# REVISIONDATA

ACTIONTIME: 2015-02-25 15:01:55
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 {$brickclass_toplinks_advsearch}">	<a href="ppr_search.php" class="rnr-button" {$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 style="width: 1448px;" 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 style="width: 9px;" rowSpan="1" colSpan="1" iEditCont="all">&nbsp;</th>
									{END listIcons_column}	

									
																																			{BEGIN Regcat20_fieldheadercolumn}{END Regcat20_fieldheadercolumn}

																	{BEGIN RegCat28_fieldheadercolumn}{END RegCat28_fieldheadercolumn}

																	{BEGIN TotalPatient_28_fieldheadercolumn}{END TotalPatient_28_fieldheadercolumn}

																	{BEGIN regimen_28_fieldheadercolumn}{END regimen_28_fieldheadercolumn}

																	{BEGIN RegCat27_fieldheadercolumn}{END RegCat27_fieldheadercolumn}

																	{BEGIN TotalPatient_27_fieldheadercolumn}{END TotalPatient_27_fieldheadercolumn}

																	{BEGIN regimen_27_fieldheadercolumn}{END regimen_27_fieldheadercolumn}

																	{BEGIN RegCat26_fieldheadercolumn}{END RegCat26_fieldheadercolumn}

																	{BEGIN TotalPatient_26_fieldheadercolumn}{END TotalPatient_26_fieldheadercolumn}

																	{BEGIN regimen_26_fieldheadercolumn}{END regimen_26_fieldheadercolumn}

																	{BEGIN RegCat29_fieldheadercolumn}{END RegCat29_fieldheadercolumn}

																	{BEGIN TotalPatient_25_fieldheadercolumn}{END TotalPatient_25_fieldheadercolumn}

																	{BEGIN regimen_25_fieldheadercolumn}{END regimen_25_fieldheadercolumn}

																	{BEGIN RegCat24_fieldheadercolumn}{END RegCat24_fieldheadercolumn}

																	{BEGIN RegCat23_fieldheadercolumn}{END RegCat23_fieldheadercolumn}

																	{BEGIN RegCat22_fieldheadercolumn}{END RegCat22_fieldheadercolumn}

																	{BEGIN RegCat21_fieldheadercolumn}{END RegCat21_fieldheadercolumn}

																	{BEGIN RegCat25_fieldheadercolumn}{END RegCat25_fieldheadercolumn}

																	{BEGIN RegCat19_fieldheadercolumn}{END RegCat19_fieldheadercolumn}

																	{BEGIN ValidateEntry_fieldheadercolumn}<TH style="width: 93px;" class="rnr-gridfieldlabel {$ValidateEntry_class}" rowSpan="1" colSpan="1">{BEGIN ValidateEntry_fieldheader}<span {$ValidateEntry_orderlinkattrs}>
											{$label PPR_PMTCT ValidateEntry}
										</span>
									{END ValidateEntry_fieldheader}
									</th>
									{END ValidateEntry_fieldheadercolumn}

																	{BEGIN RegCat30_fieldheadercolumn}{END RegCat30_fieldheadercolumn}

																	{BEGIN TotalPatient_30_fieldheadercolumn}{END TotalPatient_30_fieldheadercolumn}

																	{BEGIN regimen_30_fieldheadercolumn}{END regimen_30_fieldheadercolumn}

																	{BEGIN TotalPatient_29_fieldheadercolumn}{END TotalPatient_29_fieldheadercolumn}

																	{BEGIN regimen_29_fieldheadercolumn}{END regimen_29_fieldheadercolumn}

																	{BEGIN formid_fieldheadercolumn}<TH style="width: 55px;" class="rnr-gridfieldlabel {$formid_class}" rowSpan="1" colSpan="1">{BEGIN formid_fieldheader}<span {$formid_orderlinkattrs}>
											{$label PPR_PMTCT formid}
										</span>
									{END formid_fieldheader}
									</th>
									{END formid_fieldheadercolumn}

																	{BEGIN SiteName_fieldheadercolumn}<TH style="width: 74px;" class="rnr-gridfieldlabel {$SiteName_class}" rowSpan="1" colSpan="1">{BEGIN SiteName_fieldheader}<span {$SiteName_orderlinkattrs}>
											{$label PPR_PMTCT SiteName}
										</span>
									{END SiteName_fieldheader}
									</th>
									{END SiteName_fieldheadercolumn}

																	{BEGIN State_fieldheadercolumn}<TH style="width: 49px;" class="rnr-gridfieldlabel {$State_class}" rowSpan="1" colSpan="1">{BEGIN State_fieldheader}<span {$State_orderlinkattrs}>
											{$label PPR_PMTCT State}
										</span>
									{END State_fieldheader}
									</th>
									{END State_fieldheadercolumn}

																	{BEGIN Funding_Source_fieldheadercolumn}<TH style="width: 109px;" class="rnr-gridfieldlabel {$Funding_Source_class}" rowSpan="1" colSpan="1">{BEGIN Funding_Source_fieldheader}<span {$Funding_Source_orderlinkattrs}>
											{$label PPR_PMTCT Funding_Source}
										</span>
									{END Funding_Source_fieldheader}
									</th>
									{END Funding_Source_fieldheadercolumn}

																	{BEGIN Service_Type_fieldheadercolumn}<TH style="width: 95px;" class="rnr-gridfieldlabel {$Service_Type_class}" rowSpan="1" colSpan="1">{BEGIN Service_Type_fieldheader}<span {$Service_Type_orderlinkattrs}>
											{$label PPR_PMTCT Service_Type}
										</span>
									{END Service_Type_fieldheader}
									</th>
									{END Service_Type_fieldheadercolumn}

																	{BEGIN Phase_fieldheadercolumn}<TH style="width: 55px;" class="rnr-gridfieldlabel {$Phase_class}" rowSpan="1" colSpan="1">{BEGIN Phase_fieldheader}<span {$Phase_orderlinkattrs}>
											{$label PPR_PMTCT Phase}
										</span>
									{END Phase_fieldheader}
									</th>
									{END Phase_fieldheadercolumn}

																	{BEGIN IPName_fieldheadercolumn}<TH style="width: 65px;" class="rnr-gridfieldlabel {$IPName_class}" rowSpan="1" colSpan="1">{BEGIN IPName_fieldheader}<span {$IPName_orderlinkattrs}>
											{$label PPR_PMTCT IPName}
										</span>
									{END IPName_fieldheader}
									</th>
									{END IPName_fieldheadercolumn}

																	{BEGIN regimen_1_fieldheadercolumn}{END regimen_1_fieldheadercolumn}

																	{BEGIN TotalPatient_1_fieldheadercolumn}{END TotalPatient_1_fieldheadercolumn}

																	{BEGIN regimen_2_fieldheadercolumn}{END regimen_2_fieldheadercolumn}

																	{BEGIN TotalPatient_2_fieldheadercolumn}{END TotalPatient_2_fieldheadercolumn}

																	{BEGIN regimen_3_fieldheadercolumn}{END regimen_3_fieldheadercolumn}

																	{BEGIN TotalPatient_3_fieldheadercolumn}{END TotalPatient_3_fieldheadercolumn}

																	{BEGIN regimen_4_fieldheadercolumn}{END regimen_4_fieldheadercolumn}

																	{BEGIN TotalPatient_4_fieldheadercolumn}{END TotalPatient_4_fieldheadercolumn}

																	{BEGIN regimen_5_fieldheadercolumn}{END regimen_5_fieldheadercolumn}

																	{BEGIN TotalPatient_5_fieldheadercolumn}{END TotalPatient_5_fieldheadercolumn}

																	{BEGIN regimen_6_fieldheadercolumn}{END regimen_6_fieldheadercolumn}

																	{BEGIN TotalPatient_6_fieldheadercolumn}{END TotalPatient_6_fieldheadercolumn}

																	{BEGIN regimen_7_fieldheadercolumn}{END regimen_7_fieldheadercolumn}

																	{BEGIN TotalPatient_7_fieldheadercolumn}{END TotalPatient_7_fieldheadercolumn}

																	{BEGIN regimen_8_fieldheadercolumn}{END regimen_8_fieldheadercolumn}

																	{BEGIN TotalPatient_8_fieldheadercolumn}{END TotalPatient_8_fieldheadercolumn}

																	{BEGIN regimen_9_fieldheadercolumn}{END regimen_9_fieldheadercolumn}

																	{BEGIN TotalPatient_9_fieldheadercolumn}{END TotalPatient_9_fieldheadercolumn}

																	{BEGIN regimen_10_fieldheadercolumn}{END regimen_10_fieldheadercolumn}

																	{BEGIN TotalPatient_10_fieldheadercolumn}{END TotalPatient_10_fieldheadercolumn}

																	{BEGIN regimen_11_fieldheadercolumn}{END regimen_11_fieldheadercolumn}

																	{BEGIN TotalPatient_11_fieldheadercolumn}{END TotalPatient_11_fieldheadercolumn}

																	{BEGIN regimen_12_fieldheadercolumn}{END regimen_12_fieldheadercolumn}

																	{BEGIN TotalPatient_12_fieldheadercolumn}{END TotalPatient_12_fieldheadercolumn}

																	{BEGIN regimen_13_fieldheadercolumn}{END regimen_13_fieldheadercolumn}

																	{BEGIN TotalPatient_13_fieldheadercolumn}{END TotalPatient_13_fieldheadercolumn}

																	{BEGIN regimen_14_fieldheadercolumn}{END regimen_14_fieldheadercolumn}

																	{BEGIN TotalPatient_14_fieldheadercolumn}{END TotalPatient_14_fieldheadercolumn}

																	{BEGIN regimen_15_fieldheadercolumn}{END regimen_15_fieldheadercolumn}

																	{BEGIN TotalPatient_15_fieldheadercolumn}{END TotalPatient_15_fieldheadercolumn}

																	{BEGIN regimen_16_fieldheadercolumn}{END regimen_16_fieldheadercolumn}

																	{BEGIN TotalPatient_16_fieldheadercolumn}{END TotalPatient_16_fieldheadercolumn}

																	{BEGIN regimen_17_fieldheadercolumn}{END regimen_17_fieldheadercolumn}

																	{BEGIN TotalPatient_17_fieldheadercolumn}{END TotalPatient_17_fieldheadercolumn}

																	{BEGIN regimen_18_fieldheadercolumn}{END regimen_18_fieldheadercolumn}

																	{BEGIN TotalPatient_18_fieldheadercolumn}{END TotalPatient_18_fieldheadercolumn}

																	{BEGIN regimen_19_fieldheadercolumn}{END regimen_19_fieldheadercolumn}

																	{BEGIN TotalPatient_19_fieldheadercolumn}{END TotalPatient_19_fieldheadercolumn}

																	{BEGIN regimen_20_fieldheadercolumn}{END regimen_20_fieldheadercolumn}

																	{BEGIN TotalPatient_20_fieldheadercolumn}{END TotalPatient_20_fieldheadercolumn}

																	{BEGIN regimen_21_fieldheadercolumn}{END regimen_21_fieldheadercolumn}

																	{BEGIN TotalPatient_21_fieldheadercolumn}{END TotalPatient_21_fieldheadercolumn}

																	{BEGIN regimen_22_fieldheadercolumn}{END regimen_22_fieldheadercolumn}

																	{BEGIN TotalPatient_22_fieldheadercolumn}{END TotalPatient_22_fieldheadercolumn}

																	{BEGIN regimen_23_fieldheadercolumn}{END regimen_23_fieldheadercolumn}

																	{BEGIN TotalPatient_23_fieldheadercolumn}{END TotalPatient_23_fieldheadercolumn}

																	{BEGIN regimen_24_fieldheadercolumn}{END regimen_24_fieldheadercolumn}

																	{BEGIN TotalPatient_24_fieldheadercolumn}{END TotalPatient_24_fieldheadercolumn}

																	{BEGIN AdultHaart_fieldheadercolumn}<TH style="width: 78px;" class="rnr-gridfieldlabel {$AdultHaart_class}" rowSpan="1" colSpan="1">{BEGIN AdultHaart_fieldheader}<span {$AdultHaart_orderlinkattrs}>
											{$label PPR_PMTCT AdultHaart}
										</span>
									{END AdultHaart_fieldheader}
									</th>
									{END AdultHaart_fieldheadercolumn}

																	{BEGIN PeadsHaart_fieldheadercolumn}<TH style="width: 85px;" class="rnr-gridfieldlabel {$PeadsHaart_class}" rowSpan="1" colSpan="1">{BEGIN PeadsHaart_fieldheader}<span {$PeadsHaart_orderlinkattrs}>
											{$label PPR_PMTCT PeadsHaart}
										</span>
									{END PeadsHaart_fieldheader}
									</th>
									{END PeadsHaart_fieldheadercolumn}

																	{BEGIN AdultPMTCT_fieldheadercolumn}<TH style="width: 90px;" class="rnr-gridfieldlabel {$AdultPMTCT_class}" rowSpan="1" colSpan="1">{BEGIN AdultPMTCT_fieldheader}<span {$AdultPMTCT_orderlinkattrs}>
											{$label PPR_PMTCT AdultPMTCT}
										</span>
									{END AdultPMTCT_fieldheader}
									</th>
									{END AdultPMTCT_fieldheadercolumn}

																	{BEGIN PeadsPMTCT_fieldheadercolumn}<TH style="width: 97px;" class="rnr-gridfieldlabel {$PeadsPMTCT_class}" rowSpan="1" colSpan="1">{BEGIN PeadsPMTCT_fieldheader}<span {$PeadsPMTCT_orderlinkattrs}>
											{$label PPR_PMTCT PeadsPMTCT}
										</span>
									{END PeadsPMTCT_fieldheader}
									</th>
									{END PeadsPMTCT_fieldheadercolumn}

																	{BEGIN PEP_fieldheadercolumn}<TH style="width: 45px;" class="rnr-gridfieldlabel {$PEP_class}" rowSpan="1" colSpan="1">{BEGIN PEP_fieldheader}<span {$PEP_orderlinkattrs}>
											{$label PPR_PMTCT PEP}
										</span>
									{END PEP_fieldheader}
									</th>
									{END PEP_fieldheadercolumn}

																	{BEGIN ExposedInfant_fieldheadercolumn}<TH style="width: 98px;" class="rnr-gridfieldlabel {$ExposedInfant_class}" rowSpan="1" colSpan="1">{BEGIN ExposedInfant_fieldheader}<span {$ExposedInfant_orderlinkattrs}>
											{$label PPR_PMTCT ExposedInfant}
										</span>
									{END ExposedInfant_fieldheader}
									</th>
									{END ExposedInfant_fieldheadercolumn}


									
									<th class="rnr-edge">&nbsp;</th>
									{BEGIN endrecordheader_block}<TH style="width: 3px;" 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} {$rowstyle}>
									{BEGIN grid_record}{BEGIN listIcons_column}<TD style="width: 15px;" class="rnr-cc rnr-bc rnr-icons" rowSpan="1" colSpan="1" iEditCont="all" {$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 Regcat20_fieldcolumn}{END Regcat20_fieldcolumn}

	{BEGIN RegCat28_fieldcolumn}{END RegCat28_fieldcolumn}

	{BEGIN TotalPatient_28_fieldcolumn}{END TotalPatient_28_fieldcolumn}

	{BEGIN regimen_28_fieldcolumn}{END regimen_28_fieldcolumn}

	{BEGIN RegCat27_fieldcolumn}{END RegCat27_fieldcolumn}

	{BEGIN TotalPatient_27_fieldcolumn}{END TotalPatient_27_fieldcolumn}

	{BEGIN regimen_27_fieldcolumn}{END regimen_27_fieldcolumn}

	{BEGIN RegCat26_fieldcolumn}{END RegCat26_fieldcolumn}

	{BEGIN TotalPatient_26_fieldcolumn}{END TotalPatient_26_fieldcolumn}

	{BEGIN regimen_26_fieldcolumn}{END regimen_26_fieldcolumn}

	{BEGIN RegCat29_fieldcolumn}{END RegCat29_fieldcolumn}

	{BEGIN TotalPatient_25_fieldcolumn}{END TotalPatient_25_fieldcolumn}

	{BEGIN regimen_25_fieldcolumn}{END regimen_25_fieldcolumn}

	{BEGIN RegCat24_fieldcolumn}{END RegCat24_fieldcolumn}

	{BEGIN RegCat23_fieldcolumn}{END RegCat23_fieldcolumn}

	{BEGIN RegCat22_fieldcolumn}{END RegCat22_fieldcolumn}

	{BEGIN RegCat21_fieldcolumn}{END RegCat21_fieldcolumn}

	{BEGIN RegCat25_fieldcolumn}{END RegCat25_fieldcolumn}

	{BEGIN RegCat19_fieldcolumn}{END RegCat19_fieldcolumn}

	{BEGIN ValidateEntry_fieldcolumn}<TD style="width: 99px;" class="{$ValidateEntry_class}" rowSpan="1" colSpan="1" {$ValidateEntry_style} {$recordattrs}>
      {$ValidateEntry_value}
	</td>
{END ValidateEntry_fieldcolumn}

	{BEGIN RegCat30_fieldcolumn}{END RegCat30_fieldcolumn}

	{BEGIN TotalPatient_30_fieldcolumn}{END TotalPatient_30_fieldcolumn}

	{BEGIN regimen_30_fieldcolumn}{END regimen_30_fieldcolumn}

	{BEGIN TotalPatient_29_fieldcolumn}{END TotalPatient_29_fieldcolumn}

	{BEGIN regimen_29_fieldcolumn}{END regimen_29_fieldcolumn}

	{BEGIN formid_fieldcolumn}<TD style="width: 61px;" class="{$formid_class}" rowSpan="1" colSpan="1" {$formid_style} {$recordattrs}>
      {$formid_value}
	</td>
{END formid_fieldcolumn}

	{BEGIN SiteName_fieldcolumn}<TD style="width: 80px;" class="{$SiteName_class}" rowSpan="1" colSpan="1" {$SiteName_style} {$recordattrs}>
      {$SiteName_value}
	</td>
{END SiteName_fieldcolumn}

	{BEGIN State_fieldcolumn}<TD style="width: 55px;" class="{$State_class}" rowSpan="1" colSpan="1" {$State_style} {$recordattrs}>
      {$State_value}
	</td>
{END State_fieldcolumn}

	{BEGIN Funding_Source_fieldcolumn}<TD style="width: 115px;" 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 style="width: 101px;" class="{$Service_Type_class}" rowSpan="1" colSpan="1" {$Service_Type_style} {$recordattrs}>
      {$Service_Type_value}
	</td>
{END Service_Type_fieldcolumn}

	{BEGIN Phase_fieldcolumn}<TD style="width: 61px;" class="{$Phase_class}" rowSpan="1" colSpan="1" {$Phase_style} {$recordattrs}>
      {$Phase_value}
	</td>
{END Phase_fieldcolumn}

	{BEGIN IPName_fieldcolumn}<TD style="width: 71px;" class="{$IPName_class}" rowSpan="1" colSpan="1" {$IPName_style} {$recordattrs}>
      {$IPName_value}
	</td>
{END IPName_fieldcolumn}

	{BEGIN regimen_1_fieldcolumn}{END regimen_1_fieldcolumn}

	{BEGIN TotalPatient_1_fieldcolumn}{END TotalPatient_1_fieldcolumn}

	{BEGIN regimen_2_fieldcolumn}{END regimen_2_fieldcolumn}

	{BEGIN TotalPatient_2_fieldcolumn}{END TotalPatient_2_fieldcolumn}

	{BEGIN regimen_3_fieldcolumn}{END regimen_3_fieldcolumn}

	{BEGIN TotalPatient_3_fieldcolumn}{END TotalPatient_3_fieldcolumn}

	{BEGIN regimen_4_fieldcolumn}{END regimen_4_fieldcolumn}

	{BEGIN TotalPatient_4_fieldcolumn}{END TotalPatient_4_fieldcolumn}

	{BEGIN regimen_5_fieldcolumn}{END regimen_5_fieldcolumn}

	{BEGIN TotalPatient_5_fieldcolumn}{END TotalPatient_5_fieldcolumn}

	{BEGIN regimen_6_fieldcolumn}{END regimen_6_fieldcolumn}

	{BEGIN TotalPatient_6_fieldcolumn}{END TotalPatient_6_fieldcolumn}

	{BEGIN regimen_7_fieldcolumn}{END regimen_7_fieldcolumn}

	{BEGIN TotalPatient_7_fieldcolumn}{END TotalPatient_7_fieldcolumn}

	{BEGIN regimen_8_fieldcolumn}{END regimen_8_fieldcolumn}

	{BEGIN TotalPatient_8_fieldcolumn}{END TotalPatient_8_fieldcolumn}

	{BEGIN regimen_9_fieldcolumn}{END regimen_9_fieldcolumn}

	{BEGIN TotalPatient_9_fieldcolumn}{END TotalPatient_9_fieldcolumn}

	{BEGIN regimen_10_fieldcolumn}{END regimen_10_fieldcolumn}

	{BEGIN TotalPatient_10_fieldcolumn}{END TotalPatient_10_fieldcolumn}

	{BEGIN regimen_11_fieldcolumn}{END regimen_11_fieldcolumn}

	{BEGIN TotalPatient_11_fieldcolumn}{END TotalPatient_11_fieldcolumn}

	{BEGIN regimen_12_fieldcolumn}{END regimen_12_fieldcolumn}

	{BEGIN TotalPatient_12_fieldcolumn}{END TotalPatient_12_fieldcolumn}

	{BEGIN regimen_13_fieldcolumn}{END regimen_13_fieldcolumn}

	{BEGIN TotalPatient_13_fieldcolumn}{END TotalPatient_13_fieldcolumn}

	{BEGIN regimen_14_fieldcolumn}{END regimen_14_fieldcolumn}

	{BEGIN TotalPatient_14_fieldcolumn}{END TotalPatient_14_fieldcolumn}

	{BEGIN regimen_15_fieldcolumn}{END regimen_15_fieldcolumn}

	{BEGIN TotalPatient_15_fieldcolumn}{END TotalPatient_15_fieldcolumn}

	{BEGIN regimen_16_fieldcolumn}{END regimen_16_fieldcolumn}

	{BEGIN TotalPatient_16_fieldcolumn}{END TotalPatient_16_fieldcolumn}

	{BEGIN regimen_17_fieldcolumn}{END regimen_17_fieldcolumn}

	{BEGIN TotalPatient_17_fieldcolumn}{END TotalPatient_17_fieldcolumn}

	{BEGIN regimen_18_fieldcolumn}{END regimen_18_fieldcolumn}

	{BEGIN TotalPatient_18_fieldcolumn}{END TotalPatient_18_fieldcolumn}

	{BEGIN regimen_19_fieldcolumn}{END regimen_19_fieldcolumn}

	{BEGIN TotalPatient_19_fieldcolumn}{END TotalPatient_19_fieldcolumn}

	{BEGIN regimen_20_fieldcolumn}{END regimen_20_fieldcolumn}

	{BEGIN TotalPatient_20_fieldcolumn}{END TotalPatient_20_fieldcolumn}

	{BEGIN regimen_21_fieldcolumn}{END regimen_21_fieldcolumn}

	{BEGIN TotalPatient_21_fieldcolumn}{END TotalPatient_21_fieldcolumn}

	{BEGIN regimen_22_fieldcolumn}{END regimen_22_fieldcolumn}

	{BEGIN TotalPatient_22_fieldcolumn}{END TotalPatient_22_fieldcolumn}

	{BEGIN regimen_23_fieldcolumn}{END regimen_23_fieldcolumn}

	{BEGIN TotalPatient_23_fieldcolumn}{END TotalPatient_23_fieldcolumn}

	{BEGIN regimen_24_fieldcolumn}{END regimen_24_fieldcolumn}

	{BEGIN TotalPatient_24_fieldcolumn}{END TotalPatient_24_fieldcolumn}

	{BEGIN AdultHaart_fieldcolumn}<TD style="width: 84px;" class="{$AdultHaart_class}" rowSpan="1" colSpan="1" {$AdultHaart_style} {$recordattrs}>
      {$AdultHaart_value}
	</td>
{END AdultHaart_fieldcolumn}

	{BEGIN PeadsHaart_fieldcolumn}<TD style="width: 91px;" class="{$PeadsHaart_class}" rowSpan="1" colSpan="1" {$PeadsHaart_style} {$recordattrs}>
      {$PeadsHaart_value}
	</td>
{END PeadsHaart_fieldcolumn}

	{BEGIN AdultPMTCT_fieldcolumn}<TD style="width: 96px;" class="{$AdultPMTCT_class}" rowSpan="1" colSpan="1" {$AdultPMTCT_style} {$recordattrs}>
      {$AdultPMTCT_value}
	</td>
{END AdultPMTCT_fieldcolumn}

	{BEGIN PeadsPMTCT_fieldcolumn}<TD style="width: 103px;" class="{$PeadsPMTCT_class}" rowSpan="1" colSpan="1" {$PeadsPMTCT_style} {$recordattrs}>
      {$PeadsPMTCT_value}
	</td>
{END PeadsPMTCT_fieldcolumn}

	{BEGIN PEP_fieldcolumn}<TD style="width: 51px;" class="{$PEP_class}" rowSpan="1" colSpan="1" {$PEP_style} {$recordattrs}>
      {$PEP_value}
	</td>
{END PEP_fieldcolumn}

	{BEGIN ExposedInfant_fieldcolumn}<TD style="width: 104px;" class="{$ExposedInfant_class}" rowSpan="1" colSpan="1" {$ExposedInfant_style} {$recordattrs}>
      {$ExposedInfant_value}
	</td>
{END ExposedInfant_fieldcolumn}


									<td class="rnr-edge" {$recordattrs}>&nbsp;</td>
									{BEGIN endrecord_block}<TD style="width: 3px;" class="rnr-cs" rowSpan="1" colSpan="1" {$endrecordblock_attrs}>&nbsp;</td>
									{END endrecord_block}
																	
									{END grid_record}

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

{END grid_block}



{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: 2015-02-25 15:15:44
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV   
 contentEditable=false id class='simple-xt-tag' style='background-image: ;   
 display: inline-block;' ruleindex="102">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">
{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$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 ppr 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 {$brickclass_editfields}">
<TABLE style="width: 887px; height: 32px;" border="5" rules="all" cellSpacing="1" 
cellPadding="1" width="887">
  <TBODY>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff" size="5">&nbsp;<FONT 
      size="6">PATIENT PER REGIMEN FORM</FONT></FONT></P></TD></TR></TBODY></TABLE>
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 892px;" border="5" rules="all" cellSpacing="1" cellPadding="1" 
width="75%">
  <TBODY>
  <TR>
    <TD style="width: 80px;" rowSpan="1" colSpan="1"> &nbsp;SiteName</TD>
    <TD style="width: 520px;" rowSpan="1" colSpan="3">
      {$SiteName_editcontrol} 
    &nbsp;&nbsp;&nbsp;</TD>
    <TD style="width: 112px;" rowSpan="4" colSpan="1"> &nbsp;&nbsp;<IMG style="width: 96px; height: 59px;" border="0" src="images/coat.jpg" width="244" height="207">&nbsp;<FONT size="2">&nbsp;</FONT></TD><FONT 
    size="2"></FONT>
    <TD style="width: 180px;" class=" runner-cc" rowSpan="4" colSpan="1"><FONT 
      size="2"></FONT>
      <P><FONT size="2">Data Consultant Name</FONT></P><FONT size="3">
      {$ValidateEntry_editcontrol}</FONT></TD></TR>
  <TR>
    <TD style="width: 80px;" rowSpan="1" colSpan="1"> &nbsp;Facility Code</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$formid_editcontrol} &nbsp;</TD>
    <TD style="width: 93px;" rowSpan="1" colSpan="1"> Funding Source</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Funding_Source_editcontrol}  
    &nbsp;</TD></TR>
  <TR>
    <TD style="width: 80px;" rowSpan="1" colSpan="1"> &nbsp;State</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$State_editcontrol}</TD>
    <TD style="width: 93px;" rowSpan="1" colSpan="1"> Service Type</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Service_Type_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 80px;" rowSpan="1" colSpan="1"> &nbsp;Phase</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Phase_editcontrol}</TD>
    <TD style="width: 93px;" rowSpan="1" colSpan="1"> IPName</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$IPName_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 80px;" 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: 213px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 112px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
    <TD style="width: 180px;" class=" runner-cc" rowSpan="1" colSpan="1"></TD>
  </TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 546px;" border="5" rules="all" cellSpacing="1" cellPadding="1" 
width="75%">
  <TBODY>
  <TR>
    <TD style="width: 329px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;Current Number of                         patients(Adults)  
           on PMTCT</FONT></TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$AdultPMTCT_editcontrol}</FONT></TD>
  </TR>
  <TR>
    <TD style="width: 329px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;HIV-exposed       infants</FONT></TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$ExposedInfant_editcontrol}</FONT></TD></TR>
  <TR>
    <TD style="width: 329px;" rowSpan="1" colSpan="1"><FONT 
      size="2">&nbsp;Number of Persons that                         received PEP 
            in the Period</FONT></TD>
    <TD style="width: 217px;" rowSpan="1" colSpan="1">
      {$PEP_editcontrol}</TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 665px;" border="5" rules="all" cellSpacing="5" cellPadding="5" 
width="75%">
  <TBODY>
  <TR>
    <TD rowSpan="1" colSpan="1">
      <P><FONT 
      size="4">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                                    REGIMEN</FONT></P></TD>
    <TD rowSpan="1" colSpan="1">
      <P><FONT size="4">Current No. of Patients</FONT></P></TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" 
      colSpan="2"><FONT color="#ffffff" 
      size="3">ADULT FIRST           LINE 
      (ART/PMTCT)</FONT></TD></TR>
  <TR>
    <TD style="width: 446px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_1_editcontrol}</FONT></TD>
    <TD style="width: 223px;" rowSpan="1" colSpan="1">
      {$TotalPatient_1_editcontrol}</TD>
  </TR>
  <TR>
    <TD style="width: 446px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_2_editcontrol}</FONT></TD>
    <TD style="width: 223px;" rowSpan="1" colSpan="1">
      {$TotalPatient_2_editcontrol}</TD>
  </TR>
  <TR>
    <TD style="width: 669px; white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="2"><FONT color="#ffffff" size="3">HIV-EXPOSED         
                            INFANTS</FONT></TD></TR>
  <TR>
    <TD style="width: 446px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_17_editcontrol}</FONT></TD>
    <TD style="width: 223px;" rowSpan="1" colSpan="1">
      {$TotalPatient_17_editcontrol}
  </TD></TR>
  <TR>
    <TD style="width: 446px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_18_editcontrol}</FONT></TD>
    <TD style="width: 223px;" rowSpan="1" colSpan="1">
      {$TotalPatient_18_editcontrol}
  </TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: 647px;" border="5" rules="all" cellSpacing="5" cellPadding="5" 
width="75%">
  <TBODY>
  <TR>
    <TD style="width: 647px; white-space: nowrap; background-image: none; background-color: rgb(75, 0, 130);" 
    rowSpan="1" colSpan="3"><FONT size="4">&nbsp;&nbsp;<FONT 
      color="#ffffff">ENTRY FOR &nbsp;OTHER REGIMEN NOT STATED                   
                  ABOVE</FONT></FONT></TD></TR>
  <TR>
    <TD style="width: 210px;" rowSpan="1" colSpan="1"><FONT 
      size="4">REGIMEN</FONT></TD>
    <TD style="width: 224px;" rowSpan="1" colSpan="1"> &nbsp;<FONT 
      size="4">CURRENT No. of patients</FONT></TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1"><FONT 
      size="4">&nbsp;REGIMEN CATEGORY</FONT></TD></TR>
  <TR>
    <TD style="width: 210px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_19_editcontrol}</FONT></TD>
    <TD style="width: 224px;" rowSpan="1" colSpan="1">
      {$TotalPatient_19_editcontrol}
    </TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$RegCat19_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 210px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_20_editcontrol}</FONT></TD>
    <TD style="width: 224px;" rowSpan="1" colSpan="1">
      {$TotalPatient_20_editcontrol}
    </TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$Regcat20_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 210px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_21_editcontrol}</FONT></TD>
    <TD style="width: 224px;" rowSpan="1" colSpan="1">
      {$TotalPatient_21_editcontrol}
    </TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$RegCat21_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 210px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_22_editcontrol}</FONT></TD>
    <TD style="width: 224px;" rowSpan="1" colSpan="1">
      {$TotalPatient_22_editcontrol}
    </TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$RegCat22_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 210px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_23_editcontrol}</FONT></TD>
    <TD style="width: 224px;" rowSpan="1" colSpan="1">
      {$TotalPatient_23_editcontrol}
    </TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$RegCat23_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 210px;" rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_24_editcontrol}</FONT></TD>
    <TD style="width: 224px;" rowSpan="1" colSpan="1">
      {$TotalPatient_24_editcontrol}
    </TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">
      {$RegCat24_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_25_editcontrol}</FONT></TD>
    <TD rowSpan="1" colSpan="1">
      {$TotalPatient_25_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$RegCat25_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_26_editcontrol}</FONT></TD>
    <TD rowSpan="1" colSpan="1">
      {$TotalPatient_26_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$RegCat26_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_27_editcontrol}</FONT></TD>
    <TD rowSpan="1" colSpan="1">
      {$TotalPatient_27_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$RegCat27_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_28_editcontrol}</FONT></TD>
    <TD rowSpan="1" colSpan="1">
      {$TotalPatient_28_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$RegCat28_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_29_editcontrol}</FONT></TD>
    <TD rowSpan="1" colSpan="1">
      {$TotalPatient_29_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$RegCat29_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1"><FONT size="2">
      {$regimen_30_editcontrol}</FONT></TD>
    <TD rowSpan="1" colSpan="1">
      {$TotalPatient_30_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">
      {$RegCat30_editcontrol}</TD></TR></TBODY>
</TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE class="fieldGrid">
  <TBODY></TBODY>
  <TBODY></TBODY>
  <TBODY></TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$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}"></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-02-27 12:27:07
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 {$brickclass_editfields}">
<TABLE border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD></TR>
  <TR>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD></TR>
  <TR>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD></TR>
  <TR>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD></TR>
  <TR>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD></TR></TBODY></TABLE>
<TABLE class="fieldGrid">
  <TBODY></TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$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: 2015-02-27 12:28:04
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>{$pagetitle}</TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16609"></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 {$brickclass_toplinks_advsearch}">	<A class="rnr-button" href="cd4_search.php" {$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 {$brickclass_search}">	<SPAN>{BEGIN searchform_text}<INPUT size="25" type="text" {$searchfor_attrs}>{END searchform_text}{BEGIN searchform_search}<A class="rnr-button img" href="#" data-icon="search" {$searchbutton_attrs}></A>{END searchform_search}{BEGIN searchform_showall}<A class="rnr-button" href="#" {$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 id="showSrchWin{$id}" class="rnr-button img" href="#" data-icon="panelfloat" {$showHideSearchWin_attrs}></A><A id="showOptPanel{$id}" class="rnr-button img" href="#" data-icon="paneldown" {$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 class="rnr-button" href="#" {$guestloginlink_attrs}>Login</A>
</SPAN>{END guestloginbutton}{BEGIN logoutbutton}<A class="rnr-button" href="login.php?a=logout" {$logoutlink_attrs}>Log out</A><!-- Permissions -->
{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}><!-- Search panel content -->
<DIV style="display: none;" class="srchCritTop">	Criteria:&nbsp;<INPUT class="rnr-radio-button" name="srchType{$id}" type="radio" {$all_checkbox}>&nbsp;{BEGIN all_checkbox_label}<SPAN>all</SPAN>{END all_checkbox_label}	&nbsp;&nbsp;&nbsp;<INPUT class="rnr-radio-button" name="srchType{$id}" type="radio" {$any_checkbox}>&nbsp;{BEGIN any_checkbox_label}<SPAN>any</SPAN>{END any_checkbox_label}</DIV>
<DIV class="addOption"><SPAN class="rnr-buttons-group"><A id="showHideControlChooseMenu{$id}" class="rnr-button" href="#" {$showHideCtrls_attrs}>Add 
field</A></SPAN><A id="showHideSearchType{$id}" class="rnr-button" href="#" {$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" {$bottomSearchButt_attrs}>
<A id="searchButton{$id}" class="rnr-button" href="#" {$searchbutton_attrs}>Search</A></DIV></DIV>
</DIV></DIV>{END searchPanel}</DIV>{END container_left}</DIV>
<DIV class="rnr-center {$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 cd4 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}>
      {$label cd4 SiteName}</SPAN>{END SiteName_fieldheader}</TH>
    {END SiteName_fieldheadercolumn}{BEGIN State_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$State_class}" rowSpan="1" colSpan="1">{BEGIN State_fieldheader}<SPAN {$State_orderlinkattrs}>
      {$label cd4 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}>
      {$label cd4 Funding_Source}</SPAN>{END Funding_Source_fieldheader}</TH>
    {END Funding_Source_fieldheadercolumn}{BEGIN Service_Type_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$Service_Type_class}" rowSpan="1" colSpan="1">{BEGIN Service_Type_fieldheader}<SPAN {$Service_Type_orderlinkattrs}>
      {$label cd4 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}>
      {$label cd4 Phase}
      </SPAN>{END Phase_fieldheader}</TH>
    {END Phase_fieldheadercolumn}{BEGIN IPName_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$IPName_class}" rowSpan="1" colSpan="1">{BEGIN IPName_fieldheader}<SPAN {$IPName_orderlinkattrs}>
      {$label cd4 IPName}
      </SPAN>{END IPName_fieldheader}</TH>
    {END IPName_fieldheadercolumn}{BEGIN ValidateEntry_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$ValidateEntry_class}" rowSpan="1" colSpan="1">{BEGIN ValidateEntry_fieldheader}<SPAN {$ValidateEntry_orderlinkattrs}>
      {$label cd4 ValidateEntry}</SPAN>{END ValidateEntry_fieldheader}</TH>
    {END ValidateEntry_fieldheadercolumn}<TH class="rnr-edge" rowSpan="1" colSpan="1">&nbsp;</TH>
    {BEGIN endrecordheader_block}<TH class="rnr-cs" rowSpan="1" colSpan="1">&nbsp;</TH>{END endrecordheader_block}{END record_header}</TR>{END grid_header}</THEAD>
  <TBODY>
  {BEGIN grid_row}<TR class="rnr-row style1 {$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" title="Edit" data-icon="edit" {$editlink_attrs}></A>{END edit_link}{END edit_column}</TD>
    {END listIcons_column}{BEGIN formid_fieldcolumn}<TD class="{$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}>
      {$IPName_value}</TD>
    {END IPName_fieldcolumn}{BEGIN ValidateEntry_fieldcolumn}<TD class="{$ValidateEntry_class}" rowSpan="1" colSpan="1" {$ValidateEntry_style} {$recordattrs}>
      {$ValidateEntry_value}</TD>
    {END ValidateEntry_fieldcolumn}<TD class="rnr-edge" rowSpan="1" colSpan="1" {$recordattrs}>&nbsp;</TD>
    {BEGIN endrecord_block}<TD class="rnr-cs" rowSpan="1" colSpan="1" {$endrecordblock_attrs}>&nbsp;</TD>{END endrecord_block}{END grid_record}</TR>{END grid_row}</TBODY>
</TABLE>{END grid_block}{END container_grid}
{BEGIN container_pagination}
<DIV 
class="rnr-c rnr-ch rnr-c-pagination">
{BEGIN pagination_block}<DIV class="style1 rnr-bc rnr-b-pagination {$brickclass_pagination}">
{$pagination}</DIV>{END pagination_block}</DIV>
{END container_pagination}</DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"><!--%%bottom%%--></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-02-27 12:37:30
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>
{$pagetitlelabel cd4 edit}</H1>
</SPAN></DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$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 {$brickclass_editfields}">
<TABLE style="width: 601px;" border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">SiteName</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="3">
      {$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">
      {$IPName_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="width: 77px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 201px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 97px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 213px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 5px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD></TR></TBODY></TABLE>
<TABLE class="fieldGrid">
  <TBODY></TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$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: 2015-02-27 12:54:54
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}">
<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 {$brickclass_editfields}">
<TABLE border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;S/No</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;Item Description</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;Reporting Unit</TD>
    <TD rowSpan="1" colSpan="1">
      <P>&nbsp;Beginning Balance</P>
      <P>(for the reporting period)</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Qty Received</P>
      <P>(in the&nbsp;reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Qty Used</P>
      <P>(in the reporting period)&nbsp;&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Positive-Adjust</P>
      <P>(in reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Negative-Adjust</P>
      <P>(in reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">
      <P>Physical Count</P>
      <P>(at end of reporting period)&nbsp;</P></TD>
    <TD rowSpan="1" colSpan="1">Remarks&nbsp;</TD></TR>
  <TR>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);" 
    rowSpan="1" colSpan="10"><FONT color="#ffffff" size="3">BD 
      FASCOUNT</FONT>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;
      {$Drug_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;
      {$BeginningBal_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;
      {$QtyReceived_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;
      {$Qty_Dispensed_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;
      {$Positive_Adjst_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;
      {$Negative_Adjst_1_editcontrol}</TD>
    <TD rowSpan="1" colSpan="1">&nbsp;
      {$QtySOH_1_editcontrol}</TD>
    <TD rowSpan="1" 
      colSpan="1">&nbsp;
      {$Drug_2_editcontrol}</TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</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 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></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</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 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></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;4</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 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></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;5</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 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></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;6</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 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></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;7</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 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></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"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;4</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;5</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;6</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;7</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;8</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <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"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;4</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <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">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR></TBODY></TABLE></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: 2015-02-27 13:19:06
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}">
<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"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;4</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;5</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;6</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;7</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;8</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <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"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;4</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <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">&nbsp;1</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;2</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR>
  <TR>
    <TD rowSpan="1" colSpan="1">&nbsp;3</TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD>
    <TD rowSpan="1" colSpan="1"></TD></TR></TBODY></TABLE></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: 2015-02-27 13:59:13
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}">
<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: 2015-02-27 14:10:49
SOURCE:
<!doctype html>
<html  {$html_attrs}>
	<head>
		<meta http-equiv="X-UA-Compatible" content="IE=Edge">
		<title>{$pagetitle}</title>

		<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
		<link REL="stylesheet" href="styles/default.css" type="text/css">
		{BEGIN rtlCSS}<link REL="stylesheet" href="styles/defaultRTL.css" type="text/css">
		{END rtlCSS}
		{BEGIN styleCSSFiles}<link REL="stylesheet" href="{$stylepath}" type="text/css">
		{END styleCSSFiles}
		{BEGIN pageCSSFiles}<link REL="stylesheet" href="{$pagestylepath}" type="text/css">
		{END pageCSSFiles}
	</head>
	
	<body class="{$stylename} function-list" {$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 prints_block}<div  class="style1 rnr-br rnr-b-toplinks_print {$brickclass_toplinks_print}">{BEGIN print_link}<a target=_blank href="sitelist_print.php" class="rnr-button" {$printlink_attrs}>Print this page</a>
{END print_link}

{BEGIN printall_link}<a target=_blank href="sitelist_print.php?all=1" class="rnr-button" {$printalllink_attrs}>Print all pages</a>
{END printall_link}




</div>
{END prints_block}


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


{BEGIN import_link}<div  class="style1 rnr-br rnr-b-toplinks_import {$brickclass_toplinks_import}">	<a href="sitelist_import.php?{$crosstable_attrs}" class="rnr-button" {$importlink_attrs}>Import</a>
</div>
{END import_link}


{BEGIN export_link}<div  class="style1 rnr-br rnr-b-toplinks_export {$brickclass_toplinks_export}">	<a target="_blank" href="sitelist_export.php" class="rnr-button" {$exportlink_attrs}>Export results</a>
</div>
{END export_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_recordcontrols}<div class="rnr-c rnr-ch rnr-c-recordcontrols">

{BEGIN newrecord_controls_block}<div  class="style1 rnr-bl rnr-b-recordcontrols_new {$brickclass_recordcontrols_new}">		{BEGIN add_link}<a href="sitelist_add.php" class="rnr-button" {$addlink_attrs}>Add new</a>
	{END add_link}

		{BEGIN inlineadd_link}<a href="#" class="rnr-button" {$inlineaddlink_attrs}>Inline Add</a>
	{END inlineadd_link}


</div>
{END newrecord_controls_block}


{BEGIN record_controls_block}<div  class="style1 rnr-bl rnr-b-recordcontrol {$brickclass_recordcontrol}">	
			{BEGIN editselected_link}<a href="#" class="rnr-button" {$editselectedlink_attrs} {$editselectedlink_span}>Edit selected</a>
	{END editselected_link}
	{BEGIN saveall_link}<a href="#" class="rnr-button" {$savealllink_attrs} {$savealllink_span}>Save all</a>
	{END saveall_link}
	{BEGIN cancelall_link}<a href="#" class="rnr-button" {$cancelalllink_attrs} {$cancelalllink_span}>Cancel</a>
	{END cancelall_link}

		{BEGIN deleteselected_link}<a href="#" class="rnr-button" {$deleteselectedlink_attrs} {$deleteselectedlink_span}>Delete selected</a>
	{END deleteselected_link}

		{BEGIN exportselected_link}<a href="#" class="rnr-button" {$exportselectedlink_attrs} {$exportselectedlink_span}>Export selected</a>
	{END exportselected_link}

		{BEGIN printselected_link}<a href="#" class="rnr-button" {$printselectedlink_attrs} {$printselectedlink_span}>Print selected</a>
	{END printselected_link}

</div>
{END record_controls_block}

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



{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 iEditCont="all">&nbsp;</th>
									{END listIcons_column}	

																		{BEGIN checkbox_column}<th class="rnr-bc">
										<input type="checkbox" {$checkboxheader_attrs}>
									</th>
									{END checkbox_column}

																		{BEGIN sitelist_dtable_column}<th >&nbsp;</th>
									{END sitelist_dtable_column}
																										{BEGIN SiteID_fieldheadercolumn}<th class="rnr-gridfieldlabel {$SiteID_class}">
									{BEGIN SiteID_fieldheader}<span {$SiteID_orderlinkattrs}>
											{$label sitelist SiteID}
										</span>
									{END SiteID_fieldheader}
									</th>
									{END SiteID_fieldheadercolumn}

																	{BEGIN State_fieldheadercolumn}<th class="rnr-gridfieldlabel {$State_class}">
									{BEGIN State_fieldheader}<span {$State_orderlinkattrs}>
											{$label sitelist State}
										</span>
									{END State_fieldheader}
									</th>
									{END State_fieldheadercolumn}

																	{BEGIN IPName_fieldheadercolumn}<th class="rnr-gridfieldlabel {$IPName_class}">
									{BEGIN IPName_fieldheader}<span {$IPName_orderlinkattrs}>
											{$label sitelist IPName}
										</span>
									{END IPName_fieldheader}
									</th>
									{END IPName_fieldheadercolumn}

																	{BEGIN Funding_Source_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Funding_Source_class}">
									{BEGIN Funding_Source_fieldheader}<span {$Funding_Source_orderlinkattrs}>
											{$label sitelist Funding_Source}
										</span>
									{END Funding_Source_fieldheader}
									</th>
									{END Funding_Source_fieldheadercolumn}

																	{BEGIN Service_Type_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Service_Type_class}">
									{BEGIN Service_Type_fieldheader}<span {$Service_Type_orderlinkattrs}>
											{$label sitelist Service_Type}
										</span>
									{END Service_Type_fieldheader}
									</th>
									{END Service_Type_fieldheadercolumn}

																	{BEGIN SiteName_fieldheadercolumn}<th class="rnr-gridfieldlabel {$SiteName_class}">
									{BEGIN SiteName_fieldheader}<span {$SiteName_orderlinkattrs}>
											{$label sitelist SiteName}
										</span>
									{END SiteName_fieldheader}
									</th>
									{END SiteName_fieldheadercolumn}

																	{BEGIN Phase_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Phase_class}">
									{BEGIN Phase_fieldheader}<span {$Phase_orderlinkattrs}>
											{$label sitelist Phase}
										</span>
									{END Phase_fieldheader}
									</th>
									{END Phase_fieldheadercolumn}


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

						</thead>
						<tbody>	
															{BEGIN grid_row}<tr class="rnr-row style1 {$rowclass}" {$rowattrs} {$rowstyle}>
									{BEGIN grid_record}{BEGIN listIcons_column}<td class="rnr-cc rnr-bc rnr-icons" iEditCont="all" {$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}

																		{BEGIN inlineedit_column}{BEGIN inlineedit_link}<a class="rnr-button-img" {$inlineeditlink_attrs} data-icon="inlineedit" title="Inline Edit"></a>
									{END inlineedit_link}
									{END inlineedit_column}

									
																		{BEGIN view_column}{BEGIN view_link}<a class="rnr-button-img" {$viewlink_attrs} data-icon="view" title="View"></a>
									{END view_link}
									{END view_column}
									</td>	
									{END listIcons_column}	

																		{BEGIN checkbox_column}<td class="rnr-bc" iEditCont="checkBox" {$rowstyle} {$recordattrs}>
									{BEGIN checkbox}<input type="checkbox" {$checkbox_attrs}>
									{END checkbox}
									</td>
									{END checkbox_column}

																		{BEGIN sitelist_dtable_column}<td class="rnr-nowrap" {$rowstyle} {$recordattrs}>
									{BEGIN arv_art_dtable_link}<span>
									<a {$arv_art_dtablelink_attrs}>	ARV 
            CRRIRF-ART<span {$arv_art_childnumber_attr} dir="ltr">{BEGIN arv_art_childcount}({$arv_art_childnumber}){END arv_art_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END arv_art_dtable_link}
																											{BEGIN arv_pmtct_1_dtable_link}<span>
									<a {$arv_pmtct_1_dtablelink_attrs}>	ARV          
         CRRIRF-PMTCT<span {$arv_pmtct_1_childnumber_attr} dir="ltr">{BEGIN arv_pmtct_1_childcount}({$arv_pmtct_1_childnumber}){END arv_pmtct_1_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END arv_pmtct_1_dtable_link}
																											{BEGIN rtkcrrifs_dtable_link}<span>
									<a {$rtkcrrifs_dtablelink_attrs}>	RTK CRRIRF-ART
      <span {$rtkcrrifs_childnumber_attr} dir="ltr">{BEGIN rtkcrrifs_childcount}({$rtkcrrifs_childnumber}){END rtkcrrifs_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END rtkcrrifs_dtable_link}
																											{BEGIN pmtct_rtkcrrifs_dtable_link}<span>
									<a {$pmtct_rtkcrrifs_dtablelink_attrs}>	RTK      
       CRRIRF-PMTCT<span {$pmtct_rtkcrrifs_childnumber_attr} dir="ltr">{BEGIN pmtct_rtkcrrifs_childcount}({$pmtct_rtkcrrifs_childnumber}){END pmtct_rtkcrrifs_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END pmtct_rtkcrrifs_dtable_link}
																											{BEGIN ppr_dtable_link}<span>
									<a {$ppr_dtablelink_attrs}>	PATIENT PER REGIMEN
      <span {$ppr_childnumber_attr} dir="ltr">{BEGIN ppr_childcount}({$ppr_childnumber}){END ppr_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END ppr_dtable_link}
																											{BEGIN PPR_PMTCT_dtable_link}<span>
									<a {$PPR_PMTCT_dtablelink_attrs}>
										PPR-PMTCT
																				<span {$PPR_PMTCT_childnumber_attr} dir="ltr">{BEGIN PPR_PMTCT_childcount}({$PPR_PMTCT_childnumber}){END PPR_PMTCT_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END PPR_PMTCT_dtable_link}
																											{BEGIN viral_load_dtable_link}<span>
									<a {$viral_load_dtablelink_attrs}>
										Viral Load
																				<span {$viral_load_childnumber_attr} dir="ltr">{BEGIN viral_load_childcount}({$viral_load_childnumber}){END viral_load_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END viral_load_dtable_link}
																											{BEGIN cd4_dtable_link}<span>
									<a {$cd4_dtablelink_attrs}>
										Cd4
																				<span {$cd4_childnumber_attr} dir="ltr">{BEGIN cd4_childcount}({$cd4_childnumber}){END cd4_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END cd4_dtable_link}
																		</td>
									{END sitelist_dtable_column}

										{BEGIN SiteID_fieldcolumn}<td class="{$SiteID_class}" {$SiteID_style} {$recordattrs}>
		{$SiteID_value}
	</td>
{END SiteID_fieldcolumn}

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

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

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

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

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

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


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

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

{END grid_block}



{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: 2015-03-02 12:18:02
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>
{$pagetitlelabel viral_load edit}</H1>
</SPAN></DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$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 {$brickclass_editfields}">
<TABLE style="width: 358px;" border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD style="width: 148px;" rowSpan="1" colSpan="1">SiteName</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1">
      {$SiteName_editcontrol}&nbsp;</TD>
    <TD style="width: 180px;" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="1" colSpan="1">nnn</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">
      {$IPName_editcontrol}&nbsp;</TD></TR>
  <TR>
    <TD style="width: 148px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 180px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 10px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD class=" runner-cc" rowSpan="1" colSpan="1"></TD>
    <TD style="width: 10px;" rowSpan="1" 
colSpan="1">&nbsp;</TD></TR></TBODY></TABLE>
<TABLE class="fieldGrid">
  <TBODY></TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$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 12:58:48
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>
{$pagetitlelabel viral_load edit}</H1>
</SPAN></DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$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 {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$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">
      {$expiryQty_11_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 311px;" rowSpan="1" colSpan="1">
      {$desc_12_editcontrol}&nbsp;</TD>
    <TD style="width: 119px;" rowSpan="1" colSpan="2">
      {$expiryQty_12_editcontrol}&nbsp;&nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" 
    colSpan="1">&nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" 
colSpan="1">&nbsp;</TD></TR></TBODY></TABLE>
<TABLE class="fieldGrid">
  <TBODY></TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$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 13:32:29
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="{$stylename} function-edit" {$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 {$brickclass_editfields}"></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$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">
      {$expiryQty_11_editcontrol}</TD></TR>
  <TR>
    <TD style="width: 311px;" rowSpan="1" colSpan="1">
      {$desc_12_editcontrol}&nbsp;</TD>
    <TD style="width: 119px;" rowSpan="1" colSpan="2">
      {$expiryQty_12_editcontrol}&nbsp;&nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" 
    colSpan="1">&nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" colSpan="1">&nbsp;</TD>
    <TD style="width: 139px;" rowSpan="1" 
colSpan="1">&nbsp;</TD></TR></TBODY></TABLE>
<table class="fieldGrid">
	<TBODY></TBODY>{BEGIN Downtime_12_fieldblock}<tr class="{$fielddispclass_Downtime_12}" data-fieldname="Downtime_12">
	<td class="rnr-label">
		{BEGIN Downtime_12_label}{$label viral_load Downtime_12}{END Downtime_12_label}
	</td>
	<td class="rnr-control style3">
		{$Downtime_12_editcontrol}&nbsp;
	</td>
</tr>
{END Downtime_12_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}
{BEGIN close_button}<a href="#" class="rnr-button" {$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 13:33:13
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV 
contentEditable=false id class='simple-xt-tag' style='background-image: ; 
display: inline-block;' ruleindex="128">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$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}">
</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="{$fielddispclass_Downtime_12}" data-fieldname="Downtime_12">
    <TD class="rnr-label">{BEGIN Downtime_12_label}
      {$label viral_load Downtime_12}{END Downtime_12_label}</TD>
    <TD class="rnr-control style3">
      {$Downtime_12_editcontrol} &nbsp;
    </TD></TR>{END Downtime_12_fieldblock}</TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$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: 2015-03-02 14:35:16
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}">
</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: 2015-03-02 14:36:14
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_toplinks}<div class="rnr-c rnr-ch rnr-c-toplinks">
<div class="rnr-hfiller"></div>
{BEGIN prints_block}<div  class="style1 rnr-br rnr-b-toplinks_print {$brickclass_toplinks_print}">{BEGIN print_link}<a target=_blank href="sitelist_print.php" class="rnr-button" {$printlink_attrs}>Print this page</a>
{END print_link}

{BEGIN printall_link}<a target=_blank href="sitelist_print.php?all=1" class="rnr-button" {$printalllink_attrs}>Print all pages</a>
{END printall_link}




</div>
{END prints_block}


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


{BEGIN import_link}<div  class="style1 rnr-br rnr-b-toplinks_import {$brickclass_toplinks_import}">	<a href="sitelist_import.php?{$crosstable_attrs}" class="rnr-button" {$importlink_attrs}>Import</a>
</div>
{END import_link}


{BEGIN export_link}<div  class="style1 rnr-br rnr-b-toplinks_export {$brickclass_toplinks_export}">	<a target="_blank" href="sitelist_export.php" class="rnr-button" {$exportlink_attrs}>Export results</a>
</div>
{END export_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_recordcontrols}<div class="rnr-c rnr-ch rnr-c-recordcontrols">

{BEGIN newrecord_controls_block}<div  class="style1 rnr-bl rnr-b-recordcontrols_new {$brickclass_recordcontrols_new}">		{BEGIN add_link}<a href="sitelist_add.php" class="rnr-button" {$addlink_attrs}>Add new</a>
	{END add_link}

		{BEGIN inlineadd_link}<a href="#" class="rnr-button" {$inlineaddlink_attrs}>Inline Add</a>
	{END inlineadd_link}


</div>
{END newrecord_controls_block}


{BEGIN record_controls_block}<div  class="style1 rnr-bl rnr-b-recordcontrol {$brickclass_recordcontrol}">	
			{BEGIN editselected_link}<a href="#" class="rnr-button" {$editselectedlink_attrs} {$editselectedlink_span}>Edit selected</a>
	{END editselected_link}
	{BEGIN saveall_link}<a href="#" class="rnr-button" {$savealllink_attrs} {$savealllink_span}>Save all</a>
	{END saveall_link}
	{BEGIN cancelall_link}<a href="#" class="rnr-button" {$cancelalllink_attrs} {$cancelalllink_span}>Cancel</a>
	{END cancelall_link}

		{BEGIN deleteselected_link}<a href="#" class="rnr-button" {$deleteselectedlink_attrs} {$deleteselectedlink_span}>Delete selected</a>
	{END deleteselected_link}

		{BEGIN exportselected_link}<a href="#" class="rnr-button" {$exportselectedlink_attrs} {$exportselectedlink_span}>Export selected</a>
	{END exportselected_link}

		{BEGIN printselected_link}<a href="#" class="rnr-button" {$printselectedlink_attrs} {$printselectedlink_span}>Print selected</a>
	{END printselected_link}

</div>
{END record_controls_block}

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



{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 iEditCont="all">&nbsp;</th>
									{END listIcons_column}	

																		{BEGIN checkbox_column}<th class="rnr-bc">
										<input type="checkbox" {$checkboxheader_attrs}>
									</th>
									{END checkbox_column}

																		{BEGIN sitelist_dtable_column}<th >&nbsp;</th>
									{END sitelist_dtable_column}
																										{BEGIN SiteID_fieldheadercolumn}<th class="rnr-gridfieldlabel {$SiteID_class}">
									{BEGIN SiteID_fieldheader}<span {$SiteID_orderlinkattrs}>
											{$label sitelist SiteID}
										</span>
									{END SiteID_fieldheader}
									</th>
									{END SiteID_fieldheadercolumn}

																	{BEGIN State_fieldheadercolumn}<th class="rnr-gridfieldlabel {$State_class}">
									{BEGIN State_fieldheader}<span {$State_orderlinkattrs}>
											{$label sitelist State}
										</span>
									{END State_fieldheader}
									</th>
									{END State_fieldheadercolumn}

																	{BEGIN IPName_fieldheadercolumn}<th class="rnr-gridfieldlabel {$IPName_class}">
									{BEGIN IPName_fieldheader}<span {$IPName_orderlinkattrs}>
											{$label sitelist IPName}
										</span>
									{END IPName_fieldheader}
									</th>
									{END IPName_fieldheadercolumn}

																	{BEGIN Funding_Source_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Funding_Source_class}">
									{BEGIN Funding_Source_fieldheader}<span {$Funding_Source_orderlinkattrs}>
											{$label sitelist Funding_Source}
										</span>
									{END Funding_Source_fieldheader}
									</th>
									{END Funding_Source_fieldheadercolumn}

																	{BEGIN Service_Type_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Service_Type_class}">
									{BEGIN Service_Type_fieldheader}<span {$Service_Type_orderlinkattrs}>
											{$label sitelist Service_Type}
										</span>
									{END Service_Type_fieldheader}
									</th>
									{END Service_Type_fieldheadercolumn}

																	{BEGIN SiteName_fieldheadercolumn}<th class="rnr-gridfieldlabel {$SiteName_class}">
									{BEGIN SiteName_fieldheader}<span {$SiteName_orderlinkattrs}>
											{$label sitelist SiteName}
										</span>
									{END SiteName_fieldheader}
									</th>
									{END SiteName_fieldheadercolumn}

																	{BEGIN Phase_fieldheadercolumn}<th class="rnr-gridfieldlabel {$Phase_class}">
									{BEGIN Phase_fieldheader}<span {$Phase_orderlinkattrs}>
											{$label sitelist Phase}
										</span>
									{END Phase_fieldheader}
									</th>
									{END Phase_fieldheadercolumn}


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

						</thead>
						<tbody>	
															{BEGIN grid_row}<tr class="rnr-row style1 {$rowclass}" {$rowattrs} {$rowstyle}>
									{BEGIN grid_record}{BEGIN listIcons_column}<td class="rnr-cc rnr-bc rnr-icons" iEditCont="all" {$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}

																		{BEGIN inlineedit_column}{BEGIN inlineedit_link}<a class="rnr-button-img" {$inlineeditlink_attrs} data-icon="inlineedit" title="Inline Edit"></a>
									{END inlineedit_link}
									{END inlineedit_column}

									
																		{BEGIN view_column}{BEGIN view_link}<a class="rnr-button-img" {$viewlink_attrs} data-icon="view" title="View"></a>
									{END view_link}
									{END view_column}
									</td>	
									{END listIcons_column}	

																		{BEGIN checkbox_column}<td class="rnr-bc" iEditCont="checkBox" {$rowstyle} {$recordattrs}>
									{BEGIN checkbox}<input type="checkbox" {$checkbox_attrs}>
									{END checkbox}
									</td>
									{END checkbox_column}

																		{BEGIN sitelist_dtable_column}<td class="rnr-nowrap" {$rowstyle} {$recordattrs}>
									{BEGIN arv_art_dtable_link}<span>
									<a {$arv_art_dtablelink_attrs}>	ARV 
            CRRIRF-ART<span {$arv_art_childnumber_attr} dir="ltr">{BEGIN arv_art_childcount}({$arv_art_childnumber}){END arv_art_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END arv_art_dtable_link}
																											{BEGIN arv_pmtct_1_dtable_link}<span>
									<a {$arv_pmtct_1_dtablelink_attrs}>	ARV          
         CRRIRF-PMTCT<span {$arv_pmtct_1_childnumber_attr} dir="ltr">{BEGIN arv_pmtct_1_childcount}({$arv_pmtct_1_childnumber}){END arv_pmtct_1_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END arv_pmtct_1_dtable_link}
																											{BEGIN rtkcrrifs_dtable_link}<span>
									<a {$rtkcrrifs_dtablelink_attrs}>	RTK CRRIRF-ART
      <span {$rtkcrrifs_childnumber_attr} dir="ltr">{BEGIN rtkcrrifs_childcount}({$rtkcrrifs_childnumber}){END rtkcrrifs_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END rtkcrrifs_dtable_link}
																											{BEGIN pmtct_rtkcrrifs_dtable_link}<span>
									<a {$pmtct_rtkcrrifs_dtablelink_attrs}>	RTK      
       CRRIRF-PMTCT<span {$pmtct_rtkcrrifs_childnumber_attr} dir="ltr">{BEGIN pmtct_rtkcrrifs_childcount}({$pmtct_rtkcrrifs_childnumber}){END pmtct_rtkcrrifs_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END pmtct_rtkcrrifs_dtable_link}
																											{BEGIN ppr_dtable_link}<span>
									<a {$ppr_dtablelink_attrs}>	PATIENT PER REGIMEN
      <span {$ppr_childnumber_attr} dir="ltr">{BEGIN ppr_childcount}({$ppr_childnumber}){END ppr_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END ppr_dtable_link}
																											{BEGIN PPR_PMTCT_dtable_link}<span>
									<a {$PPR_PMTCT_dtablelink_attrs}>
										PPR-PMTCT
																				<span {$PPR_PMTCT_childnumber_attr} dir="ltr">{BEGIN PPR_PMTCT_childcount}({$PPR_PMTCT_childnumber}){END PPR_PMTCT_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END PPR_PMTCT_dtable_link}
																											{BEGIN viral_load_dtable_link}<span>
									<a {$viral_load_dtablelink_attrs}>
										Viral Load
																				<span {$viral_load_childnumber_attr} dir="ltr">{BEGIN viral_load_childcount}({$viral_load_childnumber}){END viral_load_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END viral_load_dtable_link}
																											{BEGIN cd4_dtable_link}<span>
									<a {$cd4_dtablelink_attrs}>
										Cd4
																				<span {$cd4_childnumber_attr} dir="ltr">{BEGIN cd4_childcount}({$cd4_childnumber}){END cd4_childcount}</span>
									</a>
																		&nbsp;
									</span>
									{END cd4_dtable_link}
																		</td>
									{END sitelist_dtable_column}

										{BEGIN SiteID_fieldcolumn}<td class="{$SiteID_class}" {$SiteID_style} {$recordattrs}>
		{$SiteID_value}
	</td>
{END SiteID_fieldcolumn}

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

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

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

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

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

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


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

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

{END grid_block}



{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: 2015-03-02 14:42:35
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="{$stylename} function-list" {$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 {$brickclass_toplinks_advsearch}">	<A class="rnr-button" href="viral_load_search.php" {$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 {$brickclass_search}">	<SPAN>{BEGIN searchform_text}<INPUT size="25" type="text" {$searchfor_attrs}>{END searchform_text}{BEGIN searchform_search}<A class="rnr-button img" href="#" data-icon="search" {$searchbutton_attrs}></A>{END searchform_search}{BEGIN searchform_showall}<A class="rnr-button" href="#" {$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 id="showSrchWin{$id}" class="rnr-button img" href="#" data-icon="panelfloat" {$showHideSearchWin_attrs}></A><A id="showOptPanel{$id}" class="rnr-button img" href="#" data-icon="paneldown" {$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 class="rnr-button" href="#" {$guestloginlink_attrs}>Login</A>
</SPAN>{END guestloginbutton}{BEGIN logoutbutton}<A class="rnr-button" href="login.php?a=logout" {$logoutlink_attrs}>Log out</A><!-- Permissions -->
{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}><!-- Search panel content -->
<DIV style="display: none;" class="srchCritTop">	Criteria:&nbsp;<INPUT class="rnr-radio-button" name="srchType{$id}" type="radio" {$all_checkbox}>&nbsp;{BEGIN all_checkbox_label}<SPAN>all</SPAN>{END all_checkbox_label}	&nbsp;&nbsp;&nbsp;<INPUT class="rnr-radio-button" name="srchType{$id}" type="radio" {$any_checkbox}>&nbsp;{BEGIN any_checkbox_label}<SPAN>any</SPAN>{END any_checkbox_label}</DIV>
<DIV class="addOption"><SPAN class="rnr-buttons-group"><A id="showHideControlChooseMenu{$id}" class="rnr-button" href="#" {$showHideCtrls_attrs}>Add 
field</A></SPAN><A id="showHideSearchType{$id}" class="rnr-button" href="#" {$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" {$bottomSearchButt_attrs}>
<A id="searchButton{$id}" class="rnr-button" href="#" {$searchbutton_attrs}>Search</A></DIV></DIV>
</DIV></DIV>{END searchPanel}</DIV>{END container_left}</DIV>
<DIV class="rnr-center {$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 viral_load 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}>
      {$label viral_load SiteName}</SPAN>{END SiteName_fieldheader}</TH>
    {END SiteName_fieldheadercolumn}{BEGIN State_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$State_class}" rowSpan="1" colSpan="1">{BEGIN State_fieldheader}<SPAN {$State_orderlinkattrs}>
      {$label viral_load 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}>
      {$label viral_load Funding_Source}</SPAN>{END Funding_Source_fieldheader}</TH>
    {END Funding_Source_fieldheadercolumn}{BEGIN Service_Type_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$Service_Type_class}" rowSpan="1" colSpan="1">{BEGIN Service_Type_fieldheader}<SPAN {$Service_Type_orderlinkattrs}>
      {$label viral_load 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}>
      {$label viral_load Phase}</SPAN>{END Phase_fieldheader}</TH>
    {END Phase_fieldheadercolumn}{BEGIN IPName_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$IPName_class}" rowSpan="1" colSpan="1">{BEGIN IPName_fieldheader}<SPAN {$IPName_orderlinkattrs}>
      {$label viral_load IPName}</SPAN>{END IPName_fieldheader}</TH>
    {END IPName_fieldheadercolumn}{BEGIN ValidateEntry_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$ValidateEntry_class}" rowSpan="1" colSpan="1">{BEGIN ValidateEntry_fieldheader}<SPAN {$ValidateEntry_orderlinkattrs}>
      {$label viral_load ValidateEntry}</SPAN>{END ValidateEntry_fieldheader}</TH>
    {END ValidateEntry_fieldheadercolumn}<TH class="rnr-edge" rowSpan="1" colSpan="1">&nbsp;</TH>
    {BEGIN endrecordheader_block}<TH class="rnr-cs" rowSpan="1" colSpan="1">&nbsp;</TH>{END endrecordheader_block}{END record_header}</TR>{END grid_header}</THEAD>
  <TBODY>
  {BEGIN grid_row}<TR class="rnr-row style1 {$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" title="Edit" data-icon="edit" {$editlink_attrs}></A>{END edit_link}{END edit_column}</TD>
    {END listIcons_column}{BEGIN formid_fieldcolumn}<TD class="{$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}>
      {$IPName_value}</TD>
    {END IPName_fieldcolumn}{BEGIN ValidateEntry_fieldcolumn}<TD class="{$ValidateEntry_class}" rowSpan="1" colSpan="1" {$ValidateEntry_style} {$recordattrs}>
      {$ValidateEntry_value}</TD>
    {END ValidateEntry_fieldcolumn}<TD class="rnr-edge" rowSpan="1" colSpan="1" {$recordattrs}>&nbsp;</TD>
    {BEGIN endrecord_block}<TD class="rnr-cs" rowSpan="1" colSpan="1" {$endrecordblock_attrs}>&nbsp;</TD>{END endrecord_block}{END grid_record}</TR>{END grid_row}</TBODY>
</TABLE>{END grid_block}{END container_grid}
{BEGIN container_pagination}
<DIV 
class="rnr-c rnr-ch rnr-c-pagination">
{BEGIN pagination_block}<DIV class="style1 rnr-bc rnr-b-pagination {$brickclass_pagination}">
{$pagination}</DIV>{END pagination_block}</DIV>
{END container_pagination}</DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"><!--%%bottom%%--></DIV></DIV>
{$footer}{END body}</BODY></HTML>


ACTIONTIME: 2015-03-02 14:43:04
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>{$pagetitle}</TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">
{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-list" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_toplinks}
<DIV class="rnr-c rnr-ch rnr-c-toplinks">
<DIV class="rnr-hfiller"></DIV>
{BEGIN prints_block}<DIV class="style1 rnr-br rnr-b-toplinks_print {$brickclass_toplinks_print}">{BEGIN print_link}<A class="rnr-button" href="sitelist_print.php" target="_blank" {$printlink_attrs}>Print this 
page</A>{END print_link}{BEGIN printall_link}<A class="rnr-button" href="sitelist_print.php?all=1" target="_blank" {$printalllink_attrs}>Print all 
pages</A>{END printall_link}</DIV>
{END prints_block}{BEGIN asearch_link}<DIV class="style1 rnr-br rnr-b-toplinks_advsearch {$brickclass_toplinks_advsearch}">	<A class="rnr-button" href="sitelist_search.php" {$advsearchlink_attrs}>Advanced search</A></DIV>
{END asearch_link}{BEGIN import_link}<DIV class="style1 rnr-br rnr-b-toplinks_import {$brickclass_toplinks_import}">	<A class="rnr-button" href="sitelist_import.php?{$crosstable_attrs}" {$importlink_attrs}>Import</A></DIV>
{END import_link}{BEGIN export_link}<DIV class="style1 rnr-br rnr-b-toplinks_export {$brickclass_toplinks_export}">	<A class="rnr-button" href="sitelist_export.php" target="_blank" {$exportlink_attrs}>Export 
results</A></DIV>{END export_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 {$brickclass_search}">	<SPAN>{BEGIN searchform_text}<INPUT size="25" type="text" {$searchfor_attrs}>{END searchform_text}{BEGIN searchform_search}<A class="rnr-button img" href="#" data-icon="search" {$searchbutton_attrs}></A>{END searchform_search}{BEGIN searchform_showall}<A class="rnr-button" href="#" {$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 id="showSrchWin{$id}" class="rnr-button img" href="#" data-icon="panelfloat" {$showHideSearchWin_attrs}></A><A id="showOptPanel{$id}" class="rnr-button img" href="#" data-icon="paneldown" {$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 class="rnr-button" href="#" {$guestloginlink_attrs}>Login</A>
</SPAN>{END guestloginbutton}{BEGIN logoutbutton}<A class="rnr-button" href="login.php?a=logout" {$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 style="display: none;" class="srchCritTop">	Criteria:&nbsp;<INPUT class="rnr-radio-button" name="srchType{$id}" type="radio" {$all_checkbox}>&nbsp;{BEGIN all_checkbox_label}<SPAN>all</SPAN>{END all_checkbox_label}	&nbsp;&nbsp;&nbsp;<INPUT class="rnr-radio-button" name="srchType{$id}" type="radio" {$any_checkbox}>&nbsp;{BEGIN any_checkbox_label}<SPAN>any</SPAN>{END any_checkbox_label}</DIV>
<DIV class="addOption"><SPAN class="rnr-buttons-group"><A id="showHideControlChooseMenu{$id}" class="rnr-button" href="#" {$showHideCtrls_attrs}>Add 
field</A></SPAN><A id="showHideSearchType{$id}" class="rnr-button" href="#" {$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" {$bottomSearchButt_attrs}>
<A id="searchButton{$id}" class="rnr-button" href="#" {$searchbutton_attrs}>Search</A></DIV></DIV>
</DIV></DIV>{END searchPanel}</DIV>{END container_left}</DIV>
<DIV class="rnr-center {$blockclass_center}">
{BEGIN container_recordcontrols}
<DIV class="rnr-c rnr-ch rnr-c-recordcontrols">
{BEGIN newrecord_controls_block}<DIV class="style1 rnr-bl rnr-b-recordcontrols_new {$brickclass_recordcontrols_new}">	{BEGIN add_link}<A class="rnr-button" href="sitelist_add.php" {$addlink_attrs}>Add new</A>{END add_link}{BEGIN inlineadd_link}<A class="rnr-button" href="#" {$inlineaddlink_attrs}>Inline 
Add</A>{END inlineadd_link}</DIV>
{END newrecord_controls_block}{BEGIN record_controls_block}<DIV class="style1 rnr-bl rnr-b-recordcontrol {$brickclass_recordcontrol}">	{BEGIN editselected_link}<A class="rnr-button" href="#" {$editselectedlink_attrs} {$editselectedlink_span}>Edit 
selected</A>{END editselected_link}{BEGIN saveall_link}<A class="rnr-button" href="#" {$savealllink_attrs} {$savealllink_span}>Save all</A>{END saveall_link}{BEGIN cancelall_link}<A class="rnr-button" href="#" {$cancelalllink_attrs} {$cancelalllink_span}>Cancel</A>{END cancelall_link}{BEGIN deleteselected_link}<A class="rnr-button" href="#" {$deleteselectedlink_attrs} {$deleteselectedlink_span}>Delete selected</A>{END deleteselected_link}{BEGIN exportselected_link}<A class="rnr-button" href="#" {$exportselectedlink_attrs} {$exportselectedlink_span}>Export selected</A>{END exportselected_link}{BEGIN printselected_link}<A class="rnr-button" href="#" {$printselectedlink_attrs} {$printselectedlink_span}>Print selected</A>{END printselected_link}</DIV>
{END record_controls_block}<DIV class="rnr-hfiller"></DIV></DIV>{END container_recordcontrols}
{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 {$gridHeader_class}">{BEGIN record_header}
    {BEGIN listIcons_column}<TH iEditCont="all">&nbsp;</TH>
    {END listIcons_column}{BEGIN checkbox_column}<TH class="rnr-bc"><INPUT type="checkbox" {$checkboxheader_attrs}></TH>
    {END checkbox_column}{BEGIN sitelist_dtable_column}<TH>&nbsp;</TH>
    {END sitelist_dtable_column}{BEGIN SiteID_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$SiteID_class}">{BEGIN SiteID_fieldheader}<SPAN {$SiteID_orderlinkattrs}>
      {$label sitelist SiteID}</SPAN>{END SiteID_fieldheader}</TH>
    {END SiteID_fieldheadercolumn}{BEGIN State_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$State_class}">{BEGIN State_fieldheader}<SPAN {$State_orderlinkattrs}>
      {$label sitelist State}
      </SPAN>{END State_fieldheader}</TH>
    {END State_fieldheadercolumn}{BEGIN IPName_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$IPName_class}">{BEGIN IPName_fieldheader}<SPAN {$IPName_orderlinkattrs}>
      {$label sitelist IPName}</SPAN>{END IPName_fieldheader}</TH>
    {END IPName_fieldheadercolumn}{BEGIN Funding_Source_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$Funding_Source_class}">
      {BEGIN Funding_Source_fieldheader}<SPAN {$Funding_Source_orderlinkattrs}>
      {$label sitelist Funding_Source}</SPAN>{END Funding_Source_fieldheader}</TH>
    {END Funding_Source_fieldheadercolumn}{BEGIN Service_Type_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$Service_Type_class}">{BEGIN Service_Type_fieldheader}<SPAN {$Service_Type_orderlinkattrs}>
      {$label sitelist Service_Type}</SPAN>{END Service_Type_fieldheader}</TH>
    {END Service_Type_fieldheadercolumn}{BEGIN SiteName_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$SiteName_class}">{BEGIN SiteName_fieldheader}<SPAN {$SiteName_orderlinkattrs}>
      {$label sitelist SiteName}</SPAN>{END SiteName_fieldheader}</TH>
    {END SiteName_fieldheadercolumn}{BEGIN Phase_fieldheadercolumn}<TH class="rnr-gridfieldlabel {$Phase_class}">{BEGIN Phase_fieldheader}<SPAN {$Phase_orderlinkattrs}>
      {$label sitelist Phase}
      </SPAN>{END Phase_fieldheader}</TH>
    {END Phase_fieldheadercolumn}<TH class="rnr-edge">&nbsp;</TH>
    {BEGIN endrecordheader_block}<TH class="rnr-cs">&nbsp;</TH>{END endrecordheader_block}{END record_header}</TR>{END grid_header}</THEAD>
  <TBODY>	
  {BEGIN grid_row}<TR class="rnr-row style1 {$rowclass}" {$rowattrs} {$rowstyle}>{BEGIN grid_record}
    {BEGIN listIcons_column}<TD class="rnr-cc rnr-bc rnr-icons" iEditCont="all" {$rowstyle} {$recordattrs}>{BEGIN edit_column}{BEGIN edit_link}<A class="rnr-button-img" title="Edit" data-icon="edit" {$editlink_attrs}></A>{END edit_link}{END edit_column}{BEGIN inlineedit_column}{BEGIN inlineedit_link}<A class="rnr-button-img" title="Inline Edit" data-icon="inlineedit" {$inlineeditlink_attrs}></A>{END inlineedit_link}{END inlineedit_column}{BEGIN view_column}{BEGIN view_link}<A class="rnr-button-img" title="View" data-icon="view" {$viewlink_attrs}></A>{END view_link}{END view_column}</TD>
    {END listIcons_column}{BEGIN checkbox_column}<TD class="rnr-bc" iEditCont="checkBox" {$rowstyle} {$recordattrs}>{BEGIN checkbox}<INPUT type="checkbox" {$checkbox_attrs}>{END checkbox}</TD>
    {END checkbox_column}{BEGIN sitelist_dtable_column}<TD class="rnr-nowrap" {$rowstyle} {$recordattrs}>
      {BEGIN arv_art_dtable_link}<SPAN><A {$arv_art_dtablelink_attrs}>	ARV 
                  CRRIRF-ART<SPAN dir="ltr" {$arv_art_childnumber_attr}>{BEGIN arv_art_childcount}(
      {$arv_art_childnumber}){END arv_art_childcount}</SPAN></A>		&nbsp;</SPAN>{END arv_art_dtable_link}{BEGIN arv_pmtct_1_dtable_link}<SPAN>
      <A {$arv_pmtct_1_dtablelink_attrs}>	ARV          
               CRRIRF-PMTCT<SPAN dir="ltr" {$arv_pmtct_1_childnumber_attr}>{BEGIN arv_pmtct_1_childcount}(
      {$arv_pmtct_1_childnumber}){END arv_pmtct_1_childcount}</SPAN></A>		&nbsp;</SPAN>{END arv_pmtct_1_dtable_link}{BEGIN rtkcrrifs_dtable_link}<SPAN>
      <A {$rtkcrrifs_dtablelink_attrs}>	RTK CRRIRF-ART
      <SPAN dir="ltr" {$rtkcrrifs_childnumber_attr}>{BEGIN rtkcrrifs_childcount}(
      {$rtkcrrifs_childnumber}){END rtkcrrifs_childcount}</SPAN></A>		&nbsp;</SPAN>{END rtkcrrifs_dtable_link}{BEGIN pmtct_rtkcrrifs_dtable_link}<SPAN>
      <A {$pmtct_rtkcrrifs_dtablelink_attrs}>	RTK      
             CRRIRF-PMTCT<SPAN dir="ltr" {$pmtct_rtkcrrifs_childnumber_attr}>{BEGIN pmtct_rtkcrrifs_childcount}(
      {$pmtct_rtkcrrifs_childnumber}){END pmtct_rtkcrrifs_childcount}</SPAN></A>		&nbsp;</SPAN>{END pmtct_rtkcrrifs_dtable_link}{BEGIN ppr_dtable_link}<SPAN>
      <A {$ppr_dtablelink_attrs}>	PATIENT PER REGIMEN
      <SPAN dir="ltr" {$ppr_childnumber_attr}>{BEGIN ppr_childcount}(
      {$ppr_childnumber}){END ppr_childcount}</SPAN></A>		&nbsp;</SPAN>{END ppr_dtable_link}{BEGIN PPR_PMTCT_dtable_link}<SPAN>
      <A {$PPR_PMTCT_dtablelink_attrs}>	PPR-PMTCT<SPAN dir="ltr" {$PPR_PMTCT_childnumber_attr}>{BEGIN PPR_PMTCT_childcount}(
      {$PPR_PMTCT_childnumber}){END PPR_PMTCT_childcount}</SPAN></A>		&nbsp;</SPAN>{END PPR_PMTCT_dtable_link}{BEGIN viral_load_dtable_link}<SPAN>
      <A {$viral_load_dtablelink_attrs}>	VIRAL LOAD
      <SPAN dir="ltr" {$viral_load_childnumber_attr}>{BEGIN viral_load_childcount}(
      {$viral_load_childnumber}){END viral_load_childcount}</SPAN></A>		&nbsp;</SPAN>{END viral_load_dtable_link}{BEGIN cd4_dtable_link}<SPAN>
      <A {$cd4_dtablelink_attrs}>	CD4
      <SPAN dir="ltr" {$cd4_childnumber_attr}>{BEGIN cd4_childcount}(
      {$cd4_childnumber}){END cd4_childcount}</SPAN>
      </A>		&nbsp;</SPAN>{END cd4_dtable_link}</TD>
    {END sitelist_dtable_column}{BEGIN SiteID_fieldcolumn}<TD class="{$SiteID_class}" {$SiteID_style} {$recordattrs}>
      {$SiteID_value}</TD>
    {END SiteID_fieldcolumn}{BEGIN State_fieldcolumn}<TD class="{$State_class}" {$State_style} {$recordattrs}>
      {$State_value}</TD>
    {END State_fieldcolumn}{BEGIN IPName_fieldcolumn}<TD class="{$IPName_class}" {$IPName_style} {$recordattrs}>
      {$IPName_value}</TD>
    {END IPName_fieldcolumn}{BEGIN Funding_Source_fieldcolumn}<TD class="{$Funding_Source_class}" {$Funding_Source_style} {$recordattrs}>
      {$Funding_Source_value}</TD>
    {END Funding_Source_fieldcolumn}{BEGIN Service_Type_fieldcolumn}<TD class="{$Service_Type_class}" {$Service_Type_style} {$recordattrs}>
      {$Service_Type_value}</TD>
    {END Service_Type_fieldcolumn}{BEGIN SiteName_fieldcolumn}<TD class="{$SiteName_class}" {$SiteName_style} {$recordattrs}>
      {$SiteName_value}</TD>
    {END SiteName_fieldcolumn}{BEGIN Phase_fieldcolumn}<TD class="{$Phase_class}" {$Phase_style} {$recordattrs}>
      {$Phase_value}</TD>
    {END Phase_fieldcolumn}<TD class="rnr-edge" {$recordattrs}>&nbsp;</TD>
    {BEGIN endrecord_block}<TD class="rnr-cs" {$endrecordblock_attrs}>&nbsp;</TD>{END endrecord_block}{END grid_record}</TR>{END grid_row}</TBODY></TABLE>{END grid_block}{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: 2015-03-02 14:50:29
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}">
<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>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}>&gt;&gt;&gt;</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}>Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}>Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}>Back to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}>Close 
 window</A>{END close_button}</DIV>
<P></P></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV>
{$footer}</DIV>{END body}</BODY></HTML>


ACTIONTIME: 2015-03-02 14:52:29
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 {$brickclass_editfields}">
<TABLE border="1" cellSpacing="1" cellPadding="1" width="75%">
  <TBODY>
  <TR>
    <TD>&nbsp;COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - 
      Antiretroviral and 
Cotrimoxazole</TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$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 {$brickclass_editfields}">
</DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>
&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}> &gt;&gt;&gt;
</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}> Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}> 
Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}> Back to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}> 
Close window</A>{END close_button}</DIV>
<P></P></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV>
{$footer}</DIV>{END body}</BODY></HTML>


ACTIONTIME: 2015-03-02 14:54:01
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="#" {$prevbutton_attrs}>
&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$nextbutton_class}" href="#" {$nextbutton_attrs}> &gt;&gt;&gt;
</A>{END next_button}</DIV>
<DIV class="rnr-buttons-left">{BEGIN save_button}<A class="rnr-button main" href="#" {$savebutton_attrs}> Save</A>{END save_button}{BEGIN reset_button}<A class="rnr-button" href="#" {$resetbutton_attrs}>
Reset</A>{END reset_button}{BEGIN back_button}<A class="rnr-button" href="#" {$backbutton_attrs}> Back to list</A>{END back_button}{BEGIN close_button}<A class="rnr-button" href="#" {$closebutton_attrs}>
Close window</A>{END close_button}</DIV>
<P></P></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
<DIV class="rnr-middle">
<DIV class="rnr-left {$blockclass_left}"></DIV>
<DIV class="rnr-center {$blockclass_center}"></DIV>
<DIV class="rnr-right {$blockclass_right}"></DIV></DIV>
<DIV class="rnr-bottom {$blockclass_bottom}"></DIV>
{$footer}</DIV>{END body}</BODY></HTML>


ACTIONTIME: 2015-03-02 14:56:36
SOURCE:
<!DOCTYPE html>
<HTML {$html_attrs}><HEAD>
<META content="IE=Edge" http-equiv="X-UA-Compatible"><TITLE>< DIV  
 contentEditable=false id class='simple-xt-tag' style='background-image: ;  
 display: inline-block;' ruleindex="272">pagetitle</DIV></TITLE>
<META content="text/html; charset=utf-8" http-equiv="Content-Type">
<LINK rel="stylesheet" type="text/css" href="styles/default.css">
{BEGIN rtlCSS}<LINK rel="stylesheet" type="text/css" href="styles/defaultRTL.css">{END rtlCSS}{BEGIN styleCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$stylepath}">{END styleCSSFiles}{BEGIN pageCSSFiles}<LINK rel="stylesheet" type="text/css" href="{$pagestylepath}">{END pageCSSFiles}
<META name="GENERATOR" content="MSHTML 9.00.8112.16609"></HEAD>
<BODY class="{$stylename} function-edit" {$bodyattrs}>{BEGIN body}
{$header}
<DIV class="rnr-page">
<DIV class="rnr-top {$blockclass_top}">
{BEGIN container_all}
<DIV class="rnr-c rnr-cv rnr-c-all">
<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_edit} rnr-wrapper rnr-cbw-edit">
{BEGIN container_edit}
<DIV class="rnr-c rnr-cv rnr-c-edit">
{BEGIN editheader}<DIV class="rnr-brickcontents style2 rnr-b-editheader {$brickclass_editheader}"><SPAN>	
<H1>
{$pagetitlelabel arv_art edit}</H1>
</SPAN></DIV>
{END editheader}{BEGIN message_block}<DIV class="rnr-brickcontents style1 rnr-b-message {$brickclass_message}">
<DIV class="rnr-message">
{$message}</DIV></DIV>
{END message_block}<DIV class="rnr-brickcontents style1 rnr-b-wrapper {$wrapperclass_fields} rnr-wrapper rnr-cbw-fields">
{BEGIN container_fields}
<DIV style="min-height: 600px; min-width: 1398px;" class="rnr-c rnr-cv rnr-c-fields">
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
</DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
  <P align="center"><FONT size="4"></FONT></P>
  <TBODY>
  <P align="center"><FONT size="4"></FONT></P>
  <TR>
    <P align="center"><FONT size="4"></FONT></P>
    <TD style="white-space: nowrap; background-image: none; background-color: rgb(0, 0, 255);">
      <P align="center"><FONT color="#ffffff"><FONT size="4">&nbsp;</FONT><FONT 
      size="5">COMBINED REPORT, REQUISITION, ISSUE AND RECEIPT FORM (CRRIRF) - 
      Antiretroviral and 
Cotrimoxazole</FONT></FONT></P></TD></TR></TBODY></TABLE></DIV>
<DIV class="rnr-brickcontents style1 rnr-b-editfields {$brickclass_editfields}">
<TABLE style="width: auto;" class="fieldGrid">
  <TBODY>
  {BEGIN formid_fieldblock}<TR class="{$fielddispclass_formid}" data-fieldname="formid">
    <TD style="width: auto;" class="rnr-label">
      {BEGIN formid_label}<TABLE style="width: 390px;" border="5" rules="all" cellSpacing="1" cellPadding="1" width="75%">
        <TBODY>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> SiteName</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="3">
            {$SiteName_editcontrol} &nbsp;    
                   &nbsp;</TD>
          <TD style="width: 5px;" rowSpan="5" colSpan="1"><IMG style="width: 118px; height: 73px;" border="0" alt="coat of arms" src="images/coat.jpg" width="241" height="207">&nbsp;&nbsp;&nbsp;&nbsp;</TD>
          <TD class=" runner-cc" rowSpan="5" colSpan="1"><FONT size="4">Data   
                                  Consultant Name</FONT><FONT size="3">
            {$ValidateEntry_editcontrol}</FONT></TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> 
            &nbsp;Facility&nbsp;Code</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$formid_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> 
            &nbsp;Funding&nbsp;Source</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$Funding_Source_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;State</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$State_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> 
            &nbsp;Service&nbsp;Type</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$Service_Type_editcontrol}
        </TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;Phase</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1">
            {$Phase_editcontrol}</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> &nbsp;IPName</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1">
            {$IPName_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 210px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 93px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 5px;" rowSpan="1" colSpan="1"> &nbsp;</TD></TR>
      </TBODY></TABLE>{END formid_label}</TD>
    <TD class="rnr-control style3"></TD></TR>
  {END formid_fieldblock}{BEGIN SiteName_fieldblock}<TR class="{$fielddispclass_SiteName}" data-fieldname="SiteName">
    <TD style="width: auto;" class="rnr-label">
      {BEGIN SiteName_label}<TABLE style="width: 1367px;" border="5" rules="all" cellSpacing="5" cellPadding="5" width="75%">
        <TBODY>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;S/No</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"> &nbsp;Drugs</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> 
            &nbsp;Basic&nbsp;Unit</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"> 
            &nbsp;Quantity&nbsp;Received<BR>during&nbsp;Reporting&nbsp;Period</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            <P> Quantity&nbsp;Dispensed</P>
            <P> During&nbsp;Reporting&nbsp;Period&nbsp;</P></TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            <P> &nbsp;Ending&nbsp;Balance</P>
            <P> (Physical&nbsp;Count)</P></TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"> Remarks&nbsp;</TD>
        </TR>
        <TR style="height: 22px;">
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3">ARV FOR       
                                          
          PREGNANT&nbsp;MOTHERS</FONT>&nbsp;&nbsp;</TD></TR>
        <TR>
          <TD rowSpan="1" colSpan="1"> &nbsp;1</TD>
          <TD rowSpan="1" colSpan="1">
            {$Drug_5_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1"> 30 TABS</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtyReceived_5_editcontrol}
          </TD>
          <TD rowSpan="1" colSpan="1">
            {$Qty_Dispensed_5_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$QtySOH_5_editcontrol}</TD>
          <TD rowSpan="1" colSpan="1">
            {$Remark_5_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;2</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_1_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_1_editcontrol}
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_1_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_1_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_1_editcontrol}</TD></TR>
        <TR style="height: 26px;">
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;3</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"> &nbsp;</TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"><FONT face="Arial Black"></FONT>
          </TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;4</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;5</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1"></TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" size="3">ARV FOR       
                                          EXPOSED BABIES</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;6</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_17_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_17_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_17_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_17_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_17_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;7</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_18_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_18_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_18_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_18_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_18_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;8</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_19_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_19_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_19_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_19_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_19_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px; white-space: normal; background-image: none; background-color: rgb(0, 0, 255);" 
          rowSpan="1" colSpan="7"><FONT color="#ffffff" 
            size="3">OPPORTUNISTICS INFECTIOUS DRUGS</FONT></TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;9</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_22_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_22_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_22_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_22_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_22_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;10</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_23_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_23_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_23_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_23_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_23_editcontrol}</TD></TR>
        <TR>
          <TD style="width: 47px;" rowSpan="1" colSpan="1"> &nbsp;11</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Drug_24_editcontrol}</TD>
          <TD style="width: 77px;" rowSpan="1" colSpan="1"></TD>
          <TD style="width: 145px;" rowSpan="1" colSpan="1">
            {$QtyReceived_24_editcontrol}</TD>
          <TD style="width: 148px;" rowSpan="1" colSpan="1">
            {$Qty_Dispensed_24_editcontrol}</TD>
          <TD style="width: 91px;" rowSpan="1" colSpan="1">
            {$QtySOH_24_editcontrol}</TD>
          <TD style="width: 223px;" rowSpan="1" colSpan="1">
            {$Remark_24_editcontrol}</TD></TR>
        </TBODY></TABLE>{END SiteName_label}</TD>
    <TD class="rnr-control style3"></TD></TR>
  {END SiteName_fieldblock}<TR style="height: 32px;" class="{$fielddispclass_State}" data-fieldname="State">
    <TD class="rnr-label"></TD>
    <TD class="rnr-control style3"> &nbsp;</TD></TR></TBODY>
  <TBODY>
  {BEGIN ValidateEntry_fieldblock}<TR class="{$fielddispclass_ValidateEntry}" data-fieldname="ValidateEntry">
    <TD class="rnr-label">{BEGIN ValidateEntry_label}{END ValidateEntry_label}</TD>
    <TD class="rnr-control style3">&nbsp;</TD></TR>{END ValidateEntry_fieldblock}</TBODY></TABLE></DIV>
{BEGIN editbuttons}<DIV class="rnr-brickcontents style2 rnr-b-editbuttons {$brickclass_editbuttons}">
<DIV class="rnr-buttons-right">{BEGIN prev_button}<A class="rnr-button {$prevbutton_class}" href="#" {$prevbutton_attrs}>&lt;&lt;&lt;</A>{END prev_button}{BEGIN next_button}<A class="rnr-button  {$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}</DIV></DIV>{END editbuttons}</DIV>{END container_fields}</DIV></DIV>{END container_edit}</DIV></DIV>{END container_all}</DIV>
{$footer}</DIV>{END body}</BODY></HTML>


