I need help with the laoyout of an HTML page

Hi Experts,
I need help with the layout of an HTML page in my MVC.Net application with C#.Net code behind.

Please see the attached image and let me know how to write the HTML.  

HTML Layout
Thank You in advance,
mrotor
mainrotorAsked:
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AndyAinscowFreelance programmer / ConsultantCommented:
You could try doing that layout in winword then saving the document as html.
0
Flabio GatesCommented:
perhaps:
<html>
  <head>
    <title></title>
	<style>
	textarea {
		height: 4em;
		width: 100%;
	}
	.label {
		text-align: right;
		vertical-align: top;
	}
	</style>
  </head>
  <body>
    <table>
      <tr>
        <td class="label">IPA</td>
        <td>
          <input type="text" name="ipa" />
        </td>
        <td class="label">S-DATE</td>
        <td>
          <input type="text" name="sdate" />
        </td>
        <td class="label">E-DATE</td>
        <td>
          <input type="text" name="edate" />
        </td>
        <td class="label">INSERT USER</td>
        <td>
          <input type="text" name="user" />
        </td>
      </tr>
      <tr>
        <td class="label">PROVIDER ID</td>
        <td>
          <input type="text" name="provider" />
        </td>
        <td class="label">NAME</td>
        <td>
          <input type="text" name="name" />
        </td>
        <td class="label">TAX ID</td>
        <td>
          <input type="text" name="tax" />
        </td>
        <td class="label">INSERT DATE</td>
        <td>
          <input type="text" name="idate" />
        </td>
      </tr>
      <tr>
        <td class="label">ISSUE</td>
        <td colspan="3">
          <textarea id="issue"></textarea>
        </td>
        <td class="label">RESOLUTION</td>
        <td colspan="3">
          <textarea id="resolution"></textarea>
        </td>
      </tr>
    </table>
  </body>
</html>

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