<form method="post" action="http://localhost/pharmacy/modules.php?name=Downloads">
<table align="center" border="0" width="175" cellspacing="0" cellpadding="0">
<tr><td align="center"><b>ให้คะแนนเว็บนี้!</b></a></td></tr>
<tr><td>
<table border="0" cellspacing="0" cellpadding="0" align="center">
<tr><td valign="top">
<select name="rating">
<option selected>--</option>
<option>10</option>
<option>9</option>
<option>8</option>
<option>7</option>
<option>6</option>
<option>5</option>
<option>4</option>
<option>3</option>
<option>2</option>
<option>1</option>
</select>
</td><td valign="top">
<input type="hidden" name="ratinglid" value="30">
<input type="hidden" name="ratinguser" value="outside">
<input type="hidden" name="d_op" value="addrating">
<input type="submit" value="ลงคะแนน!">
</td></tr></table>
</td></tr></table>
</form>