# REVISIONDATA

ACTIONTIME: 2015-02-12 12:08:04
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>{$pagetitle}</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 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$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 {$wrapperclass_add} rnr-wrapper rnr-cbw-add">
{BEGIN container_add}
<DIV class="rnr-c rnr-cv rnr-c-add">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>	
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$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: 673px; min-width: 1031px;" class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
<TABLE class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD class="rnr-control style3">
      <TABLE border="1" cellSpacing="1" cellPadding="1" width="75%">
        <TBODY>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;
            {$label arv_pmtct SiteName}</TD>
          <TD rowSpan="1" colSpan="1">&nbsp;
            {$SiteName_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" 
            colSpan="1">
            {$label arv_pmtct formid}</TD>
          <TD rowSpan="1" colSpan="1"></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;</TD>
          <TD rowSpan="1" colSpan="1">&nbsp;</TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}{BEGIN State_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD class="rnr-label">{BEGIN State_label}
      {$label arv_pmtct State}{END State_label}
    </TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END State_fieldblock}{BEGIN Funding_Source_fieldblock}<TR class="{$fielddispclass_Funding_Source}" data-fieldname="Funding_Source">
    <TD class="rnr-label">{BEGIN Funding_Source_label}
      {$label arv_pmtct Funding_Source}{END Funding_Source_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Funding_Source_fieldblock}{BEGIN Service_Type_fieldblock}<TR class="{$fielddispclass_Service_Type}" data-fieldname="Service_Type">
    <TD class="rnr-label">{BEGIN Service_Type_label}
      {$label arv_pmtct Service_Type}{END Service_Type_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Service_Type_fieldblock}{BEGIN Phase_fieldblock}<TR class="{$fielddispclass_Phase}" data-fieldname="Phase">
    <TD class="rnr-label">{BEGIN Phase_label}
      {$label arv_pmtct Phase}{END Phase_label}
    </TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Phase_fieldblock}{BEGIN IPName_fieldblock}<TR class="{$fielddispclass_IPName}" data-fieldname="IPName">
    <TD class="rnr-label">{BEGIN IPName_label}
      {$label arv_pmtct IPName}{END IPName_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END IPName_fieldblock}{BEGIN Drug_1_fieldblock}<TR class="{$fielddispclass_Drug_1}" data-fieldname="Drug_1">
    <TD class="rnr-label">{BEGIN Drug_1_label}
      {$label arv_pmtct Drug_1}{END Drug_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_1_fieldblock}{BEGIN QtyReceived_1_fieldblock}<TR class="{$fielddispclass_QtyReceived_1}" data-fieldname="QtyReceived_1">
    <TD class="rnr-label">{BEGIN QtyReceived_1_label}
      {$label arv_pmtct QtyReceived_1}{END QtyReceived_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_1_fieldblock}{BEGIN Qty_Dispensed_1_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_1}" data-fieldname="Qty_Dispensed_1">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_1_label}
      {$label arv_pmtct Qty_Dispensed_1}{END Qty_Dispensed_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_1_fieldblock}{BEGIN QtySOH_1_fieldblock}<TR class="{$fielddispclass_QtySOH_1}" data-fieldname="QtySOH_1">
    <TD class="rnr-label">{BEGIN QtySOH_1_label}
      {$label arv_pmtct QtySOH_1}{END QtySOH_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_1_fieldblock}{BEGIN Remark_1_fieldblock}<TR class="{$fielddispclass_Remark_1}" data-fieldname="Remark_1">
    <TD class="rnr-label">{BEGIN Remark_1_label}
      {$label arv_pmtct Remark_1}{END Remark_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_1_fieldblock}{BEGIN Drug_2_fieldblock}<TR class="{$fielddispclass_Drug_2}" data-fieldname="Drug_2">
    <TD class="rnr-label">{BEGIN Drug_2_label}
      {$label arv_pmtct Drug_2}{END Drug_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_2_fieldblock}{BEGIN QtyReceived_2_fieldblock}<TR class="{$fielddispclass_QtyReceived_2}" data-fieldname="QtyReceived_2">
    <TD class="rnr-label">{BEGIN QtyReceived_2_label}
      {$label arv_pmtct QtyReceived_2}{END QtyReceived_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_2_fieldblock}{BEGIN Qty_Dispensed_2_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_2}" data-fieldname="Qty_Dispensed_2">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_2_label}
      {$label arv_pmtct Qty_Dispensed_2}{END Qty_Dispensed_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_2_fieldblock}{BEGIN QtySOH_2_fieldblock}<TR style="height: 37px;" class="{$fielddispclass_QtySOH_2}" data-fieldname="QtySOH_2">
    <TD class="rnr-label">{BEGIN QtySOH_2_label}
      {$label arv_pmtct QtySOH_2}{END QtySOH_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_2_fieldblock}{BEGIN Remark_2_fieldblock}<TR class="{$fielddispclass_Remark_2}" data-fieldname="Remark_2">
    <TD class="rnr-label">{BEGIN Remark_2_label}
      {$label arv_pmtct Remark_2}{END Remark_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>{END Remark_2_fieldblock}</TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#">Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#">Reset</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#">Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#">Back to 
list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#">Back to menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</DIV></DIV>
{END container_add}</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}"><!--%%bottom%%--></DIV></DIV>
{$footer}{END body}</BODY></HTML>

PARAMS:
{"action":"v","lyName":"add2","lySource":"@version=2\r\nbeginblock top \r\n\tbegincontainer vertical style=empty align=center width=500 all\r\n\t\tbegincontainer vertical style=1 align=center width=500 add\r\n\t\t\tbrick color2 addheader\r\n\t\t\tbrick color1 message\r\n\t\t\tbegincontainer vertical color=1 style=fields fields\r\n\t\t\t\tbrick addfields\r\n\t\t\t\tbrick color2 addbuttons\r\n\t\t\tendcontainer \r\n\t\tendcontainer \r\n\t\tbegincontainer vertical style=empty width=100% details\r\n\t\t\tbrick adddetails\r\n\t\tendcontainer\r\n\tendcontainer\r\nendblock\r\n"}


ACTIONTIME: 2015-02-12 12:14:21
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>{$pagetitle}</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 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$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 {$wrapperclass_add} rnr-wrapper rnr-cbw-add">
{BEGIN container_add}
<DIV class="rnr-c rnr-cv rnr-c-add">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>	
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$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: 673px; min-width: 1031px;" class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
<TABLE style="width: auto;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: auto;" class="rnr-control style3">
      <TABLE style="width: 663px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 165px;" rowSpan="1" colSpan="1">&nbsp;
            {$label arv_pmtct SiteName}</TD>
          <TD style="width: 501px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 165px;" rowSpan="1" colSpan="1">
            {$label arv_pmtct formid}</TD>
          <TD style="width: 501px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$label arv_pmtct Funding_Source}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 165px;" rowSpan="1" colSpan="1">&nbsp;
            {$label arv_pmtct State}</TD>
          <TD style="width: 501px;" rowSpan="1" colSpan="1">&nbsp;
            {$State_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$label arv_pmtct Service_Type}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">
            {$label arv_pmtct Phase}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$label arv_pmtct IPName}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" 
    colSpan="1"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}{BEGIN State_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END State_fieldblock}{BEGIN Funding_Source_fieldblock}<TR class="{$fielddispclass_Funding_Source}" data-fieldname="Funding_Source">
    <TD class="rnr-label">{BEGIN Funding_Source_label}{END Funding_Source_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Funding_Source_fieldblock}{BEGIN Service_Type_fieldblock}<TR class="{$fielddispclass_Service_Type}" data-fieldname="Service_Type">
    <TD class="rnr-label">{BEGIN Service_Type_label}{END Service_Type_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Service_Type_fieldblock}{BEGIN Phase_fieldblock}<TR class="{$fielddispclass_Phase}" data-fieldname="Phase">
    <TD class="rnr-label">{BEGIN Phase_label}{END Phase_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Phase_fieldblock}{BEGIN IPName_fieldblock}<TR class="{$fielddispclass_IPName}" data-fieldname="IPName">
    <TD class="rnr-label">{BEGIN IPName_label}{END IPName_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END IPName_fieldblock}{BEGIN Drug_1_fieldblock}<TR class="{$fielddispclass_Drug_1}" data-fieldname="Drug_1">
    <TD class="rnr-label">{BEGIN Drug_1_label}
      {$label arv_pmtct Drug_1}{END Drug_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_1_fieldblock}{BEGIN QtyReceived_1_fieldblock}<TR class="{$fielddispclass_QtyReceived_1}" data-fieldname="QtyReceived_1">
    <TD class="rnr-label">{BEGIN QtyReceived_1_label}
      {$label arv_pmtct QtyReceived_1}{END QtyReceived_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_1_fieldblock}{BEGIN Qty_Dispensed_1_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_1}" data-fieldname="Qty_Dispensed_1">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_1_label}
      {$label arv_pmtct Qty_Dispensed_1}{END Qty_Dispensed_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_1_fieldblock}{BEGIN QtySOH_1_fieldblock}<TR class="{$fielddispclass_QtySOH_1}" data-fieldname="QtySOH_1">
    <TD class="rnr-label">{BEGIN QtySOH_1_label}
      {$label arv_pmtct QtySOH_1}{END QtySOH_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_1_fieldblock}{BEGIN Remark_1_fieldblock}<TR class="{$fielddispclass_Remark_1}" data-fieldname="Remark_1">
    <TD class="rnr-label">{BEGIN Remark_1_label}
      {$label arv_pmtct Remark_1}{END Remark_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_1_fieldblock}{BEGIN Drug_2_fieldblock}<TR class="{$fielddispclass_Drug_2}" data-fieldname="Drug_2">
    <TD class="rnr-label">{BEGIN Drug_2_label}
      {$label arv_pmtct Drug_2}{END Drug_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_2_fieldblock}{BEGIN QtyReceived_2_fieldblock}<TR class="{$fielddispclass_QtyReceived_2}" data-fieldname="QtyReceived_2">
    <TD class="rnr-label">{BEGIN QtyReceived_2_label}
      {$label arv_pmtct QtyReceived_2}{END QtyReceived_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_2_fieldblock}{BEGIN Qty_Dispensed_2_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_2}" data-fieldname="Qty_Dispensed_2">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_2_label}
      {$label arv_pmtct Qty_Dispensed_2}{END Qty_Dispensed_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_2_fieldblock}{BEGIN QtySOH_2_fieldblock}<TR style="height: 37px;" class="{$fielddispclass_QtySOH_2}" data-fieldname="QtySOH_2">
    <TD class="rnr-label">{BEGIN QtySOH_2_label}
      {$label arv_pmtct QtySOH_2}{END QtySOH_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_2_fieldblock}{BEGIN Remark_2_fieldblock}<TR class="{$fielddispclass_Remark_2}" data-fieldname="Remark_2">
    <TD class="rnr-label">{BEGIN Remark_2_label}
      {$label arv_pmtct Remark_2}{END Remark_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>{END Remark_2_fieldblock}</TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#">Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#">Reset</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#">Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#">Back to 
 list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#">Back to 
menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_add}</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}"><!--%%bottom%%--></DIV></DIV>
{$footer}{END body}</BODY></HTML>

PARAMS:
{"action":"v","lyName":"add2","lySource":"@version=2\r\nbeginblock top \r\n\tbegincontainer vertical style=empty align=center width=500 all\r\n\t\tbegincontainer vertical style=1 align=center width=500 add\r\n\t\t\tbrick color2 addheader\r\n\t\t\tbrick color1 message\r\n\t\t\tbegincontainer vertical color=1 style=fields fields\r\n\t\t\t\tbrick addfields\r\n\t\t\t\tbrick color2 addbuttons\r\n\t\t\tendcontainer \r\n\t\tendcontainer \r\n\t\tbegincontainer vertical style=empty width=100% details\r\n\t\t\tbrick adddetails\r\n\t\tendcontainer\r\n\tendcontainer\r\nendblock\r\n"}


ACTIONTIME: 2015-02-12 12:16:04
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>{$pagetitle}</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 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$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 {$wrapperclass_add} rnr-wrapper rnr-cbw-add">
{BEGIN container_add}
<DIV class="rnr-c rnr-cv rnr-c-add">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>	
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$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: 759px; min-width: 864px;" class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
<TABLE style="width: auto;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: auto;" class="rnr-control style3">
      <TABLE style="width: 625px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 93px;" rowSpan="1" colSpan="1">&nbsp;
            
            {$label arv_pmtct SiteName}</TD>
          <TD style="width: 536px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 93px;" rowSpan="1" colSpan="1">
            {$label arv_pmtct formid}</TD>
          <TD style="width: 238px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 85px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$label arv_pmtct Funding_Source}</TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 93px;" rowSpan="1" colSpan="1">&nbsp;
            {$label arv_pmtct State}</TD>
          <TD style="width: 238px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 85px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$label arv_pmtct Service_Type}</TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 93px;" rowSpan="1" colSpan="1">
            {$label arv_pmtct Phase}</TD>
          <TD style="width: 238px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 85px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$label arv_pmtct IPName}</TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 238px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 85px;" class=" runner-cc" rowSpan="1" 
          colSpan="1"></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" 
          colSpan="1"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}{BEGIN State_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END State_fieldblock}{BEGIN Funding_Source_fieldblock}<TR class="{$fielddispclass_Funding_Source}" data-fieldname="Funding_Source">
    <TD class="rnr-label">{BEGIN Funding_Source_label}{END Funding_Source_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Funding_Source_fieldblock}{BEGIN Service_Type_fieldblock}<TR class="{$fielddispclass_Service_Type}" data-fieldname="Service_Type">
    <TD class="rnr-label">{BEGIN Service_Type_label}{END Service_Type_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Service_Type_fieldblock}{BEGIN Phase_fieldblock}<TR class="{$fielddispclass_Phase}" data-fieldname="Phase">
    <TD class="rnr-label">{BEGIN Phase_label}{END Phase_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Phase_fieldblock}{BEGIN IPName_fieldblock}<TR class="{$fielddispclass_IPName}" data-fieldname="IPName">
    <TD class="rnr-label">{BEGIN IPName_label}{END IPName_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END IPName_fieldblock}{BEGIN Drug_1_fieldblock}<TR class="{$fielddispclass_Drug_1}" data-fieldname="Drug_1">
    <TD class="rnr-label">{BEGIN Drug_1_label}
      {$label arv_pmtct Drug_1}{END Drug_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_1_fieldblock}{BEGIN QtyReceived_1_fieldblock}<TR class="{$fielddispclass_QtyReceived_1}" data-fieldname="QtyReceived_1">
    <TD class="rnr-label">{BEGIN QtyReceived_1_label}
      {$label arv_pmtct QtyReceived_1}{END QtyReceived_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_1_fieldblock}{BEGIN Qty_Dispensed_1_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_1}" data-fieldname="Qty_Dispensed_1">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_1_label}
      {$label arv_pmtct Qty_Dispensed_1}{END Qty_Dispensed_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_1_fieldblock}{BEGIN QtySOH_1_fieldblock}<TR class="{$fielddispclass_QtySOH_1}" data-fieldname="QtySOH_1">
    <TD class="rnr-label">{BEGIN QtySOH_1_label}
      {$label arv_pmtct QtySOH_1}{END QtySOH_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_1_fieldblock}{BEGIN Remark_1_fieldblock}<TR class="{$fielddispclass_Remark_1}" data-fieldname="Remark_1">
    <TD class="rnr-label">{BEGIN Remark_1_label}
      {$label arv_pmtct Remark_1}{END Remark_1_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_1_fieldblock}{BEGIN Drug_2_fieldblock}<TR class="{$fielddispclass_Drug_2}" data-fieldname="Drug_2">
    <TD class="rnr-label">{BEGIN Drug_2_label}
      {$label arv_pmtct Drug_2}{END Drug_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_2_fieldblock}{BEGIN QtyReceived_2_fieldblock}<TR class="{$fielddispclass_QtyReceived_2}" data-fieldname="QtyReceived_2">
    <TD class="rnr-label">{BEGIN QtyReceived_2_label}
      {$label arv_pmtct QtyReceived_2}{END QtyReceived_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_2_fieldblock}{BEGIN Qty_Dispensed_2_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_2}" data-fieldname="Qty_Dispensed_2">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_2_label}
      {$label arv_pmtct Qty_Dispensed_2}{END Qty_Dispensed_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_2_fieldblock}{BEGIN QtySOH_2_fieldblock}<TR style="height: 37px;" class="{$fielddispclass_QtySOH_2}" data-fieldname="QtySOH_2">
    <TD class="rnr-label">{BEGIN QtySOH_2_label}
      {$label arv_pmtct QtySOH_2}{END QtySOH_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_2_fieldblock}{BEGIN Remark_2_fieldblock}<TR class="{$fielddispclass_Remark_2}" data-fieldname="Remark_2">
    <TD class="rnr-label">{BEGIN Remark_2_label}
      {$label arv_pmtct Remark_2}{END Remark_2_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>{END Remark_2_fieldblock}</TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#">Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#">Reset</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#">Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#">Back to  
list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#">Back to 
 menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_add}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"><!--%%bottom%%--></DIV></DIV>
{$footer}{END body}</BODY></HTML>

PARAMS:
{"action":"v","lyName":"add2","lySource":"@version=2\r\nbeginblock top \r\n\tbegincontainer vertical style=empty align=center width=500 all\r\n\t\tbegincontainer vertical style=1 align=center width=500 add\r\n\t\t\tbrick color2 addheader\r\n\t\t\tbrick color1 message\r\n\t\t\tbegincontainer vertical color=1 style=fields fields\r\n\t\t\t\tbrick addfields\r\n\t\t\t\tbrick color2 addbuttons\r\n\t\t\tendcontainer \r\n\t\tendcontainer \r\n\t\tbegincontainer vertical style=empty width=100% details\r\n\t\t\tbrick adddetails\r\n\t\tendcontainer\r\n\tendcontainer\r\nendblock\r\n"}


ACTIONTIME: 2015-02-12 12:42:23
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>{$pagetitle}</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 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$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 {$wrapperclass_add} rnr-wrapper rnr-cbw-add">
{BEGIN container_add}
<DIV class="rnr-c rnr-cv rnr-c-add">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>	
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$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: 610px; min-width: 1298px;" class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
<TABLE style="width: auto;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol}</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" 
            colSpan="1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}{BEGIN State_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD style="width: auto;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Quantity Received During<BR>the Repoting 
            Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P>&nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff"><STRONG>ARV FOR 
            PRGNANT MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">&nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">&nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$QtyReceived_1_editcontrol}</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">&nbsp;
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">&nbsp;
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR></TBODY></TABLE></TD></TR>
  {END State_fieldblock}{BEGIN Funding_Source_fieldblock}<TR class="{$fielddispclass_Funding_Source}" data-fieldname="Funding_Source">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Funding_Source_label}{END Funding_Source_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Funding_Source_fieldblock}{BEGIN Service_Type_fieldblock}<TR class="{$fielddispclass_Service_Type}" data-fieldname="Service_Type">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Service_Type_label}{END Service_Type_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Service_Type_fieldblock}{BEGIN Phase_fieldblock}<TR class="{$fielddispclass_Phase}" data-fieldname="Phase">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Phase_label}{END Phase_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Phase_fieldblock}{BEGIN IPName_fieldblock}<TR class="{$fielddispclass_IPName}" data-fieldname="IPName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN IPName_label}{END IPName_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END IPName_fieldblock}{BEGIN Drug_1_fieldblock}<TR class="{$fielddispclass_Drug_1}" data-fieldname="Drug_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_1_label}{END Drug_1_label}</TD>
    
    <TD style="width: 745px;" 
    class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_1_fieldblock}{BEGIN QtyReceived_1_fieldblock}<TR class="{$fielddispclass_QtyReceived_1}" data-fieldname="QtyReceived_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_1_label}{END QtyReceived_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_1_fieldblock}{BEGIN Qty_Dispensed_1_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_1}" data-fieldname="Qty_Dispensed_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_1_label}{END Qty_Dispensed_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_1_fieldblock}{BEGIN QtySOH_1_fieldblock}<TR class="{$fielddispclass_QtySOH_1}" data-fieldname="QtySOH_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_1_label}{END QtySOH_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_1_fieldblock}{BEGIN Remark_1_fieldblock}<TR class="{$fielddispclass_Remark_1}" data-fieldname="Remark_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_1_label}{END Remark_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_1_fieldblock}{BEGIN Drug_2_fieldblock}<TR class="{$fielddispclass_Drug_2}" data-fieldname="Drug_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_2_label}{END Drug_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3"></TD></TR>
  {END Drug_2_fieldblock}{BEGIN QtyReceived_2_fieldblock}<TR class="{$fielddispclass_QtyReceived_2}" data-fieldname="QtyReceived_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_2_label}{END QtyReceived_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_2_fieldblock}{BEGIN Qty_Dispensed_2_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_2}" data-fieldname="Qty_Dispensed_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_2_label}{END Qty_Dispensed_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_2_fieldblock}{BEGIN QtySOH_2_fieldblock}<TR style="height: 37px;" class="{$fielddispclass_QtySOH_2}" data-fieldname="QtySOH_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_2_label}{END QtySOH_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_2_fieldblock}{BEGIN Remark_2_fieldblock}<TR class="{$fielddispclass_Remark_2}" data-fieldname="Remark_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_2_label}{END Remark_2_label}</TD>
    <TD style="width: 745px;" 
class="rnr-control style3">&nbsp;</TD></TR>{END Remark_2_fieldblock}</TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#">Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#">Reset</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#">Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#">Back to  
 list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#">Back to  
menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_add}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"><!--%%bottom%%--></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-02-12 12:43:01
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>{$pagetitle}</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 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$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 {$wrapperclass_add} rnr-wrapper rnr-cbw-add">
{BEGIN container_add}
<DIV class="rnr-c rnr-cv rnr-c-add">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>	
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$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: 610px; min-width: 1298px;" class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
<TABLE style="width: auto;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol}</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" 
            colSpan="1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}{BEGIN State_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD style="width: auto;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Quantity Received During<BR>the Repoting         
                Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P>&nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff"><STRONG>ARV FOR        
                 PRGNANT MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">&nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">&nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$QtyReceived_1_editcontrol}</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR></TBODY></TABLE></TD></TR>
  {END State_fieldblock}{BEGIN Funding_Source_fieldblock}<TR class="{$fielddispclass_Funding_Source}" data-fieldname="Funding_Source">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Funding_Source_label}{END Funding_Source_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Funding_Source_fieldblock}{BEGIN Service_Type_fieldblock}<TR class="{$fielddispclass_Service_Type}" data-fieldname="Service_Type">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Service_Type_label}{END Service_Type_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Service_Type_fieldblock}{BEGIN Phase_fieldblock}<TR class="{$fielddispclass_Phase}" data-fieldname="Phase">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Phase_label}{END Phase_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Phase_fieldblock}{BEGIN IPName_fieldblock}<TR class="{$fielddispclass_IPName}" data-fieldname="IPName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN IPName_label}{END IPName_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END IPName_fieldblock}{BEGIN Drug_1_fieldblock}<TR class="{$fielddispclass_Drug_1}" data-fieldname="Drug_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_1_label}{END Drug_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_1_fieldblock}{BEGIN QtyReceived_1_fieldblock}<TR class="{$fielddispclass_QtyReceived_1}" data-fieldname="QtyReceived_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_1_label}{END QtyReceived_1_label}</TD>
    
    <TD style="width: 745px;" 
    class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_1_fieldblock}{BEGIN Qty_Dispensed_1_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_1}" data-fieldname="Qty_Dispensed_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_1_label}{END Qty_Dispensed_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_1_fieldblock}{BEGIN QtySOH_1_fieldblock}<TR class="{$fielddispclass_QtySOH_1}" data-fieldname="QtySOH_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_1_label}{END QtySOH_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_1_fieldblock}{BEGIN Remark_1_fieldblock}<TR class="{$fielddispclass_Remark_1}" data-fieldname="Remark_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_1_label}{END Remark_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_1_fieldblock}{BEGIN Drug_2_fieldblock}<TR class="{$fielddispclass_Drug_2}" data-fieldname="Drug_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_2_label}{END Drug_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3"></TD></TR>
  {END Drug_2_fieldblock}{BEGIN QtyReceived_2_fieldblock}<TR class="{$fielddispclass_QtyReceived_2}" data-fieldname="QtyReceived_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_2_label}{END QtyReceived_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_2_fieldblock}{BEGIN Qty_Dispensed_2_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_2}" data-fieldname="Qty_Dispensed_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_2_label}{END Qty_Dispensed_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_2_fieldblock}{BEGIN QtySOH_2_fieldblock}<TR style="height: 37px;" class="{$fielddispclass_QtySOH_2}" data-fieldname="QtySOH_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_2_label}{END QtySOH_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_2_fieldblock}{BEGIN Remark_2_fieldblock}<TR class="{$fielddispclass_Remark_2}" data-fieldname="Remark_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_2_label}{END Remark_2_label}</TD>
    <TD style="width: 745px;" 
class="rnr-control style3">&nbsp;</TD></TR>{END Remark_2_fieldblock}</TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#">Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#">Reset</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#">Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#">Back to  
 list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#">Back to  
 menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_add}</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}"><!--%%bottom%%--></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-02-12 12:43:49
SOURCE:
<!doctype html>
<html  {$html_attrs}>
	<head>
		<meta http-equiv="X-UA-Compatible" content="IE=Edge">
		<title>{$pagetitle}</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="{$stylename} function-add" {$bodyattrs}>
	{BEGIN body}{$header}
	<div class="rnr-page">
		<div class="rnr-top {$blockclass_top}">
			

{BEGIN container_fields}<DIV style="min-height: 610px; min-width: 1298px;" class="rnr-c rnr-cv rnr-c-fields">
{BEGIN addheader}<div  class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><span>	<h1>{$pagetitlelabel arv_pmtct add}</h1>
</span></div>{END addheader}


{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-addfields {$brickclass_addfields}"><TABLE style="width: auto;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<tr class="{$fielddispclass_formid}" data-fieldname="formid">
	<TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END formid_fieldblock}
	{BEGIN SiteName_fieldblock}<tr class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
	<TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol}&nbsp;
	</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" 
            colSpan="1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></td>
</tr>
{END SiteName_fieldblock}
	{BEGIN State_fieldblock}<tr class="{$fielddispclass_State}" data-fieldname="State">
	<TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}
	</td>
	<TD style="width: auto;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Quantity Received During<BR>the Repoting         
                Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P>&nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff"><STRONG>ARV FOR        
                 PRGNANT MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">&nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">&nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$QtyReceived_1_editcontrol}</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR></TBODY></TABLE></td>
</tr>
{END State_fieldblock}
	{BEGIN Funding_Source_fieldblock}<tr class="{$fielddispclass_Funding_Source}" data-fieldname="Funding_Source">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Funding_Source_label}{END Funding_Source_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Funding_Source_fieldblock}
	{BEGIN Service_Type_fieldblock}<tr class="{$fielddispclass_Service_Type}" data-fieldname="Service_Type">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Service_Type_label}{END Service_Type_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Service_Type_fieldblock}
	{BEGIN Phase_fieldblock}<tr class="{$fielddispclass_Phase}" data-fieldname="Phase">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Phase_label}{END Phase_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Phase_fieldblock}
	{BEGIN IPName_fieldblock}<tr class="{$fielddispclass_IPName}" data-fieldname="IPName">
	<TD style="width: 100px;" class="rnr-label">{BEGIN IPName_label}{END IPName_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END IPName_fieldblock}
	{BEGIN Drug_1_fieldblock}<tr class="{$fielddispclass_Drug_1}" data-fieldname="Drug_1">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Drug_1_label}{END Drug_1_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Drug_1_fieldblock}
	{BEGIN QtyReceived_1_fieldblock}<tr class="{$fielddispclass_QtyReceived_1}" data-fieldname="QtyReceived_1">
	<TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_1_label}{END QtyReceived_1_label}
	</td>
	<TD style="width: 745px;" 
    class="rnr-control style3">&nbsp;</td>
</tr>
{END QtyReceived_1_fieldblock}
	{BEGIN Qty_Dispensed_1_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_1}" data-fieldname="Qty_Dispensed_1">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_1_label}{END Qty_Dispensed_1_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Qty_Dispensed_1_fieldblock}
	{BEGIN QtySOH_1_fieldblock}<tr class="{$fielddispclass_QtySOH_1}" data-fieldname="QtySOH_1">
	<TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_1_label}{END QtySOH_1_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END QtySOH_1_fieldblock}
	{BEGIN Remark_1_fieldblock}<tr class="{$fielddispclass_Remark_1}" data-fieldname="Remark_1">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Remark_1_label}{END Remark_1_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Remark_1_fieldblock}
	{BEGIN Drug_2_fieldblock}<tr class="{$fielddispclass_Drug_2}" data-fieldname="Drug_2">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Drug_2_label}{END Drug_2_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3"></td>
</tr>
{END Drug_2_fieldblock}
	{BEGIN QtyReceived_2_fieldblock}<tr class="{$fielddispclass_QtyReceived_2}" data-fieldname="QtyReceived_2">
	<TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_2_label}{END QtyReceived_2_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END QtyReceived_2_fieldblock}
	{BEGIN Qty_Dispensed_2_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_2}" data-fieldname="Qty_Dispensed_2">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_2_label}{END Qty_Dispensed_2_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Qty_Dispensed_2_fieldblock}
	{BEGIN QtySOH_2_fieldblock}<TR style="height: 37px;" class="{$fielddispclass_QtySOH_2}" data-fieldname="QtySOH_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_2_label}{END QtySOH_2_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END QtySOH_2_fieldblock}
	{BEGIN Remark_2_fieldblock}<tr class="{$fielddispclass_Remark_2}" data-fieldname="Remark_2">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Remark_2_label}{END Remark_2_label}
	</td>
	<TD style="width: 745px;" 
class="rnr-control style3">&nbsp;</td>
</tr>
{END Remark_2_fieldblock}
</TBODY></table></div>


{BEGIN addbuttons}<div  class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<a href="#" class="rnr-button main" id="saveButton{$id}">Save</a>
{END save_button}
{BEGIN reset_button}<a href="#" class="rnr-button" id="resetButton{$id}">Reset</a>
{END reset_button}
{BEGIN cancel_button}<a href="#" class="rnr-button" id="cancelButton{$id}">Cancel</a>
{END cancel_button}
{BEGIN back_button}<a href="#" class="rnr-button" id="backButton{$id}">Back to list</a>
{END back_button}
{BEGIN backToMenu_button}<a href="#" class="rnr-button" id="backToMenuButton{$id}">Back to menu</a>
{END backToMenu_button}</div>{END addbuttons}


</div>
{END container_fields}




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

PARAMS:
{"action":"m","lyName":"add5","lySource":"@version=2\r\nbeginblock top \r\n\tbegincontainer vertical style=fields align=left\t width=500  fields\r\n\t\tbrick color2 addheader\r\n\t\tbrick color1 message\r\n\t\tbrick addfields\r\n\t\tbrick color2 addbuttons\r\n\tendcontainer \r\n\tbegincontainer vertical style=empty details\r\n\t\tbrick adddetails\r\n\tendcontainer\r\nendblock\r\n"}


ACTIONTIME: 2015-02-12 13:08:11
SOURCE:
<!doctype html>
<html  {$html_attrs}>
	<head>
		<meta http-equiv="X-UA-Compatible" content="IE=Edge">
		<title>{$pagetitle}</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="{$stylename} function-add" {$bodyattrs}>
	{BEGIN body}{$header}
	<div class="rnr-page">
		<div class="rnr-top {$blockclass_top}">
			

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

{BEGIN addheader}<div  class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><span>	<h1>{$pagetitlelabel arv_pmtct add}</h1>
</span></div>{END addheader}


{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-addfields {$brickclass_addfields}"><table class="fieldGrid">
	{BEGIN formid_fieldblock}<tr class="{$fielddispclass_formid}" data-fieldname="formid">
	<TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END formid_fieldblock}
	{BEGIN SiteName_fieldblock}<tr class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
	<TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol}&nbsp;
	</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" 
            colSpan="1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></td>
</tr>
{END SiteName_fieldblock}
	{BEGIN State_fieldblock}<tr class="{$fielddispclass_State}" data-fieldname="State">
	<TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}
	</td>
	<TD style="width: auto;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Quantity Received During<BR>the Repoting         
                Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P>&nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff"><STRONG>ARV FOR        
                 PRGNANT MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">&nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">&nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$QtyReceived_1_editcontrol}</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR></TBODY></TABLE></td>
</tr>
{END State_fieldblock}
	{BEGIN Funding_Source_fieldblock}<tr class="{$fielddispclass_Funding_Source}" data-fieldname="Funding_Source">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Funding_Source_label}{END Funding_Source_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Funding_Source_fieldblock}
	{BEGIN Service_Type_fieldblock}<tr class="{$fielddispclass_Service_Type}" data-fieldname="Service_Type">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Service_Type_label}{END Service_Type_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Service_Type_fieldblock}
	{BEGIN Phase_fieldblock}<tr class="{$fielddispclass_Phase}" data-fieldname="Phase">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Phase_label}{END Phase_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Phase_fieldblock}
	{BEGIN IPName_fieldblock}<tr class="{$fielddispclass_IPName}" data-fieldname="IPName">
	<TD style="width: 100px;" class="rnr-label">{BEGIN IPName_label}{END IPName_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END IPName_fieldblock}
	{BEGIN Drug_1_fieldblock}<tr class="{$fielddispclass_Drug_1}" data-fieldname="Drug_1">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Drug_1_label}{END Drug_1_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Drug_1_fieldblock}
	{BEGIN QtyReceived_1_fieldblock}<tr class="{$fielddispclass_QtyReceived_1}" data-fieldname="QtyReceived_1">
	<TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_1_label}{END QtyReceived_1_label}
	</td>
	<TD style="width: 745px;" 
    class="rnr-control style3">&nbsp;</td>
</tr>
{END QtyReceived_1_fieldblock}
	{BEGIN Qty_Dispensed_1_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_1}" data-fieldname="Qty_Dispensed_1">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_1_label}{END Qty_Dispensed_1_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Qty_Dispensed_1_fieldblock}
	{BEGIN QtySOH_1_fieldblock}<tr class="{$fielddispclass_QtySOH_1}" data-fieldname="QtySOH_1">
	<TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_1_label}{END QtySOH_1_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END QtySOH_1_fieldblock}
	{BEGIN Remark_1_fieldblock}<tr class="{$fielddispclass_Remark_1}" data-fieldname="Remark_1">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Remark_1_label}{END Remark_1_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Remark_1_fieldblock}
	{BEGIN Drug_2_fieldblock}<tr class="{$fielddispclass_Drug_2}" data-fieldname="Drug_2">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Drug_2_label}{END Drug_2_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3"></td>
</tr>
{END Drug_2_fieldblock}
	{BEGIN QtyReceived_2_fieldblock}<tr class="{$fielddispclass_QtyReceived_2}" data-fieldname="QtyReceived_2">
	<TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_2_label}{END QtyReceived_2_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END QtyReceived_2_fieldblock}
	{BEGIN Qty_Dispensed_2_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_2}" data-fieldname="Qty_Dispensed_2">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_2_label}{END Qty_Dispensed_2_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END Qty_Dispensed_2_fieldblock}
	{BEGIN QtySOH_2_fieldblock}<TR style="height: 37px;" class="{$fielddispclass_QtySOH_2}" data-fieldname="QtySOH_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_2_label}{END QtySOH_2_label}
	</td>
	<TD style="width: 745px;" class="rnr-control style3">&nbsp;</td>
</tr>
{END QtySOH_2_fieldblock}
	{BEGIN Remark_2_fieldblock}<tr class="{$fielddispclass_Remark_2}" data-fieldname="Remark_2">
	<TD style="width: 100px;" class="rnr-label">{BEGIN Remark_2_label}{END Remark_2_label}
	</td>
	<TD style="width: 745px;" 
class="rnr-control style3">&nbsp;</td>
</tr>
{END Remark_2_fieldblock}
	{BEGIN Drug_3_fieldblock}<tr class="{$fielddispclass_Drug_3}" data-fieldname="Drug_3">
	<td class="rnr-label">
		{BEGIN Drug_3_label}{$label arv_pmtct Drug_3}{END Drug_3_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_3_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_3_fieldblock}
	{BEGIN QtyReceived_3_fieldblock}<tr class="{$fielddispclass_QtyReceived_3}" data-fieldname="QtyReceived_3">
	<td class="rnr-label">
		{BEGIN QtyReceived_3_label}{$label arv_pmtct QtyReceived_3}{END QtyReceived_3_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_3_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_3_fieldblock}
	{BEGIN Qty_Dispensed_3_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_3}" data-fieldname="Qty_Dispensed_3">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_3_label}{$label arv_pmtct Qty_Dispensed_3}{END Qty_Dispensed_3_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_3_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_3_fieldblock}
	{BEGIN QtySOH_3_fieldblock}<tr class="{$fielddispclass_QtySOH_3}" data-fieldname="QtySOH_3">
	<td class="rnr-label">
		{BEGIN QtySOH_3_label}{$label arv_pmtct QtySOH_3}{END QtySOH_3_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_3_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_3_fieldblock}
	{BEGIN Remark_3_fieldblock}<tr class="{$fielddispclass_Remark_3}" data-fieldname="Remark_3">
	<td class="rnr-label">
		{BEGIN Remark_3_label}{$label arv_pmtct Remark_3}{END Remark_3_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_3_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_3_fieldblock}
	{BEGIN Drug_4_fieldblock}<tr class="{$fielddispclass_Drug_4}" data-fieldname="Drug_4">
	<td class="rnr-label">
		{BEGIN Drug_4_label}{$label arv_pmtct Drug_4}{END Drug_4_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_4_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_4_fieldblock}
	{BEGIN QtyReceived_4_fieldblock}<tr class="{$fielddispclass_QtyReceived_4}" data-fieldname="QtyReceived_4">
	<td class="rnr-label">
		{BEGIN QtyReceived_4_label}{$label arv_pmtct QtyReceived_4}{END QtyReceived_4_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_4_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_4_fieldblock}
	{BEGIN Qty_Dispensed_4_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_4}" data-fieldname="Qty_Dispensed_4">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_4_label}{$label arv_pmtct Qty_Dispensed_4}{END Qty_Dispensed_4_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_4_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_4_fieldblock}
	{BEGIN QtySOH_4_fieldblock}<tr class="{$fielddispclass_QtySOH_4}" data-fieldname="QtySOH_4">
	<td class="rnr-label">
		{BEGIN QtySOH_4_label}{$label arv_pmtct QtySOH_4}{END QtySOH_4_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_4_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_4_fieldblock}
	{BEGIN Remark_4_fieldblock}<tr class="{$fielddispclass_Remark_4}" data-fieldname="Remark_4">
	<td class="rnr-label">
		{BEGIN Remark_4_label}{$label arv_pmtct Remark_4}{END Remark_4_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_4_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_4_fieldblock}
	{BEGIN Drug_5_fieldblock}<tr class="{$fielddispclass_Drug_5}" data-fieldname="Drug_5">
	<td class="rnr-label">
		{BEGIN Drug_5_label}{$label arv_pmtct Drug_5}{END Drug_5_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_5_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_5_fieldblock}
	{BEGIN QtyReceived_5_fieldblock}<tr class="{$fielddispclass_QtyReceived_5}" data-fieldname="QtyReceived_5">
	<td class="rnr-label">
		{BEGIN QtyReceived_5_label}{$label arv_pmtct QtyReceived_5}{END QtyReceived_5_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_5_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_5_fieldblock}
	{BEGIN Qty_Dispensed_5_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_5}" data-fieldname="Qty_Dispensed_5">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_5_label}{$label arv_pmtct Qty_Dispensed_5}{END Qty_Dispensed_5_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_5_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_5_fieldblock}
	{BEGIN QtySOH_5_fieldblock}<tr class="{$fielddispclass_QtySOH_5}" data-fieldname="QtySOH_5">
	<td class="rnr-label">
		{BEGIN QtySOH_5_label}{$label arv_pmtct QtySOH_5}{END QtySOH_5_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_5_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_5_fieldblock}
	{BEGIN Remark_5_fieldblock}<tr class="{$fielddispclass_Remark_5}" data-fieldname="Remark_5">
	<td class="rnr-label">
		{BEGIN Remark_5_label}{$label arv_pmtct Remark_5}{END Remark_5_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_5_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_5_fieldblock}
	{BEGIN Drug_6_fieldblock}<tr class="{$fielddispclass_Drug_6}" data-fieldname="Drug_6">
	<td class="rnr-label">
		{BEGIN Drug_6_label}{$label arv_pmtct Drug_6}{END Drug_6_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_6_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_6_fieldblock}
	{BEGIN QtyReceived_6_fieldblock}<tr class="{$fielddispclass_QtyReceived_6}" data-fieldname="QtyReceived_6">
	<td class="rnr-label">
		{BEGIN QtyReceived_6_label}{$label arv_pmtct QtyReceived_6}{END QtyReceived_6_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_6_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_6_fieldblock}
	{BEGIN Qty_Dispensed_6_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_6}" data-fieldname="Qty_Dispensed_6">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_6_label}{$label arv_pmtct Qty_Dispensed_6}{END Qty_Dispensed_6_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_6_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_6_fieldblock}
	{BEGIN QtySOH_6_fieldblock}<tr class="{$fielddispclass_QtySOH_6}" data-fieldname="QtySOH_6">
	<td class="rnr-label">
		{BEGIN QtySOH_6_label}{$label arv_pmtct QtySOH_6}{END QtySOH_6_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_6_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_6_fieldblock}
	{BEGIN Remark_6_fieldblock}<tr class="{$fielddispclass_Remark_6}" data-fieldname="Remark_6">
	<td class="rnr-label">
		{BEGIN Remark_6_label}{$label arv_pmtct Remark_6}{END Remark_6_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_6_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_6_fieldblock}
	{BEGIN Drug_7_fieldblock}<tr class="{$fielddispclass_Drug_7}" data-fieldname="Drug_7">
	<td class="rnr-label">
		{BEGIN Drug_7_label}{$label arv_pmtct Drug_7}{END Drug_7_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_7_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_7_fieldblock}
	{BEGIN QtyReceived_7_fieldblock}<tr class="{$fielddispclass_QtyReceived_7}" data-fieldname="QtyReceived_7">
	<td class="rnr-label">
		{BEGIN QtyReceived_7_label}{$label arv_pmtct QtyReceived_7}{END QtyReceived_7_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_7_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_7_fieldblock}
	{BEGIN Qty_Dispensed_7_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_7}" data-fieldname="Qty_Dispensed_7">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_7_label}{$label arv_pmtct Qty_Dispensed_7}{END Qty_Dispensed_7_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_7_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_7_fieldblock}
	{BEGIN QtySOH_7_fieldblock}<tr class="{$fielddispclass_QtySOH_7}" data-fieldname="QtySOH_7">
	<td class="rnr-label">
		{BEGIN QtySOH_7_label}{$label arv_pmtct QtySOH_7}{END QtySOH_7_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_7_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_7_fieldblock}
	{BEGIN Remark_7_fieldblock}<tr class="{$fielddispclass_Remark_7}" data-fieldname="Remark_7">
	<td class="rnr-label">
		{BEGIN Remark_7_label}{$label arv_pmtct Remark_7}{END Remark_7_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_7_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_7_fieldblock}
	{BEGIN Drug_8_fieldblock}<tr class="{$fielddispclass_Drug_8}" data-fieldname="Drug_8">
	<td class="rnr-label">
		{BEGIN Drug_8_label}{$label arv_pmtct Drug_8}{END Drug_8_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_8_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_8_fieldblock}
	{BEGIN QtyReceived_8_fieldblock}<tr class="{$fielddispclass_QtyReceived_8}" data-fieldname="QtyReceived_8">
	<td class="rnr-label">
		{BEGIN QtyReceived_8_label}{$label arv_pmtct QtyReceived_8}{END QtyReceived_8_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_8_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_8_fieldblock}
	{BEGIN Qty_Dispensed_8_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_8}" data-fieldname="Qty_Dispensed_8">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_8_label}{$label arv_pmtct Qty_Dispensed_8}{END Qty_Dispensed_8_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_8_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_8_fieldblock}
	{BEGIN QtySOH_8_fieldblock}<tr class="{$fielddispclass_QtySOH_8}" data-fieldname="QtySOH_8">
	<td class="rnr-label">
		{BEGIN QtySOH_8_label}{$label arv_pmtct QtySOH_8}{END QtySOH_8_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_8_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_8_fieldblock}
	{BEGIN Remark_8_fieldblock}<tr class="{$fielddispclass_Remark_8}" data-fieldname="Remark_8">
	<td class="rnr-label">
		{BEGIN Remark_8_label}{$label arv_pmtct Remark_8}{END Remark_8_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_8_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_8_fieldblock}
	{BEGIN Drug_9_fieldblock}<tr class="{$fielddispclass_Drug_9}" data-fieldname="Drug_9">
	<td class="rnr-label">
		{BEGIN Drug_9_label}{$label arv_pmtct Drug_9}{END Drug_9_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_9_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_9_fieldblock}
	{BEGIN QtyReceived_9_fieldblock}<tr class="{$fielddispclass_QtyReceived_9}" data-fieldname="QtyReceived_9">
	<td class="rnr-label">
		{BEGIN QtyReceived_9_label}{$label arv_pmtct QtyReceived_9}{END QtyReceived_9_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_9_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_9_fieldblock}
	{BEGIN Qty_Dispensed_9_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_9}" data-fieldname="Qty_Dispensed_9">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_9_label}{$label arv_pmtct Qty_Dispensed_9}{END Qty_Dispensed_9_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_9_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_9_fieldblock}
	{BEGIN QtySOH_9_fieldblock}<tr class="{$fielddispclass_QtySOH_9}" data-fieldname="QtySOH_9">
	<td class="rnr-label">
		{BEGIN QtySOH_9_label}{$label arv_pmtct QtySOH_9}{END QtySOH_9_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_9_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_9_fieldblock}
	{BEGIN Remark_9_fieldblock}<tr class="{$fielddispclass_Remark_9}" data-fieldname="Remark_9">
	<td class="rnr-label">
		{BEGIN Remark_9_label}{$label arv_pmtct Remark_9}{END Remark_9_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_9_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_9_fieldblock}
	{BEGIN Drug_10_fieldblock}<tr class="{$fielddispclass_Drug_10}" data-fieldname="Drug_10">
	<td class="rnr-label">
		{BEGIN Drug_10_label}{$label arv_pmtct Drug_10}{END Drug_10_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_10_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_10_fieldblock}
	{BEGIN QtyReceived_10_fieldblock}<tr class="{$fielddispclass_QtyReceived_10}" data-fieldname="QtyReceived_10">
	<td class="rnr-label">
		{BEGIN QtyReceived_10_label}{$label arv_pmtct QtyReceived_10}{END QtyReceived_10_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_10_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_10_fieldblock}
	{BEGIN Qty_Dispensed_10_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_10}" data-fieldname="Qty_Dispensed_10">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_10_label}{$label arv_pmtct Qty_Dispensed_10}{END Qty_Dispensed_10_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_10_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_10_fieldblock}
	{BEGIN QtySOH_10_fieldblock}<tr class="{$fielddispclass_QtySOH_10}" data-fieldname="QtySOH_10">
	<td class="rnr-label">
		{BEGIN QtySOH_10_label}{$label arv_pmtct QtySOH_10}{END QtySOH_10_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_10_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_10_fieldblock}
	{BEGIN Remark_10_fieldblock}<tr class="{$fielddispclass_Remark_10}" data-fieldname="Remark_10">
	<td class="rnr-label">
		{BEGIN Remark_10_label}{$label arv_pmtct Remark_10}{END Remark_10_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_10_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_10_fieldblock}
	{BEGIN Drug_11_fieldblock}<tr class="{$fielddispclass_Drug_11}" data-fieldname="Drug_11">
	<td class="rnr-label">
		{BEGIN Drug_11_label}{$label arv_pmtct Drug_11}{END Drug_11_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_11_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_11_fieldblock}
	{BEGIN QtyReceived_11_fieldblock}<tr class="{$fielddispclass_QtyReceived_11}" data-fieldname="QtyReceived_11">
	<td class="rnr-label">
		{BEGIN QtyReceived_11_label}{$label arv_pmtct QtyReceived_11}{END QtyReceived_11_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_11_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_11_fieldblock}
	{BEGIN Qty_Dispensed_11_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_11}" data-fieldname="Qty_Dispensed_11">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_11_label}{$label arv_pmtct Qty_Dispensed_11}{END Qty_Dispensed_11_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_11_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_11_fieldblock}
	{BEGIN QtySOH_11_fieldblock}<tr class="{$fielddispclass_QtySOH_11}" data-fieldname="QtySOH_11">
	<td class="rnr-label">
		{BEGIN QtySOH_11_label}{$label arv_pmtct QtySOH_11}{END QtySOH_11_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_11_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_11_fieldblock}
	{BEGIN Remark_11_fieldblock}<tr class="{$fielddispclass_Remark_11}" data-fieldname="Remark_11">
	<td class="rnr-label">
		{BEGIN Remark_11_label}{$label arv_pmtct Remark_11}{END Remark_11_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_11_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_11_fieldblock}
	{BEGIN Drug_12_fieldblock}<tr class="{$fielddispclass_Drug_12}" data-fieldname="Drug_12">
	<td class="rnr-label">
		{BEGIN Drug_12_label}{$label arv_pmtct Drug_12}{END Drug_12_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_12_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_12_fieldblock}
	{BEGIN QtyReceived_12_fieldblock}<tr class="{$fielddispclass_QtyReceived_12}" data-fieldname="QtyReceived_12">
	<td class="rnr-label">
		{BEGIN QtyReceived_12_label}{$label arv_pmtct QtyReceived_12}{END QtyReceived_12_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_12_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_12_fieldblock}
	{BEGIN Qty_Dispensed_12_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_12}" data-fieldname="Qty_Dispensed_12">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_12_label}{$label arv_pmtct Qty_Dispensed_12}{END Qty_Dispensed_12_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_12_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_12_fieldblock}
	{BEGIN QtySOH_12_fieldblock}<tr class="{$fielddispclass_QtySOH_12}" data-fieldname="QtySOH_12">
	<td class="rnr-label">
		{BEGIN QtySOH_12_label}{$label arv_pmtct QtySOH_12}{END QtySOH_12_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_12_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_12_fieldblock}
	{BEGIN Remark_12_fieldblock}<tr class="{$fielddispclass_Remark_12}" data-fieldname="Remark_12">
	<td class="rnr-label">
		{BEGIN Remark_12_label}{$label arv_pmtct Remark_12}{END Remark_12_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_12_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_12_fieldblock}
	{BEGIN Drug_13_fieldblock}<tr class="{$fielddispclass_Drug_13}" data-fieldname="Drug_13">
	<td class="rnr-label">
		{BEGIN Drug_13_label}{$label arv_pmtct Drug_13}{END Drug_13_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_13_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_13_fieldblock}
	{BEGIN QtyReceived_13_fieldblock}<tr class="{$fielddispclass_QtyReceived_13}" data-fieldname="QtyReceived_13">
	<td class="rnr-label">
		{BEGIN QtyReceived_13_label}{$label arv_pmtct QtyReceived_13}{END QtyReceived_13_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_13_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_13_fieldblock}
	{BEGIN Qty_Dispensed_13_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_13}" data-fieldname="Qty_Dispensed_13">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_13_label}{$label arv_pmtct Qty_Dispensed_13}{END Qty_Dispensed_13_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_13_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_13_fieldblock}
	{BEGIN QtySOH_13_fieldblock}<tr class="{$fielddispclass_QtySOH_13}" data-fieldname="QtySOH_13">
	<td class="rnr-label">
		{BEGIN QtySOH_13_label}{$label arv_pmtct QtySOH_13}{END QtySOH_13_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_13_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_13_fieldblock}
	{BEGIN Remark_13_fieldblock}<tr class="{$fielddispclass_Remark_13}" data-fieldname="Remark_13">
	<td class="rnr-label">
		{BEGIN Remark_13_label}{$label arv_pmtct Remark_13}{END Remark_13_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_13_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_13_fieldblock}
	{BEGIN Drug_14_fieldblock}<tr class="{$fielddispclass_Drug_14}" data-fieldname="Drug_14">
	<td class="rnr-label">
		{BEGIN Drug_14_label}{$label arv_pmtct Drug_14}{END Drug_14_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_14_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_14_fieldblock}
	{BEGIN QtyReceived_14_fieldblock}<tr class="{$fielddispclass_QtyReceived_14}" data-fieldname="QtyReceived_14">
	<td class="rnr-label">
		{BEGIN QtyReceived_14_label}{$label arv_pmtct QtyReceived_14}{END QtyReceived_14_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_14_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_14_fieldblock}
	{BEGIN Qty_Dispensed_14_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_14}" data-fieldname="Qty_Dispensed_14">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_14_label}{$label arv_pmtct Qty_Dispensed_14}{END Qty_Dispensed_14_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_14_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_14_fieldblock}
	{BEGIN QtySOH_14_fieldblock}<tr class="{$fielddispclass_QtySOH_14}" data-fieldname="QtySOH_14">
	<td class="rnr-label">
		{BEGIN QtySOH_14_label}{$label arv_pmtct QtySOH_14}{END QtySOH_14_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_14_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_14_fieldblock}
	{BEGIN Remark_14_fieldblock}<tr class="{$fielddispclass_Remark_14}" data-fieldname="Remark_14">
	<td class="rnr-label">
		{BEGIN Remark_14_label}{$label arv_pmtct Remark_14}{END Remark_14_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_14_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_14_fieldblock}
	{BEGIN Drug_15_fieldblock}<tr class="{$fielddispclass_Drug_15}" data-fieldname="Drug_15">
	<td class="rnr-label">
		{BEGIN Drug_15_label}{$label arv_pmtct Drug_15}{END Drug_15_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_15_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_15_fieldblock}
	{BEGIN QtyReceived_15_fieldblock}<tr class="{$fielddispclass_QtyReceived_15}" data-fieldname="QtyReceived_15">
	<td class="rnr-label">
		{BEGIN QtyReceived_15_label}{$label arv_pmtct QtyReceived_15}{END QtyReceived_15_label}
	</td>
	<td class="rnr-control style3">
		{$QtyReceived_15_editcontrol}&nbsp;
	</td>
</tr>
{END QtyReceived_15_fieldblock}
	{BEGIN Qty_Dispensed_15_fieldblock}<tr class="{$fielddispclass_Qty_Dispensed_15}" data-fieldname="Qty_Dispensed_15">
	<td class="rnr-label">
		{BEGIN Qty_Dispensed_15_label}{$label arv_pmtct Qty_Dispensed_15}{END Qty_Dispensed_15_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_Dispensed_15_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_Dispensed_15_fieldblock}
	{BEGIN QtySOH_15_fieldblock}<tr class="{$fielddispclass_QtySOH_15}" data-fieldname="QtySOH_15">
	<td class="rnr-label">
		{BEGIN QtySOH_15_label}{$label arv_pmtct QtySOH_15}{END QtySOH_15_label}
	</td>
	<td class="rnr-control style3">
		{$QtySOH_15_editcontrol}&nbsp;
	</td>
</tr>
{END QtySOH_15_fieldblock}
	{BEGIN Remark_15_fieldblock}<tr class="{$fielddispclass_Remark_15}" data-fieldname="Remark_15">
	<td class="rnr-label">
		{BEGIN Remark_15_label}{$label arv_pmtct Remark_15}{END Remark_15_label}
	</td>
	<td class="rnr-control style3">
		{$Remark_15_editcontrol}&nbsp;
	</td>
</tr>
{END Remark_15_fieldblock}
</table></div>


{BEGIN addbuttons}<div  class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<a href="#" class="rnr-button main" id="saveButton{$id}">Save</a>
{END save_button}
{BEGIN reset_button}<a href="#" class="rnr-button" id="resetButton{$id}">Reset</a>
{END reset_button}
{BEGIN cancel_button}<a href="#" class="rnr-button" id="cancelButton{$id}">Cancel</a>
{END cancel_button}
{BEGIN back_button}<a href="#" class="rnr-button" id="backButton{$id}">Back to list</a>
{END back_button}
{BEGIN backToMenu_button}<a href="#" class="rnr-button" id="backToMenuButton{$id}">Back to menu</a>
{END backToMenu_button}</div>{END addbuttons}


</div>
{END container_fields}




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

PARAMS:
{"action":"m","lyName":"add5","lySource":"@version=2\r\nbeginblock top \r\n\tbegincontainer vertical style=fields align=left\t width=500  fields\r\n\t\tbrick color2 addheader\r\n\t\tbrick color1 message\r\n\t\tbrick addfields\r\n\t\tbrick color2 addbuttons\r\n\tendcontainer \r\n\tbegincontainer vertical style=empty details\r\n\t\tbrick adddetails\r\n\tendcontainer\r\nendblock\r\n"}


ACTIONTIME: 2015-02-12 13:10:53
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>{$pagetitle}</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 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_fields}
<DIV class="rnr-c rnr-cv rnr-c-fields">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>	
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{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-addfields {$brickclass_addfields}">
<TABLE class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol}&nbsp;</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" 
            colSpan="1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}{BEGIN State_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD style="width: auto;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Quantity Received During<BR>the Repoting         
                            Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P>&nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff"><STRONG>ARV FOR        
                             PRGNANT MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">&nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">&nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$QtyReceived_1_editcontrol}</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR></TBODY></TABLE></TD>
</TR>
  {END State_fieldblock}{BEGIN Funding_Source_fieldblock}<TR class="{$fielddispclass_Funding_Source}" data-fieldname="Funding_Source">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Funding_Source_label}{END Funding_Source_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Funding_Source_fieldblock}{BEGIN Service_Type_fieldblock}<TR class="{$fielddispclass_Service_Type}" data-fieldname="Service_Type">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Service_Type_label}{END Service_Type_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Service_Type_fieldblock}{BEGIN Phase_fieldblock}<TR class="{$fielddispclass_Phase}" data-fieldname="Phase">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Phase_label}{END Phase_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Phase_fieldblock}{BEGIN IPName_fieldblock}<TR class="{$fielddispclass_IPName}" data-fieldname="IPName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN IPName_label}{END IPName_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END IPName_fieldblock}{BEGIN Drug_1_fieldblock}<TR class="{$fielddispclass_Drug_1}" data-fieldname="Drug_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_1_label}{END Drug_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_1_fieldblock}{BEGIN QtyReceived_1_fieldblock}<TR class="{$fielddispclass_QtyReceived_1}" data-fieldname="QtyReceived_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_1_label}{END QtyReceived_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_1_fieldblock}{BEGIN Qty_Dispensed_1_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_1}" data-fieldname="Qty_Dispensed_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_1_label}{END Qty_Dispensed_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_1_fieldblock}{BEGIN QtySOH_1_fieldblock}<TR class="{$fielddispclass_QtySOH_1}" data-fieldname="QtySOH_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_1_label}{END QtySOH_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_1_fieldblock}{BEGIN Remark_1_fieldblock}<TR class="{$fielddispclass_Remark_1}" data-fieldname="Remark_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_1_label}{END Remark_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_1_fieldblock}{BEGIN Drug_2_fieldblock}<TR class="{$fielddispclass_Drug_2}" data-fieldname="Drug_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_2_label}{END Drug_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3"></TD></TR>
  {END Drug_2_fieldblock}{BEGIN QtyReceived_2_fieldblock}<TR class="{$fielddispclass_QtyReceived_2}" data-fieldname="QtyReceived_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_2_label}{END QtyReceived_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_2_fieldblock}{BEGIN Qty_Dispensed_2_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_2}" data-fieldname="Qty_Dispensed_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_2_label}{END Qty_Dispensed_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_2_fieldblock}{BEGIN QtySOH_2_fieldblock}<TR style="height: 37px;" class="{$fielddispclass_QtySOH_2}" data-fieldname="QtySOH_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_2_label}{END QtySOH_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_2_fieldblock}{BEGIN Remark_2_fieldblock}<TR class="{$fielddispclass_Remark_2}" data-fieldname="Remark_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_2_label}{END Remark_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_2_fieldblock}{BEGIN Drug_3_fieldblock}<TR class="{$fielddispclass_Drug_3}" data-fieldname="Drug_3">
    <TD class="rnr-label">{BEGIN Drug_3_label}{END Drug_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_3_fieldblock}{BEGIN QtyReceived_3_fieldblock}<TR class="{$fielddispclass_QtyReceived_3}" data-fieldname="QtyReceived_3">
    <TD class="rnr-label">{BEGIN QtyReceived_3_label}{END QtyReceived_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_3_fieldblock}{BEGIN Qty_Dispensed_3_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_3}" data-fieldname="Qty_Dispensed_3">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_3_label}{END Qty_Dispensed_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_3_fieldblock}{BEGIN QtySOH_3_fieldblock}<TR class="{$fielddispclass_QtySOH_3}" data-fieldname="QtySOH_3">
    <TD class="rnr-label">{BEGIN QtySOH_3_label}{END QtySOH_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_3_fieldblock}{BEGIN Remark_3_fieldblock}<TR class="{$fielddispclass_Remark_3}" data-fieldname="Remark_3">
    <TD class="rnr-label">{BEGIN Remark_3_label}{END Remark_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_3_fieldblock}{BEGIN Drug_4_fieldblock}<TR class="{$fielddispclass_Drug_4}" data-fieldname="Drug_4">
    <TD class="rnr-label">{BEGIN Drug_4_label}{END Drug_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_4_fieldblock}{BEGIN QtyReceived_4_fieldblock}<TR class="{$fielddispclass_QtyReceived_4}" data-fieldname="QtyReceived_4">
    <TD class="rnr-label">{BEGIN QtyReceived_4_label}{END QtyReceived_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_4_fieldblock}{BEGIN Qty_Dispensed_4_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_4}" data-fieldname="Qty_Dispensed_4">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_4_label}{END Qty_Dispensed_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_4_fieldblock}{BEGIN QtySOH_4_fieldblock}<TR class="{$fielddispclass_QtySOH_4}" data-fieldname="QtySOH_4">
    <TD class="rnr-label">{BEGIN QtySOH_4_label}{END QtySOH_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_4_fieldblock}{BEGIN Remark_4_fieldblock}<TR class="{$fielddispclass_Remark_4}" data-fieldname="Remark_4">
    <TD class="rnr-label">{BEGIN Remark_4_label}{END Remark_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_4_fieldblock}{BEGIN Drug_5_fieldblock}<TR class="{$fielddispclass_Drug_5}" data-fieldname="Drug_5">
    <TD class="rnr-label">{BEGIN Drug_5_label}{END Drug_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_5_fieldblock}{BEGIN QtyReceived_5_fieldblock}<TR class="{$fielddispclass_QtyReceived_5}" data-fieldname="QtyReceived_5">
    <TD class="rnr-label">{BEGIN QtyReceived_5_label}{END QtyReceived_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_5_fieldblock}{BEGIN Qty_Dispensed_5_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_5}" data-fieldname="Qty_Dispensed_5">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_5_label}{END Qty_Dispensed_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_5_fieldblock}{BEGIN QtySOH_5_fieldblock}<TR class="{$fielddispclass_QtySOH_5}" data-fieldname="QtySOH_5">
    <TD class="rnr-label">{BEGIN QtySOH_5_label}{END QtySOH_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_5_fieldblock}{BEGIN Remark_5_fieldblock}<TR class="{$fielddispclass_Remark_5}" data-fieldname="Remark_5">
    <TD class="rnr-label">{BEGIN Remark_5_label}{END Remark_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_5_fieldblock}{BEGIN Drug_6_fieldblock}<TR class="{$fielddispclass_Drug_6}" data-fieldname="Drug_6">
    <TD class="rnr-label">{BEGIN Drug_6_label}{END Drug_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_6_fieldblock}{BEGIN QtyReceived_6_fieldblock}<TR class="{$fielddispclass_QtyReceived_6}" data-fieldname="QtyReceived_6">
    <TD class="rnr-label">{BEGIN QtyReceived_6_label}{END QtyReceived_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_6_fieldblock}{BEGIN Qty_Dispensed_6_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_6}" data-fieldname="Qty_Dispensed_6">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_6_label}{END Qty_Dispensed_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_6_fieldblock}{BEGIN QtySOH_6_fieldblock}<TR class="{$fielddispclass_QtySOH_6}" data-fieldname="QtySOH_6">
    <TD class="rnr-label">{BEGIN QtySOH_6_label}{END QtySOH_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_6_fieldblock}{BEGIN Remark_6_fieldblock}<TR class="{$fielddispclass_Remark_6}" data-fieldname="Remark_6">
    <TD class="rnr-label">{BEGIN Remark_6_label}{END Remark_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_6_fieldblock}{BEGIN Drug_7_fieldblock}<TR class="{$fielddispclass_Drug_7}" data-fieldname="Drug_7">
    <TD class="rnr-label">{BEGIN Drug_7_label}{END Drug_7_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_7_fieldblock}{BEGIN QtyReceived_7_fieldblock}<TR class="{$fielddispclass_QtyReceived_7}" data-fieldname="QtyReceived_7">
    <TD class="rnr-label">{BEGIN QtyReceived_7_label}{END QtyReceived_7_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_7_fieldblock}{BEGIN Qty_Dispensed_7_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_7}" data-fieldname="Qty_Dispensed_7">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_7_label}{END Qty_Dispensed_7_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_7_fieldblock}{BEGIN QtySOH_7_fieldblock}<TR class="{$fielddispclass_QtySOH_7}" data-fieldname="QtySOH_7">
    <TD class="rnr-label">{BEGIN QtySOH_7_label}{END QtySOH_7_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_7_fieldblock}{BEGIN Remark_7_fieldblock}<TR class="{$fielddispclass_Remark_7}" data-fieldname="Remark_7">
    <TD class="rnr-label">{BEGIN Remark_7_label}{END Remark_7_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_7_fieldblock}{BEGIN Drug_8_fieldblock}<TR class="{$fielddispclass_Drug_8}" data-fieldname="Drug_8">
    <TD class="rnr-label">{BEGIN Drug_8_label}{END Drug_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_8_fieldblock}{BEGIN QtyReceived_8_fieldblock}<TR class="{$fielddispclass_QtyReceived_8}" data-fieldname="QtyReceived_8">
    <TD class="rnr-label">{BEGIN QtyReceived_8_label}{END QtyReceived_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_8_fieldblock}{BEGIN Qty_Dispensed_8_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_8}" data-fieldname="Qty_Dispensed_8">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_8_label}{END Qty_Dispensed_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_8_fieldblock}{BEGIN QtySOH_8_fieldblock}<TR class="{$fielddispclass_QtySOH_8}" data-fieldname="QtySOH_8">
    <TD class="rnr-label">{BEGIN QtySOH_8_label}{END QtySOH_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_8_fieldblock}{BEGIN Remark_8_fieldblock}<TR class="{$fielddispclass_Remark_8}" data-fieldname="Remark_8">
    <TD class="rnr-label">{BEGIN Remark_8_label}{END Remark_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_8_fieldblock}{BEGIN Drug_9_fieldblock}<TR class="{$fielddispclass_Drug_9}" data-fieldname="Drug_9">
    <TD class="rnr-label">{BEGIN Drug_9_label}{END Drug_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_9_fieldblock}{BEGIN QtyReceived_9_fieldblock}<TR class="{$fielddispclass_QtyReceived_9}" data-fieldname="QtyReceived_9">
    <TD class="rnr-label">{BEGIN QtyReceived_9_label}{END QtyReceived_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_9_fieldblock}{BEGIN Qty_Dispensed_9_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_9}" data-fieldname="Qty_Dispensed_9">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_9_label}{END Qty_Dispensed_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_9_fieldblock}{BEGIN QtySOH_9_fieldblock}<TR class="{$fielddispclass_QtySOH_9}" data-fieldname="QtySOH_9">
    <TD class="rnr-label">{BEGIN QtySOH_9_label}{END QtySOH_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_9_fieldblock}{BEGIN Remark_9_fieldblock}<TR class="{$fielddispclass_Remark_9}" data-fieldname="Remark_9">
    <TD class="rnr-label">{BEGIN Remark_9_label}{END Remark_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_9_fieldblock}{BEGIN Drug_10_fieldblock}<TR class="{$fielddispclass_Drug_10}" data-fieldname="Drug_10">
    <TD class="rnr-label">{BEGIN Drug_10_label}{END Drug_10_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_10_fieldblock}{BEGIN QtyReceived_10_fieldblock}<TR class="{$fielddispclass_QtyReceived_10}" data-fieldname="QtyReceived_10">
    <TD class="rnr-label">{BEGIN QtyReceived_10_label}{END QtyReceived_10_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_10_fieldblock}{BEGIN Qty_Dispensed_10_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_10}" data-fieldname="Qty_Dispensed_10">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_10_label}{END Qty_Dispensed_10_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_10_fieldblock}{BEGIN QtySOH_10_fieldblock}<TR class="{$fielddispclass_QtySOH_10}" data-fieldname="QtySOH_10">
    <TD class="rnr-label">{BEGIN QtySOH_10_label}{END QtySOH_10_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_10_fieldblock}{BEGIN Remark_10_fieldblock}<TR class="{$fielddispclass_Remark_10}" data-fieldname="Remark_10">
    <TD class="rnr-label">{BEGIN Remark_10_label}{END Remark_10_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_10_fieldblock}{BEGIN Drug_11_fieldblock}<TR class="{$fielddispclass_Drug_11}" data-fieldname="Drug_11">
    <TD class="rnr-label">{BEGIN Drug_11_label}{END Drug_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_11_fieldblock}{BEGIN QtyReceived_11_fieldblock}<TR class="{$fielddispclass_QtyReceived_11}" data-fieldname="QtyReceived_11">
    <TD class="rnr-label">{BEGIN QtyReceived_11_label}{END QtyReceived_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_11_fieldblock}{BEGIN Qty_Dispensed_11_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_11}" data-fieldname="Qty_Dispensed_11">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_11_label}{END Qty_Dispensed_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_11_fieldblock}{BEGIN QtySOH_11_fieldblock}<TR class="{$fielddispclass_QtySOH_11}" data-fieldname="QtySOH_11">
    <TD class="rnr-label">{BEGIN QtySOH_11_label}{END QtySOH_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_11_fieldblock}{BEGIN Remark_11_fieldblock}<TR class="{$fielddispclass_Remark_11}" data-fieldname="Remark_11">
    <TD class="rnr-label">{BEGIN Remark_11_label}{END Remark_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_11_fieldblock}{BEGIN Drug_12_fieldblock}<TR class="{$fielddispclass_Drug_12}" data-fieldname="Drug_12">
    <TD class="rnr-label">{BEGIN Drug_12_label}{END Drug_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_12_fieldblock}{BEGIN QtyReceived_12_fieldblock}<TR class="{$fielddispclass_QtyReceived_12}" data-fieldname="QtyReceived_12">
    <TD class="rnr-label">{BEGIN QtyReceived_12_label}{END QtyReceived_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_12_fieldblock}{BEGIN Qty_Dispensed_12_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_12}" data-fieldname="Qty_Dispensed_12">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_12_label}{END Qty_Dispensed_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_12_fieldblock}{BEGIN QtySOH_12_fieldblock}<TR class="{$fielddispclass_QtySOH_12}" data-fieldname="QtySOH_12">
    <TD class="rnr-label">{BEGIN QtySOH_12_label}{END QtySOH_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_12_fieldblock}{BEGIN Remark_12_fieldblock}<TR class="{$fielddispclass_Remark_12}" data-fieldname="Remark_12">
    <TD class="rnr-label">{BEGIN Remark_12_label}{END Remark_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_12_fieldblock}{BEGIN Drug_13_fieldblock}<TR class="{$fielddispclass_Drug_13}" data-fieldname="Drug_13">
    <TD class="rnr-label">{BEGIN Drug_13_label}{END Drug_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_13_fieldblock}{BEGIN QtyReceived_13_fieldblock}<TR class="{$fielddispclass_QtyReceived_13}" data-fieldname="QtyReceived_13">
    <TD class="rnr-label">{BEGIN QtyReceived_13_label}{END QtyReceived_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_13_fieldblock}{BEGIN Qty_Dispensed_13_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_13}" data-fieldname="Qty_Dispensed_13">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_13_label}{END Qty_Dispensed_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_13_fieldblock}{BEGIN QtySOH_13_fieldblock}<TR class="{$fielddispclass_QtySOH_13}" data-fieldname="QtySOH_13">
    <TD class="rnr-label">{BEGIN QtySOH_13_label}{END QtySOH_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_13_fieldblock}{BEGIN Remark_13_fieldblock}<TR class="{$fielddispclass_Remark_13}" data-fieldname="Remark_13">
    <TD class="rnr-label">{BEGIN Remark_13_label}{END Remark_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_13_fieldblock}{BEGIN Drug_14_fieldblock}<TR class="{$fielddispclass_Drug_14}" data-fieldname="Drug_14">
    <TD class="rnr-label">{BEGIN Drug_14_label}{END Drug_14_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_14_fieldblock}{BEGIN QtyReceived_14_fieldblock}<TR class="{$fielddispclass_QtyReceived_14}" data-fieldname="QtyReceived_14">
    <TD class="rnr-label">{BEGIN QtyReceived_14_label}{END QtyReceived_14_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_14_fieldblock}{BEGIN Qty_Dispensed_14_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_14}" data-fieldname="Qty_Dispensed_14">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_14_label}{END Qty_Dispensed_14_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_14_fieldblock}{BEGIN QtySOH_14_fieldblock}<TR class="{$fielddispclass_QtySOH_14}" data-fieldname="QtySOH_14">
    <TD class="rnr-label">{BEGIN QtySOH_14_label}{END QtySOH_14_label}</TD>
    
    <TD 
    class="rnr-control style3"></TD>
  </TR>
  {END QtySOH_14_fieldblock}{BEGIN Remark_14_fieldblock}<TR class="{$fielddispclass_Remark_14}" data-fieldname="Remark_14">
    <TD class="rnr-label">{BEGIN Remark_14_label}{END Remark_14_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_14_fieldblock}{BEGIN Drug_15_fieldblock}<TR class="{$fielddispclass_Drug_15}" data-fieldname="Drug_15">
    <TD class="rnr-label">{BEGIN Drug_15_label}{END Drug_15_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_15_fieldblock}{BEGIN QtyReceived_15_fieldblock}<TR class="{$fielddispclass_QtyReceived_15}" data-fieldname="QtyReceived_15">
    <TD class="rnr-label">{BEGIN QtyReceived_15_label}{END QtyReceived_15_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_15_fieldblock}{BEGIN Qty_Dispensed_15_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_15}" data-fieldname="Qty_Dispensed_15">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_15_label}{END Qty_Dispensed_15_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_15_fieldblock}{BEGIN QtySOH_15_fieldblock}<TR class="{$fielddispclass_QtySOH_15}" data-fieldname="QtySOH_15">
    <TD class="rnr-label">{BEGIN QtySOH_15_label}{END QtySOH_15_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_15_fieldblock}{BEGIN Remark_15_fieldblock}<TR class="{$fielddispclass_Remark_15}" data-fieldname="Remark_15">
    <TD class="rnr-label">{BEGIN Remark_15_label}{END Remark_15_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>{END Remark_15_fieldblock}</TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#">Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#">Reset</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#">Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#">Back to 
list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#">Back to menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</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></DIV>
{$footer}{END body}</BODY></HTML>

PARAMS:
{"action":"v","lyName":"add5","lySource":"@version=2\r\nbeginblock top \r\n\tbegincontainer vertical style=fields align=left\t width=500  fields\r\n\t\tbrick color2 addheader\r\n\t\tbrick color1 message\r\n\t\tbrick addfields\r\n\t\tbrick color2 addbuttons\r\n\tendcontainer \r\n\tbegincontainer vertical style=empty details\r\n\t\tbrick adddetails\r\n\tendcontainer\r\nendblock\r\n"}


ACTIONTIME: 2015-02-12 13:38:31
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>{$pagetitle}</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 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_fields}
<DIV style="min-height: 2469px; min-width: 1295px;" class="rnr-c rnr-cv rnr-c-fields">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>	
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{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-addfields {$brickclass_addfields}">
<TABLE class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol}&nbsp;</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" 
            colSpan="1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}{BEGIN State_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD style="width: auto;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Quantity Received During<BR>the Repoting         
                                        Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P>&nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3"><STRONG>ARV 
            FOR                                     PREGNANT 
            MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">&nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">&nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$QtyReceived_1_editcontrol}</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">&nbsp;<FONT color="#ffffff" 
            size="3"><STRONG>ARV FOR EXPOSED BABIES</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_3_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_3_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_3_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;4</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_4_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;25ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_4_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_4_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;5</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_5_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;100ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_5_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_5_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_5_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">&nbsp;<STRONG><FONT color="#ffffff" 
            size="3">OPPORTUNISTIC INCTIONS DRUGS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;6</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_6_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;btls</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_6_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_6_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;7</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_7_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_7_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_7_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;8</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_8_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_8_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_8_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" 
            size="3"><STRONG>&nbsp;HIV TEST KITS</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;9</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_9_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_9_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_9_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;10</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_10_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;11</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_11_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;12</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_12_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><STRONG><FONT color="#ffffff" 
            size="3">LABORATORY REAGENTS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">13</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_13_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">14</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" 
          colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_14_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">15</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_15_editcontrol}</TD></TR></TBODY></TABLE></TD>
  </TR>
  {END State_fieldblock}{BEGIN Funding_Source_fieldblock}<TR class="{$fielddispclass_Funding_Source}" data-fieldname="Funding_Source">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Funding_Source_label}{END Funding_Source_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Funding_Source_fieldblock}{BEGIN Service_Type_fieldblock}<TR class="{$fielddispclass_Service_Type}" data-fieldname="Service_Type">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Service_Type_label}{END Service_Type_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Service_Type_fieldblock}{BEGIN Phase_fieldblock}<TR class="{$fielddispclass_Phase}" data-fieldname="Phase">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Phase_label}{END Phase_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Phase_fieldblock}{BEGIN IPName_fieldblock}<TR class="{$fielddispclass_IPName}" data-fieldname="IPName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN IPName_label}{END IPName_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END IPName_fieldblock}{BEGIN Drug_1_fieldblock}<TR class="{$fielddispclass_Drug_1}" data-fieldname="Drug_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_1_label}{END Drug_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_1_fieldblock}{BEGIN QtyReceived_1_fieldblock}<TR class="{$fielddispclass_QtyReceived_1}" data-fieldname="QtyReceived_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_1_label}{END QtyReceived_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_1_fieldblock}{BEGIN Qty_Dispensed_1_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_1}" data-fieldname="Qty_Dispensed_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_1_label}{END Qty_Dispensed_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_1_fieldblock}{BEGIN QtySOH_1_fieldblock}<TR class="{$fielddispclass_QtySOH_1}" data-fieldname="QtySOH_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_1_label}{END QtySOH_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_1_fieldblock}{BEGIN Remark_1_fieldblock}<TR class="{$fielddispclass_Remark_1}" data-fieldname="Remark_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_1_label}{END Remark_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_1_fieldblock}{BEGIN Drug_2_fieldblock}<TR class="{$fielddispclass_Drug_2}" data-fieldname="Drug_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_2_label}{END Drug_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3"></TD></TR>
  {END Drug_2_fieldblock}{BEGIN QtyReceived_2_fieldblock}<TR class="{$fielddispclass_QtyReceived_2}" data-fieldname="QtyReceived_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_2_label}{END QtyReceived_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_2_fieldblock}{BEGIN Qty_Dispensed_2_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_2}" data-fieldname="Qty_Dispensed_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_2_label}{END Qty_Dispensed_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_2_fieldblock}{BEGIN QtySOH_2_fieldblock}<TR style="height: 37px;" class="{$fielddispclass_QtySOH_2}" data-fieldname="QtySOH_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_2_label}{END QtySOH_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_2_fieldblock}{BEGIN Remark_2_fieldblock}<TR class="{$fielddispclass_Remark_2}" data-fieldname="Remark_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_2_label}{END Remark_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_2_fieldblock}{BEGIN Drug_3_fieldblock}<TR class="{$fielddispclass_Drug_3}" data-fieldname="Drug_3">
    <TD class="rnr-label">{BEGIN Drug_3_label}{END Drug_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_3_fieldblock}{BEGIN QtyReceived_3_fieldblock}<TR class="{$fielddispclass_QtyReceived_3}" data-fieldname="QtyReceived_3">
    <TD class="rnr-label">{BEGIN QtyReceived_3_label}{END QtyReceived_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_3_fieldblock}{BEGIN Qty_Dispensed_3_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_3}" data-fieldname="Qty_Dispensed_3">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_3_label}{END Qty_Dispensed_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_3_fieldblock}{BEGIN QtySOH_3_fieldblock}<TR class="{$fielddispclass_QtySOH_3}" data-fieldname="QtySOH_3">
    <TD class="rnr-label">{BEGIN QtySOH_3_label}{END QtySOH_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_3_fieldblock}{BEGIN Remark_3_fieldblock}<TR class="{$fielddispclass_Remark_3}" data-fieldname="Remark_3">
    <TD class="rnr-label">{BEGIN Remark_3_label}{END Remark_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_3_fieldblock}{BEGIN Drug_4_fieldblock}<TR class="{$fielddispclass_Drug_4}" data-fieldname="Drug_4">
    <TD class="rnr-label">{BEGIN Drug_4_label}{END Drug_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_4_fieldblock}{BEGIN QtyReceived_4_fieldblock}<TR class="{$fielddispclass_QtyReceived_4}" data-fieldname="QtyReceived_4">
    <TD class="rnr-label">{BEGIN QtyReceived_4_label}{END QtyReceived_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_4_fieldblock}{BEGIN Qty_Dispensed_4_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_4}" data-fieldname="Qty_Dispensed_4">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_4_label}{END Qty_Dispensed_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_4_fieldblock}{BEGIN QtySOH_4_fieldblock}<TR class="{$fielddispclass_QtySOH_4}" data-fieldname="QtySOH_4">
    <TD class="rnr-label">{BEGIN QtySOH_4_label}{END QtySOH_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_4_fieldblock}{BEGIN Remark_4_fieldblock}<TR class="{$fielddispclass_Remark_4}" data-fieldname="Remark_4">
    <TD class="rnr-label">{BEGIN Remark_4_label}{END Remark_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_4_fieldblock}{BEGIN Drug_5_fieldblock}<TR class="{$fielddispclass_Drug_5}" data-fieldname="Drug_5">
    <TD class="rnr-label">{BEGIN Drug_5_label}{END Drug_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_5_fieldblock}{BEGIN QtyReceived_5_fieldblock}<TR class="{$fielddispclass_QtyReceived_5}" data-fieldname="QtyReceived_5">
    <TD class="rnr-label">{BEGIN QtyReceived_5_label}{END QtyReceived_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_5_fieldblock}{BEGIN Qty_Dispensed_5_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_5}" data-fieldname="Qty_Dispensed_5">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_5_label}{END Qty_Dispensed_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_5_fieldblock}{BEGIN QtySOH_5_fieldblock}<TR class="{$fielddispclass_QtySOH_5}" data-fieldname="QtySOH_5">
    <TD class="rnr-label">{BEGIN QtySOH_5_label}{END QtySOH_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_5_fieldblock}{BEGIN Remark_5_fieldblock}<TR class="{$fielddispclass_Remark_5}" data-fieldname="Remark_5">
    <TD class="rnr-label">{BEGIN Remark_5_label}{END Remark_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_5_fieldblock}{BEGIN Drug_6_fieldblock}<TR class="{$fielddispclass_Drug_6}" data-fieldname="Drug_6">
    <TD class="rnr-label">{BEGIN Drug_6_label}{END Drug_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_6_fieldblock}{BEGIN QtyReceived_6_fieldblock}<TR class="{$fielddispclass_QtyReceived_6}" data-fieldname="QtyReceived_6">
    <TD class="rnr-label">{BEGIN QtyReceived_6_label}{END QtyReceived_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_6_fieldblock}{BEGIN Qty_Dispensed_6_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_6}" data-fieldname="Qty_Dispensed_6">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_6_label}{END Qty_Dispensed_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_6_fieldblock}{BEGIN QtySOH_6_fieldblock}<TR class="{$fielddispclass_QtySOH_6}" data-fieldname="QtySOH_6">
    <TD class="rnr-label">{BEGIN QtySOH_6_label}{END QtySOH_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_6_fieldblock}{BEGIN Remark_6_fieldblock}<TR class="{$fielddispclass_Remark_6}" data-fieldname="Remark_6">
    <TD class="rnr-label">{BEGIN Remark_6_label}{END Remark_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_6_fieldblock}{BEGIN Drug_7_fieldblock}<TR class="{$fielddispclass_Drug_7}" data-fieldname="Drug_7">
    <TD class="rnr-label">{BEGIN Drug_7_label}{END Drug_7_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_7_fieldblock}{BEGIN QtyReceived_7_fieldblock}<TR class="{$fielddispclass_QtyReceived_7}" data-fieldname="QtyReceived_7">
    <TD class="rnr-label">{BEGIN QtyReceived_7_label}{END QtyReceived_7_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_7_fieldblock}{BEGIN Qty_Dispensed_7_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_7}" data-fieldname="Qty_Dispensed_7">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_7_label}{END Qty_Dispensed_7_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_7_fieldblock}{BEGIN QtySOH_7_fieldblock}<TR class="{$fielddispclass_QtySOH_7}" data-fieldname="QtySOH_7">
    <TD class="rnr-label">{BEGIN QtySOH_7_label}{END QtySOH_7_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_7_fieldblock}{BEGIN Remark_7_fieldblock}<TR class="{$fielddispclass_Remark_7}" data-fieldname="Remark_7">
    <TD class="rnr-label">{BEGIN Remark_7_label}{END Remark_7_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_7_fieldblock}{BEGIN Drug_8_fieldblock}<TR class="{$fielddispclass_Drug_8}" data-fieldname="Drug_8">
    <TD class="rnr-label">{BEGIN Drug_8_label}{END Drug_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_8_fieldblock}{BEGIN QtyReceived_8_fieldblock}<TR class="{$fielddispclass_QtyReceived_8}" data-fieldname="QtyReceived_8">
    <TD class="rnr-label">{BEGIN QtyReceived_8_label}{END QtyReceived_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_8_fieldblock}{BEGIN Qty_Dispensed_8_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_8}" data-fieldname="Qty_Dispensed_8">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_8_label}{END Qty_Dispensed_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_8_fieldblock}{BEGIN QtySOH_8_fieldblock}<TR class="{$fielddispclass_QtySOH_8}" data-fieldname="QtySOH_8">
    <TD class="rnr-label">{BEGIN QtySOH_8_label}{END QtySOH_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_8_fieldblock}{BEGIN Remark_8_fieldblock}<TR class="{$fielddispclass_Remark_8}" data-fieldname="Remark_8">
    <TD class="rnr-label">{BEGIN Remark_8_label}{END Remark_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_8_fieldblock}{BEGIN Drug_9_fieldblock}<TR class="{$fielddispclass_Drug_9}" data-fieldname="Drug_9">
    <TD class="rnr-label">{BEGIN Drug_9_label}{END Drug_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_9_fieldblock}{BEGIN QtyReceived_9_fieldblock}<TR class="{$fielddispclass_QtyReceived_9}" data-fieldname="QtyReceived_9">
    <TD class="rnr-label">{BEGIN QtyReceived_9_label}{END QtyReceived_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_9_fieldblock}{BEGIN Qty_Dispensed_9_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_9}" data-fieldname="Qty_Dispensed_9">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_9_label}{END Qty_Dispensed_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_9_fieldblock}{BEGIN QtySOH_9_fieldblock}<TR class="{$fielddispclass_QtySOH_9}" data-fieldname="QtySOH_9">
    <TD class="rnr-label">{BEGIN QtySOH_9_label}{END QtySOH_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_9_fieldblock}{BEGIN Remark_9_fieldblock}<TR class="{$fielddispclass_Remark_9}" data-fieldname="Remark_9">
    <TD class="rnr-label">{BEGIN Remark_9_label}{END Remark_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_9_fieldblock}{BEGIN Drug_10_fieldblock}<TR class="{$fielddispclass_Drug_10}" data-fieldname="Drug_10">
    <TD class="rnr-label">{BEGIN Drug_10_label}{END Drug_10_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_10_fieldblock}{BEGIN QtyReceived_10_fieldblock}<TR class="{$fielddispclass_QtyReceived_10}" data-fieldname="QtyReceived_10">
    <TD class="rnr-label">{BEGIN QtyReceived_10_label}{END QtyReceived_10_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_10_fieldblock}{BEGIN Qty_Dispensed_10_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_10}" data-fieldname="Qty_Dispensed_10">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_10_label}{END Qty_Dispensed_10_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_10_fieldblock}{BEGIN QtySOH_10_fieldblock}<TR class="{$fielddispclass_QtySOH_10}" data-fieldname="QtySOH_10">
    <TD class="rnr-label">{BEGIN QtySOH_10_label}{END QtySOH_10_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_10_fieldblock}{BEGIN Remark_10_fieldblock}<TR class="{$fielddispclass_Remark_10}" data-fieldname="Remark_10">
    <TD class="rnr-label">{BEGIN Remark_10_label}{END Remark_10_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_10_fieldblock}{BEGIN Drug_11_fieldblock}<TR class="{$fielddispclass_Drug_11}" data-fieldname="Drug_11">
    <TD class="rnr-label">{BEGIN Drug_11_label}{END Drug_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_11_fieldblock}{BEGIN QtyReceived_11_fieldblock}<TR class="{$fielddispclass_QtyReceived_11}" data-fieldname="QtyReceived_11">
    <TD class="rnr-label">{BEGIN QtyReceived_11_label}{END QtyReceived_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_11_fieldblock}{BEGIN Qty_Dispensed_11_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_11}" data-fieldname="Qty_Dispensed_11">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_11_label}{END Qty_Dispensed_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_11_fieldblock}{BEGIN QtySOH_11_fieldblock}<TR class="{$fielddispclass_QtySOH_11}" data-fieldname="QtySOH_11">
    <TD class="rnr-label">{BEGIN QtySOH_11_label}{END QtySOH_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_11_fieldblock}{BEGIN Remark_11_fieldblock}<TR class="{$fielddispclass_Remark_11}" data-fieldname="Remark_11">
    <TD class="rnr-label">{BEGIN Remark_11_label}{END Remark_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_11_fieldblock}{BEGIN Drug_12_fieldblock}<TR class="{$fielddispclass_Drug_12}" data-fieldname="Drug_12">
    <TD class="rnr-label">{BEGIN Drug_12_label}{END Drug_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_12_fieldblock}{BEGIN QtyReceived_12_fieldblock}<TR class="{$fielddispclass_QtyReceived_12}" data-fieldname="QtyReceived_12">
    <TD class="rnr-label">{BEGIN QtyReceived_12_label}{END QtyReceived_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_12_fieldblock}{BEGIN Qty_Dispensed_12_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_12}" data-fieldname="Qty_Dispensed_12">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_12_label}{END Qty_Dispensed_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_12_fieldblock}{BEGIN QtySOH_12_fieldblock}<TR class="{$fielddispclass_QtySOH_12}" data-fieldname="QtySOH_12">
    <TD class="rnr-label">{BEGIN QtySOH_12_label}{END QtySOH_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_12_fieldblock}{BEGIN Remark_12_fieldblock}<TR class="{$fielddispclass_Remark_12}" data-fieldname="Remark_12">
    <TD class="rnr-label">{BEGIN Remark_12_label}{END Remark_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_12_fieldblock}{BEGIN Drug_13_fieldblock}<TR class="{$fielddispclass_Drug_13}" data-fieldname="Drug_13">
    <TD class="rnr-label">{BEGIN Drug_13_label}{END Drug_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_13_fieldblock}{BEGIN QtyReceived_13_fieldblock}<TR class="{$fielddispclass_QtyReceived_13}" data-fieldname="QtyReceived_13">
    <TD class="rnr-label">{BEGIN QtyReceived_13_label}{END QtyReceived_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_13_fieldblock}{BEGIN Qty_Dispensed_13_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_13}" data-fieldname="Qty_Dispensed_13">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_13_label}{END Qty_Dispensed_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_13_fieldblock}{BEGIN QtySOH_13_fieldblock}<TR class="{$fielddispclass_QtySOH_13}" data-fieldname="QtySOH_13">
    <TD class="rnr-label">{BEGIN QtySOH_13_label}{END QtySOH_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_13_fieldblock}{BEGIN Remark_13_fieldblock}<TR class="{$fielddispclass_Remark_13}" data-fieldname="Remark_13">
    <TD class="rnr-label">{BEGIN Remark_13_label}{END Remark_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_13_fieldblock}{BEGIN Drug_14_fieldblock}<TR class="{$fielddispclass_Drug_14}" data-fieldname="Drug_14">
    <TD class="rnr-label">{BEGIN Drug_14_label}{END Drug_14_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_14_fieldblock}{BEGIN QtyReceived_14_fieldblock}<TR class="{$fielddispclass_QtyReceived_14}" data-fieldname="QtyReceived_14">
    <TD class="rnr-label">{BEGIN QtyReceived_14_label}{END QtyReceived_14_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_14_fieldblock}{BEGIN Qty_Dispensed_14_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_14}" data-fieldname="Qty_Dispensed_14">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_14_label}{END Qty_Dispensed_14_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_14_fieldblock}{BEGIN QtySOH_14_fieldblock}<TR class="{$fielddispclass_QtySOH_14}" data-fieldname="QtySOH_14">
    <TD class="rnr-label">{BEGIN QtySOH_14_label}{END QtySOH_14_label}</TD>
    <TD class="rnr-control style3"></TD></TR>
  {END QtySOH_14_fieldblock}{BEGIN Remark_14_fieldblock}<TR class="{$fielddispclass_Remark_14}" data-fieldname="Remark_14">
    <TD class="rnr-label">{BEGIN Remark_14_label}{END Remark_14_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_14_fieldblock}{BEGIN Drug_15_fieldblock}<TR class="{$fielddispclass_Drug_15}" data-fieldname="Drug_15">
    <TD class="rnr-label">{BEGIN Drug_15_label}{END Drug_15_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_15_fieldblock}{BEGIN QtyReceived_15_fieldblock}<TR class="{$fielddispclass_QtyReceived_15}" data-fieldname="QtyReceived_15">
    <TD class="rnr-label">{BEGIN QtyReceived_15_label}{END QtyReceived_15_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_15_fieldblock}{BEGIN Qty_Dispensed_15_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_15}" data-fieldname="Qty_Dispensed_15">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_15_label}{END Qty_Dispensed_15_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_15_fieldblock}{BEGIN QtySOH_15_fieldblock}<TR class="{$fielddispclass_QtySOH_15}" data-fieldname="QtySOH_15">
    <TD class="rnr-label">{BEGIN QtySOH_15_label}{END QtySOH_15_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_15_fieldblock}{BEGIN Remark_15_fieldblock}<TR class="{$fielddispclass_Remark_15}" data-fieldname="Remark_15">
    <TD class="rnr-label">{BEGIN Remark_15_label}{END Remark_15_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>{END Remark_15_fieldblock}</TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#">Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#">Reset</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#">Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#">Back to 
 list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#">Back to 
menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</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></DIV>
{$footer}{END body}</BODY></HTML>

PARAMS:
{"action":"v","lyName":"add5","lySource":"@version=2\r\nbeginblock top \r\n\tbegincontainer vertical style=fields align=left\t width=500  fields\r\n\t\tbrick color2 addheader\r\n\t\tbrick color1 message\r\n\t\tbrick addfields\r\n\t\tbrick color2 addbuttons\r\n\tendcontainer \r\n\tbegincontainer vertical style=empty details\r\n\t\tbrick adddetails\r\n\tendcontainer\r\nendblock\r\n"}


ACTIONTIME: 2015-02-12 13:52:27
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>{$pagetitle}</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 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_fields}
<DIV style="min-height: 2469px; min-width: 1295px;" class="rnr-c rnr-cv rnr-c-fields">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>	
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{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-addfields {$brickclass_addfields}">
<TABLE class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol}&nbsp;</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" 
            colSpan="1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">&nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}{BEGIN State_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD style="width: auto;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1"><STRONG>Quantity Received During<BR>the Repoting         
                                                    Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P>&nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" 
            colSpan="1">&nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3"><STRONG>ARV   
                      FOR                                     PREGNANT           
              MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">&nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">&nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$QtyReceived_1_editcontrol}</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" 
            colSpan="1">{$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">&nbsp;<FONT color="#ffffff" 
            size="3"><STRONG>ARV FOR EXPOSED BABIES</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_3_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_3_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_3_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;4</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_4_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;25ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_4_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_4_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;5</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_5_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;100ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_5_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_5_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_5_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">&nbsp;<STRONG><FONT color="#ffffff" 
            size="3">OPPORTUNISTIC INCTIONS DRUGS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;6</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_6_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;btls</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_6_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_6_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;7</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_7_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_7_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_7_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;8</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_8_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_8_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_8_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" 
            size="3"><STRONG>&nbsp;HIV TEST KITS</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;9</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_9_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_9_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_9_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;10</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_10_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;11</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_11_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">&nbsp;12</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">&nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_12_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><STRONG><FONT color="#ffffff" 
            size="3">LABORATORY REAGENTS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">13</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_13_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">14</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_14_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1">15</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_15_editcontrol}</TD></TR></TBODY></TABLE></TD>
  </TR>
  {END State_fieldblock}{BEGIN Funding_Source_fieldblock}<TR class="{$fielddispclass_Funding_Source}" data-fieldname="Funding_Source">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Funding_Source_label}{END Funding_Source_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Funding_Source_fieldblock}{BEGIN Service_Type_fieldblock}<TR class="{$fielddispclass_Service_Type}" data-fieldname="Service_Type">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Service_Type_label}{END Service_Type_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Service_Type_fieldblock}{BEGIN Phase_fieldblock}<TR class="{$fielddispclass_Phase}" data-fieldname="Phase">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Phase_label}{END Phase_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Phase_fieldblock}{BEGIN IPName_fieldblock}<TR class="{$fielddispclass_IPName}" data-fieldname="IPName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN IPName_label}{END IPName_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END IPName_fieldblock}{BEGIN Drug_1_fieldblock}<TR class="{$fielddispclass_Drug_1}" data-fieldname="Drug_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_1_label}{END Drug_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_1_fieldblock}{BEGIN QtyReceived_1_fieldblock}<TR class="{$fielddispclass_QtyReceived_1}" data-fieldname="QtyReceived_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_1_label}{END QtyReceived_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_1_fieldblock}{BEGIN Qty_Dispensed_1_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_1}" data-fieldname="Qty_Dispensed_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_1_label}{END Qty_Dispensed_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_1_fieldblock}{BEGIN QtySOH_1_fieldblock}<TR class="{$fielddispclass_QtySOH_1}" data-fieldname="QtySOH_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_1_label}{END QtySOH_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_1_fieldblock}{BEGIN Remark_1_fieldblock}<TR class="{$fielddispclass_Remark_1}" data-fieldname="Remark_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_1_label}{END Remark_1_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_1_fieldblock}{BEGIN Drug_2_fieldblock}<TR class="{$fielddispclass_Drug_2}" data-fieldname="Drug_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_2_label}{END Drug_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3"></TD></TR>
  {END Drug_2_fieldblock}{BEGIN QtyReceived_2_fieldblock}<TR class="{$fielddispclass_QtyReceived_2}" data-fieldname="QtyReceived_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_2_label}{END QtyReceived_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_2_fieldblock}{BEGIN Qty_Dispensed_2_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_2}" data-fieldname="Qty_Dispensed_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_2_label}{END Qty_Dispensed_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_2_fieldblock}{BEGIN QtySOH_2_fieldblock}<TR style="height: 37px;" class="{$fielddispclass_QtySOH_2}" data-fieldname="QtySOH_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_2_label}{END QtySOH_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_2_fieldblock}{BEGIN Remark_2_fieldblock}<TR class="{$fielddispclass_Remark_2}" data-fieldname="Remark_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_2_label}{END Remark_2_label}</TD>
    <TD style="width: 745px;" class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_2_fieldblock}{BEGIN Drug_3_fieldblock}<TR class="{$fielddispclass_Drug_3}" data-fieldname="Drug_3">
    <TD class="rnr-label">{BEGIN Drug_3_label}{END Drug_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_3_fieldblock}{BEGIN QtyReceived_3_fieldblock}<TR class="{$fielddispclass_QtyReceived_3}" data-fieldname="QtyReceived_3">
    <TD class="rnr-label">{BEGIN QtyReceived_3_label}{END QtyReceived_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_3_fieldblock}{BEGIN Qty_Dispensed_3_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_3}" data-fieldname="Qty_Dispensed_3">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_3_label}{END Qty_Dispensed_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_3_fieldblock}{BEGIN QtySOH_3_fieldblock}<TR class="{$fielddispclass_QtySOH_3}" data-fieldname="QtySOH_3">
    <TD class="rnr-label">{BEGIN QtySOH_3_label}{END QtySOH_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_3_fieldblock}{BEGIN Remark_3_fieldblock}<TR class="{$fielddispclass_Remark_3}" data-fieldname="Remark_3">
    <TD class="rnr-label">{BEGIN Remark_3_label}{END Remark_3_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_3_fieldblock}{BEGIN Drug_4_fieldblock}<TR class="{$fielddispclass_Drug_4}" data-fieldname="Drug_4">
    <TD class="rnr-label">{BEGIN Drug_4_label}{END Drug_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_4_fieldblock}{BEGIN QtyReceived_4_fieldblock}<TR class="{$fielddispclass_QtyReceived_4}" data-fieldname="QtyReceived_4">
    <TD class="rnr-label">{BEGIN QtyReceived_4_label}{END QtyReceived_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_4_fieldblock}{BEGIN Qty_Dispensed_4_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_4}" data-fieldname="Qty_Dispensed_4">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_4_label}{END Qty_Dispensed_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_4_fieldblock}{BEGIN QtySOH_4_fieldblock}<TR class="{$fielddispclass_QtySOH_4}" data-fieldname="QtySOH_4">
    <TD class="rnr-label">{BEGIN QtySOH_4_label}{END QtySOH_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_4_fieldblock}{BEGIN Remark_4_fieldblock}<TR class="{$fielddispclass_Remark_4}" data-fieldname="Remark_4">
    <TD class="rnr-label">{BEGIN Remark_4_label}{END Remark_4_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-label">{BEGIN Drug_5_label}{END Drug_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_5_fieldblock}{BEGIN QtySOH_5_fieldblock}<TR class="{$fielddispclass_QtySOH_5}" data-fieldname="QtySOH_5">
    <TD class="rnr-label">{BEGIN QtySOH_5_label}{END QtySOH_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_5_fieldblock}{BEGIN Remark_5_fieldblock}<TR class="{$fielddispclass_Remark_5}" data-fieldname="Remark_5">
    <TD class="rnr-label">{BEGIN Remark_5_label}{END Remark_5_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_5_fieldblock}{BEGIN Drug_6_fieldblock}<TR class="{$fielddispclass_Drug_6}" data-fieldname="Drug_6">
    <TD class="rnr-label">{BEGIN Drug_6_label}{END Drug_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_6_fieldblock}{BEGIN QtyReceived_6_fieldblock}<TR class="{$fielddispclass_QtyReceived_6}" data-fieldname="QtyReceived_6">
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    <TD class="rnr-label">{BEGIN Qty_Dispensed_6_label}{END Qty_Dispensed_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_6_fieldblock}{BEGIN QtySOH_6_fieldblock}<TR class="{$fielddispclass_QtySOH_6}" data-fieldname="QtySOH_6">
    <TD class="rnr-label">{BEGIN QtySOH_6_label}{END QtySOH_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_6_fieldblock}{BEGIN Remark_6_fieldblock}<TR class="{$fielddispclass_Remark_6}" data-fieldname="Remark_6">
    <TD class="rnr-label">{BEGIN Remark_6_label}{END Remark_6_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_6_fieldblock}{BEGIN Drug_7_fieldblock}<TR class="{$fielddispclass_Drug_7}" data-fieldname="Drug_7">
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_7_fieldblock}{BEGIN Remark_7_fieldblock}<TR class="{$fielddispclass_Remark_7}" data-fieldname="Remark_7">
    <TD class="rnr-label">{BEGIN Remark_7_label}{END Remark_7_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-label">{BEGIN QtySOH_8_label}{END QtySOH_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_8_fieldblock}{BEGIN Remark_8_fieldblock}<TR class="{$fielddispclass_Remark_8}" data-fieldname="Remark_8">
    <TD class="rnr-label">{BEGIN Remark_8_label}{END Remark_8_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-label">{BEGIN Drug_9_label}{END Drug_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_9_fieldblock}{BEGIN QtyReceived_9_fieldblock}<TR class="{$fielddispclass_QtyReceived_9}" data-fieldname="QtyReceived_9">
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-label">{BEGIN Remark_9_label}{END Remark_9_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-label">{BEGIN QtyReceived_11_label}{END QtyReceived_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-label">{BEGIN Qty_Dispensed_11_label}{END Qty_Dispensed_11_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_12_fieldblock}{BEGIN QtyReceived_12_fieldblock}<TR class="{$fielddispclass_QtyReceived_12}" data-fieldname="QtyReceived_12">
    <TD class="rnr-label">{BEGIN QtyReceived_12_label}{END QtyReceived_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_12_fieldblock}{BEGIN QtySOH_12_fieldblock}<TR class="{$fielddispclass_QtySOH_12}" data-fieldname="QtySOH_12">
    <TD class="rnr-label">{BEGIN QtySOH_12_label}{END QtySOH_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_12_fieldblock}{BEGIN Remark_12_fieldblock}<TR class="{$fielddispclass_Remark_12}" data-fieldname="Remark_12">
    <TD class="rnr-label">{BEGIN Remark_12_label}{END Remark_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_12_fieldblock}{BEGIN Drug_13_fieldblock}<TR class="{$fielddispclass_Drug_13}" data-fieldname="Drug_13">
    <TD class="rnr-label">{BEGIN Drug_13_label}{END Drug_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Drug_13_fieldblock}{BEGIN QtyReceived_13_fieldblock}<TR class="{$fielddispclass_QtyReceived_13}" data-fieldname="QtyReceived_13">
    <TD class="rnr-label">{BEGIN QtyReceived_13_label}{END QtyReceived_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_13_fieldblock}{BEGIN Qty_Dispensed_13_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_13}" data-fieldname="Qty_Dispensed_13">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_13_label}{END Qty_Dispensed_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_13_fieldblock}{BEGIN QtySOH_13_fieldblock}<TR class="{$fielddispclass_QtySOH_13}" data-fieldname="QtySOH_13">
    <TD class="rnr-label">{BEGIN QtySOH_13_label}{END QtySOH_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_13_fieldblock}{BEGIN Remark_13_fieldblock}<TR class="{$fielddispclass_Remark_13}" data-fieldname="Remark_13">
    <TD class="rnr-label">{BEGIN Remark_13_label}{END Remark_13_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-label">{BEGIN Drug_14_label}{END Drug_14_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-label">{BEGIN QtyReceived_14_label}{END QtyReceived_14_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtyReceived_14_fieldblock}{BEGIN Qty_Dispensed_14_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_14}" data-fieldname="Qty_Dispensed_14">
    <TD class="rnr-label">{BEGIN Qty_Dispensed_14_label}{END Qty_Dispensed_14_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
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    <TD class="rnr-label">{BEGIN QtySOH_14_label}{END QtySOH_14_label}</TD>
    <TD class="rnr-control style3"></TD></TR>
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Remark_14_fieldblock}{BEGIN Drug_15_fieldblock}<TR class="{$fielddispclass_Drug_15}" data-fieldname="Drug_15">
    <TD class="rnr-label">{BEGIN Drug_15_label}{END Drug_15_label}</TD>
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  {END QtyReceived_15_fieldblock}{BEGIN Qty_Dispensed_15_fieldblock}<TR style="height: 28px;" class="{$fielddispclass_Qty_Dispensed_15}" data-fieldname="Qty_Dispensed_15">
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    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END Qty_Dispensed_15_fieldblock}{BEGIN QtySOH_15_fieldblock}<TR class="{$fielddispclass_QtySOH_15}" data-fieldname="QtySOH_15">
    <TD class="rnr-label">{BEGIN QtySOH_15_label}{END QtySOH_15_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>
  {END QtySOH_15_fieldblock}{BEGIN Remark_15_fieldblock}<TR class="{$fielddispclass_Remark_15}" data-fieldname="Remark_15">
    <TD class="rnr-label">{BEGIN Remark_15_label}{END Remark_15_label}</TD>
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<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></DIV>
{$footer}{END body}</BODY></HTML>

PARAMS:
{"action":"v","lyName":"add5","lySource":"@version=2\r\nbeginblock top \r\n\tbegincontainer vertical style=fields align=left\t width=500  fields\r\n\t\tbrick color2 addheader\r\n\t\tbrick color1 message\r\n\t\tbrick addfields\r\n\t\tbrick color2 addbuttons\r\n\tendcontainer \r\n\tbegincontainer vertical style=empty details\r\n\t\tbrick adddetails\r\n\tendcontainer\r\nendblock\r\n"}


ACTIONTIME: 2015-02-12 13:57:06
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV 
contentEditable=false id class='simple-xt-tag' style='background-image: ; 
display: inline-block;' ruleindex="203">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_fields}
<DIV style="min-height: 2469px; min-width: 1295px;" class="rnr-c rnr-cv rnr-c-fields">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
<TABLE style="width: 1287px;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">                
            &nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol} &nbsp;
          </TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" colSpan="1"> 
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">                
            &nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}
          </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}{BEGIN State_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">                
            &nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Quantity Received During<BR>the Repoting Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P>                 &nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">                
            &nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3"><STRONG>ARV 
            FOR PREGNANT MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1"> &nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1"> 
            &nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_1_editcontrol}</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">                &nbsp;<FONT color="#ffffff" 
            size="3"><STRONG>ARV FOR EXPOSED BABIES</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;3</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_3_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> 30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_3_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_3_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;4</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_4_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;25ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_4_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_4_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;5</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_5_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;100ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$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="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">                &nbsp;<STRONG><FONT color="#ffffff" 
            size="3">OPPORTUNISTIC INCTIONS DRUGS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;6</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_6_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;btls</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_6_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_6_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;7</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_7_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_7_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_7_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;8</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_8_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_8_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_8_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" 
            size="3"><STRONG>&nbsp;HIV TEST KITS</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;9</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_9_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_9_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_9_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;10</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_10_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;11</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_11_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;12</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_12_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><STRONG><FONT color="#ffffff" 
            size="3">LABORATORY REAGENTS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 13</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_13_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 14</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_14_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 15</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_15_editcontrol}</TD></TR>
        </TBODY></TABLE></TD></TR>
  {END State_fieldblock}{BEGIN Funding_Source_fieldblock}<TR class="{$fielddispclass_Funding_Source}" data-fieldname="Funding_Source">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Funding_Source_label}{END Funding_Source_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> 
      &nbsp;</TD></TR>
  {END Funding_Source_fieldblock}{BEGIN Service_Type_fieldblock}<TR class="{$fielddispclass_Service_Type}" data-fieldname="Service_Type">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Service_Type_label}{END Service_Type_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Service_Type_fieldblock}{BEGIN Phase_fieldblock}<TR class="{$fielddispclass_Phase}" data-fieldname="Phase">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Phase_label}{END Phase_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Phase_fieldblock}{BEGIN IPName_fieldblock}<TR class="{$fielddispclass_IPName}" data-fieldname="IPName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN IPName_label}{END IPName_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END IPName_fieldblock}{BEGIN Drug_1_fieldblock}<TR class="{$fielddispclass_Drug_1}" data-fieldname="Drug_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_1_label}{END Drug_1_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_1_fieldblock}{BEGIN QtyReceived_1_fieldblock}<TR class="{$fielddispclass_QtyReceived_1}" data-fieldname="QtyReceived_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_1_label}{END QtyReceived_1_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_1_fieldblock}{BEGIN Qty_Dispensed_1_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_1}" data-fieldname="Qty_Dispensed_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_1_label}{END Qty_Dispensed_1_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_1_fieldblock}{BEGIN QtySOH_1_fieldblock}<TR class="{$fielddispclass_QtySOH_1}" data-fieldname="QtySOH_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_1_label}{END QtySOH_1_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_1_fieldblock}{BEGIN Remark_1_fieldblock}<TR class="{$fielddispclass_Remark_1}" data-fieldname="Remark_1">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_1_label}{END Remark_1_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_1_fieldblock}{BEGIN Drug_2_fieldblock}<TR class="{$fielddispclass_Drug_2}" data-fieldname="Drug_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_2_label}{END Drug_2_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"></TD></TR>
  {END Drug_2_fieldblock}{BEGIN QtyReceived_2_fieldblock}<TR class="{$fielddispclass_QtyReceived_2}" data-fieldname="QtyReceived_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_2_label}{END QtyReceived_2_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_2_fieldblock}{BEGIN Qty_Dispensed_2_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_2}" data-fieldname="Qty_Dispensed_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_2_label}{END Qty_Dispensed_2_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_2_fieldblock}{BEGIN QtySOH_2_fieldblock}<TR style="height: 37px;" class="{$fielddispclass_QtySOH_2}" data-fieldname="QtySOH_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_2_label}{END QtySOH_2_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_2_fieldblock}{BEGIN Remark_2_fieldblock}<TR class="{$fielddispclass_Remark_2}" data-fieldname="Remark_2">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_2_label}{END Remark_2_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_2_fieldblock}{BEGIN Drug_3_fieldblock}<TR class="{$fielddispclass_Drug_3}" data-fieldname="Drug_3">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_3_label}{END Drug_3_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_3_fieldblock}{BEGIN QtyReceived_3_fieldblock}<TR class="{$fielddispclass_QtyReceived_3}" data-fieldname="QtyReceived_3">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_3_label}{END QtyReceived_3_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_3_fieldblock}{BEGIN Qty_Dispensed_3_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_3}" data-fieldname="Qty_Dispensed_3">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_3_label}{END Qty_Dispensed_3_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_3_fieldblock}{BEGIN QtySOH_3_fieldblock}<TR class="{$fielddispclass_QtySOH_3}" data-fieldname="QtySOH_3">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_3_label}{END QtySOH_3_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_3_fieldblock}{BEGIN Remark_3_fieldblock}<TR class="{$fielddispclass_Remark_3}" data-fieldname="Remark_3">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_3_label}{END Remark_3_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_3_fieldblock}{BEGIN Drug_4_fieldblock}<TR class="{$fielddispclass_Drug_4}" data-fieldname="Drug_4">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_4_label}{END Drug_4_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_4_fieldblock}{BEGIN QtyReceived_4_fieldblock}<TR class="{$fielddispclass_QtyReceived_4}" data-fieldname="QtyReceived_4">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_4_label}{END QtyReceived_4_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_4_fieldblock}{BEGIN Qty_Dispensed_4_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_4}" data-fieldname="Qty_Dispensed_4">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_4_label}{END Qty_Dispensed_4_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_4_fieldblock}{BEGIN QtySOH_4_fieldblock}<TR class="{$fielddispclass_QtySOH_4}" data-fieldname="QtySOH_4">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_4_label}{END QtySOH_4_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_4_fieldblock}{BEGIN Remark_4_fieldblock}<TR class="{$fielddispclass_Remark_4}" data-fieldname="Remark_4">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_4_label}{END Remark_4_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_4_fieldblock}{BEGIN Drug_5_fieldblock}<TR class="{$fielddispclass_Drug_5}" data-fieldname="Drug_5">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_5_label}{END Drug_5_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_5_fieldblock}{BEGIN QtyReceived_5_fieldblock}<TR class="{$fielddispclass_QtyReceived_5}" data-fieldname="QtyReceived_5">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_5_label}{END QtyReceived_5_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_5_fieldblock}{BEGIN Qty_Dispensed_5_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_5}" data-fieldname="Qty_Dispensed_5">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_5_label}{END Qty_Dispensed_5_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_5_fieldblock}{BEGIN QtySOH_5_fieldblock}<TR class="{$fielddispclass_QtySOH_5}" data-fieldname="QtySOH_5">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_5_label}{END QtySOH_5_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_5_fieldblock}{BEGIN Remark_5_fieldblock}<TR class="{$fielddispclass_Remark_5}" data-fieldname="Remark_5">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_5_label}{END Remark_5_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_5_fieldblock}{BEGIN Drug_6_fieldblock}<TR class="{$fielddispclass_Drug_6}" data-fieldname="Drug_6">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_6_label}{END Drug_6_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_6_fieldblock}{BEGIN QtyReceived_6_fieldblock}<TR class="{$fielddispclass_QtyReceived_6}" data-fieldname="QtyReceived_6">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_6_label}{END QtyReceived_6_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_6_fieldblock}{BEGIN Qty_Dispensed_6_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_6}" data-fieldname="Qty_Dispensed_6">
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    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_6_fieldblock}{BEGIN QtySOH_6_fieldblock}<TR class="{$fielddispclass_QtySOH_6}" data-fieldname="QtySOH_6">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_6_label}{END QtySOH_6_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_6_fieldblock}{BEGIN Remark_6_fieldblock}<TR class="{$fielddispclass_Remark_6}" data-fieldname="Remark_6">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_6_label}{END Remark_6_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_6_fieldblock}{BEGIN Drug_7_fieldblock}<TR class="{$fielddispclass_Drug_7}" data-fieldname="Drug_7">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_7_label}{END Drug_7_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_7_fieldblock}{BEGIN QtyReceived_7_fieldblock}<TR class="{$fielddispclass_QtyReceived_7}" data-fieldname="QtyReceived_7">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_7_label}{END QtyReceived_7_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_7_fieldblock}{BEGIN Qty_Dispensed_7_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_7}" data-fieldname="Qty_Dispensed_7">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_7_label}{END Qty_Dispensed_7_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_7_fieldblock}{BEGIN QtySOH_7_fieldblock}<TR class="{$fielddispclass_QtySOH_7}" data-fieldname="QtySOH_7">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_7_label}{END QtySOH_7_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_7_fieldblock}{BEGIN Remark_7_fieldblock}<TR class="{$fielddispclass_Remark_7}" data-fieldname="Remark_7">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_7_label}{END Remark_7_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_7_fieldblock}{BEGIN Drug_8_fieldblock}<TR class="{$fielddispclass_Drug_8}" data-fieldname="Drug_8">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_8_label}{END Drug_8_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_8_fieldblock}{BEGIN QtyReceived_8_fieldblock}<TR class="{$fielddispclass_QtyReceived_8}" data-fieldname="QtyReceived_8">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_8_label}{END QtyReceived_8_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_8_fieldblock}{BEGIN Qty_Dispensed_8_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_8}" data-fieldname="Qty_Dispensed_8">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_8_label}{END Qty_Dispensed_8_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_8_fieldblock}{BEGIN QtySOH_8_fieldblock}<TR class="{$fielddispclass_QtySOH_8}" data-fieldname="QtySOH_8">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_8_label}{END QtySOH_8_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_8_fieldblock}{BEGIN Remark_8_fieldblock}<TR class="{$fielddispclass_Remark_8}" data-fieldname="Remark_8">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_8_label}{END Remark_8_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_8_fieldblock}{BEGIN Drug_9_fieldblock}<TR class="{$fielddispclass_Drug_9}" data-fieldname="Drug_9">
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    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_9_fieldblock}{BEGIN QtyReceived_9_fieldblock}<TR class="{$fielddispclass_QtyReceived_9}" data-fieldname="QtyReceived_9">
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    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_9_fieldblock}{BEGIN Qty_Dispensed_9_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_9}" data-fieldname="Qty_Dispensed_9">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_9_label}{END Qty_Dispensed_9_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_9_fieldblock}{BEGIN QtySOH_9_fieldblock}<TR class="{$fielddispclass_QtySOH_9}" data-fieldname="QtySOH_9">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_9_label}{END QtySOH_9_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_9_fieldblock}{BEGIN Remark_9_fieldblock}<TR class="{$fielddispclass_Remark_9}" data-fieldname="Remark_9">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_9_label}{END Remark_9_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_9_fieldblock}{BEGIN Drug_10_fieldblock}<TR class="{$fielddispclass_Drug_10}" data-fieldname="Drug_10">
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    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_10_fieldblock}{BEGIN QtyReceived_10_fieldblock}<TR class="{$fielddispclass_QtyReceived_10}" data-fieldname="QtyReceived_10">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_10_label}{END QtyReceived_10_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_10_fieldblock}{BEGIN Qty_Dispensed_10_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_10}" data-fieldname="Qty_Dispensed_10">
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    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_10_fieldblock}{BEGIN QtySOH_10_fieldblock}<TR class="{$fielddispclass_QtySOH_10}" data-fieldname="QtySOH_10">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_10_label}{END QtySOH_10_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_10_fieldblock}{BEGIN Remark_10_fieldblock}<TR class="{$fielddispclass_Remark_10}" data-fieldname="Remark_10">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_10_label}{END Remark_10_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_10_fieldblock}{BEGIN Drug_11_fieldblock}<TR class="{$fielddispclass_Drug_11}" data-fieldname="Drug_11">
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    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_11_fieldblock}{BEGIN QtyReceived_11_fieldblock}<TR class="{$fielddispclass_QtyReceived_11}" data-fieldname="QtyReceived_11">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_11_label}{END QtyReceived_11_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_11_fieldblock}{BEGIN Qty_Dispensed_11_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_11}" data-fieldname="Qty_Dispensed_11">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_11_label}{END Qty_Dispensed_11_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_11_fieldblock}{BEGIN QtySOH_11_fieldblock}<TR class="{$fielddispclass_QtySOH_11}" data-fieldname="QtySOH_11">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_11_label}{END QtySOH_11_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_11_fieldblock}{BEGIN Remark_11_fieldblock}<TR class="{$fielddispclass_Remark_11}" data-fieldname="Remark_11">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_11_label}{END Remark_11_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_11_fieldblock}{BEGIN Drug_12_fieldblock}<TR class="{$fielddispclass_Drug_12}" data-fieldname="Drug_12">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_12_label}{END Drug_12_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_12_fieldblock}{BEGIN QtyReceived_12_fieldblock}<TR class="{$fielddispclass_QtyReceived_12}" data-fieldname="QtyReceived_12">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_12_label}{END QtyReceived_12_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_12_fieldblock}{BEGIN Qty_Dispensed_12_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_12}" data-fieldname="Qty_Dispensed_12">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_12_label}{END Qty_Dispensed_12_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_12_fieldblock}{BEGIN QtySOH_12_fieldblock}<TR class="{$fielddispclass_QtySOH_12}" data-fieldname="QtySOH_12">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_12_label}{END QtySOH_12_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_12_fieldblock}{BEGIN Remark_12_fieldblock}<TR class="{$fielddispclass_Remark_12}" data-fieldname="Remark_12">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_12_label}{END Remark_12_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_12_fieldblock}{BEGIN Drug_13_fieldblock}<TR class="{$fielddispclass_Drug_13}" data-fieldname="Drug_13">
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    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_13_fieldblock}{BEGIN QtyReceived_13_fieldblock}<TR class="{$fielddispclass_QtyReceived_13}" data-fieldname="QtyReceived_13">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_13_label}{END QtyReceived_13_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_13_fieldblock}{BEGIN Qty_Dispensed_13_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_13}" data-fieldname="Qty_Dispensed_13">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_13_label}{END Qty_Dispensed_13_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_13_fieldblock}{BEGIN QtySOH_13_fieldblock}<TR class="{$fielddispclass_QtySOH_13}" data-fieldname="QtySOH_13">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_13_label}{END QtySOH_13_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_13_fieldblock}{BEGIN Remark_13_fieldblock}<TR class="{$fielddispclass_Remark_13}" data-fieldname="Remark_13">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_13_label}{END Remark_13_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_13_fieldblock}{BEGIN Drug_14_fieldblock}<TR class="{$fielddispclass_Drug_14}" data-fieldname="Drug_14">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_14_label}{END Drug_14_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_14_fieldblock}{BEGIN QtyReceived_14_fieldblock}<TR class="{$fielddispclass_QtyReceived_14}" data-fieldname="QtyReceived_14">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_14_label}{END QtyReceived_14_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_14_fieldblock}{BEGIN Qty_Dispensed_14_fieldblock}<TR class="{$fielddispclass_Qty_Dispensed_14}" data-fieldname="Qty_Dispensed_14">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_14_label}{END Qty_Dispensed_14_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_14_fieldblock}{BEGIN QtySOH_14_fieldblock}<TR class="{$fielddispclass_QtySOH_14}" data-fieldname="QtySOH_14">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_14_label}{END QtySOH_14_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"></TD></TR>
  {END QtySOH_14_fieldblock}{BEGIN Remark_14_fieldblock}<TR class="{$fielddispclass_Remark_14}" data-fieldname="Remark_14">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_14_label}{END Remark_14_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Remark_14_fieldblock}{BEGIN Drug_15_fieldblock}<TR class="{$fielddispclass_Drug_15}" data-fieldname="Drug_15">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Drug_15_label}{END Drug_15_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Drug_15_fieldblock}{BEGIN QtyReceived_15_fieldblock}<TR class="{$fielddispclass_QtyReceived_15}" data-fieldname="QtyReceived_15">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtyReceived_15_label}{END QtyReceived_15_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtyReceived_15_fieldblock}{BEGIN Qty_Dispensed_15_fieldblock}<TR style="height: 28px;" class="{$fielddispclass_Qty_Dispensed_15}" data-fieldname="Qty_Dispensed_15">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Qty_Dispensed_15_label}{END Qty_Dispensed_15_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END Qty_Dispensed_15_fieldblock}{BEGIN QtySOH_15_fieldblock}<TR class="{$fielddispclass_QtySOH_15}" data-fieldname="QtySOH_15">
    <TD style="width: 100px;" class="rnr-label">{BEGIN QtySOH_15_label}{END QtySOH_15_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END QtySOH_15_fieldblock}{BEGIN Remark_15_fieldblock}<TR class="{$fielddispclass_Remark_15}" data-fieldname="Remark_15">
    <TD style="width: 100px;" class="rnr-label">{BEGIN Remark_15_label}{END Remark_15_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;
      </TD></TR>{END Remark_15_fieldblock}</TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#"> Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#"> Reset
</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#"> Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#"> Back to list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#"> Back 
to menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-02-12 13:59:59
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}>
  <HEAD>
    <META content="IE=Edge" http-equiv="X-UA-Compatible">
    <TITLE>
      < DIV contentEditable=false id class='simple-xt-tag' style='background-image: ; display: inline-block;' ruleindex="203">pagetitle</DIV>
    </TITLE>
    <META content="text/html; charset=utf-8" http-equiv="Content-Type">
    <LINK rel="stylesheet" type="text/css" href="styles/default.css">
    {BEGIN rtlCSS}
      <LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">
    {END rtlCSS}
    {BEGIN styleCSSFiles}
      <LINK rel="stylesheet" type="text/css" href="{$stylepath}">
    {END styleCSSFiles}
    {BEGIN pageCSSFiles}
      <LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">
    {END pageCSSFiles}
    <META name="GENERATOR" content="MSHTML 9.00.8112.16599">
  </HEAD>
  <BODY class="{$stylename} function-add" {$bodyattrs}>
    {BEGIN body}
      {$header}
      <DIV class="rnr-page">
        <DIV class="rnr-top {$blockclass_top}">
          {BEGIN container_fields}
            <DIV style="min-height: 2469px; min-width: 1295px;" class="rnr-c rnr-cv rnr-c-fields">
              {BEGIN addheader}
                <DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}">
                  <SPAN>
                    <H1>
                      {$pagetitlelabel arv_pmtct add}
                    </H1>
                  </SPAN>
                </DIV>
              {END addheader}
              {BEGIN message_block}
                <DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
                  <DIV class="rnr-message">
                    {$message}
                  </DIV>
                </DIV>
              {END message_block}
              <DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
                <TABLE style="width: 1287px;" class="fieldGrid">
                  <TBODY>
                    {BEGIN formid_fieldblock}
                      <TR class="{$fielddispclass_formid}" data-fieldname="formid">
                        <TD style="width: 100px;" class="rnr-label">
                          {BEGIN formid_label}
                          {END formid_label}
                        </TD>
                        <TD style="width: 1171px;" class="rnr-control style3">
                          &nbsp;
                        </TD>
                      </TR>
                    {END formid_fieldblock}
                    {BEGIN SiteName_fieldblock}
                      <TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
                        <TD style="width: 100px;" class="rnr-label">
                          {BEGIN SiteName_label}
                          {END SiteName_label}
                        </TD>
                        <TD style="width: 1171px;" class="rnr-control style3">
                          <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
                            <TBODY>
                              <TR>
                                <TD style="width: 84px;" rowSpan="1" colSpan="1">
                                  &nbsp;<STRONG>{$label arv_pmtct SiteName}</STRONG>
                                </TD>
                                <TD style="width: 534px;" rowSpan="1" colSpan="3">
                                  {$SiteName_editcontrol}
                                  &nbsp;
                                </TD>
                                <TD style="width: 29px;" class=" runner-cc" rowSpan="5" colSpan="1">
                                  &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                </TD>
                              </TR>
                              <TR>
                                <TD style="width: 84px;" rowSpan="1" colSpan="1">
                                  <STRONG>{$label arv_pmtct formid}</STRONG>
                                </TD>
                                <TD style="width: 227px;" rowSpan="1" colSpan="1">
                                  {$formid_editcontrol}
                                </TD>
                                <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  <STRONG>{$label arv_pmtct Funding_Source}</STRONG>
                                </TD>
                                <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Funding_Source_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD style="width: 84px;" rowSpan="1" colSpan="1">
                                  &nbsp;<STRONG>{$label arv_pmtct State}</STRONG>
                                </TD>
                                <TD style="width: 227px;" rowSpan="1" colSpan="1">
                                  {$State_editcontrol}
                                </TD>
                                <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  <STRONG>{$label arv_pmtct Service_Type}</STRONG>
                                </TD>
                                <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Service_Type_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD style="width: 84px;" rowSpan="1" colSpan="1">
                                  <STRONG>{$label arv_pmtct Phase}</STRONG>
                                </TD>
                                <TD style="width: 227px;" rowSpan="1" colSpan="1">
                                  {$Phase_editcontrol}
                                </TD>
                                <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  <STRONG>{$label arv_pmtct IPName}</STRONG>
                                </TD>
                                <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$IPName_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4">
                                </TD>
                              </TR>
                            </TBODY>
                          </TABLE>
                        </TD>
                      </TR>
                    {END SiteName_fieldblock}
                    {BEGIN State_fieldblock}
                      <TR class="{$fielddispclass_State}" data-fieldname="State">
                        <TD style="width: 100px;" class="rnr-label">
                          {BEGIN State_label}
                          {END State_label}
                        </TD>
                        <TD style="width: 1171px;" class="rnr-control style3">
                          <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
                            <TBODY>
                              <TR>
                                <TD style="width: 45px;" rowSpan="1" colSpan="1">
                                  &nbsp;<STRONG>S/No</STRONG>
                                </TD>
                                <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  <STRONG>Drugs</STRONG>
                                </TD>
                                <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  <STRONG>Basic Unit</STRONG>
                                </TD>
                                <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  <P>
                                    <STRONG>Quantity Received During</STRONG>
                                  </P>
                                  <P>
                                    <STRONG>&nbsp;the Repoting Period</STRONG>
                                  </P>
                                </TD>
                                <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  <STRONG>Quantity Received During<BR>the Repoting Period</STRONG>
                                </TD>
                                <TD style="width: 131px;" rowSpan="1" colSpan="1">
                                  <P>
                                    &nbsp;<STRONG>Ending Balance</STRONG>
                                  </P>
                                  <P>
                                    <STRONG>(Physical Count)</STRONG>
                                  </P>
                                </TD>
                                <TD style="width: 79px;" rowSpan="1" colSpan="1">
                                  &nbsp;<STRONG>Remarks</STRONG>
                                </TD>
                              </TR>
                              <TR>
                                <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">
                                  <FONT color="#ffffff" size="3"><STRONG>ARV FOR PREGNANT MOTHERS</STRONG></FONT>
                                </TD>
                              </TR>
                              <TR>
                                <TD style="width: 45px;" rowSpan="1" colSpan="1">
                                  &nbsp;1
                                </TD>
                                <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_1_editcontrol}
                                </TD>
                                <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  &nbsp;60 tabs
                                </TD>
                                <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_1_editcontrol}
                                </TD>
                                <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_1_editcontrol}
                                </TD>
                                <TD style="width: 131px;" rowSpan="1" colSpan="1">
                                  {$QtySOH_1_editcontrol}
                                </TD>
                                <TD style="width: 79px;" rowSpan="1" colSpan="1">
                                  {$Remark_1_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  &nbsp;2
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_2_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  &nbsp;30 tabs
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_2_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_2_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_2_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_2_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">
                                  &nbsp;<FONT color="#ffffff" 
            size="3"><STRONG>ARV FOR EXPOSED BABIES</STRONG></FONT>
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  &nbsp;3
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_3_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  30 tabs
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_3_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_3_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_3_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_3_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  &nbsp;4
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_4_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  &nbsp;25ml
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_4_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_4_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_4_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_4_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  &nbsp;5
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_5_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  &nbsp;100ml
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_5_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$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="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">
                                  &nbsp;<STRONG><FONT color="#ffffff" 
            size="3">OPPORTUNISTIC INCTIONS DRUGS</FONT></STRONG>
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  &nbsp;6
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_6_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  &nbsp;btls
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_6_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_6_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_6_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_6_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  &nbsp;7
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_7_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  &nbsp;tabs
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_7_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_7_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_7_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_7_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  &nbsp;8
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_8_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  &nbsp;tabs
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_8_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_8_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_8_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_8_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">
                                  <FONT color="#ffffff" 
            size="3"><STRONG>&nbsp;HIV TEST KITS</STRONG></FONT>
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  &nbsp;9
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_9_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  &nbsp;1 test
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_9_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_9_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_9_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_9_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  &nbsp;10
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_10_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  &nbsp;1 test
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_10_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_10_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_10_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_10_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  &nbsp;11
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_11_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  &nbsp;1 test
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_11_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_11_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_11_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_11_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  &nbsp;12
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_12_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  &nbsp;1 test
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_12_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_12_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_12_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_12_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">
                                  <STRONG><FONT color="#ffffff" 
            size="3">LABORATORY REAGENTS</FONT></STRONG>
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  13
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_13_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_13_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_13_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_13_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_13_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  14
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_14_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_14_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_14_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_14_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_14_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD rowSpan="1" colSpan="1">
                                  15
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Drug_15_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$QtyReceived_15_editcontrol}
                                </TD>
                                <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Qty_Dispensed_15_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$QtySOH_15_editcontrol}
                                </TD>
                                <TD rowSpan="1" colSpan="1">
                                  {$Remark_15_editcontrol}
                                </TD>
                              </TR>
                            </TBODY>
                          </TABLE>
                        </TD>
                      </TR>
                    
                  </TBODY>
                </TABLE>
              </DIV>
              {BEGIN addbuttons}
                <DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">
                  {BEGIN save_button}
                    <A id="saveButton{$id}" class="rnr-button main" href="#">
                      Save
                    </A>
                  {END save_button}
                  {BEGIN reset_button}
                    <A id="resetButton{$id}" class="rnr-button" href="#">
                      Reset
                    </A>
                  {END reset_button}
                  {BEGIN cancel_button}
                    <A id="cancelButton{$id}" class="rnr-button" href="#">
                      Cancel
                    </A>
                  {END cancel_button}
                  {BEGIN back_button}
                    <A id="backButton{$id}" class="rnr-button" href="#">
                      Back to list
                    </A>
                  {END back_button}
                  {BEGIN backToMenu_button}
                    <A id="backToMenuButton{$id}" class="rnr-button" href="#">
                      Back to menu
                    </A>
                  {END backToMenu_button}
                </DIV>
              {END addbuttons}
            </DIV>
          {END container_fields}
        </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>
      </DIV>
      {$footer}
    {END body}
  </BODY>
</HTML>

PARAMS:
{"action":"s","lyName":"add5","lySource":"@version=2\r\nbeginblock top \r\n\tbegincontainer vertical style=fields align=left\t width=500  fields\r\n\t\tbrick color2 addheader\r\n\t\tbrick color1 message\r\n\t\tbrick addfields\r\n\t\tbrick color2 addbuttons\r\n\tendcontainer \r\n\tbegincontainer vertical style=empty details\r\n\t\tbrick adddetails\r\n\tendcontainer\r\nendblock\r\n"}


ACTIONTIME: 2015-02-12 14:00:20
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}>
  <HEAD>
    <META content="IE=Edge" http-equiv="X-UA-Compatible">
    <TITLE>
      < DIV contentEditable=false id class='simple-xt-tag' style='background-image: ; display: inline-block;' ruleindex="203">pagetitle</DIV>
    </TITLE>
    <META content="text/html; charset=utf-8" http-equiv="Content-Type">
    <LINK rel="stylesheet" type="text/css" href="styles/default.css">
    {BEGIN rtlCSS}
      <LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">
    {END rtlCSS}
    {BEGIN styleCSSFiles}
      <LINK rel="stylesheet" type="text/css" href="{$stylepath}">
    {END styleCSSFiles}
    {BEGIN pageCSSFiles}
      <LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">
    {END pageCSSFiles}
    <META name="GENERATOR" content="MSHTML 9.00.8112.16599">
  </HEAD>
  <BODY class="{$stylename} function-add" {$bodyattrs}>
    {BEGIN body}
      {$header}
      <DIV class="rnr-page">
        <DIV class="rnr-top {$blockclass_top}">
          {BEGIN container_fields}
            <DIV style="min-height: 2469px; min-width: 1295px;" class="rnr-c rnr-cv rnr-c-fields">
              {BEGIN addheader}
                <DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}">
                  <SPAN>
                    <H1>
                      {$pagetitlelabel arv_pmtct add}
                    </H1>
                  </SPAN>
                </DIV>
              {END addheader}
              {BEGIN message_block}
                <DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
                  <DIV class="rnr-message">
                    {$message}
                  </DIV>
                </DIV>
              {END message_block}
              <DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
                <TABLE style="width: 1287px;" class="fieldGrid">
                  <TBODY>
                    {BEGIN formid_fieldblock}
                      <TR class="{$fielddispclass_formid}" data-fieldname="formid">
                        <TD style="width: 100px;" class="rnr-label">
                          {BEGIN formid_label}
                          {END formid_label}
                        </TD>
                        <TD style="width: 1171px;" class="rnr-control style3">
                          &nbsp;
                        </TD>
                      </TR>
                    {END formid_fieldblock}
                    {BEGIN SiteName_fieldblock}
                      <TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
                        <TD style="width: 100px;" class="rnr-label">
                          {BEGIN SiteName_label}
                          {END SiteName_label}
                        </TD>
                        <TD style="width: 1171px;" class="rnr-control style3">
                          <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
                            <TBODY>
                              <TR>
                                <TD style="width: 84px;" rowSpan="1" colSpan="1">
                                  &nbsp;<STRONG>{$label arv_pmtct SiteName}</STRONG>
                                </TD>
                                <TD style="width: 534px;" rowSpan="1" colSpan="3">
                                  {$SiteName_editcontrol}
                                  &nbsp;
                                </TD>
                                <TD style="width: 29px;" class=" runner-cc" rowSpan="5" colSpan="1">
                                  &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                </TD>
                              </TR>
                              <TR>
                                <TD style="width: 84px;" rowSpan="1" colSpan="1">
                                  <STRONG>{$label arv_pmtct formid}</STRONG>
                                </TD>
                                <TD style="width: 227px;" rowSpan="1" colSpan="1">
                                  {$formid_editcontrol}
                                </TD>
                                <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  <STRONG>{$label arv_pmtct Funding_Source}</STRONG>
                                </TD>
                                <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Funding_Source_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD style="width: 84px;" rowSpan="1" colSpan="1">
                                  &nbsp;<STRONG>{$label arv_pmtct State}</STRONG>
                                </TD>
                                <TD style="width: 227px;" rowSpan="1" colSpan="1">
                                  {$State_editcontrol}
                                </TD>
                                <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  <STRONG>{$label arv_pmtct Service_Type}</STRONG>
                                </TD>
                                <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$Service_Type_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD style="width: 84px;" rowSpan="1" colSpan="1">
                                  <STRONG>{$label arv_pmtct Phase}</STRONG>
                                </TD>
                                <TD style="width: 227px;" rowSpan="1" colSpan="1">
                                  {$Phase_editcontrol}
                                </TD>
                                <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  <STRONG>{$label arv_pmtct IPName}</STRONG>
                                </TD>
                                <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                  {$IPName_editcontrol}
                                </TD>
                              </TR>
                              <TR>
                                <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4">
                                </TD>
                              </TR>
                            </TBODY>
                          </TABLE>
                        </TD>
                      </TR>
                    {END SiteName_fieldblock}
                    
                    <TR class="{$fielddispclass_State}" data-fieldname="State">
                      <TD style="width: 100px;" class="rnr-label">
                        {BEGIN State_label}
                        {END State_label}
                      </TD>
                      <TD style="width: 1171px;" class="rnr-control style3">
                        <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
                          <TBODY>
                            <TR>
                              <TD style="width: 45px;" rowSpan="1" colSpan="1">
                                &nbsp;<STRONG>S/No</STRONG>
                              </TD>
                              <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                <STRONG>Drugs</STRONG>
                              </TD>
                              <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                <STRONG>Basic Unit</STRONG>
                              </TD>
                              <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                <P>
                                  <STRONG>Quantity Received During</STRONG>
                                </P>
                                <P>
                                  <STRONG>&nbsp;the Repoting Period</STRONG>
                                </P>
                              </TD>
                              <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                <STRONG>Quantity Received During<BR>the Repoting Period</STRONG>
                              </TD>
                              <TD style="width: 131px;" rowSpan="1" colSpan="1">
                                <P>
                                  &nbsp;<STRONG>Ending Balance</STRONG>
                                </P>
                                <P>
                                  <STRONG>(Physical Count)</STRONG>
                                </P>
                              </TD>
                              <TD style="width: 79px;" rowSpan="1" colSpan="1">
                                &nbsp;<STRONG>Remarks</STRONG>
                              </TD>
                            </TR>
                            <TR>
                              <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">
                                <FONT color="#ffffff" size="3"><STRONG>ARV FOR PREGNANT MOTHERS</STRONG></FONT>
                              </TD>
                            </TR>
                            <TR>
                              <TD style="width: 45px;" rowSpan="1" colSpan="1">
                                &nbsp;1
                              </TD>
                              <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_1_editcontrol}
                              </TD>
                              <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                &nbsp;60 tabs
                              </TD>
                              <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_1_editcontrol}
                              </TD>
                              <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_1_editcontrol}
                              </TD>
                              <TD style="width: 131px;" rowSpan="1" colSpan="1">
                                {$QtySOH_1_editcontrol}
                              </TD>
                              <TD style="width: 79px;" rowSpan="1" colSpan="1">
                                {$Remark_1_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                &nbsp;2
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_2_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                &nbsp;30 tabs
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_2_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_2_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_2_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_2_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">
                                &nbsp;<FONT color="#ffffff" 
            size="3"><STRONG>ARV FOR EXPOSED BABIES</STRONG></FONT>
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                &nbsp;3
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_3_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                30 tabs
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_3_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_3_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_3_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_3_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                &nbsp;4
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_4_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                &nbsp;25ml
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_4_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_4_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_4_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_4_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                &nbsp;5
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_5_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                &nbsp;100ml
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_5_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$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="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">
                                &nbsp;<STRONG><FONT color="#ffffff" 
            size="3">OPPORTUNISTIC INCTIONS DRUGS</FONT></STRONG>
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                &nbsp;6
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_6_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                &nbsp;btls
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_6_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_6_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_6_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_6_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                &nbsp;7
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_7_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                &nbsp;tabs
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_7_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_7_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_7_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_7_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                &nbsp;8
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_8_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                &nbsp;tabs
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_8_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_8_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_8_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_8_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">
                                <FONT color="#ffffff" 
            size="3"><STRONG>&nbsp;HIV TEST KITS</STRONG></FONT>
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                &nbsp;9
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_9_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                &nbsp;1 test
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_9_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_9_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_9_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_9_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                &nbsp;10
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_10_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                &nbsp;1 test
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_10_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_10_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_10_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_10_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                &nbsp;11
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_11_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                &nbsp;1 test
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_11_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_11_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_11_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_11_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                &nbsp;12
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_12_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                &nbsp;1 test
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_12_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_12_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_12_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_12_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">
                                <STRONG><FONT color="#ffffff" 
            size="3">LABORATORY REAGENTS</FONT></STRONG>
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                13
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_13_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_13_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_13_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_13_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_13_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                14
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_14_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_14_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_14_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_14_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_14_editcontrol}
                              </TD>
                            </TR>
                            <TR>
                              <TD rowSpan="1" colSpan="1">
                                15
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Drug_15_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$QtyReceived_15_editcontrol}
                              </TD>
                              <TD class=" runner-cc" rowSpan="1" colSpan="1">
                                {$Qty_Dispensed_15_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$QtySOH_15_editcontrol}
                              </TD>
                              <TD rowSpan="1" colSpan="1">
                                {$Remark_15_editcontrol}
                              </TD>
                            </TR>
                          </TBODY>
                        </TABLE>
                      </TD>
                    </TR>
                  </TBODY>
                </TABLE>
              </DIV>
              {BEGIN addbuttons}
                <DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">
                  {BEGIN save_button}
                    <A id="saveButton{$id}" class="rnr-button main" href="#">
                      Save
                    </A>
                  {END save_button}
                  {BEGIN reset_button}
                    <A id="resetButton{$id}" class="rnr-button" href="#">
                      Reset
                    </A>
                  {END reset_button}
                  {BEGIN cancel_button}
                    <A id="cancelButton{$id}" class="rnr-button" href="#">
                      Cancel
                    </A>
                  {END cancel_button}
                  {BEGIN back_button}
                    <A id="backButton{$id}" class="rnr-button" href="#">
                      Back to list
                    </A>
                  {END back_button}
                  {BEGIN backToMenu_button}
                    <A id="backToMenuButton{$id}" class="rnr-button" href="#">
                      Back to menu
                    </A>
                  {END backToMenu_button}
                </DIV>
              {END addbuttons}
            </DIV>
          {END container_fields}
        </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>
      </DIV>
      {$footer}
    {END body}
  </BODY>
</HTML>

PARAMS:
{"action":"s","lyName":"add5","lySource":"@version=2\r\nbeginblock top \r\n\tbegincontainer vertical style=fields align=left\t width=500  fields\r\n\t\tbrick color2 addheader\r\n\t\tbrick color1 message\r\n\t\tbrick addfields\r\n\t\tbrick color2 addbuttons\r\n\tendcontainer \r\n\tbegincontainer vertical style=empty details\r\n\t\tbrick adddetails\r\n\tendcontainer\r\nendblock\r\n"}


ACTIONTIME: 2015-02-12 14:02:11
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV 
contentEditable=false id class='simple-xt-tag' style='background-image: ; 
display: inline-block;' ruleindex="203">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_fields}
<DIV style="min-height: 945px; min-width: 1299px;" class="rnr-c rnr-cv rnr-c-fields">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
<TABLE style="width: 1287px;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">                
            &nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol} &nbsp;</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" colSpan="1"> 
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">                
            &nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}
          </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">               
            &nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Quantity Received During<BR>the Repoting Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P>                &nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">               
            &nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3"><STRONG>ARV 
            FOR PREGNANT MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1"> &nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1"> 
            &nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_1_editcontrol}
          </TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_2_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">               &nbsp;<FONT color="#ffffff" 
            size="3"><STRONG>ARV FOR EXPOSED BABIES</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;3</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_3_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> 30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_3_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_3_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;4</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_4_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;25ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_4_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_4_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;5</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_5_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;100ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$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="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">               &nbsp;<STRONG><FONT color="#ffffff" 
            size="3">OPPORTUNISTIC INCTIONS DRUGS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;6</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_6_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;btls</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_6_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_6_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;7</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_7_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_7_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_7_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;8</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_8_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_8_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_8_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" 
            size="3"><STRONG>&nbsp;HIV TEST KITS</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;9</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_9_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_9_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_9_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;10</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_10_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;11</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_11_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;12</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_12_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><STRONG><FONT color="#ffffff" 
            size="3">LABORATORY REAGENTS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 13</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_13_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 14</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_14_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 15</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_15_editcontrol}</TD></TR>
        </TBODY></TABLE></TD></TR></TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#"> Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#"> Reset
</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#"> Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#"> Back to list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#"> Back to 
menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</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></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-02-12 14:18:15
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV 
 contentEditable=false id class='simple-xt-tag' style='background-image: ; 
 display: inline-block;' ruleindex="203">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_fields}
<DIV style="min-height: 945px; min-width: 1299px;" class="rnr-c rnr-cv rnr-c-fields">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
<TABLE style="width: 1287px;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">            
            &nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol} &nbsp;</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" colSpan="1"> 
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">            
            &nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}
        </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">            
            &nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Quantity Received During<BR>the Repoting Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P>      &nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">            
            &nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3"><STRONG>ARV   
                      FOR PREGNANT MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1"> &nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$Drug_1_editcontrol}</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1"> 
             &nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_1_editcontrol}
          </TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_2_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">     &nbsp;<FONT color="#ffffff" 
            size="3"><STRONG>ARV FOR EXPOSED BABIES</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;3</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_3_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> 30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_3_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_3_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;4</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_4_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;25ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_4_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_4_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;5</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$Drug_5_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;100ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$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="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7">     &nbsp;<STRONG><FONT color="#ffffff" 
            size="3">OPPORTUNISTIC INCTIONS DRUGS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;6</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_6_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;btls</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_6_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_6_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;7</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_7_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_7_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_7_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;8</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_8_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_8_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_8_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" 
            size="3"><STRONG>&nbsp;HIV TEST KITS</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;9</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_9_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_9_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_9_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;10</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_10_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;11</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_11_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;12</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_12_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><STRONG><FONT color="#ffffff" 
            size="3">LABORATORY REAGENTS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 13</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_13_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 14</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_14_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 15</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Drug_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_15_editcontrol}</TD></TR>
        </TBODY></TABLE></TD></TR></TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#"> Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#"> Reset
</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#"> Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#"> Back to list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#"> Back to 
 menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</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></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-02-12 14:19:48
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV  
contentEditable=false id class='simple-xt-tag' style='background-image: ;  
display: inline-block;' ruleindex="203">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_fields}
<DIV style="min-height: 945px; min-width: 1299px;" class="rnr-c rnr-cv rnr-c-fields">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
<TABLE style="width: 1287px;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">           
            &nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol} &nbsp;</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" colSpan="1"> 
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">           
            &nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}
        </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">           
            &nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Quantity Received During<BR>the Repoting Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P> &nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">           
            &nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3"><STRONG>ARV   
                                  FOR PREGNANT MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1"> &nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG><FONT 
            size="2">
            {$Drug_1_editcontrol}</FONT></STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1"> 
             &nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_1_editcontrol}
          </TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_2_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"> &nbsp;<FONT color="#ffffff" 
            size="3"><STRONG>ARV FOR EXPOSED BABIES</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;3</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_3_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> 30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_3_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_3_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;4</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_4_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;25ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_4_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_4_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;5</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_5_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;100ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$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="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"> &nbsp;<STRONG><FONT color="#ffffff" size="3">OPPORTUNISTIC 
            INCTIONS DRUGS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;6</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_6_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;btls</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_6_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_6_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;7</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_7_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_7_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_7_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;8</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_8_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_8_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_8_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" 
            size="3"><STRONG>&nbsp;HIV TEST KITS</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;9</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_9_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_9_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_9_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;10</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_10_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_10_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;11</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_11_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_11_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;12</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_12_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_12_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><STRONG><FONT color="#ffffff" 
            size="3">LABORATORY REAGENTS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 13</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_13_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_13_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 14</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_14_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_14_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 15</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            {$Drug_15_editcontrol}</STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_15_editcontrol}</TD></TR>
        </TBODY></TABLE></TD></TR></TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#"> Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#"> Reset
</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#"> Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#"> Back to list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#"> Back to 
 menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</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></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-02-12 14:21:38
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV  
 contentEditable=false id class='simple-xt-tag' style='background-image: ;  
 display: inline-block;' ruleindex="203">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_fields}
<DIV style="min-height: 945px; min-width: 1299px;" class="rnr-c rnr-cv rnr-c-fields">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
<TABLE style="width: 1287px;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">          
            &nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol} &nbsp;</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" colSpan="1"> 
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">          
            &nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}
        </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">          
            &nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Quantity Received During<BR>the Repoting Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P> &nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">          
            &nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3"><STRONG>ARV   
                                              FOR PREGNANT 
            MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1"> &nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG><FONT size="2">
            {$Drug_1_editcontrol}</FONT></STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1"> 
             &nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_1_editcontrol}
          </TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            </STRONG><FONT size="2">
            {$Drug_2_editcontrol}</FONT></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"> &nbsp;<FONT color="#ffffff" 
            size="3"><STRONG>ARV FOR EXPOSED BABIES</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;3</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_3_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> 30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_3_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_3_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;4</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_4_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;25ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_4_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_4_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;5</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_5_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;100ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$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="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"> &nbsp;<STRONG><FONT color="#ffffff" size="3">OPPORTUNISTIC 
                        INCTIONS DRUGS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;6</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_6_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;btls</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_6_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_6_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;7</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_7_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_7_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_7_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;8</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_8_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_8_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_8_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" 
            size="3"><STRONG>&nbsp;HIV TEST KITS</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;9</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_9_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_9_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_9_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;10</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_10_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_10_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;11</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_11_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_11_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;12</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_12_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_12_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><STRONG><FONT color="#ffffff" 
            size="3">LABORATORY REAGENTS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 13</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_13_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_13_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 14</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_14_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_14_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 15</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_15_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_15_editcontrol}</TD></TR>
        </TBODY></TABLE></TD></TR></TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#"> Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#"> Reset
</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#"> Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#"> Back to list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#"> Back to 
 menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</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></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-02-12 14:22:59
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV   
contentEditable=false id class='simple-xt-tag' style='background-image: ;   
display: inline-block;' ruleindex="203">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16599"></HEAD>
<BODY class="{$stylename} function-add" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_fields}
<DIV style="min-height: 945px; min-width: 1299px;" class="rnr-c rnr-cv rnr-c-fields">
{BEGIN addheader}<DIV class="rnr-brickcontents style2 rnr-b-addheader {$brickclass_addheader}"><SPAN>
<H1>
{$pagetitlelabel arv_pmtct add}</H1>
</SPAN></DIV>
{END addheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-addfields {$brickclass_addfields}">
<TABLE style="width: 1287px;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: 100px;" class="rnr-label">{BEGIN formid_label}{END formid_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3"> &nbsp;</TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: 100px;" class="rnr-label">{BEGIN SiteName_label}{END SiteName_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 643px;" border="1" cellSpacing="1" cellPadding="1" 
      width="75%">
        <TBODY>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">          
            &nbsp;<STRONG>
            {$label arv_pmtct SiteName}</STRONG></TD>
          <TD style="width: 534px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol} &nbsp;</TD>
          <TD style="width: 29px;" class=" runner-cc" rowSpan="5" colSpan="1"> 
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<IMG style="width: 100px; height: 98px;" border="0" alt="coat" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct formid}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Funding_Source}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1">          
            &nbsp;<STRONG>
            {$label arv_pmtct State}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct Service_Type}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}
        </TD></TR>
        <TR>
          <TD style="width: 84px;" rowSpan="1" colSpan="1"><STRONG>
            {$label arv_pmtct Phase}</STRONG></TD>
          <TD style="width: 227px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 91px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>
            {$label arv_pmtct IPName}</STRONG></TD>
          <TD style="width: 212px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 618px; white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="4"></TD></TR></TBODY></TABLE></TD></TR>
  {END SiteName_fieldblock}<TR class="{$fielddispclass_State}" data-fieldname="State">
    <TD style="width: 100px;" class="rnr-label">{BEGIN State_label}{END State_label}</TD>
    <TD style="width: 1171px;" class="rnr-control style3">
      <TABLE style="width: 745px; height: 73px;" border="1" cellSpacing="1" 
      cellPadding="1" width="622">
        <TBODY>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1">          
            &nbsp;<STRONG>S/No</STRONG></TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Drugs</STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Basic Unit</STRONG></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <P><STRONG>Quantity Received During</STRONG></P>
            <P><STRONG>&nbsp;the Repoting Period</STRONG></P></TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG>Quantity Received During<BR>the Repoting Period</STRONG></TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            <P> &nbsp;<STRONG>Ending Balance</STRONG></P>
            <P><STRONG>(Physical Count)</STRONG></P></TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">          
            &nbsp;<STRONG>Remarks</STRONG></TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3"><STRONG>ARV   
                                                          FOR PREGNANT           
              MOTHERS</STRONG></FONT></TD></TR>
        <TR>
          <TD style="width: 45px;" rowSpan="1" colSpan="1"> &nbsp;1</TD>
          <TD style="width: 88px;" class=" runner-cc" rowSpan="1" colSpan="1">
            <STRONG><FONT size="2">
            {$Drug_1_editcontrol}</FONT></STRONG></TD>
          <TD style="width: 74px;" class=" runner-cc" rowSpan="1" colSpan="1"> 
             &nbsp;60 tabs</TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_1_editcontrol}
          </TD>
          <TD style="width: 165px;" class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 131px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 79px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;2</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG>
            </STRONG><FONT size="2">
            {$Drug_2_editcontrol}</FONT></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_2_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_2_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_2_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"> &nbsp;<FONT color="#ffffff" 
            size="3"><STRONG>ARV FOR EXPOSED BABIES</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;3</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_3_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> 30 tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_3_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_3_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_3_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;4</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_4_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;25ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_4_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_4_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_4_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;5</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_5_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;100ml</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$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="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"> &nbsp;<STRONG><FONT color="#ffffff" size="3">OPPORTUNISTIC 
                                    INCTIONS DRUGS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;6</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_6_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;btls</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_6_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_6_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_6_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;7</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_7_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_7_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_7_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_7_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;8</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_8_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;tabs</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_8_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_8_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_8_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" 
            size="3"><STRONG>&nbsp;HIV TEST KITS</STRONG></FONT></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;9</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><FONT 
            size="2"><STRONG></STRONG>
            {$Drug_9_editcontrol}</FONT></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_9_editcontrol}
          </TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_9_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_9_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;10</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_10_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_10_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_10_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_10_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;11</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_11_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_11_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_11_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_11_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;12</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_12_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"> &nbsp;1 test</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_12_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_12_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_12_editcontrol}</TD></TR>
        <TR>
          <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 85, 0);" 
          rowSpan="1" colSpan="7"><STRONG><FONT color="#ffffff" 
            size="3">LABORATORY REAGENTS</FONT></STRONG></TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 13</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_13_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_13_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_13_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_13_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 14</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_14_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_14_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_14_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_14_editcontrol}</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> 15</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"><STRONG><FONT size="2">
            {$Drug_15_editcontrol}</FONT></STRONG></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$QtyReceived_15_editcontrol}</TD>
          <TD class=" runner-cc" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_15_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_15_editcontrol}</TD></TR>
        </TBODY></TABLE></TD></TR></TBODY></TABLE></DIV>
{BEGIN addbuttons}<DIV class="rnr-brickcontents style2 rnr-b-addbuttons {$brickclass_addbuttons}">{BEGIN save_button}<A id="saveButton{$id}" class="rnr-button main" href="#"> Save</A>{END save_button}{BEGIN reset_button}<A id="resetButton{$id}" class="rnr-button" href="#"> Reset
</A>{END reset_button}{BEGIN cancel_button}<A id="cancelButton{$id}" class="rnr-button" href="#"> Cancel</A>{END cancel_button}{BEGIN back_button}<A id="backButton{$id}" class="rnr-button" href="#"> Back to list</A>{END back_button}{BEGIN backToMenu_button}<A id="backToMenuButton{$id}" class="rnr-button" href="#"> Back to 
 menu</A>{END backToMenu_button}</DIV>{END addbuttons}</DIV>{END container_fields}</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></DIV>
{$footer}{END body}</BODY></HTML>


