Codice PHP:
	
<form action="?id_cliente=$id_cliente" method="post">
        
        <table width="100%" border="0">
        <tr height="40">
        <td width="$margine_sx"></td>
        <td class="tab">
        <div class="bordo">
        <input name="scelta" type="radio" value="1">[b]Non Risponde[/b]
        <input name="storico_richiamo_1" type="text" class="stile_form"> Note
        </div>
        </td>
        <td width="$margine_sx"></td>
        </tr>
        <tr height="70">
        <td width="$margine_sx"></td>
        <td class="tab">
        <div class="bordo">
        <input name="scelta" type="radio" value="2">[b]Richiamare[/b]
        <input name="giorno_richiamo" type="text" size="2" maxlength="2" class="stile_form">\<input name="mese_richiamo" type="text" size="2" maxlength="2" class="stile_form" value="$mese">\<input name="anno_richiamo" type="text" size="4" maxlength="4" class="stile_form" value="$anno"> gg\mm\aaaa
        <input name="richiamo_ora" type="text" size="2" maxlength="2" class="stile_form">\<input name="richiamo_minuti" type="text" size="2" maxlength="2" class="stile_form"> Ora Richiamo
        <input name="storico_richiamo_2" type="text" class="stile_form"> Note
        </div>
        </td>
        <td width="$margine_sx"></td>
        </tr>
        <tr height="40">
        <td width="$margine_sx"></td>
        <td class="tab">
        <div class="bordo">
        <input name="scelta" type="radio" value="3">[b]Non interessato[/b]
        <input name="storico_non_interessato" type="text" class="stile_form"> Note
        </div>
        </td>
        <td width="$margine_sx"></td>
        </tr>
        <tr height="150">
        <td width="$margine_sx"></td>
        <td class="tab">
        <div class="bordo">
        <input name="scelta" type="radio" value="4">[b]Fissato Appuntamento[/b]
        <input name="app_1" type="checkbox" value="1""; if($regole_operatore == '1') echo "checked"; echo ">
        1
        <input name="app_2" type="checkbox" value="1""; if($regole_operatore == '2') echo "checked"; echo ">
        2
        
        
        
         <input name="giorno_appuntamento" type="text" size="2" maxlength="2" class="stile_form">\<input name="mese_appuntamento" type="text" size="2" maxlength="2" class="stile_form" value="$mese">\<input name="anno_appuntamento" type="text" size="4" maxlength="4" class="stile_form" value="$anno"> Data appuntamento
         <select name="ora_appuntamento" class="stile_form">
         <option value="" selected>VUOTO</option>
         <option value="0700">07:00</option>
         <option value="0730">07:30</option>
         <option value="0800">08:00</option>
         <option value="0830">08:30</option>
         <option value="0900">09:00</option>
         <option value="0930">09:30</option>
         <option value="1000">10:00</option>
         <option value="1030">10:30</option>
         <option value="1100">11:00</option>
         <option value="1130">11:30</option>
         <option value="1200">12:00</option>
         <option value="1230">12:30</option>
         <option value="1300">13:00</option>
         <option value="1330">13:30</option>
         <option value="1400">14:00</option>
           <option value="1430">14:30</option>
           <option value="1500">15:00</option>
           <option value="1530">15:30</option>
           <option value="1600">16:00</option>
           <option value="1630">16:30</option>
           <option value="1700">17:00</option>
           <option value="1730">17:30</option>
           <option value="1800">18:00</option>
           <option value="1830">18:30</option>
           <option value="1900">19:00</option>
           <option value="1930">19:30</option>
           <option value="2000">20:00</option>
           <option value="2030">20:30</option>
           </select> Ora appuntamento
         </fieldset>
         
         
         
         <table width="100%" height="170" border="0">
         <tr valign="top">
         <td>
         
         1
         
         <input name="nota_1_1" type="text">
          N° 
                  
         <input name="nota_1_2" type="text">
          N° 
                  
         <input name="nota_1_3" type="text">
          Internet / Operatore
         
         <input name="nota_1_4" type="text">
          PC collegati in rete
         
         <input name="nota_1_5" type="text">
          N° di sedi
         
         <input name="nota_1_6" type="text">
          Traffico
         
         <input name="nota_1_7" type="text">
          Spesa bimestrale
         
         </td>
         <td>
         
         2
          
         <input name="nota_2_1" type="text">
         N° abbonamenti
         
         <input name="nota_2_2" type="text">
         N° ricaricabili
         
         <input name="nota_2_3" type="text">
         N° Data card
         
         <input name="nota_2_4" type="text">
         Traffico(naz/cell/estero)
         
         <input name="nota_2_5" type="text">
         Spesa media bimestrale
         </div>
         
         </td>
         </tr>
         </table>
         </td>
        
        
        <td width="$margine_sx"></td>
        </tr>
        <tr>
        <td width="$margine_sx"></td>
        <td>
        <div class="bordo">
        <input name="Submit" type="submit" class="stile_form" value="Procedi">
        </div>
        </td>
        <td width="$margine_sx"></td>
        </tr>
        </table>
                
        </form> 
 
grazie