{BEGIN rtlCSS} {END rtlCSS} {BEGIN styleCSSFiles} {END styleCSSFiles} {BEGIN body} {$header} {$locking}
{BEGIN top_block}

{$pagetitlelabel philhealth print}

{BEGIN printtabheader} {$printtabheader_text} {END printtabheader}
{END top_block} {BEGIN above-grid_block}
{BEGIN firstAboveGridCell} {$print_pages_labelprint_pages} {END firstAboveGridCell}
{END above-grid_block} {BEGIN grid_block} {BEGIN message_block} {END message_block} {BEGIN grid_header} {BEGIN cellblock_grid_headcell_field} {END cellblock_grid_headcell_field} {BEGIN cellblock_grid_headcell_field1} {END cellblock_grid_headcell_field1} {BEGIN cellblock_grid_headcell_field2} {END cellblock_grid_headcell_field2} {BEGIN cellblock_grid_headcell_field3} {END cellblock_grid_headcell_field3} {BEGIN cellblock_grid_headcell_field4} {END cellblock_grid_headcell_field4} {BEGIN cellblock_grid_headcell_field5} {END cellblock_grid_headcell_field5} {END grid_header} {BEGIN grid_row} {BEGIN cellblock_grid_cell_field} {END cellblock_grid_cell_field} {BEGIN cellblock_grid_cell_field1} {END cellblock_grid_cell_field1} {BEGIN cellblock_grid_cell_field2} {END cellblock_grid_cell_field2} {BEGIN cellblock_grid_cell_field3} {END cellblock_grid_cell_field3} {BEGIN cellblock_grid_cell_field4} {END cellblock_grid_cell_field4} {BEGIN cellblock_grid_cell_field5} {END cellblock_grid_cell_field5} {END grid_row} {BEGIN cellblock_grid_footcell_field} {END cellblock_grid_footcell_field} {BEGIN cellblock_grid_footcell_field1} {END cellblock_grid_footcell_field1} {BEGIN cellblock_grid_footcell_field2} {END cellblock_grid_footcell_field2} {BEGIN cellblock_grid_footcell_field3} {END cellblock_grid_footcell_field3} {BEGIN cellblock_grid_footcell_field4} {END cellblock_grid_footcell_field4} {BEGIN cellblock_grid_footcell_field5} {END cellblock_grid_footcell_field5}
{BEGIN bracket_from_fieldheadercolumn} {$label philhealth bracket_from } {END bracket_from_fieldheadercolumn} {BEGIN bracket_to_fieldheadercolumn} {$label philhealth bracket_to } {END bracket_to_fieldheadercolumn} {BEGIN employer_fieldheadercolumn} {$label philhealth employer } {END employer_fieldheadercolumn} {BEGIN employee_fieldheadercolumn} {$label philhealth employee } {END employee_fieldheadercolumn} {BEGIN base_fieldheadercolumn} {$label philhealth base } {END base_fieldheadercolumn} {BEGIN base_er_fieldheadercolumn} {$label philhealth base_er } {END base_er_fieldheadercolumn}
{BEGIN bracket_from_fieldcolumn} {$bracket_from_value} {END bracket_from_fieldcolumn} {BEGIN bracket_to_fieldcolumn} {$bracket_to_value} {END bracket_to_fieldcolumn} {BEGIN employer_fieldcolumn} {$employer_value} {END employer_fieldcolumn} {BEGIN employee_fieldcolumn} {$employee_value} {END employee_fieldcolumn} {BEGIN base_fieldcolumn} {$base_value} {END base_fieldcolumn} {BEGIN base_er_fieldcolumn} {$base_er_value} {END base_er_fieldcolumn}
{END grid_block} {BEGIN below-grid_block}
{END below-grid_block}
{$footer} {END body}