کد: [انتخاب]
\documentclass{article}
\usepackage{multirow,lastpage,tabularx}
\usepackage{lipsum}
\makeatletter
\renewcommand\@oddhead{%
\parbox{\textwidth}{%
\begin{tabularx}{\textwidth}{|c|c|c|c|X|}\hline
\multicolumn{4}{|c|}{\bfseries Cloud Point/MF50}&\multirow{3}*{}\\ \cline{1-4}
\bfseries Document Code&\bfseries Date&\bfseries Revision&\bfseries Page&\\ \cline{1-4}
1T50-E-CP& \number\day/\number\month/\number\year&00&\thepage\ of \pageref{LastPage}&\\ \hline
\end{tabularx}
}}
\makeatother
\setlength{\headheight}{21pt}
\begin{document}
\lipsum
\end{document}