<p>صادر خاص</p><p><b>الرقم :&nbsp;</b><input class="autotext_field autonumber_0" placeholder="رقم" id="autonumber_0" disabled="" style="width: 75%;"></p><p><b>التاريخ:&nbsp;</b><input class="autotext_field autodate_1" placeholder="التاريخ" id="autodate_1" disabled="" style="width: 75%;"></p><p style="text-align: center; "><input class="autotext_field autobar_2" placeholder="باركود" id="autobar_2" disabled="" style="width: 90%;"><br></p>