diff --git a/arrangements-warehouse_receive_note1.html b/arrangements-warehouse_receive_note1.html
index 3d50063..528b0bf 100644
--- a/arrangements-warehouse_receive_note1.html
+++ b/arrangements-warehouse_receive_note1.html
@@ -197,7 +197,7 @@
                         <div class="form-element-title">
                             <label style="color: #000">Description</label>
                         </div>
-                        <input type="text" class="form-element" placeholder="" required />
+                        <input type="text" class="form-element" placeholder="Item is missing" required />
                     </div>
 
                     <div class="form-row no-padding">
@@ -218,7 +218,14 @@
                         <div class="form-element-title">
                             <label style="color: #000">Balanced</label>
                         </div>
-                        <input type="text" class="form-element" placeholder="" required />
+                        <input type="text" class="form-element" placeholder="1 carton" required />
+                    </div>
+       
+                    <div class="form-row no-padding">
+                        <div class="form-element-title">
+                            <label style="color: #000">Status</label>
+                        </div>
+                        <input type="text" class="form-element" placeholder="Matched/Unmatched/Damaged/Matched Damaged/Unmatched Damage" required />
                     </div>
 
                     <div class="form-row no-padding">
@@ -248,15 +255,7 @@
                         </div>
                         <input type="text" class="form-element" placeholder="0.00" required />
                     </div>
-
-                
-                    <div class="form-row no-padding">
-                        <div class="form-element-title">
-                            <label style="color: #000">Status</label>
-                        </div>
-                        <input type="text" class="form-element" placeholder="Matched/Unmatched/Damaged" required />
-                    </div>
-
+               
                     <div class="form-row no-padding">
                         <div class="form-element-title">
                             <label style="color: #000">Damages</label>