<br><br>
<table width="100%">
<tr>
<td colspan="13" class="title">
<img src="../../dist/img/logo-pos.jpg" style="width: 75px; height: 50px; vertical-align: middle; float: left;">
FORM PENARIKAN KIRIMAN WESELPOS / <i>REMITTANCE</i>
</td>
</tr>
<tr>
<td width="20%"><b>KANTOR POS</b></td><td width="1%">:</td>
<td colspan="8"><?php
echo $nama_kantor;
?>
</td>
<td colspan="3" align="right"><?php
echo strtoupper($date->date_indo($now)) . " " . date("H:i:s");
?>
</td>
</tr>
<tr>
<td colspan="2" class="bg_menu">KIRIMAN UANG DALAM NEGERI :</td>
<td colspan="8" class="bg_menu">KIRIMAN UANG LUAR NEGERI :</td>
<td colspan="3" class="bg_menu">NO OTORISASI KIRIMAN :</td>
</tr>
<tr>
<td colspan="2">
<ul>
<li class='rectangle'> </li>
<li>WESELPOS INSTAN</li>
</ul>
</td>
<tr><td align="center" colspan="2"><b><?php
echo $status['nama'];
?>
</b></td></tr>
</table><br>
<table class="table" width="100%" border="1px solid #000">
<thead>
<tr>
<td rowspan="2" align="center" style="vertical-align: middle"><b>No.</b></td>
<td rowspan="2" align="center" width="10%" style="vertical-align: middle"><b>Nippos/NIK</b></td>
<td rowspan="2" align="center" width="20%" style="vertical-align: middle"><b>Nama</b></td>
<?php
for ($i = 0; $i <= $selisih - 1; $i++) {
$tgl = $date->date_add_days($tgl_awal, $i);
$new_date = $date->date_indo($tgl);
$td = "<td colspan='2' align='center'><b>{$new_date}</b></td>";
echo $td;
}
?>
</tr>
<tr>
<td align="center"><b>Datang</b></td>
<td align="center"><b>Pulang</b></td>
<td align="center"><b>Datang</b></td>
<td align="center"><b>Pulang</b></td>
<td align="center"><b>Datang</b></td>
<td align="center"><b>Pulang</b></td>
<td align="center"><b>Datang</b></td>
<td align="center"><b>Pulang</b></td>
<td align="center"><b>Datang</b></td>