<%@page contentType="text/html; charset=UTF-8"%>
<%@page import="com.csc.library.utilities.*"%>
<%
String dss1 = request.getParameter("dss1");
String dss2 = request.getParameter("dss2");
String dss3 = request.getParameter("dss3");
String dss4 = request.getParameter("dss4");
String dss5 = request.getParameter("dss5");
%>
<input type="hidden" name="__wf__at1" value="1">
<input type="hidden" name="__wf__at2" value="1">
<input type="hidden" name="__wf__at3" value="1">
<input type="hidden" name="__wf__at4" value="1">
<input type="hidden" name="__wf__at5" value="1">
<input type="hidden" name="__wf__addval" value="1">
<input type="hidden" name="__wf__attach1" value="-1">
<input type="hidden" name="__wf__attach2" value="-1">
<input type="hidden" name="__wf__attach3" value="-1">
<input type="hidden" name="__wf__attach4" value="-1">
<input type="hidden" name="__wf__attach5" value="-1">
<script language="javascript">SearchDWR.searchAll(new Array("mrequisitiontype","requisid,tdesc,edesc","","requisid","langon"),requis);</script>
<table class="inframe" cellspacing=1 cellpadding=0 border=0>
<tbody>
<tr>
<td colspan="7" class="title1">
<div align="center">
<script language="javascript">swapLang("Welfare List");</script>
</div></td>
</tr>
<tr>
<td class="desc"><div align="right">
<strong> <script language="javascript">swapLang("Employee");</script>:</strong></div></td>
<td class="desc" nowrap>
<input type="text" name="__wf__empfullname" size="30" value="<%//= TEMPLATE_WORKFLOW.getUProfile().get("fullname") %>" readonly> <a href="javascript:goHelp('MEMPLOYEEHELP','__wf__employeeid','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1041','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Employee" name="Image1041" width="20" border="0" align="absmiddle" id="Image1041" ></a> </td>
<td class="desc" align="right"><script language="javascript">swapLang("Requisition Type");</script> </td>
<td class="desc"><span id="__requisition"></span><script language="javascript">SystemCode.getContentDWR(new Array("REQUISITION_TYPE",getLang()),callbackSys);</script>
<!--nput type="button" onClick="javascript:TEST2();" value="TEst"--> </td>
<td width="7%" align="right" class="desc"><script language="javascript">swapLang("Send Date");</script> </td>
<td colspan="2" class="desc"><input type="text" size="10" name="__wf__send_date" readonly value="<%= new CscCalendar().getDDMMYYYY() %>"><a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image10','','../IMAGES/BUTTON/SWAP/CALENDAR_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/CALENDAR20.gif" alt="Calendar" name="Image10" width="20" border="0" align="absmiddle" id="Image10" onClick="viewCal('__wf__send_date')"></a></td>
</tr>
<tr>
<td width="7%" height="21" class="title1"><div align="center">
<script language="javascript">swapLang("Welfare");</script>
</div></td>
<td width="31%" class="title1"><div align="center">
<script language="javascript">swapLang("Disease ");</script>
</div></td>
<td width="32%" class="title1"><div align="center">
<script language="javascript">swapLang("Name Surname In Family");</script>
</div></td>
<td width="7%" class="title1"><div align="center">
<script language="javascript">swapLang("Amount ");</script>
</div></td>
<td class="title1"><div align="center">
<script language="javascript">swapLang("Receipt Number");</script>
</div></td>
<td width="7%" class="title1"><div align="center">
<script language="javascript">swapLang("Receipt Date");</script>
</div></td>
<td width="8%" class="title1"><div align="center">
<script language="javascript">swapLang("Attach Doc");</script>
</div></td>
</tr>
<tr>
<td class="desc" nowrap="nowrap"><span id="__welfare1"></span><script language="javascript">SearchDWR.searchAll(new Array("mwelfare","welid,tdesc,edesc,whouse,docgid"," iseducation = '0'","welid","langon"),welfare);</script>
<input type="hidden" size="30" name="__wf__welfare1" readonly>
<input type="hidden" size="30" name="__wf__docgid1" readonly>
<input type="hidden" size="30" name="__wf__whouse1" readonly>
<input type="text" size="30" name="__wf__welfaredesc1" readonly>
<a href="javascript:goHelp('MWELFAREHELP','__wf__welfare1','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1011','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Welfare" name="Image1011" width="20" border="0" align="absmiddle" id="Image1011" ></a> </td>
<td class="desc" nowrap="nowrap"><span id="__disease1"></span><script language="javascript">//SearchDWR.searchAll(new Array("mdisease","disid,tdesc,edesc","","disid","langon"),disease);</script>
<input type="hidden" size="30" name="__wf__disease1" readonly>
<input type="text" size="30" name="__wf__diseasedesc1" readonly>
<a href="javascript:goHelp('MDISEASEHELP','__wf__disease1','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1012','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Disease" name="Image1012" width="20" border="0" align="absmiddle" id="Image1012" ></a> </td>
<td class="desc"><span id="__family1"></span></td>
<td class="desc"><input name="__wf__amount1" type="text" dir="rtl" onKeyPress="javascript:chkInt1Dot(this);" onKeyUp="javascript:sumScore(this);" value="0" size="8"></td>
<td class="desc"><input type="text" size="15" name="__wf__receipt_number1" ></td>
<td class="desc" nowrap><input type="text" size="10" name="__wf__receipt_date1" readonly value="<%= new CscCalendar().getDDMMYYYY() %>"><a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image111','','../IMAGES/BUTTON/SWAP/CALENDAR_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/CALENDAR20.gif" alt="Calendar" name="Image111" width="20" border="0" align="absmiddle" id="Image111" onClick="viewCal('__wf__receipt_date1')"></a> </td>
<td class="desc"><div align="center"><a href="javascript:goPages('1','');" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1123','','../IMAGES/BUTTON/SWAP/COPY_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/COPY20.gif" alt="Attach Document" name="Image1123" width="20" border="0" align="absmiddle" id="Image1123" ></a></div></td>
</tr>
<tr>
<td class="desc" align="right"><script language="javascript">swapLang("Nursing Home");</script></td>
<td colspan="2" class="desc"><input type="hidden" size="50" name="__wf__sitewelid1"><input type="hidden" size="50" name="__wf__sitewelgid1"><input type="text" size="50" name="__wf__sitewel_name1" readonly><a href="javascript:goHelp('MSITEWELHELP','__sitewelid1','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1013','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Hospital" name="Image1013" width="20" border="0" align="absmiddle" id="Image1013" ></a>
<!--span id="__sitewel1"></span><script language="javascript">SearchDWR.searchAll(new Array("msitewel","sitewelid,companyid,tdesc,edesc","","sitewelid","langon"),sitewel);</script--></td>
<td class="desc" align="right"><script language="javascript">swapLang("Other Nursing Home");</script></td>
<td colspan="3" class="desc"><input type="text" name="__wf__other_sitewel1" size="30" onKeyPress="javascript:clssitewel(1);"></td>
</tr>
<tr id="dt11" style="display:">
<td class="desc"><div align="right">
<script language="javascript">swapLang("Requisition");</script>
</div></td>
<td class="desc"><span id="__detail11"></span>
</td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost11" onKeyUp="javascript:cloneValue(this)" size="8" onBlur="javascript:chkSumValue(this);" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open11" size="8" onBlur="javascript:chkSumValue(this);" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"><a name="a1" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1331','','../IMAGES/BUTTON/SWAP/EDIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EDIT20.gif" alt="Calendar" name="Image1331" width="20" border="0" align="absmiddle" id="Image1331" onClick="addt('1')"></a> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1431','','../IMAGES/BUTTON/SWAP/EXIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EXIT20.gif" alt="Calendar" name="Image1431" width="20" border="0" align="absmiddle" id="Image1431" onClick="delt('1')"></a> </div></td>
</tr>
<tr id="dt12" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail12"></span>
</td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost12" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open12" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt13" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail13"></span>
</td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost13" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open13" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt14" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail14"></span>
</td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost14" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open14" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt15" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail15"></span>
</td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost15" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open15" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="wel21" style="display:none ">
<td class="desc"><span id="__welfare2"></span>
<input type="hidden" size="30" name="__wf__welfare2" readonly>
<input type="hidden" size="30" name="__wf__docgid2" readonly>
<input type="hidden" size="30" name="__wf__whouse2" readonly>
<input type="text" size="30" name="__wf__welfaredesc2" readonly>
<a href="javascript:goHelp('MWELFAREHELP','__wf__welfare2','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1014','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Welfare" name="Image1014" width="20" border="0" align="absmiddle" id="Image1014" ></a> </td>
<td class="desc"><span id="__disease2"></span>
<input type="hidden" size="30" name="__wf__disease2" readonly>
<input type="text" size="30" name="__wf__diseasedesc2" readonly>
<a href="javascript:goHelp('MDISEASEHELP','__wf__disease2','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image101','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Disease" name="Image101" width="20" border="0" align="absmiddle" id="Image101" ></a> </td>
<td class="desc"><span id="__family2"></span></td>
<td class="desc"><input name="__wf__amount2" type="text" dir="rtl" onKeyPress="javascript:chkInt1Dot(this);" onKeyUp="javascript:sumScore(this);" value="0" size="8"></td>
<td class="desc"><input type="text" size="15" name="__wf__receipt_number2"></td>
<td class="desc" nowrap><input type="text" size="10" name="__wf__receipt_date2" readonly value="<%= new CscCalendar().getDDMMYYYY() %>"><a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image121','','../IMAGES/BUTTON/SWAP/CALENDAR_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/CALENDAR20.gif" alt="Calendar" name="Image121" width="20" border="0" align="absmiddle" id="Image121" onClick="viewCal('__wf__receipt_date2')"></a> </td>
<td class="desc"><div align="center"><a href="javascript:goPages('2','');" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1223','','../IMAGES/BUTTON/SWAP/COPY_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/COPY20.gif" alt="Attach Document" name="Image1223" width="20" border="0" align="absmiddle" id="Image1223" ></a></div></td>
</tr>
<tr id="wel22" style="display:none ">
<td class="desc" align="right"><script language="javascript">swapLang("Nursing Home");</script></td>
<td colspan="2" class="desc"> <input type="hidden" size="50" name="__wf__sitewelid2"><input type="hidden" size="50" name="__wf__sitewelgid2"><input type="text" size="50" name="__wf__sitewel_name2" readonly><a href="javascript:goHelp('MSITEWELHELP','__sitewelid2','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image102','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Hospital" name="Image102" width="20" border="0" align="absmiddle" id="Image102" ></a><!--span id="__sitewel2"></span--></td>
<td class="desc" align="right"><script language="javascript">swapLang("Other Nursing Home");</script></td>
<td colspan="3" class="desc"><input type="text" name="__wf__other_sitewel2" size="30" onKeyPress="javascript:clssitewel(2);"></td>
</tr>
<tr id="dt21" style="display:<%= dss2 %> ">
<td class="desc"><div align="right">
<script language="javascript">swapLang("Detail");</script>
</div></td>
<td class="desc"><span id="__detail21"></span>
</td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost21" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open21" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"><a name="a2" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1341','','../IMAGES/BUTTON/SWAP/EDIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EDIT20.gif" alt="Calendar" name="Image1341" width="20" border="0" align="absmiddle" id="Image1341" onClick="addt('2')"></a> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1441','','../IMAGES/BUTTON/SWAP/EXIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EXIT20.gif" alt="Calendar" name="Image1441" width="20" border="0" align="absmiddle" id="Image1441" onClick="delt('2')"></a> </div></td>
</tr>
<tr id="dt22" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail22"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost22" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open22" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt23" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail23"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost23" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open23" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt24" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail24"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost24" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open24" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt25" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail25"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost25" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open25" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="wel31" style="display:none ">
<td class="desc"><span id="__welfare3"></span>
<input type="hidden" size="30" name="__wf__welfare3" readonly>
<input type="hidden" size="30" name="__wf__docgid3" readonly>
<input type="hidden" size="30" name="__wf__whouse3" readonly>
<input type="text" size="30" name="__wf__welfaredesc3" readonly>
<a href="javascript:goHelp('MWELFAREHELP','__wf__welfare3','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1015','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Welfare" name="Image1015" width="20" border="0" align="absmiddle" id="Image1015" ></a> </td>
<td class="desc"><span id="__disease3"></span>
<input type="hidden" size="30" name="__wf__disease3" readonly>
<input type="text" size="30" name="__wf__diseasedesc3" readonly>
<a href="javascript:goHelp('MDISEASEHELP','__wf__disease3','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1016','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Disease" name="Image1016" width="20" border="0" align="absmiddle" id="Image1016" ></a> </td>
<td class="desc"><span id="__family3"></span></td>
<td class="desc"><input name="__wf__amount3" type="text" dir="rtl" onKeyPress="javascript:chkInt1Dot(this);" onKeyUp="javascript:sumScore(this);" value="0" size="8"></td>
<td class="desc"><input type="text" size="15" name="__wf__receipt_number3"></td>
<td class="desc" nowrap><input type="text" size="10" name="__wf__receipt_date3" readonly value="<%= new CscCalendar().getDDMMYYYY() %>"><a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image131','','../IMAGES/BUTTON/SWAP/CALENDAR_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/CALENDAR20.gif" alt="Calendar" name="Image131" width="20" border="0" align="absmiddle" id="Image131" onClick="viewCal('__wf__receipt_date3')"></a> </td>
<td class="desc"><div align="center"><a href="javascript:goPages('3','');" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1323','','../IMAGES/BUTTON/SWAP/COPY_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/COPY20.gif" alt="Attach Document" name="Image1323" width="20" border="0" align="absmiddle" id="Image1323"></a></div></td>
</tr>
<tr id="wel32" style="display:none ">
<td class="desc" align="right"><script language="javascript">swapLang("Nursing Home");</script></td>
<td colspan="2" class="desc"> <input type="hidden" size="50" name="__wf__sitewelid3"><input type="hidden" size="50" name="__wf__sitewelgid3"><input type="text" size="50" name="__wf__sitewel_name3" readonly><a href="javascript:goHelp('MSITEWELHELP','__sitewelid3','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image103','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Hospital" name="Image103" width="20" border="0" align="absmiddle" id="Image103" ></a><!--span id="__sitewel3"></span--></td>
<td class="desc" align="right"><script language="javascript">swapLang("Other Nursing Home");</script></td>
<td colspan="3" class="desc"><input type="text" name="__wf__other_sitewel3" size="30" onKeyPress="javascript:clssitewel(3);"></td>
</tr>
<tr id="dt31" style="display:<%= dss3 %> ">
<td class="desc"><div align="right">
<script language="javascript">swapLang("Detail");</script>
</div></td>
<td class="desc"><span id="__detail31"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost31" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open31" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"><a name="a3" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1351','','../IMAGES/BUTTON/SWAP/EDIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EDIT20.gif" alt="Calendar" name="Image1351" width="20" border="0" align="absmiddle" id="Image1351" onClick="addt('3')"></a> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1451','','../IMAGES/BUTTON/SWAP/EXIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EXIT20.gif" alt="Calendar" name="Image1451" width="20" border="0" align="absmiddle" id="Image1451" onClick="delt('3')"></a> </div></td>
</tr>
<tr id="dt32" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail32"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost32" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open32" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt33" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail33"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost33" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open33" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt34" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail34"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost34" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open34" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt35" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail35"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost35" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open35" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="wel41" style="display:none ">
<td class="desc"><span id="__welfare4"></span>
<input type="hidden" size="30" name="__wf__welfare4" readonly>
<input type="hidden" size="30" name="__wf__docgid4" readonly>
<input type="hidden" size="30" name="__wf__whouse4" readonly>
<input type="text" size="30" name="__wf__welfaredesc4" readonly>
<a href="javascript:goHelp('MWELFAREHELP','__wf__welfare4','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1017','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Welfare" name="Image1017" width="20" border="0" align="absmiddle" id="Image1017" ></a> </td>
<td class="desc"><span id="__disease4"></span>
<input type="hidden" size="30" name="__wf__disease4" readonly>
<input type="text" size="30" name="__wf__diseasedesc4" readonly>
<a href="javascript:goHelp('MDISEASEHELP','__wf__disease4','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1018','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Disease" name="Image1018" width="20" border="0" align="absmiddle" id="Image1018" ></a> </td>
<td class="desc"><span id="__family4"></span></td>
<td class="desc"><input name="__wf__amount4" type="text" dir="rtl" onKeyPress="javascript:chkInt1Dot(this);" onKeyUp="javascript:sumScore(this);" value="0" size="8"></td>
<td class="desc"><input type="text" size="15" name="__wf__receipt_number4"></td>
<td class="desc" nowrap><input type="text" size="10" name="__wf__receipt_date4" readonly value="<%= new CscCalendar().getDDMMYYYY() %>"><a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image141','','../IMAGES/BUTTON/SWAP/CALENDAR_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/CALENDAR20.gif" alt="Calendar" name="Image141" width="20" border="0" align="absmiddle" id="Image141" onClick="viewCal('__wf__receipt_date4')"></a> </td>
<td class="desc"><div align="center"><a href="javascript:goPages('4','');" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1423','','../IMAGES/BUTTON/SWAP/COPY_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/COPY20.gif" alt="Attach Document" name="Image1423" width="20" border="0" align="absmiddle" id="Image1423" ></a></div></td>
</tr>
<tr id="wel42" style="display:none ">
<td class="desc" align="right"><script language="javascript">swapLang("Nursing Home");</script></td>
<td colspan="2" class="desc"><input type="hidden" size="50" name="__wf__sitewelid4"><input type="hidden" size="50" name="__wf__sitewelgid4"> <input type="text" size="50" name="__wf__sitewel_name4" readonly><a href="javascript:goHelp('MSITEWELHELP','__sitewelid4','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image104','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Hospital" name="Image104" width="20" border="0" align="absmiddle" id="Image104" ></a><!--span id="__sitewel4"></span--></td>
<td class="desc" align="right"><script language="javascript">swapLang("Other Nursing Home");</script></td>
<td colspan="3" class="desc"><input type="text" name="__wf__other_sitewel4" size="30" onKeyPress="javascript:clssitewel(4);"></td>
</tr>
<tr id="dt41" style="display:<%= dss4 %> ">
<td class="desc"><div align="right">
<script language="javascript">swapLang("Detail");</script>
</div></td>
<td class="desc"><span id="__detail41"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost41" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open41" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"><a name="a4" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1361','','../IMAGES/BUTTON/SWAP/EDIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EDIT20.gif" alt="Calendar" name="Image1361" width="20" border="0" align="absmiddle" id="Image1361" onClick="addt('4')"></a> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1461','','../IMAGES/BUTTON/SWAP/EXIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EXIT20.gif" alt="Calendar" name="Image1461" width="20" border="0" align="absmiddle" id="Image1461" onClick="delt('4')"></a> </div></td>
</tr>
<tr id="dt42" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail42"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost42" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open42" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt43" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail43"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost43" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open43" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt44" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail44"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost44" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open44" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt45" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail45"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost45" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open45" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="wel51" style="display:none ">
<td class="desc"><span id="__welfare5"></span>
<input type="hidden" size="30" name="__wf__welfare5" readonly>
<input type="hidden" size="30" name="__wf__docgid5" readonly>
<input type="hidden" size="30" name="__wf__whouse5" readonly>
<input type="text" size="30" name="__wf__welfaredesc5" readonly>
<a href="javascript:goHelp('MWELFAREHELP','__wf__welfare5','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1019','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Welfare" name="Image1019" width="20" border="0" align="absmiddle" id="Image1019" ></a> </td>
<td class="desc"><span id="__disease5"></span>
<input type="hidden" size="30" name="__wf__disease5" readonly>
<input type="text" size="30" name="__wf__diseasedesc5" readonly>
<a href="javascript:goHelp('MDISEASEHELP','__wf__disease5','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image10110','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Disease" name="Image10110" width="20" border="0" align="absmiddle" id="Image10110" ></a> </td>
<td class="desc"><span id="__family5"></span></td>
<td class="desc"><input type="text" size="8" dir="rtl" name="__wf__amount5" value="0" onKeyPress="javascript:chkInt1Dot(this);" onKeyUp="javascript:sumScore(this);"></td>
<td class="desc"><input type="text" size="15" name="__wf__receipt_number5"></td>
<td class="desc" nowrap><input type="text" size="10" name="__wf__receipt_date5" readonly value="<%= new CscCalendar().getDDMMYYYY() %>"><a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image151','','../IMAGES/BUTTON/SWAP/CALENDAR_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/CALENDAR20.gif" alt="Calendar" name="Image151" width="20" border="0" align="absmiddle" id="Image151" onClick="viewCal('__wf__receipt_date5')"></a> </td>
<td class="desc"><div align="center"><a href="javascript:goPages('5','');" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1523','','../IMAGES/BUTTON/SWAP/COPY_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/COPY20.gif" alt="Attach Document" name="Image1523" width="20" border="0" align="absmiddle" id="Image1523"></a></div></td>
</tr>
<tr id="wel52" style="display:none ">
<td class="desc" align="right"><script language="javascript">swapLang("Nursing Home");</script></td>
<td colspan="2" class="desc"> <input type="hidden" size="50" name="__wf__sitewelid5"><input type="hidden" size="50" name="__wf__sitewelgid5"><input type="text" size="50" name="__wf__sitewel_name5" readonly><a href="javascript:goHelp('MSITEWELHELP','__sitewelid5','')" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image105','','../IMAGES/MYNOTE/SEARCH.gif',1)"><img src="../IMAGES/MYNOTE/SEARCH.gif" alt="Hospital" name="Image105" width="20" border="0" align="absmiddle" id="Image105" ></a><!--span id="__sitewel5"></span--></td>
<td class="desc" align="right"><script language="javascript">swapLang("Other Nursing Home");</script></td>
<td colspan="3" class="desc"><input type="text" name="__wf__other_sitewel5" size="30" onKeyPress="javascript:clssitewel(5);"></td>
</tr>
<tr id="dt51" style="display:<%= dss5 %> ">
<td class="desc"><div align="right">
<script language="javascript">swapLang("Detail");</script>
</div></td>
<td class="desc"><span id="__detail51"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost51" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open51" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"><a name="a5" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1371','','../IMAGES/BUTTON/SWAP/EDIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EDIT20.gif" alt="Calendar" name="Image1371" width="20" border="0" align="absmiddle" id="Image1371" onClick="addt('5')"></a> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image1471','','../IMAGES/BUTTON/SWAP/EXIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EXIT20.gif" alt="Calendar" name="Image1471" width="20" border="0" align="absmiddle" id="Image1471" onClick="delt('5')"></a> </div></td>
</tr>
<tr id="dt52" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail52"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost52" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open52" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt53" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail53"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost53" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open53" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt54" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail54"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost54" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open54" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr id="dt55" style="display:none ">
<td class="desc"><div align="right"> </div></td>
<td class="desc"><span id="__detail55"></span>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Cost");</script>
</div></td>
<td class="desc"><input type="text" name="__wf__cost55" onKeyUp="javascript:cloneValue(this)" onBlur="javascript:chkSumValue(this);" size="8" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc"><div align="right">
<script language="javascript">swapLang("Request");</script>
</div></td>
<td class="desc" nowrap><input type="text" name="__wf__open55" size="8" onBlur="javascript:chkSumValue(this);" onKeyPress="javascript:chkInt1Dot(this);" dir="rtl"></td>
<td class="desc" nowrap><div align="center"> </div></td>
</tr>
<tr>
<td colspan="3" align="center" class="title1"><div align="center"><script language="javascript">swapLang("Grand Total");</script></div></td>
<td align="right" class="title1"><span class="desc">
<input type="text" size="8" dir="rtl" name="__wf__grand_total" value="0" readonly>
</span></td>
<td colspan="3" align="right" class="title1">
<a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image13','','../IMAGES/BUTTON/SWAP/EDIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EDIT20.gif" alt="Add" name="Image13" width="20" border="0" align="absmiddle" id="Image13" onClick="add()"></a>
<a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image14','','../IMAGES/BUTTON/SWAP/EXIT_SWAP20.gif',1)"><img src="../IMAGES/BUTTON/MAIN/EXIT20.gif" alt="Delete" name="Image14" width="20" border="0" align="absmiddle" id="Image14" onClick="del()"></a>
</td>
</tr>
<tr>
<td colspan="7">
<table cellspacing="0" cellpadding="0">
<tr>
<td colspan="8"></td>
</tr>
<tr>
<td colspan="8" class="desc2">กรณีประสงค์ให้นำเงินดังกล่าวโอนเข้าบัญชีเงินเดือน <br>
หากนำส่งเอกสารหลัง 12.00 น. วันที่ 15 ของเดือน จะนำเงินเข้าบัญชีในเดือนถัดไป <br>
กรณีประสงค์ขอรับเป็นเงินสดวงเงินไม่เกินวันละ 2,000 บาท <br>
โปรดนำเอกสารประกอบการเบิกมารับเงินสด ในวันอังคารและพฤหัสบดี เวลา 9.00-12.00 และ 13.00-15.30 </td>
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