Design Task for 1 screen

Please check attached files. there is modal div and a page. I don;t need any code. I just need Html and JQuery Section : 1 First vertical line as in sreenshot Ordernumber, OrderDate, OrderDiscount, Productname, SKU, Site(dropdown), Status(dropdown), Second vertical line:as in sreenshot EnteredOn, EnteredBy, Shipping, Taxes, Discount, GiftWraps, Adjustments Pop up will show All fields Section : 2 Refunddate, Refundamount,Reshippeddate,trackingNo, CustomerID, SKU, Action (in grid) Refunddate, Refundamount,Reshippeddate,trackingNo, CustomerID(dropdown) (in pop up) Section 3 ReasonID, ReturnAmount, Quantity, RefundorExchange, SKU, Action (in grid) ReasonID, ReturnAmount, Quantity, RefundorExchange (in pop up) Section 4 Condition, QuantityReceived,Comments Action, SKU (in grid) Condition, QuantityReceived,Comments Action ( in pop up)