interface/billing/payment_master.inc.php

   1 <?php
   2 // +-----------------------------------------------------------------------------+
   3 // Copyright (C) 2010 Z&H Consultancy Services Private Limited <sam@zhservices.com>
   4 //
   5 //
   6 // This program is free software; you can redistribute it and/or
   7 // modify it under the terms of the GNU General Public License
   8 // as published by the Free Software Foundation; either version 2
   9 // of the License, or (at your option) any later version.
  10 //
  11 //
  12 // This program is distributed in the hope that it will be useful,
  13 // but WITHOUT ANY WARRANTY; without even the implied warranty of
  14 // MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
  15 // GNU General Public License for more details.
  16 //
  17 //
  18 // A copy of the GNU General Public License is included along with this program:
  19 // openemr/interface/login/GnuGPL.html
  20 // For more information write to the Free Software
  21 // Foundation, Inc., 59 Temple Place - Suite 330, Boston, MA  02111-1307, USA.
  22 //
  23 // Author:   Eldho Chacko <eldho@zhservices.com>
  24 //           Paul Simon K <paul@zhservices.com>
  25 //
  26 // +------------------------------------------------------------------------------+
  27 //===============================================================================
  28 //Check/cash details are entered here.Used in New Payment and Edit Payment screen.
  29 //===============================================================================
  30 //Special list function
  31 function generate_list_payment_category(
  32     $tag_name,
  33     $list_id,
  34     $currvalue,
  35     $title,
  36     $empty_name = ' ',
  37     $class = '',
  38     $onchange = '',
  39     $PaymentType = 'insurance',
  40     $screen = 'new_payment'
  41 ) {
  42
  43     $s = '';
  44     $tag_name_esc = htmlspecialchars($tag_name, ENT_QUOTES);
  45     $s .= "<select name='$tag_name_esc' id='$tag_name_esc'";
  46     if ($class) {
  47         $s .= " class='$class'";
  48     }
  49
  50     if ($onchange) {
  51         $s .= " onchange='$onchange'";
  52     }
  53
  54     $selectTitle = htmlspecialchars($title, ENT_QUOTES);
  55     $s .= " title='$selectTitle'>";
  56     $selectEmptyName = htmlspecialchars(xl($empty_name), ENT_QUOTES);
  57     if ($empty_name) {
  58         $s .= "<option value=''>" . $selectEmptyName . "</option>";
  59     }
  60
  61     $lres = sqlStatement("SELECT * FROM list_options " .
  62     "WHERE list_id = ? AND activity = 1 ORDER BY seq, title", array($list_id));
  63     $got_selected = false;
  64     while ($lrow = sqlFetchArray($lres)) {
  65         $optionValue = htmlspecialchars($lrow['option_id'], ENT_QUOTES);
  66         $s .= "<option   id='option_" . $lrow['option_id'] . "'" . " value='$optionValue'";
  67         if ((strlen($currvalue) == 0 && $lrow['is_default']) ||
  68         (strlen($currvalue)  > 0 && $lrow['option_id'] == $currvalue)  ||
  69         ($lrow['option_id'] == 'insurance_payment' &&  $screen=='new_payment')) {
  70             $s .= " selected";
  71             $got_selected = true;
  72         }
  73
  74         if (($PaymentType == 'insurance' || $screen=='new_payment') && ($lrow['option_id'] == 'family_payment' || $lrow['option_id'] == 'patient_payment')) {
  75             $s .=  " style='background-color:#DEDEDE' ";
  76         }
  77
  78         if ($PaymentType == 'patient' && $lrow['option_id'] == 'insurance_payment') {
  79             $s .=  " style='background-color:#DEDEDE' ";
  80         }
  81
  82         $optionLabel = htmlspecialchars(xl_list_label($lrow['title']), ENT_QUOTES);
  83         $s .= ">$optionLabel</option>\n";
  84     }
  85
  86     if (!$got_selected && strlen($currvalue) > 0) {
  87         $currescaped = htmlspecialchars($currvalue, ENT_QUOTES);
  88         $s .= "<option value='$currescaped' selected>* $currescaped *</option>";
  89         $s .= "</select>";
  90         $fontTitle = htmlspecialchars(xl('Please choose a valid selection from the list.'), ENT_QUOTES);
  91         $fontText = htmlspecialchars(xl('Fix this'), ENT_QUOTES);
  92         $s .= " <font color='red' title='$fontTitle'>$fontText!</font>";
  93     } else {
  94         $s .= "</select>";
  95     }
  96
  97     return $s;
  98 }
  99 //================================================================================================
 100 if ($payment_id>0) {
 101     $rs= sqlStatement("select pay_total,global_amount from ar_session where session_id='$payment_id'");
 102     $row=sqlFetchArray($rs);
 103     $pay_total=$row['pay_total'];
 104     $global_amount=$row['global_amount'];
 105     $rs= sqlStatement("select sum(pay_amount) sum_pay_amount from ar_activity where session_id='$payment_id'");
 106     $row=sqlFetchArray($rs);
 107     $pay_amount=$row['sum_pay_amount'];
 108     $UndistributedAmount=$pay_total-$pay_amount-$global_amount;
 109
 110     $res = sqlStatement("SELECT check_date ,reference ,insurance_companies.name,
 111         payer_id,pay_total,payment_type,post_to_date,patient_id ,
 112         adjustment_code,description,deposit_date,payment_method
 113          FROM ar_session left join insurance_companies on ar_session.payer_id=insurance_companies.id    where ar_session.session_id ='$payment_id'");
 114     $row = sqlFetchArray($res);
 115     $InsuranceCompanyName=$row['name'];
 116     $InsuranceCompanyId=$row['payer_id'];
 117     $PatientId=$row['patient_id'];
 118     $CheckNumber=$row['reference'];
 119     $CheckDate=$row['check_date']=='0000-00-00'?'':$row['check_date'];
 120     $PayTotal=$row['pay_total'];
 121     $PostToDate=$row['post_to_date']=='0000-00-00'?'':$row['post_to_date'];
 122     $PaymentMethod=$row['payment_method'];
 123     $PaymentType=$row['payment_type'];
 124     $AdjustmentCode=$row['adjustment_code'];
 125     $DepositDate=$row['deposit_date']=='0000-00-00'?'':$row['deposit_date'];
 126     $Description=$row['description'];
 127     if ($row['payment_type']=='insurance' || $row['payer_id']*1 > 0) {
 128         $res = sqlStatement("SELECT insurance_companies.name FROM insurance_companies
 129                                 where insurance_companies.id ='$InsuranceCompanyId'");
 130         $row = sqlFetchArray($res);
 131         $div_after_save=$row['name'];
 132         $TypeCode=$InsuranceCompanyId;
 133         if ($PaymentType=='') {
 134             $PaymentType='insurance';
 135         }
 136     } elseif ($row['payment_type']=='patient' || $row['patient_id']*1 > 0) {
 137         $res = sqlStatement("SELECT fname,lname,mname FROM patient_data
 138                                 where pid ='$PatientId'");
 139         $row = sqlFetchArray($res);
 140             $fname=$row['fname'];
 141             $lname=$row['lname'];
 142             $mname=$row['mname'];
 143             $div_after_save=$lname.' '.$fname.' '.$mname;
 144         $TypeCode=$PatientId;
 145         if ($PaymentType=='') {
 146             $PaymentType='patient';
 147         }
 148     }
 149 }
 150 ?>
 151 <?php
 152 //================================================================================================
 153 if (($screen=='new_payment' && $payment_id*1==0) || ($screen=='edit_payment' && $payment_id*1>0)) {//New entry or edit in edit screen comes here.
 154 ?>
 155 <table width="1024" border="0" cellspacing="0" cellpadding="10" bgcolor="#DEDEDE"><tr><td>
 156     <table width="1004" border="0" style="border:1px solid black" cellspacing="0" cellpadding="0">
 157       <tr height="5">
 158         <td colspan="14" align="left" ></td>
 159       </tr>
 160       <tr>
 161         <td colspan="14" align="left">&nbsp;<font class='title'>
 162         <?php
 163         if ($_REQUEST['ParentPage']=='new_payment') {//This case comes when the Finish Payments is pressed from the New Payment screen.
 164             ?>
 165             <?php echo htmlspecialchars(xl('Confirm Payment'), ENT_QUOTES) ?>
 166         <?php
 167         } elseif ($screen=='new_payment') {
 168             ?>
 169             <?php echo htmlspecialchars(xl('Batch Payment Entry'), ENT_QUOTES) ?>
 170         <?php
 171         } else {
 172             ?>
 173             <?php echo htmlspecialchars(xl('Edit Payment'), ENT_QUOTES) ?>
 174         <?php
 175         }
 176             ?>
 177         </font></td>
 178       </tr>
 179       <tr height="20">
 180         <td align="left" width="5" ></td>
 181         <td align="left" width="110" ></td>
 182         <td align="left" width="128"></td>
 183         <td align="left" width="25"></td>
 184         <td align="left" width="5"></td>
 185         <td align="left" width="85"></td>
 186         <td align="left" width="128"></td>
 187         <td align="left" width="25"></td>
 188         <td align="left" width="5"></td>
 189         <td align="left" width="113"></td>
 190         <td align="left" width="125"></td>
 191         <td align="left" width="5"></td>
 192         <td align="left" width="93"></td>
 193         <td align="left" width="152"></td>
 194         </tr>
 195       <tr>
 196         <td align="left" class='text'></td>
 197         <td align="left" class='text'><?php echo htmlspecialchars(xl('Date'), ENT_QUOTES).':' ?></td>
 198         <td align="left" class="text" ><input type='text' size='9' class='datepicker' name='check_date' id='check_date' class="class1 text "  value="<?php echo htmlspecialchars(oeFormatShortDate($CheckDate));?>"/></td>
 199         <td> </td>
 200         <td></td>
 201         <td align="left" class='text'><?php echo htmlspecialchars(xl('Post To Date'), ENT_QUOTES).':' ?></td>
 202         <td align="left" class="text"><input type='text' size='9' class='datepicker' name='post_to_date' id='post_to_date' class="class1 text "   value="<?php echo $screen=='new_payment'?htmlspecialchars(oeFormatShortDate(date('Y-m-d'))):htmlspecialchars(oeFormatShortDate($PostToDate));?>" /></td>
 203         <td> </td>
 204         <td></td>
 205         <td align="left" class="text"><?php echo htmlspecialchars(xl('Payment Method'), ENT_QUOTES).':' ?></td>
 206         <td align="left">
 207             <?php
 208             if ($PaymentMethod=='' && $screen=='edit_payment') {
 209                 $blankValue=' ';
 210             } else {
 211                 $blankValue='';
 212             }
 213
 214             echo generate_select_list("payment_method", "payment_method", "$PaymentMethod", "Payment Method", "$blankValue", "class1 text", 'CheckVisible("yes")');
 215             ?>
 216       </td>
 217         <td></td>
 218         <td align="left" class="text"><?php echo htmlspecialchars(xl('Check Number'), ENT_QUOTES).':' ?></td>
 219         <td>
 220         <?php
 221         if ($PaymentMethod=='check_payment' || $PaymentMethod=='bank_draft' || $CheckNumber!='' || $screen=='new_payment') {
 222             $CheckDisplay='';
 223             $CheckDivDisplay=' display:none; ';
 224         } else {
 225             $CheckDisplay=' display:none; ';
 226             $CheckDivDisplay='';
 227         }
 228         ?>
 229         <input type="text" name="check_number"  style="width:140px;<?php echo $CheckDisplay;?>"  autocomplete="off"  value="<?php echo htmlspecialchars($CheckNumber);?>"  onKeyUp="ConvertToUpperCase(this)"  id="check_number"  class="text "   />
 230         <div  id="div_check_number" class="text"  style="border:1px solid black; width:140px;<?php echo $CheckDivDisplay;?>">&nbsp;</div>
 231        </td>
 232        </tr>
 233       <tr height="1">
 234         <td colspan="14" align="left" ></td>
 235       </tr>
 236       <tr>
 237         <td align="left" class="text"></td>
 238         <td align="left" class="text"><?php echo htmlspecialchars(xl('Payment Amount'), ENT_QUOTES).':' ?></td>
 239         <td align="left"><input   type="text" name="payment_amount"   autocomplete="off"  id="payment_amount"  onchange="ValidateNumeric(this);<?php echo $screen=='new_payment'?'FillUnappliedAmount();':'FillAmount();';?>"  value="<?php echo $screen=='new_payment'?htmlspecialchars('0.00'):htmlspecialchars($PayTotal);?>"  style="text-align:right"    class="class1 text "   /></td>
 240         <td align="left" ></td>
 241         <td align="left" ></td>
 242         <td align="left" class="text"><?php echo htmlspecialchars(xl('Paying Entity'), ENT_QUOTES).':' ?></td>
 243         <td align="left"><?php
 244         if ($PaymentType=='' && $screen=='edit_payment') {
 245             $blankValue=' ';
 246         } else {
 247             $blankValue='';
 248         }
 249
 250             echo generate_select_list("type_name", "payment_type", "$PaymentType", "Paying Entity", "$blankValue", "class1 text", 'PayingEntityAction()');
 251             ?>
 252         </td>
 253         <td align="left" ></td>
 254         <td align="left" ></td>
 255         <td align="left" class="text"><?php echo htmlspecialchars(xl('Payment Category'), ENT_QUOTES).':' ?></td>
 256         <td align="left"><?php
 257         if ($AdjustmentCode=='' && $screen=='edit_payment') {
 258             $blankValue=' ';
 259         } else {
 260             $blankValue='';
 261             echo generate_list_payment_category(
 262                 "adjustment_code",
 263                 "payment_adjustment_code",
 264                 "$AdjustmentCode",
 265                 "Payment Category",
 266                 "$blankValue",
 267                 "class1 text",
 268                 'FilterSelection(this)',
 269                 "$PaymentType",
 270                 "$screen"
 271             );
 272         } ?>
 273        </td>
 274         <td align="left" ></td>
 275         <td align="left" ></td>
 276         <td align="left" ></td>
 277         </tr>
 278       <tr height="1">
 279         <td colspan="14" align="left" ></td>
 280       </tr>
 281       <tr>
 282         <td align="left" class="text"></td>
 283         <td align="left" class="text"><?php echo htmlspecialchars(xl('Payment From'), ENT_QUOTES).':' ?></td>
 284         <td align="left" colspan="5"><input type="hidden" id="hidden_ajax_close_value" value="<?php echo htmlspecialchars($div_after_save);?>" /><input name='type_code'  id='type_code' class="text "  style="width:369px"   onKeyDown="PreventIt(event)"  value="<?php echo htmlspecialchars($div_after_save);?>"  autocomplete="off"   /><br>
 285         <!-- onKeyUp="ajaxFunction(event,'non','edit_payment.php');" -->
 286          <div id='ajax_div_insurance_section'>
 287           <div id='ajax_div_insurance_error'>
 288           </div>
 289           <div id="ajax_div_insurance" style="display:none;"></div>
 290           </div>
 291          </div>
 292                 </td>
 293         <td align="left" colspan="5"><div  name="div_insurance_or_patient" id="div_insurance_or_patient" class="text"  style="border:1px solid black; padding-left:5px; width:55px; height:17px;"><?php echo htmlspecialchars($TypeCode);?></div></td>
 294         <td align="left" ></td>
 295         <td align="left" ></td>
 296         </tr>
 297       <tr>
 298         <td align="left" class='text'></td>
 299         <td align="left" class='text'><?php echo htmlspecialchars(xl('Deposit Date'), ENT_QUOTES).':' ?></td>
 300         <td align="left"><input type='text' size='9' class='datepicker' name='deposit_date' id='deposit_date'  onKeyDown="PreventIt(event)"   class="class1 text " value="<?php echo htmlspecialchars(oeFormatShortDate($DepositDate));?>"    />       </td>
 301         <td> </td>
 302         <td></td>
 303         <td align="left" class="text"><?php echo htmlspecialchars(xl('Description'), ENT_QUOTES).':' ?></td>
 304         <td colspan="6" align="left"><input type="text" name="description"  id="description"   onKeyDown="PreventIt(event)"   value="<?php echo htmlspecialchars($Description);?>"   style="width:396px" class="text "   /></td>
 305         <td align="left" class="text"><font  style="font-size:11px"><?php echo htmlspecialchars(xl('UNDISTRIBUTED'), ENT_QUOTES).':' ?></font><input name="HidUnappliedAmount" id="HidUnappliedAmount"  value="<?php echo ($UndistributedAmount*1==0)? htmlspecialchars("0.00") : htmlspecialchars(number_format($UndistributedAmount, 2, '.', ','));?>" type="hidden"/><input name="HidUnpostedAmount" id="HidUnpostedAmount"  value="<?php echo htmlspecialchars($UndistributedAmount); ?>" type="hidden"/><input name="HidCurrentPostedAmount" id="HidCurrentPostedAmount"  value="" type="hidden"/></td>
 306         <td align="left" class="text"><div  id="TdUnappliedAmount" class="text"  style="border:1px solid black; width:75px; background-color:#EC7676; padding-left:5px;"><?php echo ($UndistributedAmount*1==0)? htmlspecialchars("0.00") : htmlspecialchars(number_format($UndistributedAmount, 2, '.', ','));?></div></td>
 307         </tr>
 308     <?php
 309     if ($screen=='new_payment') {
 310     ?>
 311       <tr>
 312         <td colspan="14" align="center" class="text" id="TdContainingButtons">
 313         <table border="0" cellspacing="0" cellpadding="0" width="280">
 314           <tr height="5">
 315             <td ></td>
 316             <td></td>
 317             <td></td>
 318           </tr>
 319           <tr>
 320             <td width="100"><a href="#" onClick="javascript:return SavePayment();" class="css_button"><span><?php echo htmlspecialchars(xl('Save Changes'), ENT_QUOTES);?></span></a></td>
 321             <td width="110"><a href="#" onClick="javascript:ResetForm()" class="css_button"><span><?php echo htmlspecialchars(xl('Cancel Changes'), ENT_QUOTES);?></span></a></td>
 322             <td width="70"><a href="#" class="css_button" onClick="javascript:OpenEOBEntry();"><span><?php echo htmlspecialchars(xl('Allocate'), ENT_QUOTES);?></span></a></td>
 323           </tr>
 324         </table>        </td>
 325       </tr>
 326     <?php
 327     }
 328     ?>
 329       <tr height="5">
 330         <td colspan="14" align="left" ></td>
 331       </tr>
 332     </table>
 333     </td></tr></table>
 334 <?php
 335 }//if(($screen=='new_payment' && $payment_id*1==0) || ($screen=='edit_payment' && $payment_id*1>0))
 336 //================================================================================================
 337 ?>
 338 <?php
 339 if ($screen=='new_payment' && $payment_id*1>0) {
 340   //After saving from the New Payment screen,all values are  showed as labels.The date picker images are also removed.
 341 ?>
 342 <table width="1024" border="0" cellspacing="0" cellpadding="10" bgcolor="#DEDEDE"><tr><td align="left">
 343     <table width="1004" border="0" style="border:1px solid black" cellspacing="0" cellpadding="0">
 344       <tr height="5">
 345         <td colspan="13" align="left" ></td>
 346       </tr>
 347       <tr>
 348         <td colspan="13" align="left" >
 349
 350             <table width="969" border="0"  cellspacing="0" cellpadding="0" align="left">
 351                   <tr>
 352                     <td colspan="13" align="left">&nbsp;<font class='title'><?php echo htmlspecialchars(xl('Batch Payment Entry'), ENT_QUOTES) ?></font></td>
 353                   </tr>
 354                   <tr height="20">
 355                     <td align="left" width="5" ></td>
 356                     <td align="left" width="106" ></td>
 357                     <td align="left" width="128"></td>
 358                     <td align="left" width="5"></td>
 359                     <td align="left" width="84"></td>
 360                     <td align="left" width="128"></td>
 361                     <td align="left" width="5"></td>
 362                     <td align="left" width="113"></td>
 363                     <td align="left" width="135"></td>
 364                     <td align="left" width="5"></td>
 365                     <td align="left" width="92"></td>
 366                     <td align="left" width="158"></td>
 367                     <td align="left" width="5"></td>
 368                   </tr>
 369                   <tr>
 370                     <td align="left" class='text'></td>
 371                     <td align="left" class='text'><?php echo htmlspecialchars(xl('Date'), ENT_QUOTES).':' ?></td>
 372                     <td align="left" class="text bottom left top right">&nbsp;<?php echo htmlspecialchars(oeFormatShortDate($CheckDate));?><input type="hidden" name="check_date" value="<?php echo htmlspecialchars(oeFormatShortDate($CheckDate));?>"/></td>
 373                     <td></td>
 374                     <td align="left" class='text'><?php echo htmlspecialchars(xl('Post To Date'), ENT_QUOTES).':' ?></td>
 375                     <td align="left" class="text bottom left top right">&nbsp;<?php echo htmlspecialchars(oeFormatShortDate($PostToDate));?><input type="hidden" name="post_to_date" value="<?php echo htmlspecialchars(oeFormatShortDate($PostToDate));?>"/></td>
 376                     <td></td>
 377                     <td align="left" class="text"><?php echo htmlspecialchars(xl('Payment Method'), ENT_QUOTES).':' ?></td>
 378                     <td align="left" class="text bottom left top right">&nbsp;<?php
 379                                 $frow['data_type']=1;
 380                                 $frow['list_id']='payment_method';
 381                                 generate_print_field($frow, $PaymentMethod);
 382                     ?><input type="hidden" name="payment_method" value="<?php echo htmlspecialchars($PaymentMethod);?>"/></td>
 383                     <td></td>
 384                     <td align="left" class="text"><?php echo htmlspecialchars(xl('Check Number'), ENT_QUOTES).':' ?></td>
 385                     <td class="text bottom left top right">&nbsp;<?php echo htmlspecialchars($CheckNumber);?><input type="hidden" name="check_number" value="<?php echo htmlspecialchars($CheckNumber);?>"/></td>
 386                     <td class="text"></td>
 387                   </tr>
 388                   <tr height="1">
 389                     <td colspan="13" align="left" ></td>
 390                   </tr>
 391                   <tr>
 392                     <td align="left" class="text"></td>
 393                     <td align="left" class="text"><?php echo htmlspecialchars(xl('Payment Amount'), ENT_QUOTES).':' ?></td>
 394                     <td align="left" class="text bottom left top right">&nbsp;<?php echo htmlspecialchars($PayTotal);?><input type="hidden" name="payment_amount" value="<?php echo htmlspecialchars($PayTotal);?>"/></td>
 395                     <td align="left" ></td>
 396                     <td align="left" class="text"><?php echo htmlspecialchars(xl('Paying Entity'), ENT_QUOTES).':' ?></td>
 397                     <td align="left" class="text bottom left top right">&nbsp;<?php
 398                                 $frow['data_type']=1;
 399                                 $frow['list_id']='payment_type';
 400                                 generate_print_field($frow, $PaymentType);
 401                     ?><input type="hidden" name="type_name" id="type_name" value="<?php echo htmlspecialchars($PaymentType);?>"/></td>
 402                     <td align="left" ></td>
 403                     <td align="left" class="text"><?php echo htmlspecialchars(xl('Payment Category'), ENT_QUOTES).':' ?></td>
 404                     <td align="left" class="text bottom left top right">&nbsp;<?php
 405                                 $frow['data_type']=1;
 406                                 $frow['list_id']='payment_adjustment_code';
 407                                 generate_print_field($frow, $AdjustmentCode);
 408                     ?><input type="hidden" name="adjustment_code" value="<?php echo htmlspecialchars($AdjustmentCode);?>"/></td>
 409                     <td align="left" ></td>
 410                     <td align="left" ></td>
 411                     <td align="left" ></td>
 412                     <td align="left" ></td>
 413                   </tr>
 414                   <tr height="1">
 415                     <td colspan="13" align="left" ></td>
 416                   </tr>
 417                   <tr>
 418                     <td align="left" class="text"></td>
 419                     <td align="left" class="text"><?php echo htmlspecialchars(xl('Payment From'), ENT_QUOTES).':' ?></td>
 420                     <td colspan="4" align="left" class="text bottom left top right"><div  name="div_insurance_or_patient" id="div_insurance_or_patient" class="text"  >&nbsp;<?php echo htmlspecialchars($div_after_save);?>&nbsp;</div></td>
 421                     <td align="left"></td>
 422                     <td align="left" ><div  name="div_insurance_or_patient" id="div_insurance_or_patient" class="text"  style="border:1px solid black; padding-left:5px; width:55px"><?php echo htmlspecialchars($TypeCode);?></div><input type="hidden" name="type_code" value="<?php echo htmlspecialchars($TypeCode);?>"/></td>
 423                     <td align="left" ></td>
 424                     <td align="left" ></td>
 425                     <td align="left" ></td>
 426                     <td align="left" ></td>
 427                     <td align="left" ></td>
 428                   </tr>
 429                   <tr height="1">
 430                     <td colspan="13" align="left" ></td>
 431                   </tr>
 432                   <tr>
 433                     <td align="left" class='text'></td>
 434                     <td align="left" class='text'><?php echo htmlspecialchars(xl('Deposit Date'), ENT_QUOTES).':' ?></td>
 435                     <td align="left" class="text bottom left top right">&nbsp;<?php echo htmlspecialchars(oeFormatShortDate($DepositDate));?><input type="hidden" name="deposit_date" value="<?php echo htmlspecialchars(oeFormatShortDate($DepositDate));?>"/>    </td>
 436                     <td></td>
 437                     <td align="left" class="text"><?php echo htmlspecialchars(xl('Description'), ENT_QUOTES).':' ?></td>
 438                     <td colspan="4" align="left" class="text bottom left top right">&nbsp;<?php echo htmlspecialchars($Description);?><input type="hidden" name="description" value="<?php echo htmlspecialchars($Description);?>"/></td>
 439                     <td align="left" class='text'></td>
 440                     <td align="left" class="text"><font  style="font-size:11px"><?php echo htmlspecialchars(xl('UNDISTRIBUTED'), ENT_QUOTES).':' ?></font><input name="HidUnappliedAmount" id="HidUnappliedAmount"  value="<?php echo ($UndistributedAmount*1==0)? htmlspecialchars("0.00") : htmlspecialchars(number_format($UndistributedAmount, 2, '.', ','));?>" type="hidden"/><input name="HidUnpostedAmount" id="HidUnpostedAmount"  value="<?php echo htmlspecialchars($UndistributedAmount); ?>" type="hidden"/>
 441  <input name="HidCurrentPostedAmount"  id="HidCurrentPostedAmount"  value="" type="hidden"/></td>
 442                     <td align="left" ><div  id="TdUnappliedAmount" class="text"  style="border:1px solid black; background-color:#EC7676; width:75px; padding-left:5px;"><?php echo ($UndistributedAmount*1==0)? htmlspecialchars("0.00") : htmlspecialchars(number_format($UndistributedAmount, 2, '.', ','));?></div></td>
 443                     <td align="left" class="text"></td>
 444                   </tr>
 445                   <tr height="5">
 446                     <td colspan="13" align="left"></td>
 447                   </tr>
 448             </table>
 449         </td>
 450       </tr>
 451     </table>
 452     </td></tr></table>
 453 <?php
 454 }//if($screen=='new_payment' && $payment_id*1>0)
 455 //================================================================================================
 456 ?>