Código PHP:
<?php
$hoy = date("d-m-Y");
echo"<center><table align'center'>";
echo"<tr><td height='28' class='K'><div align='center'><strong></strong></div>";
echo"<td>";
echo"<div align='center'>";
echo"<input name='ID_ANTIVIRUS' type='hidden' value=''>";
echo"</div>";
echo"<tr><td height='28' class='K'><div align='center'><strong> Fecha</strong></div>";
echo"<td>";
echo"<div align='center'>";
echo"<input name='FECHA' type='text' value= $hoy>";
echo"</div>";
echo"<tr><td height='28' class='K'><div align='center'><strong></strong></div>";
echo"<td>";
echo"<div align='center'>";
echo"<input name='ID_CLIENTE' type='hidden' value=''>";
echo"</div>";
echo"</table></center>";
?>
<table align="center">
<tr><td height="28" class="K"><div align="center"><strong> Nombre</strong></div>
<td>
<div align="center">
<input name="NOMBRE" type="text" value="">
</div>
<tr><td class="K"><div align="center"><strong>Apellidos
</strong></div>
<td>
<div align="center">
<input name="APELLIDOS" type="text">
</div>
<tr><td class="K"><div align="center"><strong>Teléfono
</strong></div>
<td>
<div align="center">
<input name="TELEFONO" type="text">
</div>
<tr><td class="K"><div align="center"><strong>Usuario/Password</strong></div>
<td>
<div align="center">
<input name="PASSWORD" type="text">
</div>
<tr><td colspan="2"><div align="center">
<p> </p>
<p class="ANTIVIRUS"><span class="A"><strong>***REGISTROS ANTIVIRUS***</strong></span> </p>
</div>
<div align="center"></div>
<tr><td><div align="center"><strong>Antivirus</strong></div>
<td>
<div align="center">
<label>
<select name="ANTIVIRUS" id="select">
<option> </option>
<option>PANDA PRO 2010</option>
<option>PANDA INTERNET SECURITY 2010</option>
<option>PANDA GLOBAL PROTECTION 2010</option>
<option>PANDA FOR NETBOOKS 2010</option>
<option>ESET NOD32 STANDARD</option>
<option>ESET NOD32 BUSINESS</option>
<option>ESET SMART SECURITY STANDARD</option>
<option>ESET SMART SECURITY BUSINESS</option>
</select>
</label>
</div>
<tr><td><div align="center"><strong>Num. Licencias</strong></div>
<td>
<div align="center">
<input name="NUMLICENCIAS" type="text">
</div>
<tr><td><div align="center"><strong>Email</strong></div>
<td>
<div align="center">
<input name="EMAIL" type="text">
</div>
<tr><td><div align="center"><strong>Dirección</strong></div>
<td>
<div align="center">
<input name="DIRECCION" type="text">
</div>
<tr><td><div align="center"><strong>DNI</strong></div>
<td>
<div align="center">
<input name="DNI" type="text">
</div>
<tr><td><div align="center"><strong>Población</strong></div>
<td>
<div align="center">
<input name="POBLACION" type="text">
</div>
<tr><td><div align="center"><strong>Problema
</strong></div>
<td>
<div align="center">
<textarea name="PROBLEMA" rows="6"></textarea>
</div>
<tr><td><div align="center"><strong>Estado</strong></div>
<td>
<div align="center">
<label>
<select name="ESTADO" id="select">
<option>PENDIENTE</option>
</select>
</label>
</div>
<tr><td><div align="center"><strong>Prioridad</strong></div>
<td>
<div align="center">
<label>
<select name="PRIORIDAD" id="select">
<option>NORMAL</option>
<option>BAJA</option>
<option>ALTA</option>
</select>
</label>
</div>
</table>
<div align="center">
<p> </p>
<p>
<input type="submit" name="Aceptar" value="Aceptar">
</p>
<p><a href="INFORMES.html"><img src="VOLVER.jpg" alt="VOLVER" width="142" height="29" border="0" align="left" /></a></p>
</div>
</form>