[[static_header.html]]
<tr>
	[[static_sidebar_pharmacy.html]]
		                      <td class="row2" id="content-area">
                            <!-- Content Area Start -->
							<div id="login-page">
							<h2 style="float:left; margin-right:15px; font-size:20px; border-right:1px solid #000; padding-right:10px; margin-left:30px; color:#093B78;" >Presctiptions Records Login</h2> <h3 style="line-height:20px;padding-top:5px; color:#093B78;" >&nbsp</h3>
							<br />
	<form name="frm" action="$login_url" method="post">
							<div id="login-box">
                        <table border="0" cellspacing="0" cellpadding="0">
                          <tr>
                            <td class="blue-txta">Card Number</td>
                            <td align="center" width="10" height="30" class="blue-txta">:</td>
                            <td><input type="text" name="id" size="28"></td>
                          </tr>
                          <tr>
                            <td class="blue-txta">Pin</td>
                            <td align="center" height="30" class="blue-txta">:</td>
                            <td><input type="password" name="pin" size="28"></td>
                          </tr>
                       <!--   <tr>
                            <td class="blue-txta">Language</td>
                            <td align="center" height="30" class="blue-txta">:</td>
                            
                          <TD><select name="lang">$language_select</select></TD>
                          
                          
                            
                          </tr> -->
                          <tr>
                            <td></td>
                            <td align="center" height="10"></td>
                            <td></td>
                          </tr>
                          <tr>
                            <td></td>
                            <td align="center"></td>
                            <td>
                            <!-- <INPUT class=X1 type="Submit" value="Login" name="B3"> -->
														
                            <input type="image" value="Submit" class="no-border" src="$staticimages_http_prefix/login-button.jpg" name="B3">
                            </td>
                          </tr>
                        </table>
									
								</form>
							</div>
						
<!-- Session Expiry and Login Error START -->
              <p>
              {$is_expired{<font color="#ff0000">Your session has expired. Please log in again.</font>}}<br>
              {$error{<font color="#ff0000">$error</font>}}
              </p>
<!-- Session Expiry and Login Error  END -->
							</div>
							<img src="$staticimages_http_prefix/walkthrough.jpg" style="margin-left:12px;">
							<div id="login-page-bottom">
								 <h2>Your headline will go here</h2>
								<p>IDA offers service and repairs on all parts for your mobility items, including those no longer covered by warranty. Our Technician has experience in Home Health Care Service and we make house calls (service fee applies). We are more than happy to loan you a replacement product while yours is being serviced, allowing your daily activities to continue with minimal interruption.</p>
							</div>
                            <!-- Content Area End -->
                        </td>
                    </tr>


		
</tr>
[[static_footer.html]]