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Current File : /home1/savoy/public_html/savoyglobal.net/cocorico/application/views/student/preview.php

<?php
if (!defined('BASEPATH'))
    exit('No direct script access allowed');
$this->load->view('documentreadyfunctions');
//var_dump($details);
$student = $this->mastermodel->get_single_field_value('student', 'first_name', 'student_id', $details['student_id']);
$teacher = $this->mastermodel->get_single_field_value('employee', 'employee_name', 'employee_id', $details['nutrition_teacher_id']);
$center_info = $this->mastermodel->search_nursery();
foreach ($center_info['results']->result_array() as $row) {
    $nursery_name = $row['nursery_name'];
    $nursery_address = $row['address'];
    $nursery_phone = $row['contact_no'];
    $nursery_email = $row['email'];
    $nursery_website = $row['website'];
    $nursery_logo = $row['logo'];
}
$essentials = "";
if (isset($details['physical_essentials'])) {
    $essentials = implode(',', $details['physical_essentials']);
}
//var_dump($student);
?>




<!--<table class="table">
    <tr><th style="text-align: left;padding-left:50px;color: red;">NUTRITION REPORTS</th></tr>
</table>-->
<table  width="100%" height="100%" style="font-size: 12px;">
    <tr>
        <td width="50%">
            <table  width="100%" height="100%" style="font-size: 12px;">
                <tr>
                    <td width="50%">
                        <table width="95%" style="height: 100%; border: 1px solid black;border-radius: 10px;font-size: 12px;float: left;">
                            <tr>
                                <td style="text-align:center;"><font size="16px"><b>Nutrition Report</b></font></td>
                            </tr>
                            <tr>
                                <td>
                                    <table width="100%">
                                        <tr>
                                            <td>
                                                <img style="width:60px;height:60px" src="<?= base_url() ?>assets/logo/<?= $nursery_logo; ?>" >
                                            </td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <table width="100%">
                                        <tr>
                                            <td style="text-align:left;"> <?= $nursery_name ?>,<?= $nursery_address ?><br/>Tel:<?= $nursery_phone ?>, Email:  <?= $nursery_email ?>, Website:  <?= $nursery_website ?></td>
                                        </tr>
                                    </table>
                                    <hr>

                                </td>
                            </tr>

                            <tr><td style="text-align:center;font-size: 25px;">Dear Parent....</td></tr>
                            <tr><td style="height: 2px;"></td></tr>
                            <tr>
                                <td width="100%">
                                    <table width="100%">
                                        <tr>
                                            <td width="50%">
                                                You are looked after by Mr/Miss:
                                            </td>
                                            <td width="50%" style="border-bottom:1px dotted #444;color:#333;">
                                                <span style="color:#000;"><b><?= $teacher; ?></b></span></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <?php
//                    $nutrition_sleep = $this->mastermodel->get_data('nutrition', $details['nutrition_id'], 'nutrition_id');
                            ?>
                            <tr>
                                <td width="100%">
                                    <table width="100%">
                                        <tr>
                                            <td style="width: 25%">Arrived: </td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 25%;" ><?= $details['nutrition_arrived_hour'] . ':' . $details['nutrition_arrived_minute'] ?><span style="color:#000;"></span></td>
                                            <td style="width: 25%">Departed: </td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 25%;" ><?= $details['nutrition_departed_hour'] . ':' . $details['nutrition_departed_minute'] ?><span style="color:#000;"></span></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 5px;"></td></tr>
                            <tr>
                                <td><h3><span style="color:#000;"><b>Sleep</b></span></h3></td>
                            </tr>

                            <tr>
                                <td>
                                    <table style="width: 100%">
                                        <?php
                                        $i = 1;
                                        while (isset($details['nutrition_sleep_from_hour' . $i])) {
                                            if ($details['nutrition_sleep_from_hour' . $i] != '' && $details['nutrition_sleep_to_hour' . $i] != '') {
//                                for ($i = 0; $i < count($nutrition_sleep); $i+=2) {
                                                ?>
                                                <tr>

                                                    <td>From:</td>
                                                    <td style="border-bottom:1px dotted #444;color:#333;" ><?= $details['nutrition_sleep_from_hour' . $i] . ':' . $details['nutrition_sleep_from_minute' . $i]; ?></td>
                                                    <td>To:</td>
                                                    <td style="border-bottom:1px dotted #444;color:#333;" ><?= $details['nutrition_sleep_to_hour' . $i] . ':' . $details['nutrition_sleep_to_minute' . $i] ?></td>
                                                    <?php
                                                    if (isset($details['nutrition_sleep_from_hour' . $i + 1])) {
                                                        ?>
                                                        <td>From:</td>
                                                        <td style="border-bottom:1px dotted #444;color:#333;" ><?= $details['nutrition_sleep_from_hour' . $i + 1] . ':' . $details['nutrition_sleep_from_minute' . $i + 1]; ?></td>
                                                        <td>To:</td>
                                                        <td style="border-bottom:1px dotted #444;color:#333;" ><?= $details['nutrition_sleep_to_hour' . $i + 1] . ':' . $details['nutrition_sleep_to_minute' . $i + 1]; ?></td>

                                                    </tr>
                                                    <?php
                                                }
                                            }
                                            $i++;
                                        }
                                        ?>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 5px;"></td></tr>
                            <tr>
                                <td><h3><span style="color:#000;"><b>Food</b></span></h3></td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%">
                                        <?php
                                        $j = 1;
                                        while (isset($details['nutrition_food' . $j])) {
//                                $nutrition_food = $this->mastermodel->get_data('nutrition_food', $details['nutrition_id'], 'nutrition_id');
//                                foreach ($nutrition_food as $list) {
                                            ?>
                                            <tr>
                                                <td>Time: </td>
                                                <td style="border-bottom:1px dotted #444;color:#333;" ><?= $details['nutrition_food_time_hour' . $j] . ':' . $details['nutrition_food_time_minute' . $j]; ?><span style="color:#000;"></span></td>
                                                <td width="5%"></td>
                                                <td>Consumption: </td>
                                                <td style="border-bottom:1px dotted #444;color:#333;" ><?= $details['nutrition_food_status' . $j]; ?></td>


                                            </tr>
                                            <?php
                                            $j++;
                                        }
                                        ?> 
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%">
                                        <tr>
                                            <td width="30%">Any dislikes?</td>
                                            <td width="70%" style="border-bottom:1px dotted #444;color:#333;" ><span style="color:#000;"><?= $details['nutrition_food_dislike'] ?></span></td>

                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 5px;"></td></tr>
                            <tr>
                                <td><h3><b>Bottles</b></h3></td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%">

                                        <?php
                                        $l = 1;

                                        while (isset($details['nutrition_bottle_time_hour' . $l])) {
//                                $nutrition_bottle = $this->mastermodel->get_data('nutrition_bottle', $details['nutrition_id'], 'nutrition_id');
//                                foreach ($nutrition_bottle as $list) {
                                            ?>
                                            <tr>
                                                <td>Time:</td>
                                                <td style="border-bottom:1px dotted #444;color:#333;" ><?= $details['nutrition_bottle_time_hour' . $l] . ':' . $details['nutrition_bottle_time_minute' . $l]; ?><span style="color:#000;"></span></td>
                                                <td width="5%"></td>
                                                <td>Amount:</td>
                                                <td>Time:</td><td style="border-bottom:1px dotted #444;color:#333;" ><?= $details['nutrition_bottle_amount' . $l]; ?></td>

                                            </tr>
                                            <?php
                                            $l++;
                                        }
                                        ?>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 5px;"></td></tr>
                            <tr>
                                <td><h3><span style="color:#000;"><b>Nappies</b></span></h3></td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%">
                                        <?php
                                        $k = 1;
                                        while (isset($details['nutrition_nappies_time_hour' . $k]) && isset($details['nutrition_nappies_status' . $k]) && isset($details['nutrition_nappies_cream' . $k])) {
//                                $nutrition_nappies = $this->mastermodel->get_data('nutrition_nappies', $details['nutrition_id'], 'nutrition_id');
//                                foreach ($nutrition_nappies as $list) {
                                            ?>
                                            <tr>
                                                <td>Time: </td>
                                                <td style="border-bottom:1px dotted #444;color:#333;" ><?= $details['nutrition_nappies_time_hour' . $k] . ':' . $details['nutrition_nappies_time_minute' . $k]; ?></td>
                                                <td width="2%"></td>
                                                <td>Status: </td><td style="border-bottom:1px dotted #444;color:#333;" ><?= $details['nutrition_nappies_status' . $k]; ?></td>

                                                <td width="2%"></td>

                                                <td>Cream applied: </td>
                                                <td style="border-bottom:1px dotted #444;color:#333;" >
                                                    <?php
                                                    echo $details['nutrition_nappies_cream' . $k]
                                                    ?>
                                                </td>
                                            </tr>
                                            <?php
                                            $k++;
                                        }
                                        ?>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 5px;"></td></tr>
                            <tr>
                                <td><h3><span style="color:#000;"><b>Other</b></span></h3></td> 
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%">
                                        <tr>
                                            <td width="100%">Outside Play/Indoor Activities:</td>
                                        </tr>
                                        <tr>
                                            <td width="100%" style="border-bottom:1px dotted #444;color:#333;height: 10px" ><?= $details['nutrition_play'] ?></td>
                                        </tr>
                                        <tr>
                                            <td width="100%" style="border-bottom:1px dotted #444;color:#333;height: 10px" ></td>
                                        </tr>
<!--                                        <tr>
                                            <td width="100%" style="border-bottom:1px dotted #444;color:#333;height: 10px" ></td>
                                        </tr>
                                        <tr>
                                            <td width="100%" style="border-bottom:1px dotted #444;color:#333;height: 10px" ></td>
                                        </tr>-->


                                    </table>
                                    <table style="width: 100%">
                                        <tr>
                                            <td width="100%">Requirements:</td>

                                            <td width="100%" style="border-bottom:1px dotted #444;color:#333;height: 10px" ><?= $details['nutrition_requirement'] ?></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                        </table>
                    </td>
                    <td width="50%">
                        <table width="95%" style="height: 100%; border: 1px solid black;border-radius: 10px;font-size: 12px;float: left;">

                            <tr>
                                <td style="text-align:center;"><font size="16px"><b>Nutrition Report</b></font></td>
                            </tr>
                            <tr>
                                <td>
                                    <table width="100%">
                                        <tr>
                                            <td>
                                                <img style="width:60px;height:60px" src="<?= base_url() ?>assets/logo/<?= $nursery_logo; ?>" >
                                            </td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <table width="100%">
                                        <tr>
                                            <td style="text-align:left;"> <?= $nursery_name ?>,<?= $nursery_address ?><br/>Tel:<?= $nursery_phone ?>, Email:  <?= $nursery_email ?>, Website:  <?= $nursery_website ?></td>
                                        </tr>
                                    </table>
                                    <hr>

                                </td>
                            </tr>

                            <!--                   
        
        
        <tr>
                                <td style="text-align:center;"><font size="16px"><b>Nutrition Report</b></font></td>
                            </tr>
                            <tr>
        
                                <td>
                                    <table width="100%">
                                        <tr>
                                            <td>
                                                <img style="width:60px;height:60px" src="<?= base_url() ?>assets/logo/<?= $nursery_logo; ?>" >
                                            </td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <table width="100%">
                                        <tr>
                                            <td style="text-align:left;"> <?= $nursery_name ?>,<?= $nursery_address ?><br/>Tel:<?= $nursery_phone ?>, Email:  <?= $nursery_email ?>, Website:  <?= $nursery_website ?></td>
                                        </tr>
                                    </table>
                                    <hr>
        
                                </td>
                            </tr>-->

                            <tr><td style="text-align:center;font-size: 25px;">Dear Nursery....</td></tr>
                            <tr><td style="height: 15px;"></td></tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="width:8%;">Day</td>
                                            <td style="width:40%;">Mon/Tue/Wed/Thur/Fri</td>
                                            <td style="width:5%;"><b>Date</b>:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 15%" ><span style="color:#000;"></span></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 15px;"></td></tr>

                            <tr>
                                <td><span style="color:#000;"><b>Sleep</b></span></td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="width:15%;">Went to bed at:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 15%" ><span style="color:#000;"></span></td>
                                            <td style="width:15%;">Wake up at:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 15%" ><span style="color:#000;"></span></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 15px;"></td></tr>
                            <tr>
                                <td><span style="color:#000;"><b>Food</b></span></td>
                            </tr>
                            <tr>
                                <td><span style="color:#000;">Is your child being weaned?&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="width:30%;">If yes state food:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 70%" ><span style="color:#000;"></span></td>

                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="width:30%;">Last bottle time:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 70%" ><span style="color:#000;"></span></td>

                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="width:30%;">Amount:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 70%" ><span style="color:#000;"></span></td>

                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="width:30%;">Breakfast:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 70%" ><span style="color:#000;"></span></td>

                                        </tr>
                                    </table>

                                </td>
                            </tr>
                            <tr>
                                <td>

                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="width:30%;">Time:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 70%" ><span style="color:#000;"></span></td>

                                        </tr>
                                    </table>
                                </td>
                            </tr>

                        </table>
                    </td>
                </tr>

            </table>


            <table width="100%" height="100%">
                <tr>
                    <td width="50%">
                        <table width="95%" style="height: 100%; border: 1px solid black;border-radius: 10px;font-size: 12px;float: left;">
                            <tr>
                                <td style="text-align:center;"><font size="16px"><b>Physical Report</b></font></td>

                            </tr>
                            <tr>
                                <td>
                                    <table width="100%">
                                        <tr>
                                            <td>
                                                <img style="width:60px;height:60px" src="<?= base_url() ?>assets/logo/<?= $nursery_logo; ?>" >
                                            </td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <table width="100%">
                                        <tr>
                                            <td style="text-align:left;"> <?= $nursery_name ?>,<?= $nursery_address ?><br/>Tel:<?= $nursery_phone ?>, Email:  <?= $nursery_email ?>, Website:  <?= $nursery_website ?></td>
                                        </tr>
                                    </table>
                                    <hr>

                                </td>
                            </tr>
                            <tr><td style="text-align:center;font-size: 25px;">Dear Parent....</td></tr>
                            <tr><td style="height: 15px;"></td></tr>
                            <tr>

                                <td>
                                    <table style="width: 100%;font-size: 12px;">
                                        <tr>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 25%" ><span style="color:#000;"><b><?= $student; ?></b></span></td>
                                            <td style="width:22%;">was looked after by</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 20%" ><span style="color:#000;"><b><?= $teacher; ?></b></span></td>
                                            <td style="width:8%;"><b>Date</b>:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 15%" ><span style="color:#000;"><?= $this->mastermodel->convertdatenormalformat($details['nutrition_date']) ?></span></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>

                                    <table style="width: 100%;font-size: 12px;">
                                        <tr>
                                            <td width="35%">Your child has appeared to be:</td>
                                            <td width="65%" style="border-bottom:1px dotted #444;color:#333;" >
                                                <?php
                                                if (isset($details['physical_status'])) {
                                                    ?>
                                                    <span style="color:#000; float: left"><b><?= $details['physical_status']; ?></b></span>
                                                    <?php
                                                }
                                                ?>
                                            </td>

                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 25px;"></td></tr>
                            <tr>
                                <td><span style="color:#000;height: 20px;text-align: center"><b>Nappies or Toileting</b></span></td>
                            </tr>
                            <tr>
                                <td>Any comments/changes</td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px;">
                                        <tr> 
                                            <td style="border-bottom:1px dotted #444;color:#333;height: 10px" ><span style="color:#000;"><?= $details['physical_nappies']; ?></span></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 25px;"></td></tr>
                            <tr style="height: 20px;">
                                <td><span style="color:#000;height: 20px;"><b>Essentials</b></span></td>
                            </tr>
                            <tr>
                                <td>Could you please send some more: <b><?= $essentials; ?></b></td>
                            </tr>
                            <tr>
                                <td>Other: <b><?= $details['physical_essentials_other']; ?></b></td>
                            </tr>
                            <tr><td style="height: 25px;"></td></tr>
                            <tr>
                                <td><span style="color:#000;height: 20px;"><b>Play and Learning</b></span>   
                            </tr>
                            <tr>
                                <td>Outdoor/Indoor Activities enjoyed today</td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px;">
                                        <tr> 
                                            <td style="border-bottom:1px dotted #444;color:#333;height: 10px" ><span style="color:#000;"><?= $details['physical_learning']; ?></span></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 25px;"></td></tr>
                            <tr>
                                <td><span style="color:#000;height: 20px;"><b>Notes from home</b></span></td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;">
                                        <tr>
                                            <td width="100%" style="border-bottom:1px dotted #444;color:#333;height:10px;" ><span style="color:#000;"></span></td>
                                        </tr>
                                        <tr>
                                            <td width="100%" style="border-bottom:1px dotted #444;color:#333;height:10px;" ><span style="color:#000;"></span></td>
                                        </tr>
                                        <tr>
                                            <td width="100%" style="border-bottom:1px dotted #444;color:#333;height:10px;" ><span style="color:#000;"></span></td>
                                        </tr>
                                        <tr>
                                            <td width="100%" style="border-bottom:1px dotted #444;color:#333;height:10px;" ><span style="color:#000;"></span></td>
                                        </tr>
                                        <tr>
                                            <td width="100%" style="border-bottom:1px dotted #444;color:#333;height:10px;" ><span style="color:#000;"></span></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 25px;"></td></tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;">
                                        <tr>
                                            <td width="40%">Parent's Name: </td>
                                            <td width="30%">Date: </td>
                                            <td width="30%">Signature: </td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                        </table>
                    </td>
                    <td width="50%">
                        <table width="95%" style="height: 100%; border: 1px solid black;border-radius: 10px;font-size: 12px;float: left;">
                            <tr>

                                <td style="text-align:center;"><font size="16px"><b>Medical Report</b></font></td>
                            </tr>
                            <tr>
                                <td>
                                    <table width="100%">
                                        <tr>
                                            <td>
                                                <img style="width:60px;height:60px" src="<?= base_url() ?>assets/logo/<?= $nursery_logo; ?>" >
                                            </td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <table width="100%">
                                        <tr>
                                            <td style="text-align:left;"> <?= $nursery_name ?>,<?= $nursery_address ?><br/>Tel:<?= $nursery_phone ?>, Email:  <?= $nursery_email ?>, Website:  <?= $nursery_website ?></td>
                                        </tr>
                                    </table>
                                    <hr>
                                    <!--                            <br/>-->
                                </td>
                            </tr>
                            <tr><td style="text-align:center;font-size: 25px;">Dear Nursery....</td></tr>
                            <tr><td style="height: 15px;"></td></tr>
                            <tr>

                                <td>
                                    <table style="width: 100%;font-size: 12px;">
                                        <tr>
                                            <td style="width:22%;">Child Name</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 25%" ><span style="color:#000;"><b><?= $student; ?></b></span></td>
                                            <td></td>
                                            <td style="width:12%;"><b>Date</b>:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 15%" ><span style="color:#000;"><?= $this->mastermodel->convertdatenormalformat($details['nutrition_date']) ?></span></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 25px;"></td></tr>
                            <tr>
                                <td><span style="color:#000;"><b>Medication</b></span></td>
                            </tr>

                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="">Please state any medication given in the last 12hours, including teething gel,</td>

                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="width:17%;">Name of the medication:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 15%" ><span style="color:#000;"></span></td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 15%" ><span style="color:#000;"></span></td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 15%" ><span style="color:#000;"></span></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="width:4%;">Amount:</td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 15%" ><span style="color:#000;"></span></td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 15%" ><span style="color:#000;"></span></td>
                                            <td style="border-bottom:1px dotted #444;color:#333;width: 15%" ><span style="color:#000;"></span></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 25px;"></td></tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="width:20%;">Other special requirements</td>
                                        </tr>
                                        <tr>
                                            <td style="border-bottom:1px dotted #444;color:#333;height: 15px" ></td>
                                        </tr>
                                        <tr>
                                            <td style="border-bottom:1px dotted #444;color:#333;height: 15px" ></td>
                                        </tr>
                                        <tr>
                                            <td style="border-bottom:1px dotted #444;color:#333;height: 15px" ></td>
                                        </tr>
                                        <tr>
                                            <td style="border-bottom:1px dotted #444;color:#333;height: 15px" ></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 25px;"></td></tr>
                            <tr><td style="height: 15px;"></td></tr>
                            <tr>
                                <td><span style="color:#000;height: 20px;"><b>Notes from home</b></span></td>
                            </tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;font-size: 12px">
                                        <tr>
                                            <td style="border-bottom:1px dotted #444;color:#333;height: 15px" ></td>
                                        </tr>
                                        <tr>
                                            <td style="border-bottom:1px dotted #444;color:#333;height: 15px" ></td>
                                        </tr>
                                        <tr>
                                            <td style="border-bottom:1px dotted #444;color:#333;height: 15px" ></td>
                                        </tr>
                                        <tr>
                                            <td style="border-bottom:1px dotted #444;color:#333;height: 15px" ></td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr><td style="height: 25px;"></td></tr>
                            <tr>
                                <td>
                                    <table style="width: 100%;">
                                        <tr>
                                            <td width="40%">Parent's Name: </td>
                                            <td width="30%">Date: </td>
                                            <td width="30%">Signature: </td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                        </table>
                    </td>
                </tr>
            </table>










            <!--<div class="grid_12">
            <div class="grid_6">
                <div class="box">
                    <div class="header main">Nutrition Details </div>
                    <div class="content no-padding">
                        <div class="section _100">
                            <label>Student Name</label>
                            <div class="single_page">
            <?php
            var_dump($_POST);
            ?>
                            </div>
                        </div> 
                        <div class="section _100">
                            <label>Looked After By</label>
                            <div class="single_page"> 
                                
                            </div>
                        </div>
            
            
                        <div class="section _100">
                            <label> Date</label>
                            <div  class="single_page">
                                
                            </div>
                        </div>
                        
            
                    </div>
                </div>
            </div>-->

bypass 1.0, Devloped By El Moujahidin (the source has been moved and devloped)
Email: contact@elmoujehidin.net