<form id='myform' action=".htmlspecialchars($_SERVER["PHP_SELF"])." method='post''/>
<input type='hidden' name='id' value='$id' />
<td>
<input style='height:18px' type='date' name='date' value='$date' required/>
</td>
<td>
<select name='status' form='myform' required/>
<option>$status</option>
<option value='status_one'>status_one</option>
</select>
</td>
<td>
<input form='myform' type='text' name='memo' value='$memo'/>
</td>
<td>
<input form='myform' type='submit' value='Save' />
</form>
</td>