-<table class="type"><tbody>
- <tr>
- <th>$(l10n doctor)</th>
- <th>$(l10n dentist)</th>
- <th>$(l10n noprescription)</th>
- <th>$(l10n altpractition)</th>
- </tr>
- <tr>
- <td class="selfpaid doctor">
- <input type=radio name=presctype id=doctor_selfpaid value=doctor_selfpaid>
- <label for=doctor_selfpaid>$(l10n selfpaid)</label>
- </td>
- <td class="selfpaid dentist">
- <input type=radio name=presctype id=dentist_selfpaid value=dentist_selfpaid>
- <label for=dentist_selfpaid>$(l10n selfpaid)</label>
- </td>
- <td class="selfpaid noprescription">
- <input type=radio name=presctype id=noprescription_selfpaid value=noprescription_selfpaid>
- <label for=noprescription_selfpaid>$(l10n selfpaid)</label>
- </td>
- <td class="selfpaid altpractition">
- <input type=radio name=presctype id=altpractition_selfpaid value=altpractition_selfpaid>
- <label for=altpractition_selfpaid>$(l10n selfpaid)</label>
- </td>
- </tr>
- <tr>
- <td class="private doctor">
- <input type=radio name=presctype id=doctor_private value=doctor_private>
- <label for=doctor_private>$(l10n private)</label>
- </td>
- <td class="private dentist">
- <input type=radio name=presctype id=dentist_private value=dentist_private>
- <label for=dentist_private>$(l10n private)</label>
- </td>
- <td class="private noprescription">
- </td>
- <td class="private altpractition">
- <input type=radio name=presctype id=altpractition_private value=altpractition_private>
- <label for=altpractition_private>$(l10n private)</label>
- </td>
- </tr>
- <tr>
- <td class="compulsory doctor">
- <input type=radio name=presctype id=doctor_compulsory value=doctor_compulsory>
- <label for=doctor_compulsory>$(l10n compulsory)</label>
- </td>
- <td class="compulsory dentist">
- <input type=radio name=presctype id=dentist_compulsory value=dentist_compulsory>
- <label for=dentist_compulsory>$(l10n compulsory)</label>
- </td>
- <td class="compulsory noprescription">
- </td>
- <td class="compulsory altpractition">
- </td>
- </tr>
-</tbody></table>
+<label class=presctype>$(l10n doctor):</label>
+<input type=radio name=presctype id=doctor_selfpaid value=doctor_selfpaid $(check "$mpx[presctype]" doctor_selfpaid)>
+<label for=doctor_selfpaid>$(l10n selfpaid)</label>
+<input type=radio name=presctype id=doctor_private value=doctor_private $(check "$mpx[presctype]" doctor_private)>
+<label for=doctor_private>$(l10n private)</label>
+<input type=radio name=presctype id=doctor_compulsory value=doctor_compulsory $(check "$mpx[presctype]" doctor_compulsory)>
+<label for=doctor_compulsory>$(l10n compulsory)</label>
+<br>
+
+<label class=presctype>$(l10n dentist):</label>
+<input type=radio name=presctype id=dentist_selfpaid value=dentist_selfpaid $(check "$mpx[presctype]" dentist_selfpaid)>
+<label for=dentist_selfpaid>$(l10n selfpaid)</label>
+<input type=radio name=presctype id=dentist_private value=dentist_private $(check "$mpx[presctype]" dentist_private)>
+<label for=dentist_private>$(l10n private)</label>
+<input type=radio name=presctype id=dentist_compulsory value=dentist_compulsory $(check "$mpx[presctype]" dentist_compulsory)>
+<label for=dentist_compulsory>$(l10n compulsory)</label>
+<br>
+
+<label class=presctype>$(l10n noprescription):</label>
+<input type=radio name=presctype id=noprescription_selfpaid value=noprescription_selfpaid $(check "$mpx[presctype]" noprescription_selfpaid)>
+<label for=noprescription_selfpaid>$(l10n selfpaid)</label>
+<br>
+
+<label class=presctype>$(l10n altpractition):</label>
+<input type=radio name=presctype id=altpractition_selfpaid value=altpractition_selfpaid $(check "$mpx[presctype]" altpractition_selfpaid)>
+<label for=altpractition_selfpaid>$(l10n selfpaid)</label>
+<input type=radio name=presctype id=altpractition_private value=altpractition_private $(check "$mpx[presctype]" altpractition_private)>
+<label for=altpractition_private>$(l10n private)</label>
+<br>