# REVISIONDATA

ACTIONTIME: 2015-03-02 14:57:45
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 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-edit" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_all}
<DIV class="rnr-c rnr-cv rnr-c-all">
<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
{BEGIN container_edit}
<DIV class="rnr-c rnr-cv rnr-c-edit">
{BEGIN editheader}<DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><SPAN>	
<H1>
{$pagetitlelabel cd4 edit}</H1>
</SPAN></DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
{BEGIN container_fields}
<DIV class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
  <P align="center"><FONT size="4"></FONT></P>
  <TBODY>
  <P align="center"><FONT size="4"></FONT></P>
  <TR>
    <P align="center"><FONT size="4"></FONT></P>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - 
      Lab 
Reagents/Accesories</FONT></FONT></P></TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 601px;" border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">SiteName</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="3">
      {$SiteName_editcontrol}&nbsp;&nbsp;</TD>
    <TD style="width: 5px;" rowSpan="1" colSpan="1"></TD>
    <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD></TR>
  <TR style="height: 9px;">
    <TD style="width: 77px;" rowSpan="1" colSpan="1">Facility Code</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="1">
      {$formid_editcontrol}&nbsp;</TD>
    <TD style="width: 97px;" rowSpan="1" colSpan="1">Funding Source&nbsp;</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Funding_Source_editcontrol}&nbsp;</TD>
    <TD style="width: 5px;" rowSpan="3" colSpan="1"><IMG style="width: 105px; height: 79px;" border="0" src="images/coat.jpg" width="243" height="206">&nbsp;&nbsp;&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="3" colSpan="1">
      <P><FONT size="4">Data Entry Consultant       Name</FONT></P>
      {$ValidateEntry_editcontrol}
      <P>&nbsp;</P><FONT size="4"></FONT></TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">State</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="1">
      {$State_editcontrol}</TD>
    <TD style="width: 97px;" rowSpan="1" colSpan="1">Service Type</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Service_Type_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">Phase</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="1">
      {$Phase_editcontrol}</TD>
    <TD style="width: 97px;" rowSpan="1" colSpan="1">IPName&nbsp;</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$IPName_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 97px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 5px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="1" 
colSpan="1"></TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;S/No</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;Item Description</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;Reporting Unit</TD>
    <TD rowSpan="1" colSpan="1">
      <P>&nbsp;Beginning Balance</P>
      <P>(for the reporting period)</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Qty Received</P>
      <P>(in the&nbsp;reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Qty Used</P>
      <P>(in the reporting period)&nbsp;&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Positive-Adjust</P>
      <P>(in reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Negative-Adjust</P>
      <P>(in reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Physical Count</P>
      <P>(at end of reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">Remarks&nbsp;</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">BD                 
        
    FASCOUNT</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_1_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_2_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed__editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_3_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;4</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_4_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;5</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_5_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;6</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_6_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;7</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_7_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">PARTEC CYFLOW      
                             
      REAGENTS</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_8_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_9_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_9_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_9_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_9_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_9_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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;4</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_11_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_11_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_11_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_11_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_11_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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;5</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_12_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;6</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_13_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_13_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_13_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_13_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_13_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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">&nbsp;7</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_14_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_14_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_14_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_14_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_14_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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">&nbsp;8</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_15_editcontrol}</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">POINT OF CARE CD4  
                       DEVICE (PIMA)</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_16_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_17_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_18_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;4</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_19_editcontrol}</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">EQUIPMENT DOWNTIME 
                        WITHIN THE REPORTING PERIOD</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"><FONT size="3">No. of Days</FONT></TD>
    <TD rowSpan="4" colSpan="1"></TD>
    <TD rowSpan="4" colSpan="5"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_20_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_20_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_21_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_21_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_22_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_22_editcontrol}</TD>
</TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE class="fieldGrid">
  <TBODY></TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}>&gt;&gt;&gt;</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}>Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}>Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}>Back  to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}>Close 
  window</A>{END close_button}</DIV></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"><!--%%bottom%%--></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-03-02 14:59:08
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 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-edit" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_all}
<DIV class="rnr-c rnr-cv rnr-c-all">
<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
{BEGIN container_edit}
<DIV class="rnr-c rnr-cv rnr-c-edit">
{BEGIN editheader}<DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><SPAN>	
<H1>
{$pagetitlelabel rtkcrrifs edit}</H1>
</SPAN></DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
{BEGIN container_fields}
<DIV class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
  <P align="center"><FONT size="4"></FONT></P>
  <TBODY>
  <P align="center"><FONT size="4"></FONT></P>
  <TR>
    <P align="center"><FONT size="4"></FONT></P>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - 
      Lab Reagents/Accesories</FONT></FONT></P></TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 848px;" border="5" rules="all" cellSpacing="1" cellPadding="1" 
width="75%">
  <TBODY>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">SiteName</TD>
    <TD style="width: 517px;" rowSpan="1" colSpan="3">
      {$SiteName_editcontrol}&nbsp;&nbsp;</TD>
    <TD style="width: 162px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 92px;" class=" runner-cc" rowSpan="5" colSpan="1">
      <P><FONT size="4">Data Entry Consultant Name</FONT></P>
      <P>&nbsp;</P><FONT size="3">
      {$ValidateEntry_editcontrol}</FONT></TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">Facility Code</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$formid_editcontrol}&nbsp;</TD>
    <TD style="width: 93px;" rowSpan="1" colSpan="1">Fundind Source</TD>
    <TD style="width: 210px;" rowSpan="1" colSpan="1">
      {$Funding_Source_editcontrol}</TD>
    <TD style="width: 162px;" rowSpan="3" colSpan="1"><IMG style="width: 134px; height: 79px;" border="0" src="images/coat.jpg" width="243" height="206">&nbsp;&nbsp;&nbsp;</TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">State</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$State_editcontrol}</TD>
    
    <TD style="width: 93px;" rowSpan="1" colSpan="1">&nbsp;Service 
    Type</TD>
    <TD style="width: 210px;" rowSpan="1" colSpan="1">
      {$Service_Type_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">Phase</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Phase_editcontrol}</TD>
    <TD style="width: 93px;" rowSpan="1" colSpan="1">&nbsp;IPName</TD>
    <TD style="width: 210px;" rowSpan="1" colSpan="1">
      {$IPName_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 93px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 210px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 162px;" rowSpan="1" 
colSpan="1">&nbsp;</TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;S<FONT size="2">/No</FONT></TD><FONT size="2">
    </FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">&nbsp;Item                      
       Description</FONT></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">&nbsp;Reporting                 
          Unit</FONT></TD><FONT size="2"></FONT><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">&nbsp;Qty Received</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">Qty Used&nbsp;</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <FONT size="2"></FONT><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2"></FONT>
      <P><FONT size="2">Physical Count </FONT></P><FONT size="2"></FONT>
      <P><FONT size="2">(at&nbsp;end of Reporting                     
      Period)&nbsp;</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">Remarks</FONT>&nbsp;</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="7"><FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;HIV   
                                              RTKS</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 100</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_1_editcontrol}</TD></TR>
  <TR style="height: 23px;">
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$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 rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed__editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_3_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;5</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_5_editcontrol}</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="7">&nbsp;&nbsp;&nbsp;<FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; DBS TEST OLLECTION           
                                      KITS</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_7_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 50</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_8_editcontrol}</TD></TR></TBODY></TABLE></DIV>
<DIV 
class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">&nbsp;</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 1211px;" border="5" rules="all" cellSpacing="1" 
cellPadding="1" width="75%"><FONT color="#ffffff" size="3"></FONT>
  <TBODY><FONT color="#ffffff" size="3"></FONT>
  <TR><FONT color="#ffffff" size="3"></FONT>
    <TD style="width: 1201px; white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="9"><FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;BIMONTHLY 
                                                TEST SUMMARY OF HIV TESTING 
      &amp;       EARLY       INFANT       DIAGNOSIS                     
      (EID)</FONT></TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">&nbsp;<FONT 
      size="2">Description</FONT></TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;HTC</FONT></TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;PMTCT</FONT></TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;CLINICAL                 DIAGNOSIS</FONT></TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;QUALITY CONTROL</FONT></TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;TRAINING</FONT></TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;RECRUIT/OUTREACH                   SCREENING</FONT></TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;TOTAL</FONT></TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_9_editcontrol}</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_9_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_9_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_9_editcontrol}&nbsp;</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_9_editcontrol}&nbsp;</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_9_editcontrol}&nbsp;</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_9_editcontrol}&nbsp;</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_9_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_10_editcontrol}</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_10_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_11_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_10_editcontrol}</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_10_editcontrol}</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_10_editcontrol}</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_10_editcontrol}</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_10_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_11_editcontrol}&nbsp;</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_11_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_11_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_11_editcontrol}</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_11_editcontrol}</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_11_editcontrol}</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_11_editcontrol}</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_11_editcontrol}</TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE class="fieldGrid">
  <TBODY></TBODY>
  <TBODY>
  {BEGIN ValidateEntry_fieldblock}<TR class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
    <TD class="rnr-label">{BEGIN ValidateEntry_label}{END ValidateEntry_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>{END ValidateEntry_fieldblock}</TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}>&gt;&gt;&gt;</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}>Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}>Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}>Back to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}>Close 
 window</A>{END close_button}</DIV></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-03-02 15:00:42
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 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-edit" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_all}
<DIV class="rnr-c rnr-cv rnr-c-all">
<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
{BEGIN container_edit}
<DIV class="rnr-c rnr-cv rnr-c-edit">
{BEGIN editheader}<DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><SPAN>	
<H1>
{$pagetitlelabel rtkcrrifs edit}</H1>
</SPAN></DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
{BEGIN container_fields}
<DIV class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
  <P align="center"><FONT size="4"></FONT></P>
  <TBODY>
  <P align="center"><FONT size="4"></FONT></P>
  <TR>
    <P align="center"><FONT size="4"></FONT></P>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) -   
          Lab Reagents/Accesories<BR>HIV Rapid Test Kits(RTKs) &amp; Dried Blood 
      Spot (DBS) Kit</FONT></FONT></P></TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 848px;" border="5" rules="all" cellSpacing="1" cellPadding="1" 
width="75%">
  <TBODY>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">SiteName</TD>
    <TD style="width: 517px;" rowSpan="1" colSpan="3">
      {$SiteName_editcontrol}&nbsp;&nbsp;</TD>
    <TD style="width: 162px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 92px;" class=" runner-cc" rowSpan="5" colSpan="1">
      <P><FONT size="4">Data Entry Consultant Name</FONT></P>
      <P>&nbsp;</P><FONT size="3">
      {$ValidateEntry_editcontrol}</FONT></TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">Facility Code</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$formid_editcontrol}&nbsp;</TD>
    <TD style="width: 93px;" rowSpan="1" colSpan="1">Fundind Source</TD>
    <TD style="width: 210px;" rowSpan="1" colSpan="1">
      {$Funding_Source_editcontrol}</TD>
    <TD style="width: 162px;" rowSpan="3" colSpan="1"><IMG style="width: 134px; height: 79px;" border="0" src="images/coat.jpg" width="243" height="206">&nbsp;&nbsp;&nbsp;</TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">State</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$State_editcontrol}</TD>
    <TD style="width: 93px;" rowSpan="1" colSpan="1">&nbsp;Service     Type</TD>
    <TD style="width: 210px;" rowSpan="1" colSpan="1">
      {$Service_Type_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">Phase</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Phase_editcontrol}</TD>
    <TD style="width: 93px;" rowSpan="1" colSpan="1">&nbsp;IPName</TD>
    <TD style="width: 210px;" rowSpan="1" colSpan="1">
      {$IPName_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 93px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 210px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 162px;" rowSpan="1" 
colSpan="1">&nbsp;</TD></TR></TBODY></TABLE></DIV>

<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;S<FONT size="2">/No</FONT></TD><FONT size="2">
    </FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">&nbsp;Item                      
             Description</FONT></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">&nbsp;Reporting                 
                Unit</FONT></TD><FONT size="2"></FONT><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">&nbsp;Qty Received</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">Qty Used&nbsp;</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <FONT size="2"></FONT><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2"></FONT>
      <P><FONT size="2">Physical Count </FONT></P><FONT size="2"></FONT>
      <P><FONT size="2">(at&nbsp;end of Reporting                           
      Period)&nbsp;</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">Remarks</FONT>&nbsp;</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="7"><FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;HIV   
                                                    RTKS</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 100</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_1_editcontrol}</TD></TR>
  <TR style="height: 23px;">
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_2_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed__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;5</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_5_editcontrol}</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="7">&nbsp;&nbsp;&nbsp;<FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; DBS TEST OLLECTION           
                                            KITS</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$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;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 50</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_8_editcontrol}</TD></TR></TBODY></TABLE></DIV>
<DIV 
class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">&nbsp;</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 1211px;" border="5" rules="all" cellSpacing="1" 
cellPadding="1" width="75%"><FONT color="#ffffff" size="3"></FONT>
  <TBODY><FONT color="#ffffff" size="3"></FONT>
  <TR><FONT color="#ffffff" size="3"></FONT>
    <TD style="width: 1201px; white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="9"><FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;BIMONTHLY 
                                                      TEST SUMMARY OF HIV 
      TESTING       &amp;       EARLY       INFANT       DIAGNOSIS               
                  (EID)</FONT></TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">&nbsp;<FONT 
      size="2">Description</FONT></TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;HTC</FONT></TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;PMTCT</FONT></TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;CLINICAL                 DIAGNOSIS</FONT></TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;QUALITY CONTROL</FONT></TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;TRAINING</FONT></TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;RECRUIT/OUTREACH                   SCREENING</FONT></TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;TOTAL</FONT></TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_9_editcontrol}</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_9_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_9_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_9_editcontrol}&nbsp;</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_9_editcontrol}&nbsp;</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_9_editcontrol}&nbsp;</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_9_editcontrol}&nbsp;</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_9_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_10_editcontrol}</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_10_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_11_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_10_editcontrol}</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_10_editcontrol}</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_10_editcontrol}</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_10_editcontrol}</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_10_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_11_editcontrol}&nbsp;</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_11_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_11_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_11_editcontrol}</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_11_editcontrol}</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_11_editcontrol}</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_11_editcontrol}</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_11_editcontrol}</TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE class="fieldGrid">
  <TBODY></TBODY>
  <TBODY>
  {BEGIN ValidateEntry_fieldblock}<TR class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
    <TD class="rnr-label">{BEGIN ValidateEntry_label}{END ValidateEntry_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>{END ValidateEntry_fieldblock}</TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}>&gt;&gt;&gt;</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}>Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}>Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}>Back to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}>Close 
 window</A>{END close_button}</DIV></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-03-02 15:01:25
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 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-edit" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_all}
<DIV class="rnr-c rnr-cv rnr-c-all">
<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
{BEGIN container_edit}
<DIV class="rnr-c rnr-cv rnr-c-edit">
{BEGIN editheader}<DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><SPAN>	
<H1>
{$pagetitlelabel cd4 edit}</H1>
</SPAN></DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
{BEGIN container_fields}
<DIV class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
  <P align="center"><FONT size="4"></FONT></P>
  <TBODY>
  <P align="center"><FONT size="4"></FONT></P>
  <TR>
    <P align="center"><FONT size="4"></FONT></P>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) -   
          Lab  Reagents/Accesories</FONT></FONT></P>
      <P align="center"><FONT color="#ffffff" size="5">CD4 
  REAGENTS</FONT></P></TD></TR></TBODY></TABLE></DIV>

<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 601px;" border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">SiteName</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="3">
      {$SiteName_editcontrol}&nbsp;&nbsp;</TD>
    <TD style="width: 5px;" rowSpan="1" colSpan="1"></TD>
    <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD></TR>
  <TR style="height: 9px;">
    <TD style="width: 77px;" rowSpan="1" colSpan="1">Facility Code</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="1">
      {$formid_editcontrol}&nbsp;</TD>
    <TD style="width: 97px;" rowSpan="1" colSpan="1">Funding Source&nbsp;</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Funding_Source_editcontrol}&nbsp;</TD>
    <TD style="width: 5px;" rowSpan="3" colSpan="1"><IMG style="width: 105px; height: 79px;" border="0" src="images/coat.jpg" width="243" height="206">&nbsp;&nbsp;&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="3" colSpan="1">
      <P><FONT size="4">Data Entry Consultant       Name</FONT></P>
      {$ValidateEntry_editcontrol}
      <P>&nbsp;</P><FONT size="4"></FONT></TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">State</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="1">
      {$State_editcontrol}</TD>
    <TD style="width: 97px;" rowSpan="1" colSpan="1">Service Type</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Service_Type_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">Phase</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="1">
      {$Phase_editcontrol}</TD>
    <TD style="width: 97px;" rowSpan="1" colSpan="1">IPName&nbsp;</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$IPName_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 97px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 5px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="1" 
colSpan="1"></TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;S/No</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;Item Description</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;Reporting Unit</TD>
    <TD rowSpan="1" colSpan="1">
      <P>&nbsp;Beginning Balance</P>
      <P>(for the reporting period)</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Qty Received</P>
      <P>(in the&nbsp;reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Qty Used</P>
      <P>(in the reporting period)&nbsp;&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Positive-Adjust</P>
      <P>(in reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Negative-Adjust</P>
      <P>(in reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Physical Count</P>
      <P>(at end of reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">Remarks&nbsp;</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">BD                 
                  
      FASCOUNT</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_1_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_2_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_2_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed__editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_3_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_3_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;4</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_4_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_4_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;5</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_5_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_5_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;6</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_6_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_6_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;7</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_7_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_7_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">PARTEC CYFLOW      
                                         
      REAGENTS</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_8_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_9_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_9_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_9_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_9_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_9_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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;4</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_11_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_11_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_11_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_11_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_11_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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;5</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_12_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_12_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;6</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_13_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_13_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_13_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_13_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_13_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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">&nbsp;7</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_14_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_14_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_14_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_14_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_14_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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">&nbsp;8</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_15_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_15_editcontrol}</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">POINT OF CARE CD4  
                             DEVICE (PIMA)</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_16_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_16_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_17_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_17_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_18_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_18_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;4</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_19_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_19_editcontrol}</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">EQUIPMENT DOWNTIME 
                              WITHIN THE REPORTING PERIOD</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"><FONT size="3">No. of Days</FONT></TD>
    <TD rowSpan="4" colSpan="1"></TD>
    <TD rowSpan="4" colSpan="5"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_20_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_20_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_21_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_21_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_22_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_22_editcontrol}</TD>
</TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE class="fieldGrid">
  <TBODY></TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}>&gt;&gt;&gt;</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}>Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}>Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}>Back  to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}>Close 
  window</A>{END close_button}</DIV></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"><!--%%bottom%%--></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-03-02 15:02:29
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 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-edit" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_all}
<DIV class="rnr-c rnr-cv rnr-c-all">
<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
{BEGIN container_edit}
<DIV class="rnr-c rnr-cv rnr-c-edit">
{BEGIN editheader}<DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><SPAN>	
<H1>
{$pagetitlelabel rtkcrrifs edit}</H1>
</SPAN></DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
{BEGIN container_fields}
<DIV class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
  <P align="center"><FONT size="4"></FONT></P>
  <TBODY>
  <P align="center"><FONT size="4"></FONT></P>
  <TR>
    <P align="center"><FONT size="4"></FONT></P>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - 
      Lab Reagents/Accessories</FONT></FONT></P></TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 621px;" border="5" rules="all" cellSpacing="1" cellPadding="1" 
width="75%">
  <TBODY>
  <TR>
    <TD rowSpan="1" colSpan="1">SiteName</TD>
    <TD rowSpan="1" colSpan="3">
      {$SiteName_editcontrol}&nbsp;&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">Facility Code</TD>
    <TD rowSpan="1" colSpan="1">
      {$formid_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">Fundind Source</TD>
    <TD rowSpan="1" colSpan="1">
      {$Funding_Source_editcontrol}</TD>
    <TD rowSpan="3" colSpan="1"><IMG style="width: 150px; height: 79px;" border="0" src="images/coat.jpg" width="243" height="206">&nbsp;&nbsp;&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="3" colSpan="1">
      <P><FONT size="4">Data Entry Consultant Name</FONT></P>
      <P>&nbsp;</P><FONT size="3">
      {$ValidateEntry_editcontrol}</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">State</TD>
    <TD rowSpan="1" colSpan="1">
      {$State_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;Service Type</TD>
    <TD rowSpan="1" colSpan="1">
      {$Service_Type_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">Phase</TD>
    <TD rowSpan="1" colSpan="1">
      {$Phase_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;IPName</TD>
    <TD rowSpan="1" colSpan="1">
      {$IPName_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD></TR></TBODY></TABLE></DIV>

<DIV 
class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">&nbsp;</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;S<FONT size="2">/No</FONT></TD><FONT size="2">
    </FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">&nbsp;Item           
      Description</FONT></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">&nbsp;Reporting         
      Unit</FONT></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">&nbsp;Beginning Balance</FONT></P>
      <P><FONT size="2">(in Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">&nbsp;Qty Received</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">Qty Used&nbsp;</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">Positive-Adjust&nbsp;</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">Negative-Adjust&nbsp;</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2"></FONT>
      <P><FONT size="2">Physical Count </FONT></P><FONT size="2"></FONT>
      <P><FONT size="2">(at&nbsp;end of Reporting         
      Period)&nbsp;</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">Remarks</FONT>&nbsp;</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;HIV   
                                  RTKS</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 100</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_1_editcontrol}</TD></TR>
  <TR style="height: 23px;">
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_2_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed__editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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 rowSpan="1" colSpan="1">
      {$Drug_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 25</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_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 rowSpan="1" colSpan="1">
      {$Drug_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_5_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;6</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;&nbsp;18</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_6_editcontrol}</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10">&nbsp;&nbsp;&nbsp;<FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; DBS TEST OLLECTION           
                          KITS</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_8_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;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 50</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_8_editcontrol}</TD></TR></TBODY></TABLE></DIV>
<DIV 
class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">&nbsp;</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 1211px;" border="5" rules="all" cellSpacing="1" 
cellPadding="1" width="75%"><FONT color="#ffffff" size="3"></FONT>
  <TBODY><FONT color="#ffffff" size="3"></FONT>
  <TR><FONT color="#ffffff" size="3"></FONT>
    <TD style="width: 1201px; white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="9"><FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;BIMONTHLY 
                                    TEST SUMMARY OF HIV TESTING &amp; EARLY 
      INFANT       DIAGNOSIS                     (EID)</FONT></TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">&nbsp;<FONT 
      size="2">Description</FONT></TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;HTC</FONT></TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;PMTCT</FONT></TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;CLINICAL                 DIAGNOSIS</FONT></TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;QUALITY CONTROL</FONT></TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;TRAINING</FONT></TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;RECRUIT/OUTREACH                   SCREENING</FONT></TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;TOTAL</FONT></TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_9_editcontrol}</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_9_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_9_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_9_editcontrol}&nbsp;</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_9_editcontrol}&nbsp;</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_9_editcontrol}&nbsp;</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_9_editcontrol}&nbsp;</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_9_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_10_editcontrol}</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_10_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_11_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_10_editcontrol}</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_10_editcontrol}</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_10_editcontrol}</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_10_editcontrol}</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_10_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_11_editcontrol}&nbsp;</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_11_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_11_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_11_editcontrol}</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_11_editcontrol}</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_11_editcontrol}</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_11_editcontrol}</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_11_editcontrol}</TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE class="fieldGrid">
  <TBODY></TBODY>
  <TBODY>
  {BEGIN ValidateEntry_fieldblock}<TR class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
    <TD class="rnr-label">{BEGIN ValidateEntry_label}{END ValidateEntry_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>{END ValidateEntry_fieldblock}</TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}>&gt;&gt;&gt;</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}>Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}>Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}>Back to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}>Close 
 window</A>{END close_button}</DIV></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-03-02 15:03:30
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 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-edit" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_all}
<DIV class="rnr-c rnr-cv rnr-c-all">
<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
{BEGIN container_edit}
<DIV class="rnr-c rnr-cv rnr-c-edit">
{BEGIN editheader}<DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><SPAN>	
<H1>
{$pagetitlelabel rtkcrrifs edit}</H1>
</SPAN></DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
{BEGIN container_fields}
<DIV class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 1186px;" border="5" rules="all" cellSpacing="5" 
cellPadding="5" width="75%">
  <P align="center"><FONT size="4"></FONT></P>
  <TBODY>
  <P align="center"><FONT size="4"></FONT></P>
  <TR>
    <P align="center"><FONT size="4"></FONT></P>
    <TD style="width: 1186px; white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) -   
          Lab Reagents/Accessories</FONT></FONT></P>
      <P align="center"><FONT 
      color="#ffffff" size="5">HIV Rapid Test Kit (RTKs) &amp; Dried Blood Spot 
      (DBS) 
  Kit</FONT></P></TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 621px;" border="5" rules="all" cellSpacing="1" cellPadding="1" 
width="75%">
  <TBODY>
  <TR>
    <TD rowSpan="1" colSpan="1">SiteName</TD>
    <TD rowSpan="1" colSpan="3">
      {$SiteName_editcontrol}&nbsp;&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">Facility Code</TD>
    <TD rowSpan="1" colSpan="1">
      {$formid_editcontrol}&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">Fundind Source</TD>
    <TD rowSpan="1" colSpan="1">
      {$Funding_Source_editcontrol}</TD>
    <TD rowSpan="3" colSpan="1"><IMG style="width: 150px; height: 79px;" border="0" src="images/coat.jpg" width="243" height="206">&nbsp;&nbsp;&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="3" colSpan="1">
      <P><FONT size="4">Data Entry Consultant Name</FONT></P>
      <P>&nbsp;</P><FONT size="3">
      {$ValidateEntry_editcontrol}</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">State</TD>
    <TD rowSpan="1" colSpan="1">
      {$State_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;Service Type</TD>
    <TD rowSpan="1" colSpan="1">
      {$Service_Type_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">Phase</TD>
    <TD rowSpan="1" colSpan="1">
      {$Phase_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;IPName</TD>
    <TD rowSpan="1" colSpan="1">
      {$IPName_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD></TR></TBODY></TABLE></DIV>
<DIV 
class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">&nbsp;</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;S<FONT size="2">/No</FONT></TD><FONT size="2">
    </FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">&nbsp;Item                 
      Description</FONT></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">&nbsp;Reporting               
      Unit</FONT></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">&nbsp;Beginning Balance</FONT></P>
      <P><FONT size="2">(in Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">&nbsp;Qty Received</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">Qty Used&nbsp;</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">Positive-Adjust&nbsp;</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="2">Negative-Adjust&nbsp;</FONT></P>
      <P><FONT size="2">(In Reporting Unit)</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2"></FONT>
      <P><FONT size="2">Physical Count </FONT></P><FONT size="2"></FONT>
      <P><FONT size="2">(at&nbsp;end of Reporting               
      Period)&nbsp;</FONT></P></TD><FONT size="2"></FONT>
    <TD rowSpan="1" colSpan="1"><FONT size="2">Remarks</FONT>&nbsp;</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;HIV   
                                        RTKS</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 100</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_1_editcontrol}</TD></TR>
  <TR style="height: 23px;">
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_2_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_2_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed__editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_3_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_3_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;4</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 25</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_4_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_4_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;5</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_5_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_5_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;6</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;&nbsp;18</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_6_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_6_editcontrol}</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10">&nbsp;&nbsp;&nbsp;<FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; DBS TEST OLLECTION           
                                KITS</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 20</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_7_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_7_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1">
      {$Drug_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp; 50</TD>
    <TD rowSpan="1" colSpan="1">
      {$BeginningBal_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtyReceived_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Qty_Dispensed_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Positive_Adjst_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Negative_Adjst_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$QtySOH_8_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$Remark_8_editcontrol}</TD></TR></TBODY></TABLE></DIV>
<DIV 
class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">&nbsp;</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 1211px;" border="5" rules="all" cellSpacing="1" 
cellPadding="1" width="75%"><FONT color="#ffffff" size="3"></FONT>
  <TBODY><FONT color="#ffffff" size="3"></FONT>
  <TR><FONT color="#ffffff" size="3"></FONT>
    <TD style="width: 1201px; white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="9"><FONT color="#ffffff" 
      size="3">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;BIMONTHLY 
                                          TEST SUMMARY OF HIV TESTING &amp; 
      EARLY       INFANT       DIAGNOSIS                     (EID)</FONT></TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">&nbsp;<FONT 
      size="2">Description</FONT></TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;HTC</FONT></TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;PMTCT</FONT></TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;CLINICAL                 DIAGNOSIS</FONT></TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;QUALITY CONTROL</FONT></TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;TRAINING</FONT></TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;RECRUIT/OUTREACH                   SCREENING</FONT></TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;TOTAL</FONT></TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_9_editcontrol}</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_9_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_9_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_9_editcontrol}&nbsp;</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_9_editcontrol}&nbsp;</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_9_editcontrol}&nbsp;</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_9_editcontrol}&nbsp;</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_9_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_10_editcontrol}</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_10_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_11_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_10_editcontrol}</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_10_editcontrol}</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_10_editcontrol}</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_10_editcontrol}</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_10_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 12px;" rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Drug_11_editcontrol}&nbsp;</TD>
    <TD style="width: 120px;" rowSpan="1" colSpan="1">
      {$HTC_11_editcontrol}</TD>
    <TD style="width: 130px;" rowSpan="1" colSpan="1">
      {$PMTCT_11_editcontrol}</TD>
    <TD style="width: 138px;" rowSpan="1" colSpan="1">
      {$DIAGNOSIS_11_editcontrol}</TD>
    <TD style="width: 143px;" rowSpan="1" colSpan="1">
      {$Quality_control_11_editcontrol}</TD>
    <TD style="width: 113px;" rowSpan="1" colSpan="1">
      {$training_11_editcontrol}</TD>
    <TD style="width: 227px;" rowSpan="1" colSpan="1">
      {$outreach_11_editcontrol}</TD>
    <TD style="width: 103px;" rowSpan="1" colSpan="1">
      {$total_11_editcontrol}</TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE class="fieldGrid">
  <TBODY></TBODY>
  <TBODY>
  {BEGIN ValidateEntry_fieldblock}<TR class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
    <TD class="rnr-label">{BEGIN ValidateEntry_label}{END ValidateEntry_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>{END ValidateEntry_fieldblock}</TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}>&gt;&gt;&gt;</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}>Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}>Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}>Back to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}>Close 
 window</A>{END close_button}</DIV></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-03-02 15:04:35
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV  
contentEditable=false id class='simple-xt-tag' style='background-image: ;  
display: inline-block;' ruleindex="128">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-edit" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_all}
<DIV class="rnr-c rnr-cv rnr-c-all">
<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
{BEGIN container_edit}
<DIV class="rnr-c rnr-cv rnr-c-edit">
{BEGIN editheader}<DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><SPAN>
<H1>
{$pagetitlelabel viral_load edit}</H1>
</SPAN></DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
{BEGIN container_fields}
<DIV class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 1186px;" border="5" rules="all" cellSpacing="5" 
cellPadding="5" width="75%">
  <P align="center"><FONT size="4"></FONT></P>
  <TBODY>
  <P align="center"><FONT size="4"></FONT></P>
  <TR>
    <P align="center"><FONT size="4"></FONT></P>
    <TD style="width: 1186px; white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - 
      Lab Reagents/Accessories</FONT></FONT></P>
      <P align="center"><FONT 
      color="#ffffff" size="5">POLYMERASE CHAIN REACTION 
      (PCR)</FONT></P></TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 358px;" border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD style="width: 148px;" rowSpan="1" colSpan="1"> SiteName</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="3">
      {$SiteName_editcontrol} &nbsp;&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1"> &nbsp;</TD></TR>
  <TR>
    <TD style="width: 148px;" rowSpan="1" colSpan="1"> Facility Code</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1">
      {$formid_editcontrol} &nbsp;</TD>
    <TD style="width: 180px;" rowSpan="1" colSpan="1"> Funding Source</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1">
      {$Funding_Source_editcontrol}  
    &nbsp;</TD>
    <TD class=" runner-cc" rowSpan="3" colSpan="1"><IMG style="width: 90px; height: 70px;" border="0" alt="coat of arm" src="images/coat.jpg" width="141" height="114"></TD>
    <TD style="width: 10px;" rowSpan="3" colSpan="1">
      <P> Data Entry Consultant Name</P>
      {$ValidateEntry_editcontrol}
      <P> &nbsp;&nbsp;&nbsp;</P></TD></TR>
  <TR>
    <TD style="width: 148px;" rowSpan="1" colSpan="1"> State</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1">
      {$State_editcontrol} &nbsp;</TD>
    <TD style="width: 180px;" rowSpan="1" colSpan="1"> Service Type</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1">
      {$Service_Type_editcontrol} &nbsp;
    </TD></TR>
  <TR>
    <TD style="width: 148px;" rowSpan="1" colSpan="1"> Phase</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1">
      {$Phase_editcontrol} &nbsp;</TD>
    <TD style="width: 180px;" rowSpan="1" colSpan="1"> IPName</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1">
      {$IPName_editcontrol} &nbsp;</TD></TR>
  <TR>
    <TD style="width: 148px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 180px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1">
      <P> &nbsp;</P></TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 1435px;" border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD style="width: 36px;" rowSpan="1" colSpan="1"> &nbsp;S/No</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1"> &nbsp;Item Description
    </TD>
    <TD style="width: 92px;" rowSpan="1" colSpan="1"> &nbsp;Reporting Unit</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      <P> &nbsp;Beginning Balance</P>
      <P> (for the reporting period)</P></TD>
    <TD style="width: 142px;" rowSpan="1" colSpan="1">
      <P> &nbsp;Qty Received</P>
      <P> (In the reporting period)</P></TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      <P> Qty Used</P>
      <P> (in the reporting period)&nbsp;</P></TD>
    <TD style="width: 137px;" rowSpan="1" colSpan="1"> Positive_Adjust&nbsp;
    </TD>
    <TD style="width: 144px;" rowSpan="1" colSpan="1"> Negative_Adjust&nbsp;
    </TD>
    <TD style="width: 157px;" rowSpan="1" colSpan="1">
      <P> Physical Count</P>
      <P> (at&nbsp;end of reporting period)&nbsp;</P></TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1"> Remarks&nbsp;</TD></TR>
  <TR>
    <TD style="width: 1433px; white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" size="4">PCR MACHINE        
           
      (ROCHE)</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
    </TD></TR>
  <TR>
    <TD style="width: 36px;" rowSpan="1" colSpan="1"> &nbsp;1</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Drug_1_editcontrol}</TD>
    <TD style="width: 92px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$BeginningBal_1_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 142px;" rowSpan="1" colSpan="1">
      {$QtyReceived_1_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$Qty_Dispensed_1_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 137px;" rowSpan="1" colSpan="1">
      {$Positive_Adjst_1_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 144px;" rowSpan="1" colSpan="1">
      {$Negative_Adjst_1_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 157px;" rowSpan="1" colSpan="1">
      {$QtySOH_1_editcontrol} &nbsp;</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Remark_1_editcontrol} &nbsp;</TD></TR>
  <TR>
    <TD style="width: 36px;" rowSpan="1" colSpan="1"> &nbsp;2</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Drug_2_editcontrol} &nbsp;</TD>
    <TD style="width: 92px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$BeginningBal_2_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 142px;" rowSpan="1" colSpan="1">
      {$QtyReceived_2_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$Qty_Dispensed_2_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 137px;" rowSpan="1" colSpan="1">
      {$Positive_Adjst_2_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 144px;" rowSpan="1" colSpan="1">
      {$Negative_Adjst_2_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 157px;" rowSpan="1" colSpan="1">
      {$QtySOH_2_editcontrol} &nbsp;</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Remark_2_editcontrol} &nbsp;</TD></TR>
  <TR>
    <TD style="width: 36px;" rowSpan="1" colSpan="1"> &nbsp;3</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Drug_3_editcontrol} &nbsp;</TD>
    <TD style="width: 92px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$BeginningBal_3_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 142px;" rowSpan="1" colSpan="1">
      {$QtyReceived_3_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$Qty_Dispensed__editcontrol}  
    &nbsp;</TD>
    <TD style="width: 137px;" rowSpan="1" colSpan="1">
      {$Positive_Adjst_3_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 144px;" rowSpan="1" colSpan="1">
      {$Negative_Adjst_3_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 157px;" rowSpan="1" colSpan="1">
      {$QtySOH_3_editcontrol} &nbsp;</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Remark_3_editcontrol} &nbsp;</TD></TR>
  <TR>
    <TD style="width: 36px;" rowSpan="1" colSpan="1"> &nbsp;4</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Drug_4_editcontrol} &nbsp;</TD>
    <TD style="width: 92px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$BeginningBal_4_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 142px;" rowSpan="1" colSpan="1">
      {$QtyReceived_4_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$Qty_Dispensed_4_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 137px;" rowSpan="1" colSpan="1">
      {$Positive_Adjst_4_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 144px;" rowSpan="1" colSpan="1">
      {$Negative_Adjst_4_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 157px;" rowSpan="1" colSpan="1">
      {$QtySOH_4_editcontrol} &nbsp;</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Remark_4_editcontrol} &nbsp;</TD></TR>
  <TR>
    <TD style="width: 36px;" rowSpan="1" colSpan="1"> &nbsp;5</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Drug_5_editcontrol} &nbsp;</TD>
    <TD style="width: 92px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$BeginningBal_5_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 142px;" rowSpan="1" colSpan="1">
      {$QtyReceived_5_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$Qty_Dispensed_5_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 137px;" rowSpan="1" colSpan="1">
      {$Positive_Adjst_5_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 144px;" rowSpan="1" colSpan="1">
      {$Negative_Adjst_5_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 157px;" rowSpan="1" colSpan="1">
      {$QtySOH_5_editcontrol} &nbsp;</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Remark_5_editcontrol} &nbsp;</TD></TR>
  <TR>
    <TD style="width: 36px;" rowSpan="1" colSpan="1"> &nbsp;6</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Drug_6_editcontrol} &nbsp;</TD>
    <TD style="width: 92px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$BeginningBal_6_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 142px;" rowSpan="1" colSpan="1">
      {$QtyReceived_6_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$Qty_Dispensed_6_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 137px;" rowSpan="1" colSpan="1">
      {$Positive_Adjst_6_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 144px;" rowSpan="1" colSpan="1">
      {$Negative_Adjst_6_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 157px;" rowSpan="1" colSpan="1">
      {$QtySOH_6_editcontrol} &nbsp;</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Remark_6_editcontrol} &nbsp;</TD></TR>
  <TR>
    <TD style="width: 36px;" rowSpan="1" colSpan="1"> &nbsp;7</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Drug_7_editcontrol} &nbsp;</TD>
    <TD style="width: 92px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$BeginningBal_7_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 142px;" rowSpan="1" colSpan="1">
      {$QtyReceived_7_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$Qty_Dispensed_7_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 137px;" rowSpan="1" colSpan="1">
      {$Positive_Adjst_7_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 144px;" rowSpan="1" colSpan="1">
      {$Negative_Adjst_7_editcontrol} 
        &nbsp;</TD>
    <TD style="width: 157px;" rowSpan="1" colSpan="1">
      {$QtySOH_7_editcontrol} &nbsp;</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Remark_7_editcontrol} &nbsp;</TD></TR>
  <TR>
    <TD style="width: 36px;" rowSpan="1" colSpan="1"> &nbsp;8</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Drug_8_editcontrol} &nbsp;</TD>
    <TD style="width: 92px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$BeginningBal_8_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 142px;" rowSpan="1" colSpan="1">
      {$QtyReceived_8_editcontrol}  
    &nbsp;</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$Qty_Dispensed_8_editcontrol}  
       &nbsp;</TD>
    <TD style="width: 137px;" rowSpan="1" colSpan="1">
      {$Positive_Adjst_8_editcontrol} &nbsp;</TD>
    <TD style="width: 144px;" rowSpan="1" colSpan="1">
      {$Negative_Adjst_8_editcontrol} &nbsp;</TD>
    <TD style="width: 157px;" rowSpan="1" colSpan="1">
      {$QtySOH_8_editcontrol} &nbsp;</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Remark_8_editcontrol} &nbsp;</TD></TR>
  <TR>
    <TD style="width: 36px;" rowSpan="1" colSpan="1"> &nbsp;9</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Drug_9_editcontrol}</TD>
    <TD style="width: 92px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$BeginningBal_9_editcontrol}</TD>
    <TD style="width: 142px;" rowSpan="1" colSpan="1">
      {$QtyReceived_9_editcontrol}</TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1">
      {$Qty_Dispensed_9_editcontrol}
    </TD>
    <TD style="width: 137px;" rowSpan="1" colSpan="1">
      {$Positive_Adjst_9_editcontrol}</TD>
    <TD style="width: 144px;" rowSpan="1" colSpan="1">
      {$Negative_Adjst_9_editcontrol}</TD>
    <TD style="width: 157px;" rowSpan="1" colSpan="1">
      {$QtySOH_9_editcontrol}</TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$Remark_9_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 36px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 92px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 142px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 147px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 137px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 144px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 157px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1"></TD></TR></TBODY></TABLE>
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 979px;" border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD style="width: 568px; white-space: nowrap; background-image: none; background-color: rgb(40, 40, 40);" 
    rowSpan="1" colSpan="3"> &nbsp;&nbsp;<FONT size="2"><FONT 
      color="#ffffff">BIMONTHLY TEST SUMMARY OF EARLY INFANT DIAGNOSIS (EID) and 
                  VIRAL LOAD</FONT>&nbsp;&nbsp;</FONT></TD>
    <TD style="width: 415px;" rowSpan="1" colSpan="3"><FONT 
      size="2">&nbsp;&nbsp;EXPIRY DETAILS: EXPIRED AND SHORT DATED ITEMS</FONT>
    </TD></TR>
  <TR>
    <TD style="width: 311px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 119px;" rowSpan="1" colSpan="1"> &nbsp;MONTH 1</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1"> &nbsp;MONTH2</TD>
    <TD style="width: 415px;" rowSpan="1" colSpan="3"> Please provide          
         details(expiry dates, lot numbers &amp; quantities) of any<BR>commodity 
                  that will expire within two(2) months</TD></TR>
  <TR>
    <TD style="width: 311px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 119px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1">  &nbsp;<FONT color="#0000ff" 
      size="2">Description</FONT></TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1"><FONT color="#0000ff" 
      size="2">&nbsp;Expiry Date</FONT></TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1"><FONT color="#0000ff" 
      size="2">&nbsp;Quantity</FONT></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">
      {$Drug_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$month1_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$month2_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$desc_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$expiryDate_10_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$expiryQty_10_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 311px;" rowSpan="1" colSpan="1">
      {$Drug_11_editcontrol} &nbsp;</TD>
    <TD style="width: 119px;" rowSpan="1" colSpan="1">
      {$month1_11_editcontrol} &nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1">
      {$month2_11_editcontrol} &nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1">
      {$desc_11_editcontrol}</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1">
      {$expiryDate_11_editcontrol}</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1">
      {$expiryQty_11_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 311px;" rowSpan="1" colSpan="1">
      {$Drug_12_editcontrol}</TD>
    <TD style="width: 119px;" rowSpan="1" colSpan="2">
      {$Downtime_12_editcontrol}&nbsp;&nbsp;&nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1"> &nbsp;</TD></TR></TBODY>
</TABLE>
<TABLE class="fieldGrid">
  <TBODY></TBODY>
  <TBODY>
  {BEGIN Downtime_12_fieldblock}<TR class="{$fielddispclass_Downtime_12}" data-fieldname="Downtime_12">
    <TD class="rnr-label">{BEGIN Downtime_12_label}{END Downtime_12_label}</TD>
    <TD class="rnr-control style3">&nbsp;&nbsp;</TD></TR>{END Downtime_12_fieldblock}</TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>
&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}> &gt;&gt;&gt;
</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}> Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}>
Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}> Back to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}>
Close  window</A>{END close_button}</DIV></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}
</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-03-04 15:09:10
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}>
  <HEAD>
    <META content="IE=Edge" http-equiv="X-UA-Compatible">
    <TITLE>
      < DIV contentEditable=false id class='simple-xt-tag' style='background-image: ; display: inline-block;' ruleindex="272">pagetitle</DIV>
    </TITLE>
    <META content="text/html; charset=utf-8" http-equiv="Content-Type">
    <LINK rel="stylesheet" type="text/css" href="styles/default.css">
    {BEGIN rtlCSS}
      <LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">
    {END rtlCSS}
    {BEGIN styleCSSFiles}
      <LINK rel="stylesheet" type="text/css" href="{$stylepath}">
    {END styleCSSFiles}
    {BEGIN pageCSSFiles}
      <LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">
    {END pageCSSFiles}
    <META name="GENERATOR" content="MSHTML 9.00.8112.16609">
  </HEAD>
  <BODY class="{$stylename} function-edit" {$bodyattrs}>
    {BEGIN body}
      {$header}
      <DIV class="rnr-page">
        <DIV class="rnr-top {$blockclass_top}">
          {BEGIN container_all}
            <DIV class="rnr-c rnr-cv rnr-c-all">
              <DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
                {BEGIN container_edit}
                  <DIV class="rnr-c rnr-cv rnr-c-edit">
                    {BEGIN editheader}
                      <DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}">
                        <SPAN>
                          <H1>
                            {$pagetitlelabel arv_art edit}
                          </H1>
                        </SPAN>
                      </DIV>
                    {END editheader}
                    {BEGIN message_block}
                      <DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
                        <DIV class="rnr-message">
                          {$message}
                        </DIV>
                      </DIV>
                    {END message_block}
                    <DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
                      {BEGIN container_fields}
                        <DIV style="min-height: 1000px; min-width: 1396px;" class="rnr-c rnr-cv rnr-c-fields">
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                            <TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
                              <P align="center">
                                <FONT size="4"></FONT>
                              </P>
                              <TBODY>
                                <P align="center">
                                  <FONT size="4"></FONT>
                                </P>
                                <TR>
                                  <P align="center">
                                    <FONT size="4"></FONT>
                                  </P>
                                  <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
                                    <P align="center">
                                      <FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - Antiretroviral and Cotrimoxazole</FONT></FONT>
                                    </P>
                                  </TD>
                                </TR>
                              </TBODY>
                            </TABLE>
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                            <TABLE style="width: auto;" class="fieldGrid">
                              <TBODY>
                                {BEGIN formid_fieldblock}
                                  <TR class="{$fielddispclass_formid}" data-fieldname="formid">
                                    <TD style="width: auto;" class="rnr-label">
                                      {BEGIN formid_label}
                                        <TABLE style="width: 390px;" border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                SiteName
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="3">
                                                {$SiteName_editcontrol}
                                                &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="5" colSpan="1">
                                                <IMG style="width: 118px; height: 73px;" border="0" alt="coat of arms" src="images/coat.jpg" width="241" height="207">
                                                &nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                              <TD class=" runner-cc" rowSpan="5" colSpan="2">
                                                &nbsp;&nbsp;&nbsp;<FONT size="4">Data Consultant Name</FONT><FONT size="3">{$ValidateEntry_editcontrol}</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Facility&nbsp;Code
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$formid_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;Funding&nbsp;Source
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$Funding_Source_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;State
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$State_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;Service&nbsp;Type
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$Service_Type_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Phase
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$Phase_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;IPName
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$IPName_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END formid_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                    </TD>
                                  </TR>
                                {END formid_fieldblock}
                                {BEGIN SiteName_fieldblock}
                                  <TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
                                    <TD style="width: auto;" class="rnr-label">
                                      {BEGIN SiteName_label}
                                        <TABLE style="width: 1367px;" border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;S/No
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                &nbsp;Drugs
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Basic&nbsp;Unit
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  &nbsp;Beginning&nbsp;Balance<BR>for&nbsp;Reporting&nbsp;Period
                                                </P>
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                &nbsp;Quantity&nbsp;Received<BR>during&nbsp;Reporting&nbsp;Period
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  Quantity&nbsp;Dispensed
                                                </P>
                                                <P>
                                                  During&nbsp;Reporting&nbsp;Period&nbsp;
                                                </P>
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                &nbsp;Positive&nbsp;Adjust.
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                Negative&nbsp;Adjust.&nbsp;
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  &nbsp;Ending&nbsp;Balance
                                                </P>
                                                <P>
                                                  (Physical&nbsp;Count)
                                                </P>
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                Remarks&nbsp;
                                              </TD>
                                            </TR>
                                            <TR style="height: 22px;">
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">FIXED DOSE COMBINATION ADULT FIRST LINE</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;1
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_1_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_1_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_1_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_1_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_1_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_1_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_1_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_1_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;2
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_2_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_2_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_2_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_2_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_2_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_2_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_2_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_2_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR style="height: 26px;">
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;3
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_3_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_3_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                <FONT face="Arial Black">{$QtyReceived_3_editcontrol}</FONT>
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed__editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_3_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_3_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_3_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_3_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;4
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_4_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_4_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_4_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_4_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_4_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_4_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_4_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_4_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;5
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_5_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_5_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_5_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_5_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_5_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_5_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_5_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_5_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">SINGLE DOSE ADULT FIRST LINE</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;6
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_6_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_6_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_6_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_6_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_6_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_6_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_6_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_6_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;7
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_7_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_7_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_7_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_7_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_7_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_7_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_7_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_7_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;8
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_8_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_8_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_8_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_8_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_8_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_8_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_8_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_8_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">ADULT SECOND LINE DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;9
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_9_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_9_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_9_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_9_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_9_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_9_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_9_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_9_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;10
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_10_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_10_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_10_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_10_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_10_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_10_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_10_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_10_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC FIXED DOSE COMBINATION</FONT>
                                              </TD>
                                            </TR>
                                            <TR style="height: 24px;">
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;11
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_11_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_11_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_11_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_11_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_11_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_11_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_11_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_11_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;12
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_12_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_12_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_12_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_12_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_12_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_12_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_12_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_12_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;13
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_13_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_13_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_13_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_13_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_13_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_13_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_13_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_13_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;14
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_14_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_14_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_14_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_14_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_14_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_14_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_14_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_14_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC SINGLE DOSE</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;15
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_15_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_15_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_15_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_15_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_15_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_15_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_15_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_15_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;16
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_16_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_16_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_16_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_16_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_16_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_16_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_16_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_16_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;17
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_17_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_17_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_17_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_17_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_17_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_17_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_17_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_17_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;18
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_18_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_18_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_18_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_18_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_18_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_18_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_18_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_18_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;19
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_19_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_19_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_19_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_19_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_19_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_19_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_19_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_19_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC SECOND LINE DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;20
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_20_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_20_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_20_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_20_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_20_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_20_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_20_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_20_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;21
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_21_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_21_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_21_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_21_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_21_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_21_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_21_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_21_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" 
            size="3">OPPORTUNISTICS INFECTIOUS DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;22
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_22_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_22_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_22_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_22_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_22_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_22_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_22_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_22_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;23
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_23_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_23_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_23_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_23_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_23_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_23_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_23_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;24
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_24_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_24_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_24_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_24_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_24_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_24_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;25
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_25_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_25_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_25_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_25_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_25_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_25_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_25_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_25_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;26
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_26_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_26_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_26_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_26_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_26_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_26_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_26_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_26_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;27
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_27_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_27_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_27_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_27_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_27_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_27_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_27_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_27_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;28
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_28_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_28_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_28_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_28_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_28_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_28_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_28_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_28_editcontrol}
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END SiteName_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                    </TD>
                                  </TR>
                                {END SiteName_fieldblock}
                                <TR style="height: 32px;" class="{$fielddispclass_State}" data-fieldname="State">
                                  <TD class="rnr-label">
                                  </TD>
                                  <TD class="rnr-control style3">
                                    &nbsp;
                                  </TD>
                                </TR>
                              </TBODY>
                              <TBODY>
                                {BEGIN ValidateEntry_fieldblock}
                                  <TR class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
                                    <TD class="rnr-label">
                                      {BEGIN ValidateEntry_label}
                                      {END ValidateEntry_label}
                                    </TD>
                                    <TD class="rnr-control style3">
                                      &nbsp;
                                    </TD>
                                  </TR>
                                {END ValidateEntry_fieldblock}
                              </TBODY>
                            </TABLE>
                          </DIV>
                          <DIV 
class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                            &nbsp;
                          </DIV>
                          {BEGIN editbuttons}
                            <DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
                              <DIV class="rnr-buttons-right">
                                {BEGIN prev_button}
                                  <A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>
                                    <<<
                                  </A>
                                {END prev_button}
                                {BEGIN next_button}
                                  <A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}>
                                    >>>
                                  </A>
                                {END next_button}
                              </DIV>
                              <DIV class="rnr-buttons-left">
                                {BEGIN save_button}
                                  <A class="rnr-button main" href="#" {$savebutton_attrs}>
                                    Save
                                  </A>
                                {END save_button}
                                {BEGIN reset_button}
                                  <A class="rnr-button" href="#" {$resetbutton_attrs}>
                                    Reset
                                  </A>
                                {END reset_button}
                                {BEGIN back_button}
                                  <A class="rnr-button" href="#" {$backbutton_attrs}>
                                    Back to list
                                  </A>
                                {END back_button}
                                {BEGIN close_button}
                                  <A class="rnr-button" href="#" {$closebutton_attrs}>
                                    Close window
                                  </A>
                                {END close_button}
                              </DIV>
                              <P>
                              </P>
                            </DIV>
                          {END editbuttons}
                        </DIV>
                      {END container_fields}
                    </DIV>
                  </DIV>
                {END container_edit}
              </DIV>
            </DIV>
          {END container_all}
        </DIV>
        <DIV class="rnr-middle">
          <DIV class="rnr-left {$blockclass_left}">
          </DIV>
          <DIV class="rnr-center {$blockclass_center}">
          </DIV>
          <DIV class="rnr-right {$blockclass_right}">
          </DIV>
        </DIV>
        <DIV class="rnr-bottom {$blockclass_bottom}">
        </DIV>
        {$footer}
      </DIV>
    {END body}
  </BODY>
</HTML>


ACTIONTIME: 2015-03-04 15:14:58
SOURCE:
<!doctype html>
<html  {$html_attrs}>
	<head>
		<meta http-equiv="X-UA-Compatible" content="IE=Edge">
		<title>< DIV  
 contentEditable=false id class='simple-xt-tag' style='background-image: ;  
 display: inline-block;' ruleindex="272">pagetitle</DIV></title>

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

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


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

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

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


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



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

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


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


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


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

</div>


</div>
{END container_edit}

</div>



</div>
{END container_all}


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


ACTIONTIME: 2015-03-04 15:15:08
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="{$stylename} function-list" {$bodyattrs}>
	{BEGIN body}{$header}
	<div class="rnr-page">
		<div class="rnr-top {$blockclass_top}">
			

{BEGIN container_master}<div class="rnr-c rnr-ch rnr-c-master">

{BEGIN mastertable_block}<div  class="style1 rnr-bl rnr-b-masterinfo {$brickclass_masterinfo}">{$showmasterfile}
<a class="runner-link" {$backtomasterlink_attrs}>
	<b>Back to {$backtomasterlink_caption}</b>
</a></div>
{END mastertable_block}

<div class="rnr-hfiller"></div>
</div>
{END container_master}



{BEGIN container_toplinks}<div class="rnr-c rnr-ch rnr-c-toplinks">
<div class="rnr-hfiller"></div>

{BEGIN asearch_link}<div  class="style1 rnr-br rnr-b-toplinks_advsearch {$brickclass_toplinks_advsearch}">	<a href="arv_pmtct_1_search.php" class="rnr-button" {$advsearchlink_attrs}>Advanced search</a>
</div>
{END asearch_link}





</div>
{END container_toplinks}



{BEGIN container_search}<div class="rnr-c rnr-ch rnr-c-search">

{BEGIN searchform_block}<div  class="style1 rnr-bl rnr-b-search {$brickclass_search}">	<span>
		{BEGIN searchform_text}<input type="text" {$searchfor_attrs} size="25">
		{END searchform_text}
		{BEGIN searchform_search}<a href="#" class="rnr-button img" data-icon="search" {$searchbutton_attrs}></a>
		{END searchform_search}
		{BEGIN searchform_showall}<a href="#" class="rnr-button" {$showAllCont_attrs} {$showallbutton_attrs}>Show all</a>
		{END searchform_showall}
	</span>
</div>
{END searchform_block}


{BEGIN searchformbuttons_block}<div  class="style1 rnr-bl rnr-b-search_buttons {$brickclass_search_buttons}">{BEGIN searchPanelTopButtons}<span>
	<a href="#" class="rnr-button img" id="showSrchWin{$id}" data-icon="panelfloat" {$showHideSearchWin_attrs}></a>
	<a href="#" class="rnr-button img" id="showOptPanel{$id}" data-icon="paneldown" {$showHideSearchPanel_attrs}></a>
</span>
{END searchPanelTopButtons}
</div>
{END searchformbuttons_block}


{BEGIN searchsaving_block}<div  class="style1 rnr-bl rnr-b-search_saving_buttons {$brickclass_search_saving_buttons}"></div>
{END searchsaving_block}

<div class="rnr-hfiller"></div>
{BEGIN details_block}<div  class="style1 rnr-br rnr-b-details_found {$brickclass_details_found}">	<span {$details_attrs}>
			Details found: <b><span class="rnr-details_found_count">{$records_found}</span></b>
	</span>
</div>
{END details_block}


{BEGIN pages_block}<div  class="style1 rnr-br rnr-b-page_of {$brickclass_page_of}">	<span {$pages_attrs}>
		Page <b>{$page}</b> of <b>{$maxpages}</b>
	</span>

</div>
{END pages_block}


{BEGIN recordspp_block}<div  class="style1 rnr-br rnr-b-recsperpage {$brickclass_recsperpage}">	<span id="recordspp_block{$id}" name="recordspp_block{$id}">
			Records Per Page:&nbsp;{$recsPerPage}
	</span>	
</div>
{END recordspp_block}


</div>
{END container_search}


		</div>
		<div class="rnr-middle">
			<div class="rnr-left {$blockclass_left}">
				



{BEGIN container_logg}<div class="rnr-c rnr-cv rnr-c-logg">

{BEGIN security_block}<div  class="rnr-brickcontents style1 rnr-b-loggedas {$brickclass_loggedas}"><div id="login_block{$id}">
	{BEGIN loggedas_message}<span>Logged on as&nbsp;<b>{$username}</b><br><br>
	</span>
	{END loggedas_message}
	{BEGIN guestloginbutton}<span>
	<a href="#" class="rnr-button" {$guestloginlink_attrs}>Login</a>
	</span>
	{END guestloginbutton}
	{BEGIN logoutbutton}<a class="rnr-button" href="login.php?a=logout" {$logoutlink_attrs}>Log out</a>
	{END logoutbutton}

</div>
</div>{END security_block}


</div>
{END container_logg}



{BEGIN container_left}<div class="rnr-c rnr-cv rnr-c-left">

{BEGIN searchPanel}<div  class="rnr-brickcontents style1 rnr-b-searchpanel {$brickclass_searchpanel}"><div class="searchPanelContainer">
<div class="searchOptions bottomPanelBorder" {$srchOpt_attrs}>
	
	
	<div class="srchCritTop" style="display: none;">
		Criteria:&nbsp;
		<input type="radio" name="srchType{$id}" class="rnr-radio-button" {$all_checkbox}>&nbsp;{BEGIN all_checkbox_label}<span>all</span>{END all_checkbox_label}
		&nbsp;&nbsp;&nbsp;
		<input type="radio" name="srchType{$id}" class="rnr-radio-button" {$any_checkbox}>&nbsp;{BEGIN any_checkbox_label}<span>any</span>{END any_checkbox_label}
	</div>
	
	<div class="addOption">
		<span class="rnr-buttons-group">
			<a href="#" id="showHideControlChooseMenu{$id}" class="rnr-button" {$showHideCtrls_attrs}>Add field</a>
		</span>
		
		<a href="#" id="showHideSearchType{$id}" class="rnr-button" {$showHideCtrlsOpt_attrs}>{$showHideOpt_mess}</a>
	</div>
	

	<table class="controlsBlock {$controls_block_class}">
				{BEGIN searchCtrlBlock}<TBODY>
  <tr class="srchPanelRow" {$filterRow_attrs}>
			<td class="srchPanelCell">{$delCtrlButt}</td>	
			<td class="srchPanelCell">{$fLabel}:&nbsp;</td>
			<td class="srchPanelCell srchPanelCell2">
				<div class="rnr-searchtype">{$searchtype}</div>
				<div class="rnr-searchcontrol">{$searchcontrol}</div>
				<div class="rnr-searchcontrol">{$searchcontrol1}</div>
			</td>	
		</tr>
		</TBODY>{END searchCtrlBlock}
	</table>	


	
	<div class="bottomSearchButt" align="left" {$bottomSearchButt_attrs}>
		<a href="#" class="rnr-button" id="searchButton{$id}" {$searchbutton_attrs}>Search</a>
	</div>
</div>

</div></div>{END searchPanel}




</div>
{END container_left}


			</div>
			<div class="rnr-center {$blockclass_center}">
				



{BEGIN container_message}<div class="rnr-c rnr-ch rnr-c-message">

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


</div>
{END container_message}



{BEGIN container_grid}{BEGIN grid_block}<table class="rnr-c rnr-cont rnr-c-grid rnr-b-grid rnr-gridtable  hoverable " cellpadding="0" >
						<thead>
															{BEGIN grid_header}<tr class="rnr-toprow style1 {$gridHeader_class}" >
									{BEGIN record_header}{BEGIN listIcons_column}<TH rowSpan="1" colSpan="1" iEditCont="all">&nbsp;</th>
									{END listIcons_column}	

									
																																			{BEGIN formid_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$formid_class}" rowSpan="1" colSpan="1">{BEGIN formid_fieldheader}<span {$formid_orderlinkattrs}>
											{$label arv_pmtct_1 formid}
										</span>
									{END formid_fieldheader}
									</th>
									{END formid_fieldheadercolumn}

																	{BEGIN SiteName_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$SiteName_class}" rowSpan="1" colSpan="1">{BEGIN SiteName_fieldheader}<span {$SiteName_orderlinkattrs}>
											{$label arv_pmtct_1 SiteName}
										</span>
									{END SiteName_fieldheader}
									</th>
									{END SiteName_fieldheadercolumn}

																	{BEGIN State_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$State_class}" rowSpan="1" colSpan="1">{BEGIN State_fieldheader}<span {$State_orderlinkattrs}>
											{$label arv_pmtct_1 State}
										</span>
									{END State_fieldheader}
									</th>
									{END State_fieldheadercolumn}

																	{BEGIN Funding_Source_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$Funding_Source_class}" rowSpan="1" colSpan="1">{BEGIN Funding_Source_fieldheader}<span {$Funding_Source_orderlinkattrs}>
											{$label arv_pmtct_1 Funding_Source}
										</span>
									{END Funding_Source_fieldheader}
									</th>
									{END Funding_Source_fieldheadercolumn}

																	{BEGIN Service_Type_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$Service_Type_class}" rowSpan="1" colSpan="1">{BEGIN Service_Type_fieldheader}<span {$Service_Type_orderlinkattrs}>
											{$label arv_pmtct_1 Service_Type}
										</span>
									{END Service_Type_fieldheader}
									</th>
									{END Service_Type_fieldheadercolumn}

																	{BEGIN Phase_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$Phase_class}" rowSpan="1" colSpan="1">{BEGIN Phase_fieldheader}<span {$Phase_orderlinkattrs}>
											{$label arv_pmtct_1 Phase}
										</span>
									{END Phase_fieldheader}
									</th>
									{END Phase_fieldheadercolumn}

																	{BEGIN IPName_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$IPName_class}" rowSpan="1" colSpan="1">{BEGIN IPName_fieldheader}<span {$IPName_orderlinkattrs}>
											{$label arv_pmtct_1 IPName}
										</span>
									{END IPName_fieldheader}
									</th>
									{END IPName_fieldheadercolumn}

																	{BEGIN Drug_1_fieldheadercolumn}{END Drug_1_fieldheadercolumn}

																	{BEGIN BeginningBal_1_fieldheadercolumn}{END BeginningBal_1_fieldheadercolumn}

																	{BEGIN QtyReceived_1_fieldheadercolumn}{END QtyReceived_1_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_1_fieldheadercolumn}{END Qty_Dispensed_1_fieldheadercolumn}

																	{BEGIN Positive_Adjst_1_fieldheadercolumn}{END Positive_Adjst_1_fieldheadercolumn}

																	{BEGIN Negative_Adjst_1_fieldheadercolumn}{END Negative_Adjst_1_fieldheadercolumn}

																	{BEGIN QtySOH_1_fieldheadercolumn}{END QtySOH_1_fieldheadercolumn}

																	{BEGIN Remark_1_fieldheadercolumn}{END Remark_1_fieldheadercolumn}

																	{BEGIN Drug_2_fieldheadercolumn}{END Drug_2_fieldheadercolumn}

																	{BEGIN BeginningBal_2_fieldheadercolumn}{END BeginningBal_2_fieldheadercolumn}

																	{BEGIN QtyReceived_2_fieldheadercolumn}{END QtyReceived_2_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_2_fieldheadercolumn}{END Qty_Dispensed_2_fieldheadercolumn}

																	{BEGIN Positive_Adjst_2_fieldheadercolumn}{END Positive_Adjst_2_fieldheadercolumn}

																	{BEGIN Negative_Adjst_2_fieldheadercolumn}{END Negative_Adjst_2_fieldheadercolumn}

																	{BEGIN QtySOH_2_fieldheadercolumn}{END QtySOH_2_fieldheadercolumn}

																	{BEGIN Remark_2_fieldheadercolumn}{END Remark_2_fieldheadercolumn}

																	{BEGIN Drug_3_fieldheadercolumn}{END Drug_3_fieldheadercolumn}

																	{BEGIN BeginningBal_3_fieldheadercolumn}{END BeginningBal_3_fieldheadercolumn}

																	{BEGIN QtyReceived_3_fieldheadercolumn}{END QtyReceived_3_fieldheadercolumn}

																	{BEGIN Qty_Dispensed__fieldheadercolumn}{END Qty_Dispensed__fieldheadercolumn}

																	{BEGIN Positive_Adjst_3_fieldheadercolumn}{END Positive_Adjst_3_fieldheadercolumn}

																	{BEGIN Negative_Adjst_3_fieldheadercolumn}{END Negative_Adjst_3_fieldheadercolumn}

																	{BEGIN QtySOH_3_fieldheadercolumn}{END QtySOH_3_fieldheadercolumn}

																	{BEGIN Remark_3_fieldheadercolumn}{END Remark_3_fieldheadercolumn}

																	{BEGIN Drug_4_fieldheadercolumn}{END Drug_4_fieldheadercolumn}

																	{BEGIN BeginningBal_4_fieldheadercolumn}{END BeginningBal_4_fieldheadercolumn}

																	{BEGIN QtyReceived_4_fieldheadercolumn}{END QtyReceived_4_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_4_fieldheadercolumn}{END Qty_Dispensed_4_fieldheadercolumn}

																	{BEGIN Positive_Adjst_4_fieldheadercolumn}{END Positive_Adjst_4_fieldheadercolumn}

																	{BEGIN Negative_Adjst_4_fieldheadercolumn}{END Negative_Adjst_4_fieldheadercolumn}

																	{BEGIN QtySOH_4_fieldheadercolumn}{END QtySOH_4_fieldheadercolumn}

																	{BEGIN Remark_4_fieldheadercolumn}{END Remark_4_fieldheadercolumn}

																	{BEGIN Drug_5_fieldheadercolumn}{END Drug_5_fieldheadercolumn}

																	{BEGIN BeginningBal_5_fieldheadercolumn}{END BeginningBal_5_fieldheadercolumn}

																	{BEGIN QtyReceived_5_fieldheadercolumn}{END QtyReceived_5_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_5_fieldheadercolumn}{END Qty_Dispensed_5_fieldheadercolumn}

																	{BEGIN Positive_Adjst_5_fieldheadercolumn}{END Positive_Adjst_5_fieldheadercolumn}

																	{BEGIN Negative_Adjst_5_fieldheadercolumn}{END Negative_Adjst_5_fieldheadercolumn}

																	{BEGIN QtySOH_5_fieldheadercolumn}{END QtySOH_5_fieldheadercolumn}

																	{BEGIN Remark_5_fieldheadercolumn}{END Remark_5_fieldheadercolumn}

																	{BEGIN Drug_6_fieldheadercolumn}{END Drug_6_fieldheadercolumn}

																	{BEGIN BeginningBal_6_fieldheadercolumn}{END BeginningBal_6_fieldheadercolumn}

																	{BEGIN QtyReceived_6_fieldheadercolumn}{END QtyReceived_6_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_6_fieldheadercolumn}{END Qty_Dispensed_6_fieldheadercolumn}

																	{BEGIN Positive_Adjst_6_fieldheadercolumn}{END Positive_Adjst_6_fieldheadercolumn}

																	{BEGIN Negative_Adjst_6_fieldheadercolumn}{END Negative_Adjst_6_fieldheadercolumn}

																	{BEGIN QtySOH_6_fieldheadercolumn}{END QtySOH_6_fieldheadercolumn}

																	{BEGIN Remark_6_fieldheadercolumn}{END Remark_6_fieldheadercolumn}

																	{BEGIN Drug_7_fieldheadercolumn}{END Drug_7_fieldheadercolumn}

																	{BEGIN BeginningBal_7_fieldheadercolumn}{END BeginningBal_7_fieldheadercolumn}

																	{BEGIN QtyReceived_7_fieldheadercolumn}{END QtyReceived_7_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_7_fieldheadercolumn}{END Qty_Dispensed_7_fieldheadercolumn}

																	{BEGIN Positive_Adjst_7_fieldheadercolumn}{END Positive_Adjst_7_fieldheadercolumn}

																	{BEGIN Negative_Adjst_7_fieldheadercolumn}{END Negative_Adjst_7_fieldheadercolumn}

																	{BEGIN QtySOH_7_fieldheadercolumn}{END QtySOH_7_fieldheadercolumn}

																	{BEGIN Remark_7_fieldheadercolumn}{END Remark_7_fieldheadercolumn}

																	{BEGIN Drug_8_fieldheadercolumn}{END Drug_8_fieldheadercolumn}

																	{BEGIN BeginningBal_8_fieldheadercolumn}{END BeginningBal_8_fieldheadercolumn}

																	{BEGIN QtyReceived_8_fieldheadercolumn}{END QtyReceived_8_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_8_fieldheadercolumn}{END Qty_Dispensed_8_fieldheadercolumn}

																	{BEGIN Positive_Adjst_8_fieldheadercolumn}{END Positive_Adjst_8_fieldheadercolumn}

																	{BEGIN Negative_Adjst_8_fieldheadercolumn}{END Negative_Adjst_8_fieldheadercolumn}

																	{BEGIN QtySOH_8_fieldheadercolumn}{END QtySOH_8_fieldheadercolumn}

																	{BEGIN Remark_8_fieldheadercolumn}{END Remark_8_fieldheadercolumn}

																	{BEGIN Drug_9_fieldheadercolumn}{END Drug_9_fieldheadercolumn}

																	{BEGIN BeginningBal_9_fieldheadercolumn}{END BeginningBal_9_fieldheadercolumn}

																	{BEGIN QtyReceived_9_fieldheadercolumn}{END QtyReceived_9_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_9_fieldheadercolumn}{END Qty_Dispensed_9_fieldheadercolumn}

																	{BEGIN Positive_Adjst_9_fieldheadercolumn}{END Positive_Adjst_9_fieldheadercolumn}

																	{BEGIN Negative_Adjst_9_fieldheadercolumn}{END Negative_Adjst_9_fieldheadercolumn}

																	{BEGIN QtySOH_9_fieldheadercolumn}{END QtySOH_9_fieldheadercolumn}

																	{BEGIN Remark_9_fieldheadercolumn}{END Remark_9_fieldheadercolumn}

																	{BEGIN Drug_10_fieldheadercolumn}{END Drug_10_fieldheadercolumn}

																	{BEGIN BeginningBal_10_fieldheadercolumn}{END BeginningBal_10_fieldheadercolumn}

																	{BEGIN QtyReceived_10_fieldheadercolumn}{END QtyReceived_10_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_10_fieldheadercolumn}{END Qty_Dispensed_10_fieldheadercolumn}

																	{BEGIN Positive_Adjst_10_fieldheadercolumn}{END Positive_Adjst_10_fieldheadercolumn}

																	{BEGIN Negative_Adjst_10_fieldheadercolumn}{END Negative_Adjst_10_fieldheadercolumn}

																	{BEGIN QtySOH_10_fieldheadercolumn}{END QtySOH_10_fieldheadercolumn}

																	{BEGIN Remark_10_fieldheadercolumn}{END Remark_10_fieldheadercolumn}

																	{BEGIN Drug_11_fieldheadercolumn}{END Drug_11_fieldheadercolumn}

																	{BEGIN BeginningBal_11_fieldheadercolumn}{END BeginningBal_11_fieldheadercolumn}

																	{BEGIN QtyReceived_11_fieldheadercolumn}{END QtyReceived_11_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_11_fieldheadercolumn}{END Qty_Dispensed_11_fieldheadercolumn}

																	{BEGIN Positive_Adjst_11_fieldheadercolumn}{END Positive_Adjst_11_fieldheadercolumn}

																	{BEGIN Negative_Adjst_11_fieldheadercolumn}{END Negative_Adjst_11_fieldheadercolumn}

																	{BEGIN QtySOH_11_fieldheadercolumn}{END QtySOH_11_fieldheadercolumn}

																	{BEGIN Remark_11_fieldheadercolumn}{END Remark_11_fieldheadercolumn}

																	{BEGIN Drug_12_fieldheadercolumn}{END Drug_12_fieldheadercolumn}

																	{BEGIN BeginningBal_12_fieldheadercolumn}{END BeginningBal_12_fieldheadercolumn}

																	{BEGIN QtyReceived_12_fieldheadercolumn}{END QtyReceived_12_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_12_fieldheadercolumn}{END Qty_Dispensed_12_fieldheadercolumn}

																	{BEGIN Positive_Adjst_12_fieldheadercolumn}{END Positive_Adjst_12_fieldheadercolumn}

																	{BEGIN Negative_Adjst_12_fieldheadercolumn}{END Negative_Adjst_12_fieldheadercolumn}

																	{BEGIN QtySOH_12_fieldheadercolumn}{END QtySOH_12_fieldheadercolumn}

																	{BEGIN Remark_12_fieldheadercolumn}{END Remark_12_fieldheadercolumn}

																	{BEGIN Drug_13_fieldheadercolumn}{END Drug_13_fieldheadercolumn}

																	{BEGIN BeginningBal_13_fieldheadercolumn}{END BeginningBal_13_fieldheadercolumn}

																	{BEGIN QtyReceived_13_fieldheadercolumn}{END QtyReceived_13_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_13_fieldheadercolumn}{END Qty_Dispensed_13_fieldheadercolumn}

																	{BEGIN Positive_Adjst_13_fieldheadercolumn}{END Positive_Adjst_13_fieldheadercolumn}

																	{BEGIN Negative_Adjst_13_fieldheadercolumn}{END Negative_Adjst_13_fieldheadercolumn}

																	{BEGIN QtySOH_13_fieldheadercolumn}{END QtySOH_13_fieldheadercolumn}

																	{BEGIN Remark_13_fieldheadercolumn}{END Remark_13_fieldheadercolumn}

																	{BEGIN Drug_14_fieldheadercolumn}{END Drug_14_fieldheadercolumn}

																	{BEGIN BeginningBal_14_fieldheadercolumn}{END BeginningBal_14_fieldheadercolumn}

																	{BEGIN QtyReceived_14_fieldheadercolumn}{END QtyReceived_14_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_14_fieldheadercolumn}{END Qty_Dispensed_14_fieldheadercolumn}

																	{BEGIN Positive_Adjst_14_fieldheadercolumn}{END Positive_Adjst_14_fieldheadercolumn}

																	{BEGIN Negative_Adjst_14_fieldheadercolumn}{END Negative_Adjst_14_fieldheadercolumn}

																	{BEGIN QtySOH_14_fieldheadercolumn}{END QtySOH_14_fieldheadercolumn}

																	{BEGIN Remark_14_fieldheadercolumn}{END Remark_14_fieldheadercolumn}

																	{BEGIN Drug_15_fieldheadercolumn}{END Drug_15_fieldheadercolumn}

																	{BEGIN BeginningBal_15_fieldheadercolumn}{END BeginningBal_15_fieldheadercolumn}

																	{BEGIN QtyReceived_15_fieldheadercolumn}{END QtyReceived_15_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_15_fieldheadercolumn}{END Qty_Dispensed_15_fieldheadercolumn}

																	{BEGIN Positive_Adjst_15_fieldheadercolumn}{END Positive_Adjst_15_fieldheadercolumn}

																	{BEGIN Negative_Adjst_15_fieldheadercolumn}{END Negative_Adjst_15_fieldheadercolumn}

																	{BEGIN QtySOH_15_fieldheadercolumn}{END QtySOH_15_fieldheadercolumn}

																	{BEGIN Remark_15_fieldheadercolumn}{END Remark_15_fieldheadercolumn}

																	{BEGIN Drug_16_fieldheadercolumn}{END Drug_16_fieldheadercolumn}

																	{BEGIN BeginningBal_16_fieldheadercolumn}{END BeginningBal_16_fieldheadercolumn}

																	{BEGIN QtyReceived_16_fieldheadercolumn}{END QtyReceived_16_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_16_fieldheadercolumn}{END Qty_Dispensed_16_fieldheadercolumn}

																	{BEGIN Positive_Adjst_16_fieldheadercolumn}{END Positive_Adjst_16_fieldheadercolumn}

																	{BEGIN Negative_Adjst_16_fieldheadercolumn}{END Negative_Adjst_16_fieldheadercolumn}

																	{BEGIN QtySOH_16_fieldheadercolumn}{END QtySOH_16_fieldheadercolumn}

																	{BEGIN Remark_16_fieldheadercolumn}{END Remark_16_fieldheadercolumn}

																	{BEGIN Drug_17_fieldheadercolumn}{END Drug_17_fieldheadercolumn}

																	{BEGIN BeginningBal_17_fieldheadercolumn}{END BeginningBal_17_fieldheadercolumn}

																	{BEGIN QtyReceived_17_fieldheadercolumn}{END QtyReceived_17_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_17_fieldheadercolumn}{END Qty_Dispensed_17_fieldheadercolumn}

																	{BEGIN Positive_Adjst_17_fieldheadercolumn}{END Positive_Adjst_17_fieldheadercolumn}

																	{BEGIN Negative_Adjst_17_fieldheadercolumn}{END Negative_Adjst_17_fieldheadercolumn}

																	{BEGIN QtySOH_17_fieldheadercolumn}{END QtySOH_17_fieldheadercolumn}

																	{BEGIN Remark_17_fieldheadercolumn}{END Remark_17_fieldheadercolumn}

																	{BEGIN Drug_18_fieldheadercolumn}{END Drug_18_fieldheadercolumn}

																	{BEGIN BeginningBal_18_fieldheadercolumn}{END BeginningBal_18_fieldheadercolumn}

																	{BEGIN QtyReceived_18_fieldheadercolumn}{END QtyReceived_18_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_18_fieldheadercolumn}{END Qty_Dispensed_18_fieldheadercolumn}

																	{BEGIN Positive_Adjst_18_fieldheadercolumn}{END Positive_Adjst_18_fieldheadercolumn}

																	{BEGIN Negative_Adjst_18_fieldheadercolumn}{END Negative_Adjst_18_fieldheadercolumn}

																	{BEGIN QtySOH_18_fieldheadercolumn}{END QtySOH_18_fieldheadercolumn}

																	{BEGIN Remark_18_fieldheadercolumn}{END Remark_18_fieldheadercolumn}

																	{BEGIN Drug_19_fieldheadercolumn}{END Drug_19_fieldheadercolumn}

																	{BEGIN BeginningBal_19_fieldheadercolumn}{END BeginningBal_19_fieldheadercolumn}

																	{BEGIN QtyReceived_19_fieldheadercolumn}{END QtyReceived_19_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_19_fieldheadercolumn}{END Qty_Dispensed_19_fieldheadercolumn}

																	{BEGIN Positive_Adjst_19_fieldheadercolumn}{END Positive_Adjst_19_fieldheadercolumn}

																	{BEGIN Negative_Adjst_19_fieldheadercolumn}{END Negative_Adjst_19_fieldheadercolumn}

																	{BEGIN QtySOH_19_fieldheadercolumn}{END QtySOH_19_fieldheadercolumn}

																	{BEGIN Remark_19_fieldheadercolumn}{END Remark_19_fieldheadercolumn}

																	{BEGIN Drug_20_fieldheadercolumn}{END Drug_20_fieldheadercolumn}

																	{BEGIN BeginningBal_20_fieldheadercolumn}{END BeginningBal_20_fieldheadercolumn}

																	{BEGIN QtyReceived_20_fieldheadercolumn}{END QtyReceived_20_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_20_fieldheadercolumn}{END Qty_Dispensed_20_fieldheadercolumn}

																	{BEGIN Positive_Adjst_20_fieldheadercolumn}{END Positive_Adjst_20_fieldheadercolumn}

																	{BEGIN Negative_Adjst_20_fieldheadercolumn}{END Negative_Adjst_20_fieldheadercolumn}

																	{BEGIN QtySOH_20_fieldheadercolumn}{END QtySOH_20_fieldheadercolumn}

																	{BEGIN Remark_20_fieldheadercolumn}{END Remark_20_fieldheadercolumn}

																	{BEGIN Drug_21_fieldheadercolumn}{END Drug_21_fieldheadercolumn}

																	{BEGIN BeginningBal_21_fieldheadercolumn}{END BeginningBal_21_fieldheadercolumn}

																	{BEGIN QtyReceived_21_fieldheadercolumn}{END QtyReceived_21_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_21_fieldheadercolumn}{END Qty_Dispensed_21_fieldheadercolumn}

																	{BEGIN Positive_Adjst_21_fieldheadercolumn}{END Positive_Adjst_21_fieldheadercolumn}

																	{BEGIN Negative_Adjst_21_fieldheadercolumn}{END Negative_Adjst_21_fieldheadercolumn}

																	{BEGIN QtySOH_21_fieldheadercolumn}{END QtySOH_21_fieldheadercolumn}

																	{BEGIN Remark_21_fieldheadercolumn}{END Remark_21_fieldheadercolumn}

																	{BEGIN Drug_22_fieldheadercolumn}{END Drug_22_fieldheadercolumn}

																	{BEGIN BeginningBal_22_fieldheadercolumn}{END BeginningBal_22_fieldheadercolumn}

																	{BEGIN QtyReceived_22_fieldheadercolumn}{END QtyReceived_22_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_22_fieldheadercolumn}{END Qty_Dispensed_22_fieldheadercolumn}

																	{BEGIN Positive_Adjst_22_fieldheadercolumn}{END Positive_Adjst_22_fieldheadercolumn}

																	{BEGIN Negative_Adjst_22_fieldheadercolumn}{END Negative_Adjst_22_fieldheadercolumn}

																	{BEGIN QtySOH_22_fieldheadercolumn}{END QtySOH_22_fieldheadercolumn}

																	{BEGIN Remark_22_fieldheadercolumn}{END Remark_22_fieldheadercolumn}

																	{BEGIN Drug_23_fieldheadercolumn}{END Drug_23_fieldheadercolumn}

																	{BEGIN BeginningBal_23_fieldheadercolumn}{END BeginningBal_23_fieldheadercolumn}

																	{BEGIN QtyReceived_23_fieldheadercolumn}{END QtyReceived_23_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_23_fieldheadercolumn}{END Qty_Dispensed_23_fieldheadercolumn}

																	{BEGIN Positive_Adjst_23_fieldheadercolumn}{END Positive_Adjst_23_fieldheadercolumn}

																	{BEGIN Negative_Adjst_23_fieldheadercolumn}{END Negative_Adjst_23_fieldheadercolumn}

																	{BEGIN QtySOH_23_fieldheadercolumn}{END QtySOH_23_fieldheadercolumn}

																	{BEGIN Remark_23_fieldheadercolumn}{END Remark_23_fieldheadercolumn}

																	{BEGIN Drug_24_fieldheadercolumn}{END Drug_24_fieldheadercolumn}

																	{BEGIN BeginningBal_24_fieldheadercolumn}{END BeginningBal_24_fieldheadercolumn}

																	{BEGIN QtyReceived_24_fieldheadercolumn}{END QtyReceived_24_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_24_fieldheadercolumn}{END Qty_Dispensed_24_fieldheadercolumn}

																	{BEGIN Positive_Adjst_24_fieldheadercolumn}{END Positive_Adjst_24_fieldheadercolumn}

																	{BEGIN Negative_Adjst_24_fieldheadercolumn}{END Negative_Adjst_24_fieldheadercolumn}

																	{BEGIN QtySOH_24_fieldheadercolumn}{END QtySOH_24_fieldheadercolumn}

																	{BEGIN Remark_24_fieldheadercolumn}{END Remark_24_fieldheadercolumn}

																	{BEGIN Drug_25_fieldheadercolumn}{END Drug_25_fieldheadercolumn}

																	{BEGIN BeginningBal_25_fieldheadercolumn}{END BeginningBal_25_fieldheadercolumn}

																	{BEGIN QtyReceived_25_fieldheadercolumn}{END QtyReceived_25_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_25_fieldheadercolumn}{END Qty_Dispensed_25_fieldheadercolumn}

																	{BEGIN Positive_Adjst_25_fieldheadercolumn}{END Positive_Adjst_25_fieldheadercolumn}

																	{BEGIN Negative_Adjst_25_fieldheadercolumn}{END Negative_Adjst_25_fieldheadercolumn}

																	{BEGIN QtySOH_25_fieldheadercolumn}{END QtySOH_25_fieldheadercolumn}

																	{BEGIN Remark_25_fieldheadercolumn}{END Remark_25_fieldheadercolumn}

																	{BEGIN Drug_26_fieldheadercolumn}{END Drug_26_fieldheadercolumn}

																	{BEGIN BeginningBal_26_fieldheadercolumn}{END BeginningBal_26_fieldheadercolumn}

																	{BEGIN QtyReceived_26_fieldheadercolumn}{END QtyReceived_26_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_26_fieldheadercolumn}{END Qty_Dispensed_26_fieldheadercolumn}

																	{BEGIN Positive_Adjst_26_fieldheadercolumn}{END Positive_Adjst_26_fieldheadercolumn}

																	{BEGIN Negative_Adjst_26_fieldheadercolumn}{END Negative_Adjst_26_fieldheadercolumn}

																	{BEGIN QtySOH_26_fieldheadercolumn}{END QtySOH_26_fieldheadercolumn}

																	{BEGIN Remark_26_fieldheadercolumn}{END Remark_26_fieldheadercolumn}

																	{BEGIN Drug_27_fieldheadercolumn}{END Drug_27_fieldheadercolumn}

																	{BEGIN BeginningBal_27_fieldheadercolumn}{END BeginningBal_27_fieldheadercolumn}

																	{BEGIN QtyReceived_27_fieldheadercolumn}{END QtyReceived_27_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_27_fieldheadercolumn}{END Qty_Dispensed_27_fieldheadercolumn}

																	{BEGIN Positive_Adjst_27_fieldheadercolumn}{END Positive_Adjst_27_fieldheadercolumn}

																	{BEGIN Negative_Adjst_27_fieldheadercolumn}{END Negative_Adjst_27_fieldheadercolumn}

																	{BEGIN QtySOH_27_fieldheadercolumn}{END QtySOH_27_fieldheadercolumn}

																	{BEGIN Remark_27_fieldheadercolumn}{END Remark_27_fieldheadercolumn}

																	{BEGIN Drug_28_fieldheadercolumn}{END Drug_28_fieldheadercolumn}

																	{BEGIN BeginningBal_28_fieldheadercolumn}{END BeginningBal_28_fieldheadercolumn}

																	{BEGIN QtyReceived_28_fieldheadercolumn}{END QtyReceived_28_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_28_fieldheadercolumn}{END Qty_Dispensed_28_fieldheadercolumn}

																	{BEGIN Positive_Adjst_28_fieldheadercolumn}{END Positive_Adjst_28_fieldheadercolumn}

																	{BEGIN Negative_Adjst_28_fieldheadercolumn}{END Negative_Adjst_28_fieldheadercolumn}

																	{BEGIN QtySOH_28_fieldheadercolumn}{END QtySOH_28_fieldheadercolumn}

																	{BEGIN Remark_28_fieldheadercolumn}{END Remark_28_fieldheadercolumn}

																	{BEGIN ValidateEntry_fieldheadercolumn}<th class="rnr-gridfieldlabel {$ValidateEntry_class}">
									{BEGIN ValidateEntry_fieldheader}<span {$ValidateEntry_orderlinkattrs}>
											{$label arv_pmtct_1 ValidateEntry}
										</span>
									{END ValidateEntry_fieldheader}
									</th>
									{END ValidateEntry_fieldheadercolumn}

																	{BEGIN Drug_29_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Drug_29_class}">
									{BEGIN Drug_29_fieldheader}<span {$Drug_29_orderlinkattrs}>
											{$label arv_pmtct_1 Drug_29}
										</span>
									{END Drug_29_fieldheader}
									</th>
									{END Drug_29_fieldheadercolumn}

																	{BEGIN BeginningBal_29_fieldheadercolumn}<th class="rnr-gridfieldlabel {$BeginningBal_29_class}">
									{BEGIN BeginningBal_29_fieldheader}<span {$BeginningBal_29_orderlinkattrs}>
											{$label arv_pmtct_1 BeginningBal_29}
										</span>
									{END BeginningBal_29_fieldheader}
									</th>
									{END BeginningBal_29_fieldheadercolumn}

																	{BEGIN QtyReceived_29_fieldheadercolumn}<th class="rnr-gridfieldlabel {$QtyReceived_29_class}">
									{BEGIN QtyReceived_29_fieldheader}<span {$QtyReceived_29_orderlinkattrs}>
											{$label arv_pmtct_1 QtyReceived_29}
										</span>
									{END QtyReceived_29_fieldheader}
									</th>
									{END QtyReceived_29_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_29_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Qty_Dispensed_29_class}">
									{BEGIN Qty_Dispensed_29_fieldheader}<span {$Qty_Dispensed_29_orderlinkattrs}>
											{$label arv_pmtct_1 Qty_Dispensed_29}
										</span>
									{END Qty_Dispensed_29_fieldheader}
									</th>
									{END Qty_Dispensed_29_fieldheadercolumn}

																	{BEGIN Positive_Adjst_29_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Positive_Adjst_29_class}">
									{BEGIN Positive_Adjst_29_fieldheader}<span {$Positive_Adjst_29_orderlinkattrs}>
											{$label arv_pmtct_1 Positive_Adjst_29}
										</span>
									{END Positive_Adjst_29_fieldheader}
									</th>
									{END Positive_Adjst_29_fieldheadercolumn}

																	{BEGIN Negative_Adjst_29_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Negative_Adjst_29_class}">
									{BEGIN Negative_Adjst_29_fieldheader}<span {$Negative_Adjst_29_orderlinkattrs}>
											{$label arv_pmtct_1 Negative_Adjst_29}
										</span>
									{END Negative_Adjst_29_fieldheader}
									</th>
									{END Negative_Adjst_29_fieldheadercolumn}

																	{BEGIN QtySOH_29_fieldheadercolumn}<th class="rnr-gridfieldlabel {$QtySOH_29_class}">
									{BEGIN QtySOH_29_fieldheader}<span {$QtySOH_29_orderlinkattrs}>
											{$label arv_pmtct_1 QtySOH_29}
										</span>
									{END QtySOH_29_fieldheader}
									</th>
									{END QtySOH_29_fieldheadercolumn}

																	{BEGIN Remark_29_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Remark_29_class}">
									{BEGIN Remark_29_fieldheader}<span {$Remark_29_orderlinkattrs}>
											{$label arv_pmtct_1 Remark_29}
										</span>
									{END Remark_29_fieldheader}
									</th>
									{END Remark_29_fieldheadercolumn}

																	{BEGIN Drug_30_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Drug_30_class}">
									{BEGIN Drug_30_fieldheader}<span {$Drug_30_orderlinkattrs}>
											{$label arv_pmtct_1 Drug_30}
										</span>
									{END Drug_30_fieldheader}
									</th>
									{END Drug_30_fieldheadercolumn}

																	{BEGIN BeginningBal_30_fieldheadercolumn}<th class="rnr-gridfieldlabel {$BeginningBal_30_class}">
									{BEGIN BeginningBal_30_fieldheader}<span {$BeginningBal_30_orderlinkattrs}>
											{$label arv_pmtct_1 BeginningBal_30}
										</span>
									{END BeginningBal_30_fieldheader}
									</th>
									{END BeginningBal_30_fieldheadercolumn}

																	{BEGIN QtyReceived_30_fieldheadercolumn}<th class="rnr-gridfieldlabel {$QtyReceived_30_class}">
									{BEGIN QtyReceived_30_fieldheader}<span {$QtyReceived_30_orderlinkattrs}>
											{$label arv_pmtct_1 QtyReceived_30}
										</span>
									{END QtyReceived_30_fieldheader}
									</th>
									{END QtyReceived_30_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_30_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Qty_Dispensed_30_class}">
									{BEGIN Qty_Dispensed_30_fieldheader}<span {$Qty_Dispensed_30_orderlinkattrs}>
											{$label arv_pmtct_1 Qty_Dispensed_30}
										</span>
									{END Qty_Dispensed_30_fieldheader}
									</th>
									{END Qty_Dispensed_30_fieldheadercolumn}

																	{BEGIN Positive_Adjst_30_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Positive_Adjst_30_class}">
									{BEGIN Positive_Adjst_30_fieldheader}<span {$Positive_Adjst_30_orderlinkattrs}>
											{$label arv_pmtct_1 Positive_Adjst_30}
										</span>
									{END Positive_Adjst_30_fieldheader}
									</th>
									{END Positive_Adjst_30_fieldheadercolumn}

																	{BEGIN Negative_Adjst_30_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Negative_Adjst_30_class}">
									{BEGIN Negative_Adjst_30_fieldheader}<span {$Negative_Adjst_30_orderlinkattrs}>
											{$label arv_pmtct_1 Negative_Adjst_30}
										</span>
									{END Negative_Adjst_30_fieldheader}
									</th>
									{END Negative_Adjst_30_fieldheadercolumn}

																	{BEGIN QtySOH_30_fieldheadercolumn}<th class="rnr-gridfieldlabel {$QtySOH_30_class}">
									{BEGIN QtySOH_30_fieldheader}<span {$QtySOH_30_orderlinkattrs}>
											{$label arv_pmtct_1 QtySOH_30}
										</span>
									{END QtySOH_30_fieldheader}
									</th>
									{END QtySOH_30_fieldheadercolumn}

																	{BEGIN Remark_30_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Remark_30_class}">
									{BEGIN Remark_30_fieldheader}<span {$Remark_30_orderlinkattrs}>
											{$label arv_pmtct_1 Remark_30}
										</span>
									{END Remark_30_fieldheader}
									</th>
									{END Remark_30_fieldheadercolumn}

																	{BEGIN Drug_31_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Drug_31_class}">
									{BEGIN Drug_31_fieldheader}<span {$Drug_31_orderlinkattrs}>
											{$label arv_pmtct_1 Drug_31}
										</span>
									{END Drug_31_fieldheader}
									</th>
									{END Drug_31_fieldheadercolumn}

																	{BEGIN BeginningBal_31_fieldheadercolumn}<th class="rnr-gridfieldlabel {$BeginningBal_31_class}">
									{BEGIN BeginningBal_31_fieldheader}<span {$BeginningBal_31_orderlinkattrs}>
											{$label arv_pmtct_1 BeginningBal_31}
										</span>
									{END BeginningBal_31_fieldheader}
									</th>
									{END BeginningBal_31_fieldheadercolumn}

																	{BEGIN QtyReceived_31_fieldheadercolumn}<th class="rnr-gridfieldlabel {$QtyReceived_31_class}">
									{BEGIN QtyReceived_31_fieldheader}<span {$QtyReceived_31_orderlinkattrs}>
											{$label arv_pmtct_1 QtyReceived_31}
										</span>
									{END QtyReceived_31_fieldheader}
									</th>
									{END QtyReceived_31_fieldheadercolumn}

																	{BEGIN Qty_Dispensed_31_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Qty_Dispensed_31_class}">
									{BEGIN Qty_Dispensed_31_fieldheader}<span {$Qty_Dispensed_31_orderlinkattrs}>
											{$label arv_pmtct_1 Qty_Dispensed_31}
										</span>
									{END Qty_Dispensed_31_fieldheader}
									</th>
									{END Qty_Dispensed_31_fieldheadercolumn}

																	{BEGIN Positive_Adjst_31_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Positive_Adjst_31_class}">
									{BEGIN Positive_Adjst_31_fieldheader}<span {$Positive_Adjst_31_orderlinkattrs}>
											{$label arv_pmtct_1 Positive_Adjst_31}
										</span>
									{END Positive_Adjst_31_fieldheader}
									</th>
									{END Positive_Adjst_31_fieldheadercolumn}

																	{BEGIN Negative_Adjst_31_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Negative_Adjst_31_class}">
									{BEGIN Negative_Adjst_31_fieldheader}<span {$Negative_Adjst_31_orderlinkattrs}>
											{$label arv_pmtct_1 Negative_Adjst_31}
										</span>
									{END Negative_Adjst_31_fieldheader}
									</th>
									{END Negative_Adjst_31_fieldheadercolumn}

																	{BEGIN QtySOH_31_fieldheadercolumn}<th class="rnr-gridfieldlabel {$QtySOH_31_class}">
									{BEGIN QtySOH_31_fieldheader}<span {$QtySOH_31_orderlinkattrs}>
											{$label arv_pmtct_1 QtySOH_31}
										</span>
									{END QtySOH_31_fieldheader}
									</th>
									{END QtySOH_31_fieldheadercolumn}

																	{BEGIN Remark_31_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Remark_31_class}">
									{BEGIN Remark_31_fieldheader}<span {$Remark_31_orderlinkattrs}>
											{$label arv_pmtct_1 Remark_31}
										</span>
									{END Remark_31_fieldheader}
									</th>
									{END Remark_31_fieldheadercolumn}


									
									<th class="rnr-edge">&nbsp;</th>
									{BEGIN endrecordheader_block}<TH class="rnr-cs" rowSpan="1" colSpan="1">&nbsp;</th>
									
									{END endrecordheader_block}
									
									{END record_header}
									
								</tr>
								{END grid_header}

						</thead>
						<tbody>	
															{BEGIN grid_row}<tr class="rnr-row style1 {$rowclass}" {$rowattrs} {$rowstyle}>
									{BEGIN grid_record}{BEGIN listIcons_column}<TD class="rnr-cc rnr-bc rnr-icons" rowSpan="1" colSpan="1" iEditCont="all" {$rowstyle} {$recordattrs}>{BEGIN edit_column}{BEGIN edit_link}<a class="rnr-button-img" {$editlink_attrs} data-icon="edit" title="Edit"></a>
									{END edit_link}
									{END edit_column}

									
									
																		</td>	
									{END listIcons_column}	

									

										{BEGIN formid_fieldcolumn}<TD class="{$formid_class}" rowSpan="1" colSpan="1" {$formid_style} {$recordattrs}>
      {$formid_value}
	</td>
{END formid_fieldcolumn}

	{BEGIN SiteName_fieldcolumn}<TD class="{$SiteName_class}" rowSpan="1" colSpan="1" {$SiteName_style} {$recordattrs}>
      {$SiteName_value}
	</td>
{END SiteName_fieldcolumn}

	{BEGIN State_fieldcolumn}<TD class="{$State_class}" rowSpan="1" colSpan="1" {$State_style} {$recordattrs}>
      {$State_value}
	</td>
{END State_fieldcolumn}

	{BEGIN Funding_Source_fieldcolumn}<TD class="{$Funding_Source_class}" rowSpan="1" colSpan="1" {$Funding_Source_style} {$recordattrs}>
      {$Funding_Source_value}
	</td>
{END Funding_Source_fieldcolumn}

	{BEGIN Service_Type_fieldcolumn}<TD class="{$Service_Type_class}" rowSpan="1" colSpan="1" {$Service_Type_style} {$recordattrs}>
      {$Service_Type_value}
	</td>
{END Service_Type_fieldcolumn}

	{BEGIN Phase_fieldcolumn}<TD class="{$Phase_class}" rowSpan="1" colSpan="1" {$Phase_style} {$recordattrs}>
      {$Phase_value}
	</td>
{END Phase_fieldcolumn}

	{BEGIN IPName_fieldcolumn}<TD class="{$IPName_class}" rowSpan="1" colSpan="1" {$IPName_style} {$recordattrs}>
      {$IPName_value}
	</td>
{END IPName_fieldcolumn}

	{BEGIN Drug_1_fieldcolumn}{END Drug_1_fieldcolumn}

	{BEGIN BeginningBal_1_fieldcolumn}{END BeginningBal_1_fieldcolumn}

	{BEGIN QtyReceived_1_fieldcolumn}{END QtyReceived_1_fieldcolumn}

	{BEGIN Qty_Dispensed_1_fieldcolumn}{END Qty_Dispensed_1_fieldcolumn}

	{BEGIN Positive_Adjst_1_fieldcolumn}{END Positive_Adjst_1_fieldcolumn}

	{BEGIN Negative_Adjst_1_fieldcolumn}{END Negative_Adjst_1_fieldcolumn}

	{BEGIN QtySOH_1_fieldcolumn}{END QtySOH_1_fieldcolumn}

	{BEGIN Remark_1_fieldcolumn}{END Remark_1_fieldcolumn}

	{BEGIN Drug_2_fieldcolumn}{END Drug_2_fieldcolumn}

	{BEGIN BeginningBal_2_fieldcolumn}{END BeginningBal_2_fieldcolumn}

	{BEGIN QtyReceived_2_fieldcolumn}{END QtyReceived_2_fieldcolumn}

	{BEGIN Qty_Dispensed_2_fieldcolumn}{END Qty_Dispensed_2_fieldcolumn}

	{BEGIN Positive_Adjst_2_fieldcolumn}{END Positive_Adjst_2_fieldcolumn}

	{BEGIN Negative_Adjst_2_fieldcolumn}{END Negative_Adjst_2_fieldcolumn}

	{BEGIN QtySOH_2_fieldcolumn}{END QtySOH_2_fieldcolumn}

	{BEGIN Remark_2_fieldcolumn}{END Remark_2_fieldcolumn}

	{BEGIN Drug_3_fieldcolumn}{END Drug_3_fieldcolumn}

	{BEGIN BeginningBal_3_fieldcolumn}{END BeginningBal_3_fieldcolumn}

	{BEGIN QtyReceived_3_fieldcolumn}{END QtyReceived_3_fieldcolumn}

	{BEGIN Qty_Dispensed__fieldcolumn}{END Qty_Dispensed__fieldcolumn}

	{BEGIN Positive_Adjst_3_fieldcolumn}{END Positive_Adjst_3_fieldcolumn}

	{BEGIN Negative_Adjst_3_fieldcolumn}{END Negative_Adjst_3_fieldcolumn}

	{BEGIN QtySOH_3_fieldcolumn}{END QtySOH_3_fieldcolumn}

	{BEGIN Remark_3_fieldcolumn}{END Remark_3_fieldcolumn}

	{BEGIN Drug_4_fieldcolumn}{END Drug_4_fieldcolumn}

	{BEGIN BeginningBal_4_fieldcolumn}{END BeginningBal_4_fieldcolumn}

	{BEGIN QtyReceived_4_fieldcolumn}{END QtyReceived_4_fieldcolumn}

	{BEGIN Qty_Dispensed_4_fieldcolumn}{END Qty_Dispensed_4_fieldcolumn}

	{BEGIN Positive_Adjst_4_fieldcolumn}{END Positive_Adjst_4_fieldcolumn}

	{BEGIN Negative_Adjst_4_fieldcolumn}{END Negative_Adjst_4_fieldcolumn}

	{BEGIN QtySOH_4_fieldcolumn}{END QtySOH_4_fieldcolumn}

	{BEGIN Remark_4_fieldcolumn}{END Remark_4_fieldcolumn}

	{BEGIN Drug_5_fieldcolumn}{END Drug_5_fieldcolumn}

	{BEGIN BeginningBal_5_fieldcolumn}{END BeginningBal_5_fieldcolumn}

	{BEGIN QtyReceived_5_fieldcolumn}{END QtyReceived_5_fieldcolumn}

	{BEGIN Qty_Dispensed_5_fieldcolumn}{END Qty_Dispensed_5_fieldcolumn}

	{BEGIN Positive_Adjst_5_fieldcolumn}{END Positive_Adjst_5_fieldcolumn}

	{BEGIN Negative_Adjst_5_fieldcolumn}{END Negative_Adjst_5_fieldcolumn}

	{BEGIN QtySOH_5_fieldcolumn}{END QtySOH_5_fieldcolumn}

	{BEGIN Remark_5_fieldcolumn}{END Remark_5_fieldcolumn}

	{BEGIN Drug_6_fieldcolumn}{END Drug_6_fieldcolumn}

	{BEGIN BeginningBal_6_fieldcolumn}{END BeginningBal_6_fieldcolumn}

	{BEGIN QtyReceived_6_fieldcolumn}{END QtyReceived_6_fieldcolumn}

	{BEGIN Qty_Dispensed_6_fieldcolumn}{END Qty_Dispensed_6_fieldcolumn}

	{BEGIN Positive_Adjst_6_fieldcolumn}{END Positive_Adjst_6_fieldcolumn}

	{BEGIN Negative_Adjst_6_fieldcolumn}{END Negative_Adjst_6_fieldcolumn}

	{BEGIN QtySOH_6_fieldcolumn}{END QtySOH_6_fieldcolumn}

	{BEGIN Remark_6_fieldcolumn}{END Remark_6_fieldcolumn}

	{BEGIN Drug_7_fieldcolumn}{END Drug_7_fieldcolumn}

	{BEGIN BeginningBal_7_fieldcolumn}{END BeginningBal_7_fieldcolumn}

	{BEGIN QtyReceived_7_fieldcolumn}{END QtyReceived_7_fieldcolumn}

	{BEGIN Qty_Dispensed_7_fieldcolumn}{END Qty_Dispensed_7_fieldcolumn}

	{BEGIN Positive_Adjst_7_fieldcolumn}{END Positive_Adjst_7_fieldcolumn}

	{BEGIN Negative_Adjst_7_fieldcolumn}{END Negative_Adjst_7_fieldcolumn}

	{BEGIN QtySOH_7_fieldcolumn}{END QtySOH_7_fieldcolumn}

	{BEGIN Remark_7_fieldcolumn}{END Remark_7_fieldcolumn}

	{BEGIN Drug_8_fieldcolumn}{END Drug_8_fieldcolumn}

	{BEGIN BeginningBal_8_fieldcolumn}{END BeginningBal_8_fieldcolumn}

	{BEGIN QtyReceived_8_fieldcolumn}{END QtyReceived_8_fieldcolumn}

	{BEGIN Qty_Dispensed_8_fieldcolumn}{END Qty_Dispensed_8_fieldcolumn}

	{BEGIN Positive_Adjst_8_fieldcolumn}{END Positive_Adjst_8_fieldcolumn}

	{BEGIN Negative_Adjst_8_fieldcolumn}{END Negative_Adjst_8_fieldcolumn}

	{BEGIN QtySOH_8_fieldcolumn}{END QtySOH_8_fieldcolumn}

	{BEGIN Remark_8_fieldcolumn}{END Remark_8_fieldcolumn}

	{BEGIN Drug_9_fieldcolumn}{END Drug_9_fieldcolumn}

	{BEGIN BeginningBal_9_fieldcolumn}{END BeginningBal_9_fieldcolumn}

	{BEGIN QtyReceived_9_fieldcolumn}{END QtyReceived_9_fieldcolumn}

	{BEGIN Qty_Dispensed_9_fieldcolumn}{END Qty_Dispensed_9_fieldcolumn}

	{BEGIN Positive_Adjst_9_fieldcolumn}{END Positive_Adjst_9_fieldcolumn}

	{BEGIN Negative_Adjst_9_fieldcolumn}{END Negative_Adjst_9_fieldcolumn}

	{BEGIN QtySOH_9_fieldcolumn}{END QtySOH_9_fieldcolumn}

	{BEGIN Remark_9_fieldcolumn}{END Remark_9_fieldcolumn}

	{BEGIN Drug_10_fieldcolumn}{END Drug_10_fieldcolumn}

	{BEGIN BeginningBal_10_fieldcolumn}{END BeginningBal_10_fieldcolumn}

	{BEGIN QtyReceived_10_fieldcolumn}{END QtyReceived_10_fieldcolumn}

	{BEGIN Qty_Dispensed_10_fieldcolumn}{END Qty_Dispensed_10_fieldcolumn}

	{BEGIN Positive_Adjst_10_fieldcolumn}{END Positive_Adjst_10_fieldcolumn}

	{BEGIN Negative_Adjst_10_fieldcolumn}{END Negative_Adjst_10_fieldcolumn}

	{BEGIN QtySOH_10_fieldcolumn}{END QtySOH_10_fieldcolumn}

	{BEGIN Remark_10_fieldcolumn}{END Remark_10_fieldcolumn}

	{BEGIN Drug_11_fieldcolumn}{END Drug_11_fieldcolumn}

	{BEGIN BeginningBal_11_fieldcolumn}{END BeginningBal_11_fieldcolumn}

	{BEGIN QtyReceived_11_fieldcolumn}{END QtyReceived_11_fieldcolumn}

	{BEGIN Qty_Dispensed_11_fieldcolumn}{END Qty_Dispensed_11_fieldcolumn}

	{BEGIN Positive_Adjst_11_fieldcolumn}{END Positive_Adjst_11_fieldcolumn}

	{BEGIN Negative_Adjst_11_fieldcolumn}{END Negative_Adjst_11_fieldcolumn}

	{BEGIN QtySOH_11_fieldcolumn}{END QtySOH_11_fieldcolumn}

	{BEGIN Remark_11_fieldcolumn}{END Remark_11_fieldcolumn}

	{BEGIN Drug_12_fieldcolumn}{END Drug_12_fieldcolumn}

	{BEGIN BeginningBal_12_fieldcolumn}{END BeginningBal_12_fieldcolumn}

	{BEGIN QtyReceived_12_fieldcolumn}{END QtyReceived_12_fieldcolumn}

	{BEGIN Qty_Dispensed_12_fieldcolumn}{END Qty_Dispensed_12_fieldcolumn}

	{BEGIN Positive_Adjst_12_fieldcolumn}{END Positive_Adjst_12_fieldcolumn}

	{BEGIN Negative_Adjst_12_fieldcolumn}{END Negative_Adjst_12_fieldcolumn}

	{BEGIN QtySOH_12_fieldcolumn}{END QtySOH_12_fieldcolumn}

	{BEGIN Remark_12_fieldcolumn}{END Remark_12_fieldcolumn}

	{BEGIN Drug_13_fieldcolumn}{END Drug_13_fieldcolumn}

	{BEGIN BeginningBal_13_fieldcolumn}{END BeginningBal_13_fieldcolumn}

	{BEGIN QtyReceived_13_fieldcolumn}{END QtyReceived_13_fieldcolumn}

	{BEGIN Qty_Dispensed_13_fieldcolumn}{END Qty_Dispensed_13_fieldcolumn}

	{BEGIN Positive_Adjst_13_fieldcolumn}{END Positive_Adjst_13_fieldcolumn}

	{BEGIN Negative_Adjst_13_fieldcolumn}{END Negative_Adjst_13_fieldcolumn}

	{BEGIN QtySOH_13_fieldcolumn}{END QtySOH_13_fieldcolumn}

	{BEGIN Remark_13_fieldcolumn}{END Remark_13_fieldcolumn}

	{BEGIN Drug_14_fieldcolumn}{END Drug_14_fieldcolumn}

	{BEGIN BeginningBal_14_fieldcolumn}{END BeginningBal_14_fieldcolumn}

	{BEGIN QtyReceived_14_fieldcolumn}{END QtyReceived_14_fieldcolumn}

	{BEGIN Qty_Dispensed_14_fieldcolumn}{END Qty_Dispensed_14_fieldcolumn}

	{BEGIN Positive_Adjst_14_fieldcolumn}{END Positive_Adjst_14_fieldcolumn}

	{BEGIN Negative_Adjst_14_fieldcolumn}{END Negative_Adjst_14_fieldcolumn}

	{BEGIN QtySOH_14_fieldcolumn}{END QtySOH_14_fieldcolumn}

	{BEGIN Remark_14_fieldcolumn}{END Remark_14_fieldcolumn}

	{BEGIN Drug_15_fieldcolumn}{END Drug_15_fieldcolumn}

	{BEGIN BeginningBal_15_fieldcolumn}{END BeginningBal_15_fieldcolumn}

	{BEGIN QtyReceived_15_fieldcolumn}{END QtyReceived_15_fieldcolumn}

	{BEGIN Qty_Dispensed_15_fieldcolumn}{END Qty_Dispensed_15_fieldcolumn}

	{BEGIN Positive_Adjst_15_fieldcolumn}{END Positive_Adjst_15_fieldcolumn}

	{BEGIN Negative_Adjst_15_fieldcolumn}{END Negative_Adjst_15_fieldcolumn}

	{BEGIN QtySOH_15_fieldcolumn}{END QtySOH_15_fieldcolumn}

	{BEGIN Remark_15_fieldcolumn}{END Remark_15_fieldcolumn}

	{BEGIN Drug_16_fieldcolumn}{END Drug_16_fieldcolumn}

	{BEGIN BeginningBal_16_fieldcolumn}{END BeginningBal_16_fieldcolumn}

	{BEGIN QtyReceived_16_fieldcolumn}{END QtyReceived_16_fieldcolumn}

	{BEGIN Qty_Dispensed_16_fieldcolumn}{END Qty_Dispensed_16_fieldcolumn}

	{BEGIN Positive_Adjst_16_fieldcolumn}{END Positive_Adjst_16_fieldcolumn}

	{BEGIN Negative_Adjst_16_fieldcolumn}{END Negative_Adjst_16_fieldcolumn}

	{BEGIN QtySOH_16_fieldcolumn}{END QtySOH_16_fieldcolumn}

	{BEGIN Remark_16_fieldcolumn}{END Remark_16_fieldcolumn}

	{BEGIN Drug_17_fieldcolumn}{END Drug_17_fieldcolumn}

	{BEGIN BeginningBal_17_fieldcolumn}{END BeginningBal_17_fieldcolumn}

	{BEGIN QtyReceived_17_fieldcolumn}{END QtyReceived_17_fieldcolumn}

	{BEGIN Qty_Dispensed_17_fieldcolumn}{END Qty_Dispensed_17_fieldcolumn}

	{BEGIN Positive_Adjst_17_fieldcolumn}{END Positive_Adjst_17_fieldcolumn}

	{BEGIN Negative_Adjst_17_fieldcolumn}{END Negative_Adjst_17_fieldcolumn}

	{BEGIN QtySOH_17_fieldcolumn}{END QtySOH_17_fieldcolumn}

	{BEGIN Remark_17_fieldcolumn}{END Remark_17_fieldcolumn}

	{BEGIN Drug_18_fieldcolumn}{END Drug_18_fieldcolumn}

	{BEGIN BeginningBal_18_fieldcolumn}{END BeginningBal_18_fieldcolumn}

	{BEGIN QtyReceived_18_fieldcolumn}{END QtyReceived_18_fieldcolumn}

	{BEGIN Qty_Dispensed_18_fieldcolumn}{END Qty_Dispensed_18_fieldcolumn}

	{BEGIN Positive_Adjst_18_fieldcolumn}{END Positive_Adjst_18_fieldcolumn}

	{BEGIN Negative_Adjst_18_fieldcolumn}{END Negative_Adjst_18_fieldcolumn}

	{BEGIN QtySOH_18_fieldcolumn}{END QtySOH_18_fieldcolumn}

	{BEGIN Remark_18_fieldcolumn}{END Remark_18_fieldcolumn}

	{BEGIN Drug_19_fieldcolumn}{END Drug_19_fieldcolumn}

	{BEGIN BeginningBal_19_fieldcolumn}{END BeginningBal_19_fieldcolumn}

	{BEGIN QtyReceived_19_fieldcolumn}{END QtyReceived_19_fieldcolumn}

	{BEGIN Qty_Dispensed_19_fieldcolumn}{END Qty_Dispensed_19_fieldcolumn}

	{BEGIN Positive_Adjst_19_fieldcolumn}{END Positive_Adjst_19_fieldcolumn}

	{BEGIN Negative_Adjst_19_fieldcolumn}{END Negative_Adjst_19_fieldcolumn}

	{BEGIN QtySOH_19_fieldcolumn}{END QtySOH_19_fieldcolumn}

	{BEGIN Remark_19_fieldcolumn}{END Remark_19_fieldcolumn}

	{BEGIN Drug_20_fieldcolumn}{END Drug_20_fieldcolumn}

	{BEGIN BeginningBal_20_fieldcolumn}{END BeginningBal_20_fieldcolumn}

	{BEGIN QtyReceived_20_fieldcolumn}{END QtyReceived_20_fieldcolumn}

	{BEGIN Qty_Dispensed_20_fieldcolumn}{END Qty_Dispensed_20_fieldcolumn}

	{BEGIN Positive_Adjst_20_fieldcolumn}{END Positive_Adjst_20_fieldcolumn}

	{BEGIN Negative_Adjst_20_fieldcolumn}{END Negative_Adjst_20_fieldcolumn}

	{BEGIN QtySOH_20_fieldcolumn}{END QtySOH_20_fieldcolumn}

	{BEGIN Remark_20_fieldcolumn}{END Remark_20_fieldcolumn}

	{BEGIN Drug_21_fieldcolumn}{END Drug_21_fieldcolumn}

	{BEGIN BeginningBal_21_fieldcolumn}{END BeginningBal_21_fieldcolumn}

	{BEGIN QtyReceived_21_fieldcolumn}{END QtyReceived_21_fieldcolumn}

	{BEGIN Qty_Dispensed_21_fieldcolumn}{END Qty_Dispensed_21_fieldcolumn}

	{BEGIN Positive_Adjst_21_fieldcolumn}{END Positive_Adjst_21_fieldcolumn}

	{BEGIN Negative_Adjst_21_fieldcolumn}{END Negative_Adjst_21_fieldcolumn}

	{BEGIN QtySOH_21_fieldcolumn}{END QtySOH_21_fieldcolumn}

	{BEGIN Remark_21_fieldcolumn}{END Remark_21_fieldcolumn}

	{BEGIN Drug_22_fieldcolumn}{END Drug_22_fieldcolumn}

	{BEGIN BeginningBal_22_fieldcolumn}{END BeginningBal_22_fieldcolumn}

	{BEGIN QtyReceived_22_fieldcolumn}{END QtyReceived_22_fieldcolumn}

	{BEGIN Qty_Dispensed_22_fieldcolumn}{END Qty_Dispensed_22_fieldcolumn}

	{BEGIN Positive_Adjst_22_fieldcolumn}{END Positive_Adjst_22_fieldcolumn}

	{BEGIN Negative_Adjst_22_fieldcolumn}{END Negative_Adjst_22_fieldcolumn}

	{BEGIN QtySOH_22_fieldcolumn}{END QtySOH_22_fieldcolumn}

	{BEGIN Remark_22_fieldcolumn}{END Remark_22_fieldcolumn}

	{BEGIN Drug_23_fieldcolumn}{END Drug_23_fieldcolumn}

	{BEGIN BeginningBal_23_fieldcolumn}{END BeginningBal_23_fieldcolumn}

	{BEGIN QtyReceived_23_fieldcolumn}{END QtyReceived_23_fieldcolumn}

	{BEGIN Qty_Dispensed_23_fieldcolumn}{END Qty_Dispensed_23_fieldcolumn}

	{BEGIN Positive_Adjst_23_fieldcolumn}{END Positive_Adjst_23_fieldcolumn}

	{BEGIN Negative_Adjst_23_fieldcolumn}{END Negative_Adjst_23_fieldcolumn}

	{BEGIN QtySOH_23_fieldcolumn}{END QtySOH_23_fieldcolumn}

	{BEGIN Remark_23_fieldcolumn}{END Remark_23_fieldcolumn}

	{BEGIN Drug_24_fieldcolumn}{END Drug_24_fieldcolumn}

	{BEGIN BeginningBal_24_fieldcolumn}{END BeginningBal_24_fieldcolumn}

	{BEGIN QtyReceived_24_fieldcolumn}{END QtyReceived_24_fieldcolumn}

	{BEGIN Qty_Dispensed_24_fieldcolumn}{END Qty_Dispensed_24_fieldcolumn}

	{BEGIN Positive_Adjst_24_fieldcolumn}{END Positive_Adjst_24_fieldcolumn}

	{BEGIN Negative_Adjst_24_fieldcolumn}{END Negative_Adjst_24_fieldcolumn}

	{BEGIN QtySOH_24_fieldcolumn}{END QtySOH_24_fieldcolumn}

	{BEGIN Remark_24_fieldcolumn}{END Remark_24_fieldcolumn}

	{BEGIN Drug_25_fieldcolumn}{END Drug_25_fieldcolumn}

	{BEGIN BeginningBal_25_fieldcolumn}{END BeginningBal_25_fieldcolumn}

	{BEGIN QtyReceived_25_fieldcolumn}{END QtyReceived_25_fieldcolumn}

	{BEGIN Qty_Dispensed_25_fieldcolumn}{END Qty_Dispensed_25_fieldcolumn}

	{BEGIN Positive_Adjst_25_fieldcolumn}{END Positive_Adjst_25_fieldcolumn}

	{BEGIN Negative_Adjst_25_fieldcolumn}{END Negative_Adjst_25_fieldcolumn}

	{BEGIN QtySOH_25_fieldcolumn}{END QtySOH_25_fieldcolumn}

	{BEGIN Remark_25_fieldcolumn}{END Remark_25_fieldcolumn}

	{BEGIN Drug_26_fieldcolumn}{END Drug_26_fieldcolumn}

	{BEGIN BeginningBal_26_fieldcolumn}{END BeginningBal_26_fieldcolumn}

	{BEGIN QtyReceived_26_fieldcolumn}{END QtyReceived_26_fieldcolumn}

	{BEGIN Qty_Dispensed_26_fieldcolumn}{END Qty_Dispensed_26_fieldcolumn}

	{BEGIN Positive_Adjst_26_fieldcolumn}{END Positive_Adjst_26_fieldcolumn}

	{BEGIN Negative_Adjst_26_fieldcolumn}{END Negative_Adjst_26_fieldcolumn}

	{BEGIN QtySOH_26_fieldcolumn}{END QtySOH_26_fieldcolumn}

	{BEGIN Remark_26_fieldcolumn}{END Remark_26_fieldcolumn}

	{BEGIN Drug_27_fieldcolumn}{END Drug_27_fieldcolumn}

	{BEGIN BeginningBal_27_fieldcolumn}{END BeginningBal_27_fieldcolumn}

	{BEGIN QtyReceived_27_fieldcolumn}{END QtyReceived_27_fieldcolumn}

	{BEGIN Qty_Dispensed_27_fieldcolumn}{END Qty_Dispensed_27_fieldcolumn}

	{BEGIN Positive_Adjst_27_fieldcolumn}{END Positive_Adjst_27_fieldcolumn}

	{BEGIN Negative_Adjst_27_fieldcolumn}{END Negative_Adjst_27_fieldcolumn}

	{BEGIN QtySOH_27_fieldcolumn}{END QtySOH_27_fieldcolumn}

	{BEGIN Remark_27_fieldcolumn}{END Remark_27_fieldcolumn}

	{BEGIN Drug_28_fieldcolumn}{END Drug_28_fieldcolumn}

	{BEGIN BeginningBal_28_fieldcolumn}{END BeginningBal_28_fieldcolumn}

	{BEGIN QtyReceived_28_fieldcolumn}{END QtyReceived_28_fieldcolumn}

	{BEGIN Qty_Dispensed_28_fieldcolumn}{END Qty_Dispensed_28_fieldcolumn}

	{BEGIN Positive_Adjst_28_fieldcolumn}{END Positive_Adjst_28_fieldcolumn}

	{BEGIN Negative_Adjst_28_fieldcolumn}{END Negative_Adjst_28_fieldcolumn}

	{BEGIN QtySOH_28_fieldcolumn}{END QtySOH_28_fieldcolumn}

	{BEGIN Remark_28_fieldcolumn}{END Remark_28_fieldcolumn}

	{BEGIN ValidateEntry_fieldcolumn}<td class="{$ValidateEntry_class}" {$ValidateEntry_style} {$recordattrs}>
		{$ValidateEntry_value}
	</td>
{END ValidateEntry_fieldcolumn}

	{BEGIN Drug_29_fieldcolumn}<td class="{$Drug_29_class}" {$Drug_29_style} {$recordattrs}>
		{$Drug_29_value}
	</td>
{END Drug_29_fieldcolumn}

	{BEGIN BeginningBal_29_fieldcolumn}<td class="{$BeginningBal_29_class}" {$BeginningBal_29_style} {$recordattrs}>
		{$BeginningBal_29_value}
	</td>
{END BeginningBal_29_fieldcolumn}

	{BEGIN QtyReceived_29_fieldcolumn}<td class="{$QtyReceived_29_class}" {$QtyReceived_29_style} {$recordattrs}>
		{$QtyReceived_29_value}
	</td>
{END QtyReceived_29_fieldcolumn}

	{BEGIN Qty_Dispensed_29_fieldcolumn}<td class="{$Qty_Dispensed_29_class}" {$Qty_Dispensed_29_style} {$recordattrs}>
		{$Qty_Dispensed_29_value}
	</td>
{END Qty_Dispensed_29_fieldcolumn}

	{BEGIN Positive_Adjst_29_fieldcolumn}<td class="{$Positive_Adjst_29_class}" {$Positive_Adjst_29_style} {$recordattrs}>
		{$Positive_Adjst_29_value}
	</td>
{END Positive_Adjst_29_fieldcolumn}

	{BEGIN Negative_Adjst_29_fieldcolumn}<td class="{$Negative_Adjst_29_class}" {$Negative_Adjst_29_style} {$recordattrs}>
		{$Negative_Adjst_29_value}
	</td>
{END Negative_Adjst_29_fieldcolumn}

	{BEGIN QtySOH_29_fieldcolumn}<td class="{$QtySOH_29_class}" {$QtySOH_29_style} {$recordattrs}>
		{$QtySOH_29_value}
	</td>
{END QtySOH_29_fieldcolumn}

	{BEGIN Remark_29_fieldcolumn}<td class="{$Remark_29_class}" {$Remark_29_style} {$recordattrs}>
		{$Remark_29_value}
	</td>
{END Remark_29_fieldcolumn}

	{BEGIN Drug_30_fieldcolumn}<td class="{$Drug_30_class}" {$Drug_30_style} {$recordattrs}>
		{$Drug_30_value}
	</td>
{END Drug_30_fieldcolumn}

	{BEGIN BeginningBal_30_fieldcolumn}<td class="{$BeginningBal_30_class}" {$BeginningBal_30_style} {$recordattrs}>
		{$BeginningBal_30_value}
	</td>
{END BeginningBal_30_fieldcolumn}

	{BEGIN QtyReceived_30_fieldcolumn}<td class="{$QtyReceived_30_class}" {$QtyReceived_30_style} {$recordattrs}>
		{$QtyReceived_30_value}
	</td>
{END QtyReceived_30_fieldcolumn}

	{BEGIN Qty_Dispensed_30_fieldcolumn}<td class="{$Qty_Dispensed_30_class}" {$Qty_Dispensed_30_style} {$recordattrs}>
		{$Qty_Dispensed_30_value}
	</td>
{END Qty_Dispensed_30_fieldcolumn}

	{BEGIN Positive_Adjst_30_fieldcolumn}<td class="{$Positive_Adjst_30_class}" {$Positive_Adjst_30_style} {$recordattrs}>
		{$Positive_Adjst_30_value}
	</td>
{END Positive_Adjst_30_fieldcolumn}

	{BEGIN Negative_Adjst_30_fieldcolumn}<td class="{$Negative_Adjst_30_class}" {$Negative_Adjst_30_style} {$recordattrs}>
		{$Negative_Adjst_30_value}
	</td>
{END Negative_Adjst_30_fieldcolumn}

	{BEGIN QtySOH_30_fieldcolumn}<td class="{$QtySOH_30_class}" {$QtySOH_30_style} {$recordattrs}>
		{$QtySOH_30_value}
	</td>
{END QtySOH_30_fieldcolumn}

	{BEGIN Remark_30_fieldcolumn}<td class="{$Remark_30_class}" {$Remark_30_style} {$recordattrs}>
		{$Remark_30_value}
	</td>
{END Remark_30_fieldcolumn}

	{BEGIN Drug_31_fieldcolumn}<td class="{$Drug_31_class}" {$Drug_31_style} {$recordattrs}>
		{$Drug_31_value}
	</td>
{END Drug_31_fieldcolumn}

	{BEGIN BeginningBal_31_fieldcolumn}<td class="{$BeginningBal_31_class}" {$BeginningBal_31_style} {$recordattrs}>
		{$BeginningBal_31_value}
	</td>
{END BeginningBal_31_fieldcolumn}

	{BEGIN QtyReceived_31_fieldcolumn}<td class="{$QtyReceived_31_class}" {$QtyReceived_31_style} {$recordattrs}>
		{$QtyReceived_31_value}
	</td>
{END QtyReceived_31_fieldcolumn}

	{BEGIN Qty_Dispensed_31_fieldcolumn}<td class="{$Qty_Dispensed_31_class}" {$Qty_Dispensed_31_style} {$recordattrs}>
		{$Qty_Dispensed_31_value}
	</td>
{END Qty_Dispensed_31_fieldcolumn}

	{BEGIN Positive_Adjst_31_fieldcolumn}<td class="{$Positive_Adjst_31_class}" {$Positive_Adjst_31_style} {$recordattrs}>
		{$Positive_Adjst_31_value}
	</td>
{END Positive_Adjst_31_fieldcolumn}

	{BEGIN Negative_Adjst_31_fieldcolumn}<td class="{$Negative_Adjst_31_class}" {$Negative_Adjst_31_style} {$recordattrs}>
		{$Negative_Adjst_31_value}
	</td>
{END Negative_Adjst_31_fieldcolumn}

	{BEGIN QtySOH_31_fieldcolumn}<td class="{$QtySOH_31_class}" {$QtySOH_31_style} {$recordattrs}>
		{$QtySOH_31_value}
	</td>
{END QtySOH_31_fieldcolumn}

	{BEGIN Remark_31_fieldcolumn}<td class="{$Remark_31_class}" {$Remark_31_style} {$recordattrs}>
		{$Remark_31_value}
	</td>
{END Remark_31_fieldcolumn}


									<td class="rnr-edge" {$recordattrs}>&nbsp;</td>
									{BEGIN endrecord_block}<TD class="rnr-cs" rowSpan="1" colSpan="1" {$endrecordblock_attrs}>&nbsp;</td>
									{END endrecord_block}
																	
									{END grid_record}

								</tr>
								{END grid_row}
															
						</tbody>
					</table>
					

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{END container_grid}



{BEGIN container_pagination}<div class="rnr-c rnr-ch rnr-c-pagination">

{BEGIN pagination_block}<div  class="style1 rnr-bc rnr-b-pagination {$brickclass_pagination}">{$pagination}</div>
{END pagination_block}


</div>
{END container_pagination}


			</div>
			<div class="rnr-right {$blockclass_right}">
				
			</div>
		</div>
		<div class="rnr-bottom {$blockclass_bottom}">
			
		</div>
	</div>
		
		{$footer}
	{END body}
	</body>
</html>


ACTIONTIME: 2015-03-04 15:21:29
SOURCE:
<!doctype html>
<html  {$html_attrs}>
	<head>
		<meta http-equiv="X-UA-Compatible" content="IE=Edge">
		<title>< DIV contentEditable=false id class='simple-xt-tag' style='background-image: ; display: inline-block;' ruleindex="272">pagetitle</DIV>
    </title>

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

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


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

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

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


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



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

{BEGIN container_fields}<DIV style="min-height: 1000px; min-width: 1396px;" class="rnr-c rnr-cv rnr-c-fields">
                          <div  class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}"></DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                            <TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
                              <P align="center">
                                <FONT size="4"></FONT>
                              </P>
                              <TBODY>
                                <P align="center">
                                  <FONT size="4"></FONT>
                                </P>
                                <TR>
                                  <P align="center">
                                    <FONT size="4"></FONT>
                                  </P>
                                  <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
                                    <P align="center">
                                      <FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - Antiretroviral and Cotrimoxazole</FONT></FONT>
                                    </P>
                                  </TD>
                                </TR>
                              </TBODY>
                            </TABLE>
                          </DIV>
                          <DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                            <TABLE style="width: auto;" class="fieldGrid">
                              <TBODY>
                                {BEGIN formid_fieldblock}<tr class="{$fielddispclass_formid}" data-fieldname="formid">
	<TD style="width: auto;" class="rnr-label">
                                      {BEGIN formid_label}<TABLE style="width: 390px;" border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                SiteName
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="3">
                                                {$SiteName_editcontrol}
                                                &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="5" colSpan="1">
                                                <IMG style="width: 118px; height: 73px;" border="0" alt="coat of arms" src="images/coat.jpg" width="241" height="207">
                                                &nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                              <TD class=" runner-cc" rowSpan="5" colSpan="2">
                                                &nbsp;&nbsp;&nbsp;<FONT size="4">Data Consultant Name</FONT><FONT size="3">{$ValidateEntry_editcontrol}</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Facility&nbsp;Code
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$formid_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;Funding&nbsp;Source
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$Funding_Source_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;State
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$State_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;Service&nbsp;Type
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$Service_Type_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Phase
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                {$Phase_editcontrol}
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;IPName
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                {$IPName_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 210px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 93px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 5px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END formid_label}
	</td>
	<td class="rnr-control style3">
		</td>
</tr>
{END formid_fieldblock}
	{BEGIN SiteName_fieldblock}<tr class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
	<TD style="width: auto;" class="rnr-label">
                                      {BEGIN SiteName_label}<TABLE style="width: 1367px;" border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
                                          <TBODY>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;S/No
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                &nbsp;Drugs
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;Basic&nbsp;Unit
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  &nbsp;Beginning&nbsp;Balance<BR>for&nbsp;Reporting&nbsp;Period
                                                </P>
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                &nbsp;Quantity&nbsp;Received<BR>during&nbsp;Reporting&nbsp;Period
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  Quantity&nbsp;Dispensed
                                                </P>
                                                <P>
                                                  During&nbsp;Reporting&nbsp;Period&nbsp;
                                                </P>
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                &nbsp;Positive&nbsp;Adjust.
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                Negative&nbsp;Adjust.&nbsp;
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                <P>
                                                  &nbsp;Ending&nbsp;Balance
                                                </P>
                                                <P>
                                                  (Physical&nbsp;Count)
                                                </P>
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                Remarks&nbsp;
                                              </TD>
                                            </TR>
                                            <TR style="height: 22px;">
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">FIXED DOSE COMBINATION ADULT FIRST LINE</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;1
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_1_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_1_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_1_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_1_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_1_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_1_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_1_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_1_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;2
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_2_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_2_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_2_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_2_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_2_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_2_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_2_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_2_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR style="height: 26px;">
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;3
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_3_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                                &nbsp;
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_3_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                <FONT face="Arial Black">{$QtyReceived_3_editcontrol}</FONT>
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed__editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_3_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_3_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_3_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_3_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;4
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_4_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_4_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_4_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_4_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_4_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_4_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_4_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_4_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;5
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_5_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_5_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_5_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_5_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_5_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_5_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_5_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_5_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">SINGLE DOSE ADULT FIRST LINE</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;6
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_6_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_6_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_6_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_6_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_6_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_6_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_6_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_6_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;7
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_7_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_7_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_7_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_7_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_7_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_7_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_7_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_7_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;8
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_8_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_8_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_8_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_8_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_8_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_8_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_8_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_8_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">ADULT SECOND LINE DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;9
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_9_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_9_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_9_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_9_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_9_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_9_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_9_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_9_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;10
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_10_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_10_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_10_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_10_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_10_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_10_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_10_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_10_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC FIXED DOSE COMBINATION</FONT>
                                              </TD>
                                            </TR>
                                            <TR style="height: 24px;">
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;11
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_11_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_11_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_11_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_11_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_11_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_11_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_11_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_11_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;12
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_12_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_12_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_12_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_12_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_12_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_12_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_12_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_12_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;13
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_13_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_13_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_13_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_13_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_13_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_13_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_13_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_13_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;14
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_14_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_14_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_14_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_14_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_14_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_14_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_14_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_14_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC SINGLE DOSE</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;15
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_15_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_15_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_15_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_15_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_15_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_15_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_15_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_15_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;16
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_16_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_16_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_16_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_16_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_16_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_16_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_16_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_16_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;17
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_17_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_17_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_17_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_17_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_17_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_17_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_17_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_17_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;18
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_18_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_18_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_18_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_18_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_18_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_18_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_18_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_18_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;19
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_19_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_19_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_19_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_19_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_19_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_19_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_19_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_19_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" size="3">PEDIATRIC SECOND LINE DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;20
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_20_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_20_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_20_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_20_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_20_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_20_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_20_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_20_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;21
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_21_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_21_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_21_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_21_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_21_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_21_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_21_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_21_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="10">
                                                <FONT color="#ffffff" 
            size="3">OPPORTUNISTICS INFECTIOUS DRUGS</FONT>
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;22
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_22_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_22_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_22_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_22_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_22_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_22_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_22_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_22_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;23
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_23_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_23_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_23_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_23_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_23_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_23_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_23_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;24
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_24_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_24_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_24_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_24_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_24_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_24_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_24_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;25
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_25_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_25_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_25_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_25_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_25_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_25_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_25_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_25_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;26
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_26_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_26_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_26_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_26_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_26_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_26_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_26_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_26_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;27
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_27_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_27_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_27_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_27_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_27_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_27_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_27_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_27_editcontrol}
                                              </TD>
                                            </TR>
                                            <TR>
                                              <TD style="width: 47px;" rowSpan="1" colSpan="1">
                                                &nbsp;28
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Drug_28_editcontrol}
                                              </TD>
                                              <TD style="width: 77px;" rowSpan="1" colSpan="1">
                                              </TD>
                                              <TD style="width: 135px;" rowSpan="1" colSpan="1">
                                                {$BeginningBal_28_editcontrol}
                                              </TD>
                                              <TD style="width: 145px;" rowSpan="1" colSpan="1">
                                                {$QtyReceived_28_editcontrol}
                                              </TD>
                                              <TD style="width: 148px;" rowSpan="1" colSpan="1">
                                                {$Qty_Dispensed_28_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Positive_Adjst_28_editcontrol}
                                              </TD>
                                              <TD style="width: 141px;" rowSpan="1" colSpan="1">
                                                {$Negative_Adjst_28_editcontrol}
                                              </TD>
                                              <TD style="width: 91px;" rowSpan="1" colSpan="1">
                                                {$QtySOH_28_editcontrol}
                                              </TD>
                                              <TD style="width: 223px;" rowSpan="1" colSpan="1">
                                                {$Remark_28_editcontrol}
                                              </TD>
                                            </TR>
                                          </TBODY>
                                        </TABLE>
                                      {END SiteName_label}
	</td>
	<td class="rnr-control style3">
		</td>
</tr>
{END SiteName_fieldblock}
	<TR style="height: 32px;" class="{$fielddispclass_State}" data-fieldname="State">
                                  <TD class="rnr-label">
                                  </TD>
                                  <TD class="rnr-control style3">
                                    &nbsp;
                                  </TD>
                                </TR>
                              </TBODY>
                              <TBODY>
                                {BEGIN ValidateEntry_fieldblock}<tr class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
	<td class="rnr-label">
		{BEGIN ValidateEntry_label}{END ValidateEntry_label}
	</td>
	<td class="rnr-control style3">
		</td>
</tr>
{END ValidateEntry_fieldblock}
	</TBODY>
                            {BEGIN Drug_32_fieldblock}<tr class="{$fielddispclass_Drug_32}" data-fieldname="Drug_32">
	<td class="rnr-label">
		{BEGIN Drug_32_label}{$label arv_art Drug_32}{END Drug_32_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_32_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_32_fieldblock}
	{BEGIN lotNo_32_fieldblock}<tr class="{$fielddispclass_lotNo_32}" data-fieldname="lotNo_32">
	<td class="rnr-label">
		{BEGIN lotNo_32_label}{$label arv_art lotNo_32}{END lotNo_32_label}
	</td>
	<td class="rnr-control style3">
		{$lotNo_32_editcontrol}&nbsp;
	</td>
</tr>
{END lotNo_32_fieldblock}
	{BEGIN expirydate_32_fieldblock}<tr class="{$fielddispclass_expirydate_32}" data-fieldname="expirydate_32">
	<td class="rnr-label">
		{BEGIN expirydate_32_label}{$label arv_art expirydate_32}{END expirydate_32_label}
	</td>
	<td class="rnr-control style3">
		{$expirydate_32_editcontrol}&nbsp;
	</td>
</tr>
{END expirydate_32_fieldblock}
	{BEGIN Qty_expired_32_fieldblock}<tr class="{$fielddispclass_Qty_expired_32}" data-fieldname="Qty_expired_32">
	<td class="rnr-label">
		{BEGIN Qty_expired_32_label}{$label arv_art Qty_expired_32}{END Qty_expired_32_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_expired_32_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_expired_32_fieldblock}
	{BEGIN Drug_33_fieldblock}<tr class="{$fielddispclass_Drug_33}" data-fieldname="Drug_33">
	<td class="rnr-label">
		{BEGIN Drug_33_label}{$label arv_art Drug_33}{END Drug_33_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_33_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_33_fieldblock}
	{BEGIN lotNo_33_fieldblock}<tr class="{$fielddispclass_lotNo_33}" data-fieldname="lotNo_33">
	<td class="rnr-label">
		{BEGIN lotNo_33_label}{$label arv_art lotNo_33}{END lotNo_33_label}
	</td>
	<td class="rnr-control style3">
		{$lotNo_33_editcontrol}&nbsp;
	</td>
</tr>
{END lotNo_33_fieldblock}
	{BEGIN expirydate_33_fieldblock}<tr class="{$fielddispclass_expirydate_33}" data-fieldname="expirydate_33">
	<td class="rnr-label">
		{BEGIN expirydate_33_label}{$label arv_art expirydate_33}{END expirydate_33_label}
	</td>
	<td class="rnr-control style3">
		{$expirydate_33_editcontrol}&nbsp;
	</td>
</tr>
{END expirydate_33_fieldblock}
	{BEGIN Qty_expired_33_fieldblock}<tr class="{$fielddispclass_Qty_expired_33}" data-fieldname="Qty_expired_33">
	<td class="rnr-label">
		{BEGIN Qty_expired_33_label}{$label arv_art Qty_expired_33}{END Qty_expired_33_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_expired_33_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_expired_33_fieldblock}
	{BEGIN Drug_34_fieldblock}<tr class="{$fielddispclass_Drug_34}" data-fieldname="Drug_34">
	<td class="rnr-label">
		{BEGIN Drug_34_label}{$label arv_art Drug_34}{END Drug_34_label}
	</td>
	<td class="rnr-control style3">
		{$Drug_34_editcontrol}&nbsp;
	</td>
</tr>
{END Drug_34_fieldblock}
	{BEGIN lotNo_34_fieldblock}<tr class="{$fielddispclass_lotNo_34}" data-fieldname="lotNo_34">
	<td class="rnr-label">
		{BEGIN lotNo_34_label}{$label arv_art lotNo_34}{END lotNo_34_label}
	</td>
	<td class="rnr-control style3">
		{$lotNo_34_editcontrol}&nbsp;
	</td>
</tr>
{END lotNo_34_fieldblock}
	{BEGIN expirydate_34_fieldblock}<tr class="{$fielddispclass_expirydate_34}" data-fieldname="expirydate_34">
	<td class="rnr-label">
		{BEGIN expirydate_34_label}{$label arv_art expirydate_34}{END expirydate_34_label}
	</td>
	<td class="rnr-control style3">
		{$expirydate_34_editcontrol}&nbsp;
	</td>
</tr>
{END expirydate_34_fieldblock}
	{BEGIN Qty_expired_34_fieldblock}<tr class="{$fielddispclass_Qty_expired_34}" data-fieldname="Qty_expired_34">
	<td class="rnr-label">
		{BEGIN Qty_expired_34_label}{$label arv_art Qty_expired_34}{END Qty_expired_34_label}
	</td>
	<td class="rnr-control style3">
		{$Qty_expired_34_editcontrol}&nbsp;
	</td>
</tr>
{END Qty_expired_34_fieldblock}
</table></DIV>
                          <DIV 
class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
                            &nbsp;
                          </div>


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


</div>
{END container_fields}

</div>


</div>
{END container_edit}

</div>



</div>
{END container_all}


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


