</table>
<table width="596" border="0" align="center" bgcolor="#CCCCFF">
<tr>
<th width="363" scope="col"><?php
echo $LDSelectCompany;
?>
</th>
<th width="67" scope="col"><?php
echo $LDAdmitType;
?>
</th>
<th width="164" scope="col"> </th>
</tr>
<tr>
<td><?php
echo $insurance_obj->ShowAllInsurancesForQuotatuion();
?>
</td>
<td><?php
echo '<SELECT name="admission_id">';
echo '<OPTION selected value="0" >All</OPTION>';
echo '<OPTION value="2">Outpatient</OPTION>';
echo '<OPTION value="1">Inpatient</OPTION>';
echo '</SELECT>';
?>
</td>
<td><input type="submit" name="show" value="SHOW"></td>
</tr>
</table>