_8_fieldblock}{END Qty_Dispensed_8_fieldblock}
	{BEGIN Positive_Adjst_8_fieldblock}{END Positive_Adjst_8_fieldblock}
	{BEGIN Negative_Adjst_8_fieldblock}{END Negative_Adjst_8_fieldblock}
	{BEGIN QtySOH_8_fieldblock}{END QtySOH_8_fieldblock}
	{BEGIN Remark_8_fieldblock}{END Remark_8_fieldblock}
	{BEGIN Drug_9_fieldblock}{END Drug_9_fieldblock}
	{BEGIN BeginningBal_9_fieldblock}{END BeginningBal_9_fieldblock}
	{BEGIN QtyReceived_9_fieldblock}{END QtyReceived_9_fieldblock}
	{BEGIN Qty_Dispensed_9_fieldblock}{END Qty_Dispensed_9_fieldblock}
	{BEGIN Positive_Adjst_9_fieldblock}{END Positive_Adjst_9_fieldblock}
	{BEGIN Negative_Adjst_9_fieldblock}{END Negative_Adjst_9_fieldblock}
	{BEGIN QtySOH_9_fieldblock}{END QtySOH_9_fieldblock}
	{BEGIN Remark_9_fieldblock}{END Remark_9_fieldblock}
	{BEGIN Drug_10_fieldblock}{END Drug_10_fieldblock}
	{BEGIN BeginningBal_10_fieldblock}{END BeginningBal_10_fieldblock}
	{BEGIN QtyReceived_10_fieldblock}{END QtyReceived_10_fieldblock}
	{BEGIN Qty_Dispensed_10_fieldblock}{END Qty_Dispensed_10_fieldblock}
	{BEGIN Positive_Adjst_10_fieldblock}{END Positive_Adjst_10_fieldblock}
	{BEGIN Negative_Adjst_10_fieldblock}{END Negative_Adjst_10_fieldblock}
	{BEGIN QtySOH_10_fieldblock}{END QtySOH_10_fieldblock}
	{BEGIN Remark_10_fieldblock}{END Remark_10_fieldblock}
	{BEGIN Drug_11_fieldblock}{END Drug_11_fieldblock}
	{BEGIN BeginningBal_11_fieldblock}{END BeginningBal_11_fieldblock}
	{BEGIN QtyReceived_11_fieldblock}{END QtyReceived_11_fieldblock}
	{BEGIN Qty_Dispensed_11_fieldblock}{END Qty_Dispensed_11_fieldblock}
	{BEGIN Positive_Adjst_11_fieldblock}{END Positive_Adjst_11_fieldblock}
	{BEGIN Negative_Adjst_11_fieldblock}{END Negative_Adjst_11_fieldblock}
	{BEGIN QtySOH_11_fieldblock}{END QtySOH_11_fieldblock}
	{BEGIN Remark_11_fieldblock}{END Remark_11_fieldblock}
	{BEGIN Drug_12_fieldblock}{END Drug_12_fieldblock}
	{BEGIN BeginningBal_12_fieldblock}{END BeginningBal_12_fieldblock}
	{BEGIN QtyReceived_12_fieldblock}{END QtyReceived_12_fieldblock}
	{BEGIN Qty_Dispensed_12_fieldblock}{END Qty_Dispensed_12_fieldblock}
	{BEGIN Positive_Adjst_12_fieldblock}{END Positive_Adjst_12_fieldblock}
	{BEGIN Negative_Adjst_12_fieldblock}{END Negative_Adjst_12_fieldblock}
	{BEGIN QtySOH_12_fieldblock}{END QtySOH_12_fieldblock}
	{BEGIN Remark_12_fieldblock}{END Remark_12_fieldblock}
	{BEGIN Drug_13_fieldblock}{END Drug_13_fieldblock}
	{BEGIN BeginningBal_13_fieldblock}{END BeginningBal_13_fieldblock}
	{BEGIN QtyReceived_13_fieldblock}{END QtyReceived_13_fieldblock}
	{BEGIN Qty_Dispensed_13_fieldblock}{END Qty_Dispensed_13_fieldblock}
	{BEGIN Positive_Adjst_13_fieldblock}{END Positive_Adjst_13_fieldblock}
	{BEGIN Negative_Adjst_13_fieldblock}{END Negative_Adjst_13_fieldblock}
	{BEGIN QtySOH_13_fieldblock}{END QtySOH_13_fieldblock}
	{BEGIN Remark_13_fieldblock}{END Remark_13_fieldblock}
	{BEGIN Drug_14_fieldblock}{END Drug_14_fieldblock}
	{BEGIN BeginningBal_14_fieldblock}{END BeginningBal_14_fieldblock}
	{BEGIN QtyReceived_14_fieldblock}{END QtyReceived_14_fieldblock}
	{BEGIN Qty_Dispensed_14_fieldblock}{END Qty_Dispensed_14_fieldblock}
	{BEGIN Positive_Adjst_14_fieldblock}{END Positive_Adjst_14_fieldblock}
	{BEGIN Negative_Adjst_14_fieldblock}{END Negative_Adjst_14_fieldblock}
	{BEGIN QtySOH_14_fieldblock}{END QtySOH_14_fieldblock}
	{BEGIN Remark_14_fieldblock}{END Remark_14_fieldblock}
	{BEGIN Drug_15_fieldblock}{END Drug_15_fieldblock}
	{BEGIN BeginningBal_15_fieldblock}{END BeginningBal_15_fieldblock}
	{BEGIN QtyReceived_15_fieldblock}{END QtyReceived_15_fieldblock}
	{BEGIN Qty_Dispensed_15_fieldblock}{END Qty_Dispensed_15_fieldblock}
	{BEGIN Positive_Adjst_15_fieldblock}{END Positive_Adjst_15_fieldblock}
	{BEGIN Negative_Adjst_15_fieldblock}{END Negative_Adjst_15_fieldblock}
	{BEGIN QtySOH_15_fieldblock}{END QtySOH_15_fieldblock}
	{BEGIN Remark_15_fieldblock}{END Remark_15_fieldblock}
	{BEGIN Drug_16_fieldblock}{END Drug_16_fieldblock}
	{BEGIN BeginningBal_16_fieldblock}{END BeginningBal_16_fieldblock}
	{BEGIN QtyReceived_16_fieldblock}{END QtyReceived_16_fieldblock}
	{BEGIN Qty_Dispensed_16_fieldblock}{END Qty_Dispensed_16_fieldblock}
	{BEGIN Positive_Adjst_16_fieldblock}{END Positive_Adjst_16_fieldblock}
	{BEGIN Negative_Adjst_16_fieldblock}{END Negative_Adjst_16_fieldblock}
	{BEGIN QtySOH_16_fieldblock}{END QtySOH_16_fieldblock}
	{BEGIN Remark_16_fieldblock}{END Remark_16_fieldblock}
	{BEGIN Drug_17_fieldblock}{END Drug_17_fieldblock}
	{BEGIN BeginningBal_17_fieldblock}{END BeginningBal_17_fieldblock}
	{BEGIN QtyReceived_17_fieldblock}{END QtyReceived_17_fieldblock}
	{BEGIN Qty_Dispensed_17_fieldblock}{END Qty_Dispensed_17_fieldblock}
	{BEGIN Positive_Adjst_17_fieldblock}{END Positive_Adjst_17_fieldblock}
	{BEGIN Negative_Adjst_17_fieldblock}{END Negative_Adjst_17_fieldblock}
	{BEGIN QtySOH_17_fieldblock}{END QtySOH_17_fieldblock}
	{BEGIN Remark_17_fieldblock}{END Remark_17_fieldblock}
	{BEGIN Drug_18_fieldblock}{END Drug_18_fieldblock}
	{BEGIN BeginningBal_18_fieldblock}{END BeginningBal_18_fieldblock}
	{BEGIN QtyReceived_18_fieldblock}{END QtyReceived_18_fieldblock}
	{BEGIN Qty_Dispensed_18_fieldblock}{END Qty_Dispensed_18_fieldblock}
	{BEGIN Positive_Adjst_18_fieldblock}{END Positive_Adjst_18_fieldblock}
	{BEGIN Negative_Adjst_18_fieldblock}{END Negative_Adjst_18_fieldblock}
	{BEGIN QtySOH_18_fieldblock}{END QtySOH_18_fieldblock}
	{BEGIN Remark_18_fieldblock}{END Remark_18_fieldblock}
	{BEGIN Drug_19_fieldblock}{END Drug_19_fieldblock}
	{BEGIN BeginningBal_19_fieldblock}{END BeginningBal_19_fieldblock}
	{BEGIN QtyReceived_19_fieldblock}{END QtyReceived_19_fieldblock}
	{BEGIN Qty_Dispensed_19_fieldblock}{END Qty_Dispensed_19_fieldblock}
	{BEGIN Positive_Adjst_19_fieldblock}{END Positive_Adjst_19_fieldblock}
	{BEGIN Negative_Adjst_19_fieldblock}{END Negative_Adjst_19_fieldblock}
	{BEGIN QtySOH_19_fieldblock}{END QtySOH_19_fieldblock}
	{BEGIN Remark_19_fieldblock}{END Remark_19_fieldblock}
	{BEGIN Drug_20_fieldblock}{END Drug_20_fieldblock}
	{BEGIN BeginningBal_20_fieldblock}{END BeginningBal_20_fieldblock}
	{BEGIN QtyReceived_20_fieldblock}{END QtyReceived_20_fieldblock}
	{BEGIN Qty_Dispensed_20_fieldblock}{END Qty_Dispensed_20_fieldblock}
	{BEGIN Positive_Adjst_20_fieldblock}{END Positive_Adjst_20_fieldblock}
	{BEGIN Negative_Adjst_20_fieldblock}{END Negative_Adjst_20_fieldblock}
	{BEGIN QtySOH_20_fieldblock}{END QtySOH_20_fieldblock}
	{BEGIN Remark_20_fieldblock}{END Remark_20_fieldblock}
	{BEGIN Drug_21_fieldblock}{END Drug_21_fieldblock}
	{BEGIN BeginningBal_21_fieldblock}{END BeginningBal_21_fieldblock}
	{BEGIN QtyReceived_21_fieldblock}{END QtyReceived_21_fieldblock}
	{BEGIN Qty_Dispensed_21_fieldblock}{END Qty_Dispensed_21_fieldblock}
	{BEGIN Positive_Adjst_21_fieldblock}{END Positive_Adjst_21_fieldblock}
	{BEGIN Negative_Adjst_21_fieldblock}{END Negative_Adjst_21_fieldblock}
	{BEGIN QtySOH_21_fieldblock}{END QtySOH_21_fieldblock}
	{BEGIN Remark_21_fieldblock}{END Remark_21_fieldblock}
	{BEGIN Drug_22_fieldblock}{END Drug_22_fieldblock}
	{BEGIN BeginningBal_22_fieldblock}{END BeginningBal_22_fieldblock}
	{BEGIN QtyReceived_22_fieldblock}{END QtyReceived_22_fieldblock}
	{BEGIN Qty_Dispensed_22_fieldblock}{END Qty_Dispensed_22_fieldblock}
	{BEGIN Positive_Adjst_22_fieldblock}{END Positive_Adjst_22_fieldblock}
	{BEGIN Negative_Adjst_22_fieldblock}{END Negative_Adjst_22_fieldblock}
	{BEGIN QtySOH_22_fieldblock}{END QtySOH_22_fieldblock}
	{BEGIN Remark_22_fieldblock}{END Remark_22_fieldblock}
	{BEGIN Drug_23_fieldblock}{END Drug_23_fieldblock}
	{BEGIN BeginningBal_23_fieldblock}{END BeginningBal_23_fieldblock}
	{BEGIN QtyReceived_23_fieldblock}{END QtyReceived_23_fieldblock}
	{BEGIN Qty_Dispensed_23_fieldblock}{END Qty_Dispensed_23_fieldblock}
	{BEGIN Positive_Adjst_23_fieldblock}{END Positive_Adjst_23_fieldblock}
	{BEGIN Negative_Adjst_23_fieldblock}{END Negative_Adjst_23_fieldblock}
	{BEGIN QtySOH_23_fieldblock}{END QtySOH_23_fieldblock}
	{BEGIN Remark_23_fieldblock}{END Remark_23_fieldblock}
	{BEGIN Drug_24_fieldblock}{END Drug_24_fieldblock}
	{BEGIN BeginningBal_24_fieldblock}{END BeginningBal_24_fieldblock}
	{BEGIN QtyReceived_24_fieldblock}{END QtyReceived_24_fieldblock}
	{BEGIN Qty_Dispensed_24_fieldblock}{END Qty_Dispensed_24_fieldblock}
	{BEGIN Positive_Adjst_24_fieldblock}{END Positive_Adjst_24_fieldblock}
	{BEGIN Negative_Adjst_24_fieldblock}{END Negative_Adjst_24_fieldblock}
	{BEGIN QtySOH_24_fieldblock}{END QtySOH_24_fieldblock}
	{BEGIN Remark_24_fieldblock}{END Remark_24_fieldblock}
	{BEGIN Drug_25_fieldblock}{END Drug_25_fieldblock}
	{BEGIN BeginningBal_25_fieldblock}{END BeginningBal_25_fieldblock}
	{BEGIN QtyReceived_25_fieldblock}{END QtyReceived_25_fieldblock}
	{BEGIN Qty_Dispensed_25_fieldblock}{END Qty_Dispensed_25_fieldblock}
	{BEGIN Positive_Adjst_25_fieldblock}{END Positive_Adjst_25_fieldblock}
	{BEGIN Negative_Adjst_25_fieldblock}{END Negative_Adjst_25_fieldblock}
	{BEGIN QtySOH_25_fieldblock}{END QtySOH_25_fieldblock}
	{BEGIN Remark_25_fieldblock}{END Remark_25_fieldblock}
	{BEGIN Drug_26_fieldblock}{END Drug_26_fieldblock}
	{BEGIN BeginningBal_26_fieldblock}{END BeginningBal_26_fieldblock}
	{BEGIN QtyReceived_26_fieldblock}{END QtyReceived_26_fieldblock}
	{BEGIN Qty_Dispensed_26_fieldblock}{END Qty_Dispensed_26_fieldblock}
	{BEGIN Positive_Adjst_26_fieldblock}{END Positive_Adjst_26_fieldblock}
	{BEGIN Negative_Adjst_26_fieldblock}{END Negative_Adjst_26_fieldblock}
	{BEGIN QtySOH_26_fieldblock}{END QtySOH_26_fieldblock}
	{BEGIN Remark_26_fieldblock}{END Remark_26_fieldblock}
	{BEGIN Drug_27_fieldblock}{END Drug_27_fieldblock}
	{BEGIN BeginningBal_27_fieldblock}{END BeginningBal_27_fieldblock}
	{BEGIN QtyReceived_27_fieldblock}{END QtyReceived_27_fieldblock}
	{BEGIN Qty_Dispensed_27_fieldblock}{END Qty_Dispensed_27_fieldblock}
	{BEGIN Positive_Adjst_27_fieldblock}{END Positive_Adjst_27_fieldblock}
	{BEGIN Negative_Adjst_27_fieldblock}{END Negative_Adjst_27_fieldblock}
	{BEGIN QtySOH_27_fieldblock}{END QtySOH_27_fieldblock}
	{BEGIN Remark_27_fieldblock}{END Remark_27_fieldblock}
	{BEGIN Drug_28_fieldblock}{END Drug_28_fieldblock}
	{BEGIN BeginningBal_28_fieldblock}{END BeginningBal_28_fieldblock}
	{BEGIN QtyReceived_28_fieldblock}{END QtyReceived_28_fieldblock}
	{BEGIN Qty_Dispensed_28_fieldblock}{END Qty_Dispensed_28_fieldblock}
	{BEGIN Positive_Adjst_28_fieldblock}{END Positive_Adjst_28_fieldblock}
	{BEGIN Negative_Adjst_28_fieldblock}{END Negative_Adjst_28_fieldblock}
	{BEGIN QtySOH_28_fieldblock}{END QtySOH_28_fieldblock}
	{BEGIN Remark_28_fieldblock}{END Remark_28_fieldblock}
	{BEGIN ValidateEntry_fieldblock}<tr class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
	<td class="rnr-label">
		{BEGIN ValidateEntry_label}{END ValidateEntry_label}
	</td>
	<td class="rnr-control style3">
		</td>
</tr>
{END ValidateEntry_fieldblock}
	{BEGIN Drug_29_fieldblock}<tr class="{$fielddispclass_Drug_29}" data-fieldname="Drug_29">
	<td class="rnr-label">
		{BEGIN Drug_29_label}{$label arv_pmtct_1 Drug_29}{END Drug_29_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_29_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_29_fieldblock}
	{BEGIN BeginningBal_29_fieldblock}<tr class="{$fielddispclass_BeginningBal_29}" data-fieldname="BeginningBal_29">
	<td class="rnr-label">
		{BEGIN BeginningBal_29_label}{$label arv_pmtct_1 BeginningBal_29}{END BeginningBal_29_label}
	</td>
	<td class="rnr-control style3">
		{$BeginningBal_29_editcontrol}&nbsp;
	</td>
</tr>
{END BeginningBal_29_fieldblock}
	{BEGIN QtyReceived_29_fieldblock}<tr class="{$fielddispclass_QtyReceived_29}" data-fieldname="QtyReceived_29">
	<td class="rnr-label">
		{BEGIN QtyReceived_29_label}{$label arv_pmtct_1 QtyReceived_29}{END QtyReceived_29_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_29_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_29_fieldblock}
	{BEGIN Qty_Dispensed_29_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_29}" data-fieldname="Qty_Dispensed_29">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_29_label}{$label arv_pmtct_1 Qty_Dispensed_29}{END Qty_Dispensed_29_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_29_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_29_fieldblock}
	{BEGIN Positive_Adjst_29_fieldblock}<tr class="{$fielddispclass_Positive_Adjst_29}" data-fieldname="Positive_Adjst_29">
	<td class="rnr-label">
		{BEGIN Positive_Adjst_29_label}{$label arv_pmtct_1 Positive_Adjst_29}{END Positive_Adjst_29_label}
	</td>
	<td class="rnr-control style3">
		{$Positive_Adjst_29_editcontrol}&nbsp;
	</td>
</tr>
{END Positive_Adjst_29_fieldblock}
	{BEGIN Negative_Adjst_29_fieldblock}<tr class="{$fielddispclass_Negative_Adjst_29}" data-fieldname="Negative_Adjst_29">
	<td class="rnr-label">
		{BEGIN Negative_Adjst_29_label}{$label arv_pmtct_1 Negative_Adjst_29}{END Negative_Adjst_29_label}
	</td>
	<td class="rnr-control style3">
		{$Negative_Adjst_29_editcontrol}&nbsp;
	</td>
</tr>
{END Negative_Adjst_29_fieldblock}
	{BEGIN QtySOH_29_fieldblock}<tr class="{$fielddispclass_QtySOH_29}" data-fieldname="QtySOH_29">
	<td class="rnr-label">
		{BEGIN QtySOH_29_label}{$label arv_pmtct_1 QtySOH_29}{END QtySOH_29_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_29_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_29_fieldblock}
	{BEGIN Remark_29_fieldblock}<tr class="{$fielddispclass_Remark_29}" data-fieldname="Remark_29">
	<td class="rnr-label">
		{BEGIN Remark_29_label}{$label arv_pmtct_1 Remark_29}{END Remark_29_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_29_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_29_fieldblock}
	{BEGIN Drug_30_fieldblock}<tr class="{$fielddispclass_Drug_30}" data-fieldname="Drug_30">
	<td class="rnr-label">
		{BEGIN Drug_30_label}{$label arv_pmtct_1 Drug_30}{END Drug_30_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_30_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_30_fieldblock}
	{BEGIN BeginningBal_30_fieldblock}<tr class="{$fielddispclass_BeginningBal_30}" data-fieldname="BeginningBal_30">
	<td class="rnr-label">
		{BEGIN BeginningBal_30_label}{$label arv_pmtct_1 BeginningBal_30}{END BeginningBal_30_label}
	</td>
	<td class="rnr-control style3">
		{$BeginningBal_30_editcontrol}&nbsp;
	</td>
</tr>
{END BeginningBal_30_fieldblock}
	{BEGIN QtyReceived_30_fieldblock}<tr class="{$fielddispclass_QtyReceived_30}" data-fieldname="QtyReceived_30">
	<td class="rnr-label">
		{BEGIN QtyReceived_30_label}{$label arv_pmtct_1 QtyReceived_30}{END QtyReceived_30_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_30_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_30_fieldblock}
	{BEGIN Qty_Dispensed_30_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_30}" data-fieldname="Qty_Dispensed_30">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_30_label}{$label arv_pmtct_1 Qty_Dispensed_30}{END Qty_Dispensed_30_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_30_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_30_fieldblock}
	{BEGIN Positive_Adjst_30_fieldblock}<tr class="{$fielddispclass_Positive_Adjst_30}" data-fieldname="Positive_Adjst_30">
	<td class="rnr-label">
		{BEGIN Positive_Adjst_30_label}{$label arv_pmtct_1 Positive_Adjst_30}{END Positive_Adjst_30_label}
	</td>
	<td class="rnr-control style3">
		{$Positive_Adjst_30_editcontrol}&nbsp;
	</td>
</tr>
{END Positive_Adjst_30_fieldblock}
	{BEGIN Negative_Adjst_30_fieldblock}<tr class="{$fielddispclass_Negative_Adjst_30}" data-fieldname="Negative_Adjst_30">
	<td class="rnr-label">
		{BEGIN Negative_Adjst_30_label}{$label arv_pmtct_1 Negative_Adjst_30}{END Negative_Adjst_30_label}
	</td>
	<td class="rnr-control style3">
		{$Negative_Adjst_30_editcontrol}&nbsp;
	</td>
</tr>
{END Negative_Adjst_30_fieldblock}
	{BEGIN QtySOH_30_fieldblock}<tr class="{$fielddispclass_QtySOH_30}" data-fieldname="QtySOH_30">
	<td class="rnr-label">
		{BEGIN QtySOH_30_label}{$label arv_pmtct_1 QtySOH_30}{END QtySOH_30_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_30_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_30_fieldblock}
	{BEGIN Remark_30_fieldblock}<tr class="{$fielddispclass_Remark_30}" data-fieldname="Remark_30">
	<td class="rnr-label">
		{BEGIN Remark_30_label}{$label arv_pmtct_1 Remark_30}{END Remark_30_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_30_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_30_fieldblock}
	{BEGIN Drug_31_fieldblock}<tr class="{$fielddispclass_Drug_31}" data-fieldname="Drug_31">
	<td class="rnr-label">
		{BEGIN Drug_31_label}{$label arv_pmtct_1 Drug_31}{END Drug_31_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_31_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_31_fieldblock}
	{BEGIN BeginningBal_31_fieldblock}<tr class="{$fielddispclass_BeginningBal_31}" data-fieldname="BeginningBal_31">
	<td class="rnr-label">
		{BEGIN BeginningBal_31_label}{$label arv_pmtct_1 BeginningBal_31}{END BeginningBal_31_label}
	</td>
	<td class="rnr-control style3">
		{$BeginningBal_31_editcontrol}&nbsp;
	</td>
</tr>
{END BeginningBal_31_fieldblock}
	{BEGIN QtyReceived_31_fieldblock}<tr class="{$fielddispclass_QtyReceived_31}" data-fieldname="QtyReceived_31">
	<td class="rnr-label">
		{BEGIN QtyReceived_31_label}{$label arv_pmtct_1 QtyReceived_31}{END QtyReceived_31_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_31_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_31_fieldblock}
	{BEGIN Qty_Dispensed_31_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_31}" data-fieldname="Qty_Dispensed_31">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_31_label}{$label arv_pmtct_1 Qty_Dispensed_31}{END Qty_Dispensed_31_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_31_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_31_fieldblock}
	{BEGIN Positive_Adjst_31_fieldblock}<tr class="{$fielddispclass_Positive_Adjst_31}" data-fieldname="Positive_Adjst_31">
	<td class="rnr-label">
		{BEGIN Positive_Adjst_31_label}{$label arv_pmtct_1 Positive_Adjst_31}{END Positive_Adjst_31_label}
	</td>
	<td class="rnr-control style3">
		{$Positive_Adjst_31_editcontrol}&nbsp;
	</td>
</tr>
{END Positive_Adjst_31_fieldblock}
	{BEGIN Negative_Adjst_31_fieldblock}<tr class="{$fielddispclass_Negative_Adjst_31}" data-fieldname="Negative_Adjst_31">
	<td class="rnr-label">
		{BEGIN Negative_Adjst_31_label}{$label arv_pmtct_1 Negative_Adjst_31}{END Negative_Adjst_31_label}
	</td>
	<td class="rnr-control style3">
		{$Negative_Adjst_31_editcontrol}&nbsp;
	</td>
</tr>
{END Negative_Adjst_31_fieldblock}
	{BEGIN QtySOH_31_fieldblock}<tr class="{$fielddispclass_QtySOH_31}" data-fieldname="QtySOH_31">
	<td class="rnr-label">
		{BEGIN QtySOH_31_label}{$label arv_pmtct_1 QtySOH_31}{END QtySOH_31_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_31_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_31_fieldblock}
	{BEGIN Remark_31_fieldblock}<tr class="{$fielddispclass_Remark_31}" data-fieldname="Remark_31">
	<td class="rnr-label">
		{BEGIN Remark_31_label}{$label arv_pmtct_1 Remark_31}{END Remark_31_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_31_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_31_fieldblock}
	{BEGIN Drug_32_fieldblock}<tr class="{$fielddispclass_Drug_32}" data-fieldname="Drug_32">
	<td class="rnr-label">
		{BEGIN Drug_32_label}{$label arv_pmtct_1 Drug_32}{END Drug_32_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_32_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_32_fieldblock}
	{BEGIN lotNo_32_fieldblock}<tr class="{$fielddispclass_lotNo_32}" data-fieldname="lotNo_32">
	<td class="rnr-label">
		{BEGIN lotNo_32_label}{$label arv_pmtct_1 lotNo_32}{END lotNo_32_label}
	</td>
	<td class="rnr-control style3">
		{$lotNo_32_editcontrol}&nbsp;
	</td>
</tr>
{END lotNo_32_fieldblock}
	{BEGIN expirydate_32_fieldblock}<tr class="{$fielddispclass_expirydate_32}" data-fieldname="expirydate_32">
	<td class="rnr-label">
		{BEGIN expirydate_32_label}{$label arv_pmtct_1 expirydate_32}{END expirydate_32_label}
	</td>
	<td class="rnr-control style3">
		{$expirydate_32_editcontrol}&nbsp;
	</td>
</tr>
{END expirydate_32_fieldblock}
	{BEGIN Qty_expired_32_fieldblock}<tr class="{$fielddispclass_Qty_expired_32}" data-fieldname="Qty_expired_32">
	<td class="rnr-label">
		{BEGIN Qty_expired_32_label}{$label arv_pmtct_1 Qty_expired_32}{END Qty_expired_32_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_expired_32_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_expired_32_fieldblock}
	{BEGIN Drug_33_fieldblock}<tr class="{$fielddispclass_Drug_33}" data-fieldname="Drug_33">
	<td class="rnr-label">
		{BEGIN Drug_33_label}{$label arv_pmtct_1 Drug_33}{END Drug_33_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_33_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_33_fieldblock}
	{BEGIN lotNo_33_fieldblock}<tr class="{$fielddispclass_lotNo_33}" data-fieldname="lotNo_33">
	<td class="rnr-label">
		{BEGIN lotNo_33_label}{$label arv_pmtct_1 lotNo_33}{END lotNo_33_label}
	</td>
	<td class="rnr-control style3">
		{$lotNo_33_editcontrol}&nbsp;
	</td>
</tr>
{END lotNo_33_fieldblock}
	{BEGIN expirydate_33_fieldblock}<tr class="{$fielddispclass_expirydate_33}" data-fieldname="expirydate_33">
	<td class="rnr-label">
		{BEGIN expirydate_33_label}{$label arv_pmtct_1 expirydate_33}{END expirydate_33_label}
	</td>
	<td class="rnr-control style3">
		{$expirydate_33_editcontrol}&nbsp;
	</td>
</tr>
{END expirydate_33_fieldblock}
	{BEGIN Qty_expired_33_fieldblock}<tr class="{$fielddispclass_Qty_expired_33}" data-fieldname="Qty_expired_33">
	<td class="rnr-label">
		{BEGIN Qty_expired_33_label}{$label arv_pmtct_1 Qty_expired_33}{END Qty_expired_33_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_expired_33_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_expired_33_fieldblock}
	{BEGIN Drug_34_fieldblock}<tr class="{$fielddispclass_Drug_34}" data-fieldname="Drug_34">
	<td class="rnr-label">
		{BEGIN Drug_34_label}{$label arv_pmtct_1 Drug_34}{END Drug_34_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_34_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_34_fieldblock}
	{BEGIN lotNo_34_fieldblock}<tr class="{$fielddispclass_lotNo_34}" data-fieldname="lotNo_34">
	<td class="rnr-label">
		{BEGIN lotNo_34_label}{$label arv_pmtct_1 lotNo_34}{END lotNo_34_label}
	</td>
	<td class="rnr-control style3">
		{$lotNo_34_editcontrol}&nbsp;
	</td>
</tr>
{END lotNo_34_fieldblock}
	{BEGIN expirydate_34_fieldblock}<tr class="{$fielddispclass_expirydate_34}" data-fieldname="expirydate_34">
	<td class="rnr-label">
		{BEGIN expirydate_34_label}{$label arv_pmtct_1 expirydate_34}{END expirydate_34_label}
	</td>
	<td class="rnr-control style3">
		{$expirydate_34_editcontrol}&nbsp;
	</td>
</tr>
{END expirydate_34_fieldblock}
	{BEGIN Qty_expired_34_fieldblock}<tr class="{$fielddispclass_Qty_expired_34}" data-fieldname="Qty_expired_34">
	<td class="rnr-label">
		{BEGIN Qty_expired_34_label}{$label arv_pmtct_1 Qty_expired_34}{END Qty_expired_34_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_expired_34_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_expired_34_fieldblock}
</table></div>


{BEGIN editbuttons}<div  class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}"><div class="rnr-buttons-right">
{BEGIN prev_button}<a href="#" class="rnr-button {$prevbutton_class}" {$prevbutton_attrs}>&lt;&lt;&lt;</a>
{END prev_button}
{BEGIN next_button}<a href="#" class="rnr-button  {$nextbutton_class}" {$nextbutton_attrs}>&gt;&gt;&gt;</a>
{END next_button}
</div>
<div class="rnr-buttons-left">
{BEGIN save_button}<a href="#" class="rnr-button main" {$savebutton_attrs}>Save</a>
{END save_button}
{BEGIN reset_button}<a href="#" class="rnr-button" {$resetbutton_attrs}>Reset</a>
{END reset_button}
{BEGIN back_button}<a href="#" class="rnr-button" {$backbutton_attrs}>Back to list</a>
{END back_button}
</div>
</div>{END editbuttons}


</div>

COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - 
      Antiretroviral and 
Cotrimoxazole{END container_fields}

</div>


</div>
{END container_edit}

</div>



</div>
{END container_all}


		</div>
		{$footer}
	</DIV>{END body}
	</body>
</html>


ACTIONTIME: 2015-03-04 15:22:40
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}>
  <HEAD>
    <META content="IE=Edge" http-equiv="X-UA-Compatible">
    <TITLE>
      < DIV contentEditable=false id class='simple-xt-tag' 

style='background-image: ; display: inline-block;' 

ruleindex="272">pagetitle</DIV>
    </TITLE>
    <META content="text/html; charset=utf-8" http-equiv="Content-

Type">
    <LINK rel="stylesheet" type="text/css" 

href="styles/default.css">
    {BEGIN rtlCSS}
      <LINK rel="stylesheet" type="text/css" 

href="styles/defaultRTL.css">
    {END rtlCSS}
    {BEGIN styleCSSFiles}
      <LINK rel="stylesheet" type="text/css" href="{$stylepath}">
    {END styleCSSFiles}
    {BEGIN pageCSSFiles}
      <LINK rel="stylesheet" type="text/css" 

href="{$pagestylepath}">
    {END pageCSSFiles}
    <META name="GENERATOR" content="MSHTML 9.00.8112.16609">
  </HEAD>
  <BODY class="{$stylename} function-edit" {$bodyattrs}>
    {BEGIN body}
      {$header}
      <DIV class="rnr-page">
        <DIV class="rnr-top {$blockclass_top}">
          {BEGIN container_all}
            <DIV class="rnr-c rnr-cv rnr-c-all">
              <DIV class="rnr-brickcontents style1 rnr-b-wrapper 

{$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
                {BEGIN container_edit}
                  <DIV class="rnr-c rnr-cv rnr-c-edit">
                    {BEGIN editheader}
                      <DIV class="rnr-brickcontents style2 rnr-b-

editheader {$brickclass_editheader}">
                        <SPAN>
                          <H1>
                            {$pagetitlelabel arv_art edit}
                          </H1>
                        </SPAN>
                      </DIV>
                    {END editheader}
                    {BEGIN message_block}
                      <DIV class="rnr-brickcontents style1 rnr-b-

message {$brickclass_message}">
                        <DIV class="rnr-message">
                          {$message}
                        </DIV>
                      </DIV>
                    {END message_block}
                    <DIV class="rnr-brickcontents style1 rnr-b-

wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
                      {BEGIN container_fields}
                        <DIV style="min-height: 600px; min-width: 

1398px;" class="rnr-c rnr-cv rnr-c-fields">
                          <DIV class="rnr-brickcontents style1 rnr-

b-editfields {$brickclass_editfields}">
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-

b-editfields {$brickclass_editfields}">
                            <TABLE border="5" rules="all" 

cellSpacing="5" cellPadding="5" width="75%">
                              <P align="center">
                                <FONT size="4"></FONT>
                              </P>
                              <TBODY>
                                <P align="center">
                                  <FONT size="4"></FONT>
                                </P>
                                <TR>
                                  <P align="center">
                                    <FONT size="4"></FONT>
                                  </P>
                                  <TD style="white-space: nowrap; 

background-image: none; background-color: rgb(0, 0, 255);">
                                    <P align="center">
                                      <FONT color="#ffffff"><FONT 

size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM 

(CRRIRF) - Antiretroviral and Cotrimoxazole</FONT></FONT>
                                    </P>
                                  </TD>
                                </TR>
                              </TBODY>
                            </TABLE>
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-

b-editfields {$brickclass_editfields}">
                            <TABLE style="width: auto;" 

class="fieldGrid">
                              <TBODY>
                                {BEGIN formid_fieldblock}
                                  <TR 

class="{$fielddispclass_formid}" data-fieldname="formid">
                                    <TD style="width: auto;" 

class="rnr-label">
                                      {BEGIN formid_label}
                                        <TABLE style="width: 390px;" 

border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                SiteName
                                              </TD>
                                              <TD style="width: 

210px;" rowSpan="1" colSpan="3">
                                                

{$SiteName_editcontrol}
                                                &nbsp; &nbsp;
                                              </TD>
                                              <TD style="width: 

5px;" rowSpan="5" colSpan="1">
                                                <IMG style="width: 

118px; height: 73px;" border="0" alt="coat of arms" 

src="images/coat.jpg" width="241" height="207">
                                                

&nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                              <TD class=" runner-cc" 

rowSpan="5" colSpan="1">
                                                <FONT size="4">Data 

Consultant Name</FONT><FONT size="3">{$ValidateEntry_editcontrol}

</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                

&nbsp;Facility&nbsp;Code
                                              </TD>
                                              <TD style="width: 

210px;" rowSpan="1" colSpan="1">
                                                

{$formid_editcontrol}
                                              </TD>
                                              <TD style="width: 

93px;" rowSpan="1" colSpan="1">
                                                

&nbsp;Funding&nbsp;Source
                                              </TD>
                                              <TD style="width: 

5px;" rowSpan="1" colSpan="1">
                                                

{$Funding_Source_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                &nbsp;State
                                              </TD>
                                              <TD style="width: 

210px;" rowSpan="1" colSpan="1">
                                                {$State_editcontrol}
                                              </TD>
                                              <TD style="width: 

93px;" rowSpan="1" colSpan="1">
                                                

&nbsp;Service&nbsp;Type
                                              </TD>
                                              <TD style="width: 

5px;" rowSpan="1" colSpan="1">
                                                

{$Service_Type_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Phase
                                              </TD>
                                              <TD style="width: 

210px;" rowSpan="1" colSpan="1">
                                                {$Phase_editcontrol}
                                              </TD>
                                              <TD style="width: 

93px;" rowSpan="1" colSpan="1">
                                                &nbsp;IPName
                                              </TD>
                                              <TD style="width: 

5px;" rowSpan="1" colSpan="1">
                                                

{$IPName_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 

210px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 

93px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 

5px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END formid_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                    </TD>
                                  </TR>
                                {END formid_fieldblock}
                                {BEGIN SiteName_fieldblock}
                                  <TR 

class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
                                    <TD style="width: auto;" 

class="rnr-label">
                                      {BEGIN SiteName_label}
                                        <TABLE style="width: 

1367px;" border="5" rules="all" cellSpacing="5" cellPadding="5" 

width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;S/No
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                &nbsp;Drugs
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                

&nbsp;Basic&nbsp;Unit
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

&nbsp;Quantity&nbsp;Received<BR>during&nbsp;Reporting&nbsp;Period
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  

Quantity&nbsp;Dispensed
                                                </P>
                                                <P>
                                                  

During&nbsp;Reporting&nbsp;Period&nbsp;
                                                </P>
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  

&nbsp;Ending&nbsp;Balance
                                                </P>
                                                <P>
                                                  

(Physical&nbsp;Count)
                                                </P>
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                Remarks&nbsp;
                                              </TD>
                                            </TR>
                                            <TR style="height: 

22px;">
                                              <TD style="width: 

47px; white-space: normal; background-image: none; background-color: 

rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7">
                                                <FONT 

color="#ffffff" size="3">ARV FOR 

PREGNANT&nbsp;MOTHERS</FONT>&nbsp;&nbsp;
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD rowSpan="1" 

colSpan="1">
                                                &nbsp;1
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                

{$Drug_5_editcontrol}
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                30 TABS
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                

{$QtyReceived_5_editcontrol}
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                

{$Qty_Dispensed_5_editcontrol}
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                

{$QtySOH_5_editcontrol}
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                

{$Remark_5_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;2
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_1_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_1_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_1_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_1_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_1_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR style="height: 

26px;">
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;3
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                <FONT face="Arial 

Black"></FONT>
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;4
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;5
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px; white-space: normal; background-image: none; background-color: 

rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7">
                                                <FONT 

color="#ffffff" size="3">ARV FOR EXPOSED BABIES</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;6
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_17_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_17_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_17_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_17_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_17_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;7
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_18_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_18_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_18_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_18_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_18_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;8
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_19_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_19_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_19_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_19_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_19_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px; white-space: normal; background-image: none; background-color: 

rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7">
                                                <FONT 

color="#ffffff" 
            size="3">OPPORTUNISTICS INFECTIOUS DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;9
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_22_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_22_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_22_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_22_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_22_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;10
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_23_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_23_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_23_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_23_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_23_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;11
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_24_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_24_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_24_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_24_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_24_editcontrol}
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END SiteName_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                    </TD>
                                  </TR>
                                {END SiteName_fieldblock}
                                <TR style="height: 32px;" 

class="{$fielddispclass_State}" data-fieldname="State">
                                  <TD class="rnr-label">
                                  </TD>
                                  <TD class="rnr-control style3">
                                    &nbsp;
                                  </TD>
                                </TR>
                              </TBODY>
                              <TBODY>
                                {BEGIN ValidateEntry_fieldblock}
                                  <TR 

class="{$fielddispclass_ValidateEntry}" data-

fieldname="ValidateEntry">
                                    <TD class="rnr-label">
                                      {BEGIN ValidateEntry_label}
                                      {END ValidateEntry_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                      &nbsp;
                                    </TD>
                                  </TR>
                                {END ValidateEntry_fieldblock}
                              </TBODY>
                            </TABLE>
                          </DIV>
                          {BEGIN editbuttons}
                            <DIV class="rnr-brickcontents style2 

rnr-b-editbuttons {$brickclass_editbuttons}">
                              <DIV class="rnr-buttons-right">
                                {BEGIN prev_button}
                                  <A class="rnr-button 

{$prevbutton_class}" href="#" {$prevbutton_attrs}>
                                    <<<
                                  </A>
                                {END prev_button}
                                {BEGIN next_button}
                                  <A class="rnr-button  

{$nextbutton_class}" href="#" {$nextbutton_attrs}>
                                    >>>
                                  </A>
                                {END next_button}
                              </DIV>
                              <DIV class="rnr-buttons-left">
                                {BEGIN save_button}
                                  <A class="rnr-button main" 

href="#" {$savebutton_attrs}>
                                    Save
                                  </A>
                                {END save_button}
                                {BEGIN reset_button}
                                  <A class="rnr-button" href="#" 

{$resetbutton_attrs}>
                                    Reset
                                  </A>
                                {END reset_button}
                                {BEGIN back_button}
                                  <A class="rnr-button" href="#" 

{$backbutton_attrs}>
                                    Back to list
                                  </A>
                                {END back_button}
                              </DIV>
                            </DIV>
                          {END editbuttons}
                        </DIV>
                      {END container_fields}
                    </DIV>
                  </DIV>
                {END container_edit}
              </DIV>
            </DIV>
          {END container_all}
        </DIV>
        {$footer}
      </DIV>
    {END body}
  </BODY>
</HTML>


ACTIONTIME: 2015-03-04 15:24:37
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}>
  <HEAD>
    <META content="IE=Edge" http-equiv="X-UA-Compatible">
    <TITLE>
      < DIV contentEditable=false id class='simple-xt-tag' 

style='background-image: ; display: inline-block;' 

ruleindex="272">pagetitle</DIV>
    </TITLE>
    <META content="text/html; charset=utf-8" http-equiv="Content-

Type">
    <LINK rel="stylesheet" type="text/css" 

href="styles/default.css">
    {BEGIN rtlCSS}
      <LINK rel="stylesheet" type="text/css" 

href="styles/defaultRTL.css">
    {END rtlCSS}
    {BEGIN styleCSSFiles}
      <LINK rel="stylesheet" type="text/css" href="{$stylepath}">
    {END styleCSSFiles}
    {BEGIN pageCSSFiles}
      <LINK rel="stylesheet" type="text/css" 

href="{$pagestylepath}">
    {END pageCSSFiles}
    <META name="GENERATOR" content="MSHTML 9.00.8112.16609">
  </HEAD>
  <BODY class="{$stylename} function-edit" {$bodyattrs}>
    {BEGIN body}
      {$header}
      <DIV class="rnr-page">
        <DIV class="rnr-top {$blockclass_top}">
          {BEGIN container_all}
            <DIV class="rnr-c rnr-cv rnr-c-all">
              <DIV class="rnr-brickcontents style1 rnr-b-wrapper 

{$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
                {BEGIN container_edit}
                  <DIV class="rnr-c rnr-cv rnr-c-edit">
                    {BEGIN editheader}
                      <DIV class="rnr-brickcontents style2 rnr-b-

editheader {$brickclass_editheader}">
                        <SPAN>
                          <H1>
                            {$pagetitlelabel arv_art edit}
                          </H1>
                        </SPAN>
                      </DIV>
                    {END editheader}
                    {BEGIN message_block}
                      <DIV class="rnr-brickcontents style1 rnr-b-

message {$brickclass_message}">
                        <DIV class="rnr-message">
                          {$message}
                        </DIV>
                      </DIV>
                    {END message_block}
                    <DIV class="rnr-brickcontents style1 rnr-b-

wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
                      {BEGIN container_fields}
                        <DIV style="min-height: 600px; min-width: 

1398px;" class="rnr-c rnr-cv rnr-c-fields">
                          <DIV class="rnr-brickcontents style1 rnr-

b-editfields {$brickclass_editfields}">
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-

b-editfields {$brickclass_editfields}">
                            <TABLE border="5" rules="all" 

cellSpacing="5" cellPadding="5" width="75%">
                              <P align="center">
                                <FONT size="4"></FONT>
                              </P>
                              <TBODY>
                                <P align="center">
                                  <FONT size="4"></FONT>
                                </P>
                                <TR>
                                  <P align="center">
                                    <FONT size="4"></FONT>
                                  </P>
                                  <TD style="white-space: nowrap; 

background-image: none; background-color: rgb(0, 0, 255);">
                                    <P align="center">
                                      <FONT color="#ffffff"><FONT 

size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM 

(CRRIRF) - Antiretroviral and Cotrimoxazole</FONT></FONT>
                                    </P>
                                  </TD>
                                </TR>
                              </TBODY>
                            </TABLE>
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-

b-editfields {$brickclass_editfields}">
                            <TABLE style="width: auto;" 

class="fieldGrid">
                              <TBODY>
                                {BEGIN formid_fieldblock}
                                  <TR 

class="{$fielddispclass_formid}" data-fieldname="formid">
                                    <TD style="width: auto;" 

class="rnr-label">
                                      {BEGIN formid_label}
                                        <TABLE style="width: 390px;" 

border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                SiteName
                                              </TD>
                                              <TD style="width: 

210px;" rowSpan="1" colSpan="3">
                                                

{$SiteName_editcontrol}
                                                &nbsp; &nbsp;
                                              </TD>
                                              <TD style="width: 

5px;" rowSpan="5" colSpan="1">
                                                <IMG style="width: 

118px; height: 73px;" border="0" alt="coat of arms" 

src="images/coat.jpg" width="241" height="207">
                                                

&nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                              <TD class=" runner-cc" 

rowSpan="5" colSpan="1">
                                                <FONT size="4">Data 

Consultant Name</FONT><FONT size="3">{$ValidateEntry_editcontrol}

</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                

&nbsp;Facility&nbsp;Code
                                              </TD>
                                              <TD style="width: 

210px;" rowSpan="1" colSpan="1">
                                                

{$formid_editcontrol}
                                              </TD>
                                              <TD style="width: 

93px;" rowSpan="1" colSpan="1">
                                                

&nbsp;Funding&nbsp;Source
                                              </TD>
                                              <TD style="width: 

5px;" rowSpan="1" colSpan="1">
                                                

{$Funding_Source_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                &nbsp;State
                                              </TD>
                                              <TD style="width: 

210px;" rowSpan="1" colSpan="1">
                                                {$State_editcontrol}
                                              </TD>
                                              <TD style="width: 

93px;" rowSpan="1" colSpan="1">
                                                

&nbsp;Service&nbsp;Type
                                              </TD>
                                              <TD style="width: 

5px;" rowSpan="1" colSpan="1">
                                                

{$Service_Type_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Phase
                                              </TD>
                                              <TD style="width: 

210px;" rowSpan="1" colSpan="1">
                                                {$Phase_editcontrol}
                                              </TD>
                                              <TD style="width: 

93px;" rowSpan="1" colSpan="1">
                                                &nbsp;IPName
                                              </TD>
                                              <TD style="width: 

5px;" rowSpan="1" colSpan="1">
                                                

{$IPName_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 

210px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 

93px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 

5px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END formid_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                    </TD>
                                  </TR>
                                {END formid_fieldblock}
                                {BEGIN SiteName_fieldblock}
                                  <TR 

class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
                                    <TD style="width: auto;" 

class="rnr-label">
                                      {BEGIN SiteName_label}
                                        <TABLE style="width: 

1367px;" border="5" rules="all" cellSpacing="5" cellPadding="5" 

width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;S/No
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                &nbsp;Drugs
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                

&nbsp;Basic&nbsp;Unit
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

&nbsp;Quantity&nbsp;Received<BR>during&nbsp;Reporting&nbsp;Period
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  

Quantity&nbsp;Dispensed
                                                </P>
                                                <P>
                                                  

During&nbsp;Reporting&nbsp;Period&nbsp;
                                                </P>
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  

&nbsp;Ending&nbsp;Balance
                                                </P>
                                                <P>
                                                  

(Physical&nbsp;Count)
                                                </P>
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                Remarks&nbsp;
                                              </TD>
                                            </TR>
                                            <TR style="height: 

22px;">
                                              <TD style="width: 

47px; white-space: normal; background-image: none; background-color: 

rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7">
                                                <FONT 

color="#ffffff" size="3">ARV FOR 

PREGNANT&nbsp;MOTHERS</FONT>&nbsp;&nbsp;
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD rowSpan="1" 

colSpan="1">
                                                &nbsp;1
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                

{$Drug_5_editcontrol}
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                30 TABS
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                

{$QtyReceived_5_editcontrol}
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                

{$Qty_Dispensed_5_editcontrol}
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                

{$QtySOH_5_editcontrol}
                                              </TD>
                                              <TD rowSpan="1" 

colSpan="1">
                                                

{$Remark_5_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;2
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_1_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_1_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_1_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_1_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_1_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR style="height: 

26px;">
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;3
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                <FONT face="Arial 

Black"></FONT>
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;4
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;5
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px; white-space: normal; background-image: none; background-color: 

rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7">
                                                <FONT 

color="#ffffff" size="3">ARV FOR EXPOSED BABIES</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;6
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_17_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_17_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_17_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_17_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_17_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;7
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_18_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_18_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_18_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_18_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_18_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;8
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_19_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_19_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_19_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_19_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_19_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px; white-space: normal; background-image: none; background-color: 

rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7">
                                                <FONT 

color="#ffffff" 
            size="3">OPPORTUNISTICS INFECTIOUS DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;9
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_22_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_22_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_22_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_22_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_22_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;10
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_23_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_23_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_23_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_23_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_23_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 

47px;" rowSpan="1" colSpan="1">
                                                &nbsp;11
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Drug_24_editcontrol}
                                              </TD>
                                              <TD style="width: 

77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 

145px;" rowSpan="1" colSpan="1">
                                                

{$QtyReceived_24_editcontrol}
                                              </TD>
                                              <TD style="width: 

148px;" rowSpan="1" colSpan="1">
                                                

{$Qty_Dispensed_24_editcontrol}
                                              </TD>
                                              <TD style="width: 

91px;" rowSpan="1" colSpan="1">
                                                

{$QtySOH_24_editcontrol}
                                              </TD>
                                              <TD style="width: 

223px;" rowSpan="1" colSpan="1">
                                                

{$Remark_24_editcontrol}
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END SiteName_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                    </TD>
                                  </TR>
                                {END SiteName_fieldblock}
                                <TR style="height: 32px;" 

class="{$fielddispclass_State}" data-fieldname="State">
                                  <TD class="rnr-label">
                                  </TD>
                                  <TD class="rnr-control style3">
                                    &nbsp;
                                  </TD>
                                </TR>
                              </TBODY>
                              <TBODY>
                                {BEGIN ValidateEntry_fieldblock}
                                  <TR 

class="{$fielddispclass_ValidateEntry}" data-

fieldname="ValidateEntry">
                                    <TD class="rnr-label">
                                      {BEGIN ValidateEntry_label}
                                      {END ValidateEntry_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                      &nbsp;
                                    </TD>
                                  </TR>
                                {END ValidateEntry_fieldblock}
                              </TBODY>
                            </TABLE>
                          </DIV>
                          {BEGIN editbuttons}
                            <DIV class="rnr-brickcontents style2 

rnr-b-editbuttons {$brickclass_editbuttons}">
                              <DIV class="rnr-buttons-right">
                                {BEGIN prev_button}
                                  <A class="rnr-button 

{$prevbutton_class}" href="#" {$prevbutton_attrs}>
                                    <<<
                                  </A>
                                {END prev_button}
                                {BEGIN next_button}
                                  <A class="rnr-button  

{$nextbutton_class}" href="#" {$nextbutton_attrs}>
                                    >>>
                                  </A>
                                {END next_button}
                              </DIV>
                              <DIV class="rnr-buttons-left">
                                {BEGIN save_button}
                                  <A class="rnr-button main" 

href="#" {$savebutton_attrs}>
                                    Save
                                  </A>
                                {END save_button}
                                {BEGIN reset_button}
                                  <A class="rnr-button" href="#" 

{$resetbutton_attrs}>
                                    Reset
                                  </A>
                                {END reset_button}
                                {BEGIN back_button}
                                  <A class="rnr-button" href="#" 

{$backbutton_attrs}>
                                    Back to list
                                  </A>
                                {END back_button}
                              </DIV>
                            </DIV>
                          {END editbuttons}
                        </DIV>
                      {END container_fields}
                    </DIV>
                  </DIV>
                {END container_edit}
              </DIV>
            </DIV>
          {END container_all}
        </DIV>
        {$footer}
      </DIV>
    {END body}
  </BODY>
</HTML>



ACTIONTIME: 2015-03-04 15:31:17
SOURCE:
<!doctype html>
<html  {$html_attrs}>
	<head>
		<meta http-equiv="X-UA-Compatible" content="IE=Edge">
		<title>< DIV contentEditable=false id class='simple-xt-tag' style='background-image: ; display: inline-block;' ruleindex="272">pagetitle</DIV>
    </title>

		<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
		<link REL="stylesheet" href="styles/default.css" type="text/css">
		{BEGIN rtlCSS}<link REL="stylesheet" href="styles/defaultRTL.css" type="text/css">
		{END rtlCSS}
		{BEGIN styleCSSFiles}<link REL="stylesheet" href="{$stylepath}" type="text/css">
		{END styleCSSFiles}
		{BEGIN pageCSSFiles}<link REL="stylesheet" href="{$pagestylepath}" type="text/css">
		{END pageCSSFiles}
	</head>
	
	<body class="{$stylename} function-edit" {$bodyattrs}>
	{BEGIN body}{$header}
	<div class="rnr-page">
		<div class="rnr-top {$blockclass_top}">
			

{BEGIN container_all}<div class="rnr-c rnr-cv rnr-c-all">


<div  class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">

{BEGIN container_edit}<div class="rnr-c rnr-cv rnr-c-edit">

{BEGIN editheader}<div  class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><span>	<h1>{$pagetitlelabel arv_art edit}
                          </h1>
</span></div>{END editheader}


{BEGIN message_block}<div  class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}"><div class="rnr-message">{$message}</div></div>{END message_block}



<div  class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">

{BEGIN container_fields}<DIV style="min-height: 1000px; min-width: 1396px;" class="rnr-c rnr-cv rnr-c-fields">
                          <div  class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}"></DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                            <TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
                              <P align="center">
                                <FONT size="4"></FONT>
                              </P>
                              <TBODY>
                                <P align="center">
                                  <FONT size="4"></FONT>
                                </P>
                                <TR>
                                  <P align="center">
                                    <FONT size="4"></FONT>
                                  </P>
                                  <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
                                    <P align="center">
                                      <FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - Antiretroviral and Cotrimoxazole</FONT></FONT>
                                    </P>
                                  </TD>
                                </TR>
                              </TBODY>
                            </TABLE>
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                            <TABLE style="width: auto;" class="fieldGrid">
                              <TBODY>
                                {BEGIN formid_fieldblock}<tr class="{$fielddispclass_formid}" data-fieldname="formid">
	<TD style="width: auto;" class="rnr-label">
                                      {BEGIN formid_label}<TABLE style="width: 390px;" border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                SiteName
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="3">
                                                {$SiteName_editcontrol}
                                                &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="5" colSpan="1">
                                                <IMG style="width: 118px; height: 73px;" border="0" alt="coat of arms" src="images/coat.jpg" width="241" height="207">
                                                &nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                              <TD class=" runner-cc" rowSpan="5" colSpan="2">
                                                &nbsp;&nbsp;&nbsp;<FONT 
            size="4">Data Consultant Name</FONT><FONT 
size="3">{$ValidateEntry_editcontrol}</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Facility&nbsp;Code
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$formid_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;Funding&nbsp;Source
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$Funding_Source_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;State
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$State_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;Service&nbsp;Type
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$Service_Type_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Phase
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$Phase_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;IPName
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$IPName_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END formid_label}
	</td>
	<td class="rnr-control style3">
		</td>
</tr>
{END formid_fieldblock}
	{BEGIN SiteName_fieldblock}<tr class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
	<TD style="width: auto;" class="rnr-label">
                                      {BEGIN SiteName_label}<TABLE style="width: 1367px;" border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;S/No
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                &nbsp;Drugs
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Basic&nbsp;Unit
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  &nbsp;Beginning&nbsp;Balance<BR>for&nbsp;Reporting&nbsp;Period
                                                </P>
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                &nbsp;Quantity&nbsp;Received<BR>during&nbsp;Reporting&nbsp;Period
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  Quantity&nbsp;Dispensed
                                                </P>
                                                <P>
                                                  During&nbsp;Reporting&nbsp;Period&nbsp;
                                                </P>
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                &nbsp;Positive&nbsp;Adjust.
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                Negative&nbsp;Adjust.&nbsp;
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  &nbsp;Ending&nbsp;Balance
                                                </P>
                                                <P>
                                                  (Physical&nbsp;Count)
                                                </P>
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                Remarks&nbsp;
                                              </TD>
                                            </TR>
                                            <TR style="height: 22px;">
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">FIXED DOSE COMBINATION ADULT FIRST LINE</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;1
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_1_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_1_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_1_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_1_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_1_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_1_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_1_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_1_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;2
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_2_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_2_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_2_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_2_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_2_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_2_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_2_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_2_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR style="height: 26px;">
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;3
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_3_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_3_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                <FONT face="Arial Black">{$QtyReceived_3_editcontrol}</FONT>
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed__editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_3_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_3_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_3_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_3_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;4
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_4_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_4_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_4_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_4_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_4_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_4_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_4_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_4_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;5
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_5_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_5_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_5_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_5_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_5_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_5_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_5_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_5_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">SINGLE DOSE ADULT FIRST LINE</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;6
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_6_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_6_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_6_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_6_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_6_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_6_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_6_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_6_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;7
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_7_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_7_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_7_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_7_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_7_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_7_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_7_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_7_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;8
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_8_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_8_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_8_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_8_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_8_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_8_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_8_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_8_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">ADULT SECOND LINE DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;9
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_9_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_9_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_9_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_9_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_9_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_9_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_9_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_9_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;10
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_10_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_10_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_10_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_10_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_10_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_10_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_10_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_10_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC FIXED DOSE COMBINATION</FONT>
                                              </TD>
                                            </TR>
                                            <TR style="height: 24px;">
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;11
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_11_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_11_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_11_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_11_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_11_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_11_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_11_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_11_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;12
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_12_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_12_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_12_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_12_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_12_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_12_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_12_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_12_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;13
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_13_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_13_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_13_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_13_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_13_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_13_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_13_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_13_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;14
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_14_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_14_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_14_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_14_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_14_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_14_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_14_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_14_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC SINGLE DOSE</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;15
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_15_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_15_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_15_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_15_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_15_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_15_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_15_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_15_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;16
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_16_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_16_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_16_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_16_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_16_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_16_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_16_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_16_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;17
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_17_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_17_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_17_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_17_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_17_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_17_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_17_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_17_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;18
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_18_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_18_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_18_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_18_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_18_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_18_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_18_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_18_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;19
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_19_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_19_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_19_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_19_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_19_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_19_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_19_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_19_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC SECOND LINE DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;20
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_20_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_20_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_20_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_20_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_20_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_20_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_20_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_20_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;21
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_21_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_21_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_21_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_21_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_21_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_21_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_21_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_21_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" 
            size="3">OPPORTUNISTICS INFECTIOUS DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;22
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_22_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_22_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_22_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_22_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_22_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_22_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_22_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_22_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;23
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_23_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_23_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_23_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_23_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_23_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_23_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_23_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;24
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_24_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_24_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_24_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_24_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_24_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_24_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;25
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_25_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_25_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_25_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_25_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_25_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_25_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_25_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_25_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;26
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_26_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_26_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_26_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_26_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_26_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_26_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_26_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_26_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;27
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_27_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_27_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_27_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_27_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_27_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_27_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_27_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_27_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;28
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_28_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_28_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_28_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_28_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_28_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_28_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_28_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_28_editcontrol}
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END SiteName_label}
	</td>
	<td class="rnr-control style3">
		</td>
</tr>
{END SiteName_fieldblock}
	<TR style="height: 32px;" class="{$fielddispclass_State}" data-fieldname="State">
                                  <TD class="rnr-label">
                                  </TD>
                                  <TD class="rnr-control style3">
                                    &nbsp;
                                  </TD>
                                </TR>
                              </TBODY>
                              <TBODY>
                                {BEGIN ValidateEntry_fieldblock}<tr class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
	<td class="rnr-label">
		{BEGIN ValidateEntry_label}{END ValidateEntry_label}
	</td>
	<td class="rnr-control style3">
		</td>
</tr>
{END ValidateEntry_fieldblock}
	</TBODY>
                            </table></DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                            &nbsp;
                          </div>


{BEGIN editbuttons}<div  class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}"><div class="rnr-buttons-right">
{BEGIN prev_button}<a href="#" class="rnr-button {$prevbutton_class}" {$prevbutton_attrs}>&lt;&lt;&lt;</a>
{END prev_button}
{BEGIN next_button}<a href="#" class="rnr-button  {$nextbutton_class}" {$nextbutton_attrs}>&gt;&gt;&gt;</a>
{END next_button}
</div>
<div class="rnr-buttons-left">
{BEGIN save_button}<a href="#" class="rnr-button main" {$savebutton_attrs}>Save</a>
{END save_button}
{BEGIN reset_button}<a href="#" class="rnr-button" {$resetbutton_attrs}>Reset</a>
{END reset_button}
{BEGIN back_button}<a href="#" class="rnr-button" {$backbutton_attrs}>Back to list</a>
{END back_button}
{BEGIN close_button}<a href="#" class="rnr-button" {$closebutton_attrs}>Close window</a>
{END close_button}
</div>
<P>
                              </P>
                            </div>{END editbuttons}


</div>
{END container_fields}

</div>


</div>
{END container_edit}

</div>



</div>
{END container_all}


		</div>
		<div class="rnr-middle">
			<div class="rnr-left {$blockclass_left}">
				
			</div>
			<div class="rnr-center {$blockclass_center}">
				
			</div>
			<div class="rnr-right {$blockclass_right}">
				
			</div>
		</div>
		<div class="rnr-bottom {$blockclass_bottom}">
			
		</div>
	{$footer}
	</DIV>
    {END body}
	</body>
</html>


ACTIONTIME: 2015-03-04 15:40:02
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV 
contentEditable=false id class='simple-xt-tag' style='background-image: ; 
display: inline-block;' ruleindex="272">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-edit" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_all}
<DIV class="rnr-c rnr-cv rnr-c-all">
<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
{BEGIN container_edit}
<DIV class="rnr-c rnr-cv rnr-c-edit">
{BEGIN editheader}<DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><SPAN>
<H1>
{$pagetitlelabel arv_art edit}</H1></SPAN>
</DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
{BEGIN container_fields}
<DIV style="min-height: 1000px; min-width: 1396px;" class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
  <P align="center"><FONT size="4"></FONT></P>
  <TBODY>
  <P align="center"><FONT size="4"></FONT></P>
  <TR>
    <P align="center"><FONT size="4"></FONT></P>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - 
      Antiretroviral and Cotrimoxazole</FONT></FONT></P></TD></TR></TBODY></TABLE>
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: auto;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: auto;" class="rnr-label">
      {BEGIN formid_label}<TABLE style="width: 390px;" border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
        <TBODY>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> SiteName</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol} 
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD>
          <TD style="width: 5px;" rowSpan="5" colSpan="1"><IMG style="width: 118px; height: 73px;" border="0" alt="coat of arms" src="images/coat.jpg" width="241" height="207"> &nbsp;&nbsp;&nbsp;&nbsp;</TD>
          <TD class=" runner-cc" rowSpan="5" colSpan="2">                 
            &nbsp;&nbsp;&nbsp;<FONT size="4">Data Consultant Name</FONT><FONT 
            size="3">
            {$ValidateEntry_editcontrol}</FONT></TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> 
            &nbsp;Facility&nbsp;Code</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> 
            &nbsp;Funding&nbsp;Source</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;State</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> 
            &nbsp;Service&nbsp;Type</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}
          </TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;Phase</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> &nbsp;IPName</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1"> &nbsp;</TD></TR>
        </TBODY></TABLE>{END formid_label}</TD>
    <TD class="rnr-control style3"></TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: auto;" class="rnr-label">
      {BEGIN SiteName_label}<TABLE style="width: 1367px;" border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
        <TBODY>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;S/No</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"> &nbsp;Drugs</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> 
            &nbsp;Basic&nbsp;Unit</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            <P>             
            &nbsp;Beginning&nbsp;Balance<BR>for&nbsp;Reporting&nbsp;Period</P>
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">            
            &nbsp;Quantity&nbsp;Received<BR>during&nbsp;Reporting&nbsp;Period</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            <P> Quantity&nbsp;Dispensed</P>
            <P> During&nbsp;Reporting&nbsp;Period&nbsp;</P></TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1"> 
            &nbsp;Positive&nbsp;Adjust.</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1"> 
            Negative&nbsp;Adjust.&nbsp;</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            <P> &nbsp;Ending&nbsp;Balance</P>
            <P> (Physical&nbsp;Count)</P></TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"> Remarks&nbsp;</TD>
        </TR>
        <TR style="height: 22px;">
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">FIXED DOSE 
            COMBINATION ADULT FIRST LINE</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD>
        </TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;1</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_1_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_1_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_1_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_1_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;2</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_2_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_2_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_2_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR>
        <TR style="height: 26px;">
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;3</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_3_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_3_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"><FONT face="Arial Black">
            {$QtyReceived_3_editcontrol}</FONT>
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed__editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_3_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_3_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_3_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_3_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;4</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_4_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_4_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_4_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_4_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_4_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_4_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_4_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_4_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;5</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_5_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_5_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_5_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_5_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_5_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_5_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_5_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">SINGLE DOSE 
            ADULT FIRST LINE</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;6</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_6_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_6_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_6_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_6_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_6_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_6_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_6_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_6_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;7</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_7_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_7_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_7_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_7_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_7_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_7_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_7_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_7_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;8</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_8_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_8_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_8_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_8_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_8_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_8_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_8_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_8_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">ADULT SECOND 
            LINE DRUGS</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;9</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_9_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_9_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_9_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_9_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_9_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_9_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_9_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_9_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;10</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_10_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_10_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_10_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_10_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_10_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_10_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_10_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_10_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">PEDIATRIC 
            FIXED DOSE COMBINATION</FONT></TD></TR>
        <TR style="height: 24px;">
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;11</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_11_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_11_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_11_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_11_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_11_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_11_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_11_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_11_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;12</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_12_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_12_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_12_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_12_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_12_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_12_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_12_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_12_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;13</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_13_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_13_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_13_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_13_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_13_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_13_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_13_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_13_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;14</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_14_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_14_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_14_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_14_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_14_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_14_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_14_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_14_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">PEDIATRIC 
            SINGLE DOSE</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;15</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_15_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_15_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_15_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_15_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_15_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_15_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_15_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_15_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;16</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_16_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_16_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_16_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_16_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_16_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_16_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_16_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_16_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;17</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_17_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_17_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_17_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_17_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_17_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_17_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_17_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_17_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;18</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_18_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_18_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_18_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_18_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_18_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_18_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_18_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_18_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;19</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_19_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_19_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_19_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_19_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_19_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_19_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_19_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_19_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">PEDIATRIC 
            SECOND LINE DRUGS</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;20</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_20_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_20_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_20_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_20_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_20_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_20_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_20_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_20_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;21</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_21_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_21_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_21_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_21_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_21_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_21_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_21_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_21_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" 
            size="3">OPPORTUNISTICS INFECTIOUS DRUGS</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;22</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_22_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_22_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_22_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_22_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_22_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_22_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_22_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_22_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;23</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_23_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_23_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_23_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_23_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_23_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_24_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_23_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_23_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;24</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_24_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_24_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_24_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_24_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_24_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_24_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_24_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_24_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;25</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_25_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_25_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_25_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_25_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_25_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_25_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_25_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_25_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;26</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_26_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_26_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_26_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_26_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_26_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_26_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_26_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_26_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;27</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_27_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_27_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_27_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_27_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_27_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_27_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_27_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_27_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;28</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_28_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_28_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_28_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_28_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_28_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_28_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_28_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_28_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">OTHER 
            ARVS</FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;29</TD>
          <TD rowSpan="1" colSpan="1">
            {$Drug_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1">
            {$BeginningBal_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtyReceived_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Qty_Dispensed_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Positive_Adjst_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Negative_Adjst_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_29_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;30</TD>
          <TD rowSpan="1" colSpan="1">
            {$Drug_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1">
            {$BeginningBal_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtyReceived_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Qty_Dispensed_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Positive_Adjst_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Negative_Adjst_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_30_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;31</TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1"></TD></TR></TBODY></TABLE>{END SiteName_label}</TD>
    <TD class="rnr-control style3"></TD></TR>
  {END SiteName_fieldblock}<TR style="height: 32px;" class="{$fielddispclass_State}" data-fieldname="State">
    <TD class="rnr-label"></TD>
    <TD class="rnr-control style3"> &nbsp;</TD></TR></TBODY>
  <TBODY>
  {BEGIN ValidateEntry_fieldblock}<TR class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
    <TD class="rnr-label">{BEGIN ValidateEntry_label}{END ValidateEntry_label}</TD>
    <TD class="rnr-control style3"> &nbsp;</TD></TR>{END ValidateEntry_fieldblock}</TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}"> 
&nbsp;</DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>
&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}> &gt;&gt;&gt;
</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}> Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}> 
Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}> Back to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}> 
Close window</A>{END close_button}</DIV>
<P></P></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV>
{$footer}</DIV>{END body}</BODY></HTML>


ACTIONTIME: 2015-03-04 15:49:13
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV 
 contentEditable=false id class='simple-xt-tag' style='background-image: ; 
 display: inline-block;' ruleindex="272">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-edit" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_all}
<DIV class="rnr-c rnr-cv rnr-c-all">
<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
{BEGIN container_edit}
<DIV class="rnr-c rnr-cv rnr-c-edit">
{BEGIN editheader}<DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><SPAN>
<H1>
{$pagetitlelabel arv_art edit}</H1></SPAN>
</DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
{BEGIN container_fields}
<DIV style="min-height: 1000px; min-width: 1396px;" class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
  <P align="center"><FONT size="4"></FONT></P>
  <TBODY>
  <P align="center"><FONT size="4"></FONT></P>
  <TR>
    <P align="center"><FONT size="4"></FONT></P>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) -   
          Antiretroviral and Cotrimoxazole</FONT></FONT></P></TD></TR></TBODY></TABLE>
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: auto;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: auto;" class="rnr-label">
      {BEGIN formid_label}<TABLE style="width: 390px;" border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
        <TBODY>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> SiteName</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol} 
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD>
          <TD style="width: 5px;" rowSpan="5" colSpan="1"><IMG style="width: 118px; height: 73px;" border="0" alt="coat of arms" src="images/coat.jpg" width="241" height="207"> &nbsp;&nbsp;&nbsp;&nbsp;</TD>
          <TD class=" runner-cc" rowSpan="5" colSpan="2">       
            &nbsp;&nbsp;&nbsp;<FONT size="4">Data Consultant Name</FONT><FONT 
            size="3">
            {$ValidateEntry_editcontrol}</FONT></TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> 
            &nbsp;Facility&nbsp;Code</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> 
            &nbsp;Funding&nbsp;Source</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;State</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> 
            &nbsp;Service&nbsp;Type</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}
        </TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;Phase</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> &nbsp;IPName</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1"> &nbsp;</TD></TR>
      </TBODY></TABLE>{END formid_label}</TD>
    <TD class="rnr-control style3"></TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: auto;" class="rnr-label">
      {BEGIN SiteName_label}<TABLE style="width: 1367px;" border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
        <TBODY>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;S/No</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"> &nbsp;Drugs</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> 
            &nbsp;Basic&nbsp;Unit</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            <P> 
            &nbsp;Beginning&nbsp;Balance<BR>for&nbsp;Reporting&nbsp;Period</P>
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"> 
            &nbsp;Quantity&nbsp;Received<BR>during&nbsp;Reporting&nbsp;Period</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            <P> Quantity&nbsp;Dispensed</P>
            <P> During&nbsp;Reporting&nbsp;Period&nbsp;</P></TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1"> 
            &nbsp;Positive&nbsp;Adjust.</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1"> 
            Negative&nbsp;Adjust.&nbsp;</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            <P> &nbsp;Ending&nbsp;Balance</P>
            <P> (Physical&nbsp;Count)</P></TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"> Remarks&nbsp;</TD>
        </TR>
        <TR style="height: 22px;">
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">FIXED DOSE   
                      COMBINATION ADULT FIRST 
            LINE</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;1</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_1_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_1_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_1_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_1_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;2</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_2_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_2_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_2_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR>
        <TR style="height: 26px;">
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;3</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_3_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_3_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"><FONT face="Arial Black">
            {$QtyReceived_3_editcontrol}</FONT></TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed__editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_3_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_3_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_3_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_3_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;4</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_4_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_4_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_4_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_4_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_4_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_4_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_4_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_4_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;5</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_5_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_5_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_5_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_5_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_5_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_5_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_5_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">SINGLE DOSE  
                       ADULT FIRST LINE</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;6</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_6_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_6_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_6_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_6_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_6_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_6_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_6_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_6_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;7</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_7_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_7_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_7_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_7_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_7_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_7_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_7_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_7_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;8</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_8_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_8_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_8_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_8_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_8_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_8_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_8_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_8_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">ADULT SECOND 
                        LINE DRUGS</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;9</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_9_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_9_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_9_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_9_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_9_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_9_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_9_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_9_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;10</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_10_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_10_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_10_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_10_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_10_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_10_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_10_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_10_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">PEDIATRIC    
                     FIXED DOSE COMBINATION</FONT></TD></TR>
        <TR style="height: 24px;">
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;11</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_11_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_11_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_11_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_11_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_11_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_11_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_11_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_11_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;12</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_12_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_12_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_12_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_12_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_12_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_12_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_12_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_12_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;13</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_13_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_13_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_13_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_13_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_13_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_13_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_13_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_13_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;14</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_14_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_14_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_14_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_14_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_14_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_14_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_14_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_14_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">PEDIATRIC    
                     SINGLE DOSE</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;15</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_15_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_15_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_15_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_15_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_15_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_15_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_15_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_15_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;16</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_16_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_16_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_16_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_16_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_16_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_16_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_16_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_16_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;17</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_17_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_17_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_17_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_17_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_17_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_17_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_17_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_17_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;18</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_18_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_18_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_18_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_18_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_18_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_18_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_18_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_18_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;19</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_19_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_19_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_19_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_19_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_19_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_19_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_19_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_19_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">PEDIATRIC    
                     SECOND LINE DRUGS</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;20</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_20_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_20_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_20_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_20_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_20_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_20_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_20_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_20_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;21</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_21_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_21_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_21_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_21_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_21_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_21_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_21_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_21_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" 
            size="3">OPPORTUNISTICS INFECTIOUS DRUGS</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;22</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_22_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_22_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_22_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_22_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_22_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_22_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_22_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_22_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;23</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_23_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_23_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_23_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_23_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_23_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_24_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_23_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_23_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;24</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_24_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_24_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_24_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_24_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_24_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_24_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_24_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_24_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;25</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_25_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_25_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_25_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_25_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_25_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_25_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_25_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_25_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;26</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_26_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_26_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_26_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_26_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_26_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_26_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_26_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_26_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;27</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_27_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_27_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_27_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_27_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_27_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_27_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_27_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_27_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;28</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_28_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_28_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_28_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_28_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_28_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_28_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_28_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_28_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">OTHER        
                 ARVS</FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;29</TD>
          <TD rowSpan="1" colSpan="1">
            {$Drug_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1">
            {$BeginningBal_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtyReceived_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Qty_Dispensed_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Positive_Adjst_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Negative_Adjst_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_29_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;30</TD>
          <TD rowSpan="1" colSpan="1">
            {$Drug_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1">
            {$BeginningBal_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtyReceived_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Qty_Dispensed_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Positive_Adjst_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Negative_Adjst_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_30_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;31</TD>
          <TD rowSpan="1" colSpan="1">
            {$Drug_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1">
            {$BeginningBal_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtyReceived_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Qty_Dispensed_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Positive_Adjst_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Negative_Adjst_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_31_editcontrol}</TD></TR></TBODY></TABLE>{END SiteName_label}</TD>
    <TD class="rnr-control style3"></TD></TR>
  {END SiteName_fieldblock}<TR style="height: 32px;" class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: auto;" class="rnr-label">
      <TABLE style="width: 648px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 652px;" rowSpan="1" 
            colSpan="4">Please&nbsp;provide details (expiry dates, lot numbers 
            &amp; quantities) of any commodity that will expire in six months 
            time and any other information&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD style="width: 217px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="1">&nbsp;<FONT color="#ffffff" 
            size="2">Description</FONT></TD>
          <TD style="width: 137px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="1"><FONT color="#ffffff" 
            size="2">&nbsp;LotNo</FONT></TD>
          <TD style="width: 148px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="1"><FONT color="#ffffff" size="2">&nbsp;Expiry 
            Date</FONT></TD>
          <TD style="width: 152px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="1"><FONT color="#ffffff" 
            size="2">&nbsp;Quantity</FONT></TD></TR>
        <TR>
          <TD style="width: 217px;" rowSpan="1" colSpan="1">
            {$Drug_32_editcontrol}</TD>
          <TD style="width: 137px;" rowSpan="1" colSpan="1">
            {$lotNo_32_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$expirydate_32_editcontrol}</TD>
          <TD style="width: 152px;" rowSpan="1" colSpan="1">
            {$Qty_expired_32_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 217px;" rowSpan="1" colSpan="1">
            {$Drug_33_editcontrol}</TD>
          <TD style="width: 137px;" rowSpan="1" colSpan="1">
            {$lotNo_33_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$expirydate_33_editcontrol}</TD>
          <TD style="width: 152px;" rowSpan="1" colSpan="1">
            {$Qty_expired_33_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 217px;" rowSpan="1" colSpan="1">
            {$Drug_34_editcontrol}</TD>
          <TD style="width: 137px;" rowSpan="1" colSpan="1">
            {$lotNo_34_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$expirydate_34_editcontrol}</TD>
          <TD style="width: 152px;" rowSpan="1" 
            colSpan="1">
            {$Qty_expired_34_editcontrol}</TD></TR></TBODY></TABLE></TD>
    <TD class="rnr-control style3"> &nbsp;</TD></TR></TBODY>
  <TBODY>
  {BEGIN ValidateEntry_fieldblock}<TR class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
    <TD class="rnr-label">{BEGIN ValidateEntry_label}{END ValidateEntry_label}</TD>
    <TD class="rnr-control style3"> &nbsp;</TD></TR>{END ValidateEntry_fieldblock}</TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
&nbsp;</DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>
&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}> &gt;&gt;&gt;
</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}> Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}>
Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}> Back to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}>
Close window</A>{END close_button}</DIV>
<P></P></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV>
{$footer}</DIV>{END body}</BODY></HTML>


ACTIONTIME: 2015-03-04 15:54:54
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV  
contentEditable=false id class='simple-xt-tag' style='background-image: ;  
display: inline-block;' ruleindex="272">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-edit" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_all}
<DIV class="rnr-c rnr-cv rnr-c-all">
<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
{BEGIN container_edit}
<DIV class="rnr-c rnr-cv rnr-c-edit">
{BEGIN editheader}<DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><SPAN>
<H1>
{$pagetitlelabel arv_art edit}</H1></SPAN>
</DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
{BEGIN container_fields}
<DIV style="min-height: 1000px; min-width: 1396px;" class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
  <P align="center"><FONT size="4"></FONT></P>
  <TBODY>
  <P align="center"><FONT size="4"></FONT></P>
  <TR>
    <P align="center"><FONT size="4"></FONT></P>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) -   
                Antiretroviral and 
Cotrimoxazole</FONT></FONT></P></TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: auto;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: auto;" class="rnr-label">
      {BEGIN formid_label}<TABLE style="width: 390px;" border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
        <TBODY>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> SiteName</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol} 
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD>
          <TD style="width: 5px;" rowSpan="5" colSpan="1"><IMG style="width: 118px; height: 73px;" border="0" alt="coat of arms" src="images/coat.jpg" width="241" height="207"> &nbsp;&nbsp;&nbsp;&nbsp;</TD>
          <TD class=" runner-cc" rowSpan="5" colSpan="2">  
            &nbsp;&nbsp;&nbsp;<FONT size="4">Data Consultant Name</FONT><FONT 
            size="3">
            {$ValidateEntry_editcontrol}</FONT></TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> 
            &nbsp;Facility&nbsp;Code</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> 
            &nbsp;Funding&nbsp;Source</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;State</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> 
            &nbsp;Service&nbsp;Type</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}
        </TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;Phase</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> &nbsp;IPName</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1"> &nbsp;</TD></TR>
      </TBODY></TABLE>{END formid_label}</TD>
    <TD class="rnr-control style3"></TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: auto;" class="rnr-label">
      {BEGIN SiteName_label}<TABLE style="width: 1367px;" border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
        <TBODY>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;S/No</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"> &nbsp;Drugs</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> 
            &nbsp;Basic&nbsp;Unit</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            <P> 
            &nbsp;Beginning&nbsp;Balance<BR>for&nbsp;Reporting&nbsp;Period</P>
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"> 
            &nbsp;Quantity&nbsp;Received<BR>during&nbsp;Reporting&nbsp;Period</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            <P> Quantity&nbsp;Dispensed</P>
            <P> During&nbsp;Reporting&nbsp;Period&nbsp;</P></TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1"> 
            &nbsp;Positive&nbsp;Adjust.</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1"> 
            Negative&nbsp;Adjust.&nbsp;</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            <P> &nbsp;Ending&nbsp;Balance</P>
            <P> (Physical&nbsp;Count)</P></TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"> Remarks&nbsp;</TD>
        </TR>
        <TR style="height: 22px;">
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">FIXED DOSE   
                                  COMBINATION ADULT FIRST             
            LINE</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;1</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_1_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_1_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_1_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_1_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;2</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_2_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_2_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_2_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR>
        <TR style="height: 26px;">
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;3</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_3_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_3_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"><FONT face="Arial Black">
            {$QtyReceived_3_editcontrol}</FONT></TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed__editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_3_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_3_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_3_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_3_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;4</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_4_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_4_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_4_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_4_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_4_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_4_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_4_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_4_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;5</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_5_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_5_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_5_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_5_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_5_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_5_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_5_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">SINGLE DOSE  
                                   ADULT FIRST LINE</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;6</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_6_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_6_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_6_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_6_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_6_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_6_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_6_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_6_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;7</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_7_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_7_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_7_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_7_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_7_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_7_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_7_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_7_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;8</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_8_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_8_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_8_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_8_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_8_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_8_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_8_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_8_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">ADULT SECOND 
                                    LINE DRUGS</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;9</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_9_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_9_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_9_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_9_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_9_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_9_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_9_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_9_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;10</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_10_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_10_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_10_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_10_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_10_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_10_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_10_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_10_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">PEDIATRIC    
                                 FIXED DOSE COMBINATION</FONT></TD></TR>
        <TR style="height: 24px;">
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;11</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_11_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_11_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_11_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_11_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_11_editcontrol}</TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_11_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_11_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_11_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;12</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_12_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_12_editcontrol}</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_12_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_12_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_12_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_12_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_12_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_12_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;13</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_13_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_13_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_13_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_13_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_13_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_13_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_13_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_13_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;14</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_14_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_14_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_14_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_14_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_14_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_14_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_14_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_14_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">PEDIATRIC    
                                 SINGLE DOSE</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;15</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_15_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_15_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_15_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_15_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_15_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_15_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_15_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_15_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;16</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_16_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_16_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_16_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_16_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_16_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_16_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_16_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_16_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;17</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_17_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_17_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_17_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_17_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_17_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_17_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_17_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_17_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;18</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_18_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_18_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_18_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_18_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_18_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_18_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_18_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_18_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;19</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_19_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_19_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_19_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_19_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_19_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_19_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_19_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_19_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">PEDIATRIC    
                                 SECOND LINE DRUGS</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;20</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_20_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_20_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_20_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_20_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_20_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_20_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_20_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_20_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;21</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_21_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_21_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_21_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_21_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_21_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_21_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_21_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_21_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" 
            size="3">OPPORTUNISTICS INFECTIOUS DRUGS</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;22</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_22_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_22_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_22_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_22_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_22_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_22_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_22_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_22_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;23</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_23_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_23_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_23_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_23_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_23_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_24_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_23_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_23_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;24</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_24_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_24_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_24_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_24_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_24_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_24_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_24_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_24_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;25</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_25_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_25_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_25_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_25_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_25_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_25_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_25_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_25_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;26</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_26_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_26_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_26_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_26_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_26_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_26_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_26_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_26_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;27</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_27_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_27_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_27_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_27_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_27_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_27_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_27_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_27_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;28</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_28_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 135px;" rowSpan="1" colSpan="1">
            {$BeginningBal_28_editcontrol}
          </TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_28_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_28_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Positive_Adjst_28_editcontrol}
          </TD>
          <TD style="width: 141px;" rowSpan="1" colSpan="1">
            {$Negative_Adjst_28_editcontrol}
          </TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_28_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_28_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">OTHER        
                             ARVS</FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;29</TD>
          <TD rowSpan="1" colSpan="1">
            {$Drug_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1">
            {$BeginningBal_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtyReceived_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Qty_Dispensed_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Positive_Adjst_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Negative_Adjst_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_29_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_29_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;30</TD>
          <TD rowSpan="1" colSpan="1">
            {$Drug_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1">
            {$BeginningBal_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtyReceived_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Qty_Dispensed_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Positive_Adjst_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Negative_Adjst_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_30_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_30_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;31</TD>
          <TD rowSpan="1" colSpan="1">
            {$Drug_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1">
            {$BeginningBal_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtyReceived_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Qty_Dispensed_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Positive_Adjst_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Negative_Adjst_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_31_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_31_editcontrol}</TD></TR></TBODY></TABLE>{END SiteName_label}</TD>
    <TD class="rnr-control style3"></TD></TR>
  {END SiteName_fieldblock}<TR style="height: 32px;" class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: auto;" class="rnr-label">
      <TABLE style="width: 648px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 652px;" rowSpan="1" colSpan="4"><FONT color="#ff0000" 
            size="2">Please&nbsp;provide details (expiry dates, lot numbers      
                   &amp; quantities) of any commodity that will expire in six 
            months             time and any other 
            information</FONT>&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD style="width: 217px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="1">&nbsp;<FONT color="#ffffff" 
            size="2">Description</FONT></TD>
          <TD style="width: 137px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="1"><FONT color="#ffffff" 
            size="2">&nbsp;LotNo</FONT></TD>
          <TD style="width: 148px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="1"><FONT color="#ffffff" size="2">&nbsp;Expiry  
                       Date</FONT></TD>
          <TD style="width: 152px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="1"><FONT color="#ffffff" 
            size="2">&nbsp;Quantity</FONT></TD></TR>
        <TR>
          <TD style="width: 217px;" rowSpan="1" colSpan="1">
            {$Drug_32_editcontrol}</TD>
          <TD style="width: 137px;" rowSpan="1" colSpan="1">
            {$lotNo_32_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$expirydate_32_editcontrol}</TD>
          <TD style="width: 152px;" rowSpan="1" colSpan="1">
            
            {$Qty_expired_32_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 217px;" rowSpan="1" colSpan="1">
            {$Drug_33_editcontrol}</TD>
          <TD style="width: 137px;" rowSpan="1" colSpan="1">
            {$lotNo_33_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$expirydate_33_editcontrol}</TD>
          <TD style="width: 152px;" rowSpan="1" colSpan="1">
            {$Qty_expired_33_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 217px;" rowSpan="1" colSpan="1">
            {$Drug_34_editcontrol}</TD>
          <TD style="width: 137px;" rowSpan="1" colSpan="1">
            {$lotNo_34_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$expirydate_34_editcontrol}</TD>
          <TD style="width: 152px;" rowSpan="1" colSpan="1">
            {$Qty_expired_34_editcontrol}</TD></TR></TBODY></TABLE></TD>
    <TD class="rnr-control style3"> &nbsp;</TD></TR></TBODY>
  <TBODY>
  {BEGIN ValidateEntry_fieldblock}<TR class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
    <TD class="rnr-label">{BEGIN ValidateEntry_label}{END ValidateEntry_label}</TD>
    <TD class="rnr-control style3"> &nbsp;</TD></TR>{END ValidateEntry_fieldblock}</TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
&nbsp;</DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>
&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}> &gt;&gt;&gt;
</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}> Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}>
Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}> Back to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}>
Close window</A>{END close_button}</DIV>
<P></P></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV>
{$footer}</DIV>{END body}</BODY></HTML>


