<table align="left">
	<tbody>
		<tr>
			<td colspan="2" style="border:solid windowtext 1.0pt; background:#81cfd6; width:100.0%; padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="100%">
			<p><b>FIELD TITLE</b></p>
			</td>
		</tr>
		<tr>
			<td style="border:solid windowtext 1.0pt; background:#f6a4b5; width:48.7%; border-top:none; padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="48%">
			<p><b>What happened previously</b></p>
			</td>
			<td style="border-bottom:solid windowtext 1.0pt; background:#f6a4b5; width:51.3%; border-top:none; border-left:none; border-right:solid windowtext 1.0pt; padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="51%">
			<p><b>What has changed</b></p>
			</td>
		</tr>
		<tr style="height:325.4pt">
			<td rowspan="2" style="border:solid windowtext 1.0pt; width:48.7%; border-top:none; padding:0cm 5.4pt 0cm 5.4pt; height:325.4pt" valign="top" width="48%">
			<p>DESCRIPTION TEXT</p>
			</td>
			<td style="border-bottom:solid windowtext 1.0pt; width:51.3%; border-top:none; border-left:none; border-right:solid windowtext 1.0pt; padding:0cm 5.4pt 0cm 5.4pt; height:325.4pt" valign="top" width="51%">
			<ul>
				<li>POINT ONE</li>
				<li>POINT TWO</li>
				<li>POINT THREE</li>
			</ul>
			</td>
		</tr>
		<tr style="height:19.15pt">
			<td style="border-bottom:solid windowtext 1.0pt; width:51.3%; border-top:none; border-left:none; border-right:solid windowtext 1.0pt; padding:0cm 5.4pt 0cm 5.4pt; height:19.15pt" valign="top" width="51%">
			<p>PMT: RELATED TICKET</p>
			</td>
		</tr>

				<tr>
			<td colspan="2" style="border:solid windowtext 1.0pt; background:#81cfd6; width:100.0%; padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="100%">
			<p><b>FIELD TITLE</b></p>
			</td>
		</tr>
		<tr>
			<td style="border:solid windowtext 1.0pt; background:#f6a4b5; width:48.7%; border-top:none; padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="48%">
			<p><b>What happened previously</b></p>
			</td>
			<td style="border-bottom:solid windowtext 1.0pt; background:#f6a4b5; width:51.3%; border-top:none; border-left:none; border-right:solid windowtext 1.0pt; padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="51%">
			<p><b>What has changed</b></p>
			</td>
		</tr>
		<tr style="height:325.4pt">
			<td rowspan="2" style="border:solid windowtext 1.0pt; width:48.7%; border-top:none; padding:0cm 5.4pt 0cm 5.4pt; height:325.4pt" valign="top" width="48%">
			<p>DESCRIPTION TEXT</p>
			</td>
			<td style="border-bottom:solid windowtext 1.0pt; width:51.3%; border-top:none; border-left:none; border-right:solid windowtext 1.0pt; padding:0cm 5.4pt 0cm 5.4pt; height:325.4pt" valign="top" width="51%">
			<ul>
				<li>POINT ONE</li>
				<li>POINT TWO</li>
				<li>POINT THREE</li>
			</ul>
			</td>
		</tr>
		<tr style="height:19.15pt">
			<td style="border-bottom:solid windowtext 1.0pt; width:51.3%; border-top:none; border-left:none; border-right:solid windowtext 1.0pt; padding:0cm 5.4pt 0cm 5.4pt; height:19.15pt" valign="top" width="51%">
			<p>PMT: RELATED TICKET</p>
			</td>
		</tr>
        		<tr>
			<td colspan="2" style="border:solid windowtext 1.0pt; background:#81cfd6; width:100.0%; padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="100%">
			<p><b>FIELD TITLE</b></p>
			</td>
		</tr>
		<tr>
			<td style="border:solid windowtext 1.0pt; background:#f6a4b5; width:48.7%; border-top:none; padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="48%">
			<p><b>What happened previously</b></p>
			</td>
			<td style="border-bottom:solid windowtext 1.0pt; background:#f6a4b5; width:51.3%; border-top:none; border-left:none; border-right:solid windowtext 1.0pt; padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="51%">
			<p><b>What has changed</b></p>
			</td>
		</tr>
		<tr style="height:325.4pt">
			<td rowspan="2" style="border:solid windowtext 1.0pt; width:48.7%; border-top:none; padding:0cm 5.4pt 0cm 5.4pt; height:325.4pt" valign="top" width="48%">
			<p>DESCRIPTION TEXT</p>
			</td>
			<td style="border-bottom:solid windowtext 1.0pt; width:51.3%; border-top:none; border-left:none; border-right:solid windowtext 1.0pt; padding:0cm 5.4pt 0cm 5.4pt; height:325.4pt" valign="top" width="51%">
			<ul>
				<li>POINT ONE</li>
				<li>POINT TWO</li>
				<li>POINT THREE</li>
			</ul>
			</td>
		</tr>
		<tr style="height:19.15pt">
			<td style="border-bottom:solid windowtext 1.0pt; width:51.3%; border-top:none; border-left:none; border-right:solid windowtext 1.0pt; padding:0cm 5.4pt 0cm 5.4pt; height:19.15pt" valign="top" width="51%">
			<p>PMT: RELATED TICKET</p>
			</td>
		</tr>
</table>