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<table width=100%>
  <tr>
    <td width=15%>$Data[name]</td>
    <td width=21%>$Data[pferd]</td>
    <td width=19%>$Data[datum]</td>
    <td width=8%><input type=checkbox name=form value="ON"".if($Data[form] == 'ON') echo 'checked')."></td>
	
    <td width=8%><input type=checkbox name=kranheiten value="ON"".if($Data[kranheiten] == 'ON') echo 'checked')."></td>
    <td width=8%><input type=checkbox name=raspeln value="ON"".if($Data[raspeln] == 'ON') echo 'checked')."></td>
    <td width=8%><input type=checkbox name=vorne value="ON"".if($Data[vorne] == 'ON') echo 'checked')."></td>
    <td width=9%><input type=checkbox name=hinten value="ON"".if($Data[hinten] == 'ON') echo 'checked')."></td>
    <td width=9%><input type=checkbox name=vornehinten value="ON"".if($Data[vornehinten] == 'ON') echo 'checked')."></td>
  </tr>
</table>