
<link rel="stylesheet" href="css/new_mxerp.css">
<div class="body_contain">
<div class="tab_div">
<h1>PLA Register</h1>
<form action="" method="post">
<table width="100%" border="0" cellspacing="0" cellpadding="3">
  <tr class="row1">
    <td width="6%"><strong>Branch</strong></td>
    <td width="16%"><select name="site" id="site" style="width:98%;">
		<option value="0">Select</option>
		<?php 
		$site_sql=DB_query("Select loccode, prefix, locationname from locations",$db);
		while($site_row=DB_fetch_array($site_sql))
		{?>
		<option value="<?php echo $site_row['loccode'];?>"<?php echo($_REQUEST['site']==$site_row['loccode']?'selected':'')?>><?php echo $site_row['locationname'];?></option>
		<?php 
		}
		?>
	  </select></td>
   <td width="12%"><strong>Vendor/Service Provider</strong></td>
   <td width="18%"><select name="" id="" style="width:98%;">
	<option value="0">Select</option>  	
	<?php 
	$vendor_sql=DB_query("Select vendor_code,vendor_name from suppliers",$db);
	while($vendor_row=DB_fetch_array($vendor_sql))
	{?>
	<option value="<?php echo $vendor_row['vendor_code'];?>"><?php echo $vendor_row['vendor_name'];?></option>
	<?php 			
	}
	?>  	
  	</select></td>
    <td width="6%"><strong>From Date</strong></td>
    <td width="18%"><input name="fromDate" id="fromDate" type="text" style="width:98%;" size="9" value="<?php echo $_REQUEST['fromDate'];?>" class="datepicker"></td>
    <td width="6%"><strong>To Date</strong></td>
    <td><input name="toDate" id="toDate" type="text" style="width:98%;" size="9" value="<?php echo $_REQUEST['fromDate'];?>" class="datepicker"></td>
  </tr>
  <tr class="row1">
    <td colspan="8" style="text-align:center;">
      <input type="submit" name="View" value="View" class="search" />
    </td>
  </tr>
</table>
</form>

  <table width="100%" border="1" cellspacing="0" cellpadding="3" style="border:#808080 1px solid; border-collapse:collapse;">
      <tr>
        <th rowspan="2">S. No.</th>
        <th rowspan="2">Desc.</th>
        <th rowspan="2">Date</th>
        <th colspan="3" style="text-align:center">Basic Excise Duty</th>
        <th colspan="3" style="text-align:center">EDU Cess</th>
        <th colspan="3" style="text-align:center">S &amp; H. E. Cess</th>
        </tr>
      <tr>
        <th>Credit</th>
        <th>Debit</th>
        <th>Balance</th>
        <th>Credit</th>
        <th>Debit</th>
        <th>Balance</th>
        <th>Credit</th>
        <th>Debit</th>
        <th>Balance</th>
      </tr>
      <tr>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
      </tr>
      <tr>
        <td colspan="12">&nbsp;</td>
      </tr>
    </table>
</div>
</div>
