<link rel="stylesheet" href="css/new_mxerp.css">


<div class="body_contain">
<div class="tab_div">




<h1>Technician Visit entry</h1>

<h3 align="center">General Details</h3>

<table width="100%" border="1" cellpadding="3" cellspacing="0" style="border-collapse:collapse; border:#666666 solid 1px;">
<tr>
<td class="tabledata" scope="row" style="width:146px;">Branch Name</td>
<td colspan="3">
<select name="branch_name" id="branch_name" style="width:100%;" tabindex="1" >
	<option value="0">Select</option>
	<option value="0"></option>
</select></td>
</tr>


<tr>
<td class="tabledata">Visit No.</td>
<td><input type="text" name="invoiceNo" value="" style="width:100%" /></td>
<td class="tabledata">Visit Date</td>
<td><input type="text" name="invoiceNo" value="" style="width:100%" /></td>
</tr>


<tr>
<td class="tabledata">Party Name</td>
<td><select name="branch_name" id="branch_name" style="width:100%;" tabindex="1" >
	<option value="0">Select</option>
	<option value="0"></option>
</select></td>
<td class="tabledata">Job Card No</td>
<td><select name="branch_name" id="branch_name" style="width:100%;" tabindex="1" >
	<option value="0">Select</option>
	<option value="0"></option>
</select></td>
</tr>

<tr>
<td class="tabledata">TT No.</td>
<td><input type="text" name="invoiceNo" value="" style="width:100%" /></td>
<td class="tabledata">Product name</td>
<td><select name="branch_name" id="branch_name" style="width:100%;" tabindex="1" >
	<option value="0">Select</option>
	<option value="0"></option>
</select></td>
</tr>

<tr>
<td class="tabledata">Serial No</td>
<td><input type="text" name="invoiceNo" value="" style="width:100%" /></td>
<td class="tabledata">Invoice No</td>
<td><input type="text" name="invoiceNo" value="" style="width:100%" /></td>
</tr>

<tr>
<td class="tabledata">Scope of Service</td>
<td><input type="text" name="invoiceNo" value="" style="width:100%" /></td>
<td class="tabledata">Technician</td>
<td><input type="text" name="invoiceNo" value="" style="width:100%" /></td>
</tr>

<tr>
<td class="tabledata">Complaint Status</td>
<td colspan="3"><select name="branch_name" id="branch_name" style="width:100%;" tabindex="1" >
	<option value="0">Select</option>
	<option value="0"></option>
</select></td>
</tr>




</table>


<h3 align="center">Fault Descriptions</h3>

<table width="100%" border="1" cellpadding="3" cellspacing="0" style="border-collapse:collapse; border:#666666 solid 1px;">
<tr>
<td class="tabledata" style="width:146px;">Fault Details</td>
<td colspan="3"><input type="text" name="invoiceNo" value="" style="width:100%" /></td>
</tr>
<tr>
<td class="tabledata">Current Status</td>
<td colspan="3"><input type="text" name="invoiceNo" value="" style="width:100%" /></td>
</tr>

<tr>
<td class="tabledata">Problem Remarks</td>
<td colspan="3"><input type="text" name="invoiceNo" value="" style="width:100%" /></td>
</tr>




</table>


<h3 align="center">Spare Parts & services Details</h3>

<div style="width:810px; overflow:auto; border:#006699 solid 2px;">
<p style="padding-left:0px; margin:0; text-align:left;"><input type="button" value="Add Spare Part" class="heading_button" />&nbsp;&nbsp;<input type="button" value="Add Service" class="heading_button" /></p>

<table width="100%" border="1" cellspacing="0" cellpadding="3">
  <tr>
    <td class="tabledata">Sr. No.</td>
    <td class="tabledata">Item Name</td>
    <td class="tabledata">Qty in Stock </td>
    <td class="tabledata">Req. Qty.</td>
    <td class="tabledata">Price</td>
    <td class="tabledata">Total amount</td>
  </tr>
<tr bgcolor="#c1c1c1">
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
</table>

<p style="padding-left:5px;padding-top:5px; margin:0; text-align:left;"><input type="button" value="Add" class="submit_button" />&nbsp;&nbsp;<input type="button" value="Delete" class="submit_button" /></p>

<div style="width:32%; float:right;">
<table width="100%" border="1" cellspacing="0" cellpadding="3" style="border:#999999 solid 1px;">
  <tr>
    <td class="tabledata" style="width:120px;">Basic Amt.</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td class="tabledata">Excise Duty</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td class="tabledata">E-cess</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td class="tabledata">She-cess</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td class="tabledata">Total Taxable</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td class="tabledata">Vat/Cst</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td class="tabledata">Other Charges</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td class="tabledata">Grand Total</td>
    <td>&nbsp;</td>
  </tr>
</table>




</div>




<div class="cl"></div>
</div>






<table width="100%" border="1" cellpadding="3" cellspacing="0" style="border-collapse:collapse; border:#666666 solid 1px;">
<tr>
<td class="tabledata" style="width:146px;">Client Remarks</td>
<td colspan="3"><textarea style="width:100%; 50px;"></textarea></td>
</tr>
<tr>
<td class="tabledata">Remarks by Technician</td>
<td colspan="3"><textarea style="width:100%; 50px;"></textarea></td>
</tr>


</table>


</div></div>

