| {BEGIN Employee_Name_label}Employee Name{END Employee_Name_label} | {$Employee_Name_editcontrol} |
| {BEGIN Customer_Name_label}Customer Name{END Customer_Name_label} | {$Customer_Name_editcontrol} |
| {BEGIN Contact_Person_label}Contact Person{END Contact_Person_label} | {$Contact_Person_editcontrol} |
| {BEGIN Purpose_Of_Visit_label}Purpose Of Visit{END Purpose_Of_Visit_label} | {$Purpose_Of_Visit_editcontrol} |
| {BEGIN MOM_Summary_label}MOM Summary{END MOM_Summary_label} | {$MOM_Summary_editcontrol} |
| {BEGIN Date_Of_Visit_label}Date Of Visit{END Date_Of_Visit_label} | {$Date_Of_Visit_editcontrol} |
| {BEGIN Visit_Status_label}Visit Status{END Visit_Status_label} | {$Visit_Status_editcontrol} |
{BEGIN legend}
- Required field
{END legend}
{$legendBreak}
{BEGIN save_button}
{END save_button}
{BEGIN reset_button}
{END reset_button}
{BEGIN prev_button}
{END prev_button}
{BEGIN back_button}
{END back_button}
{BEGIN next_button}
{END next_button}