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calebasse / calebasse / dossiers / templates / dossiers / patientpctrait_new.html @ 78bae9a3

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{% load widget_tweaks %}
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<form action="{{ request.get_full_path }}" method="post">
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  {% csrf_token %}
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   <p>
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   <label for="id_start_date">{{ form.start_date.label_tag }}</label>
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   {{ form.start_date.errors }}
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   <input id="id_start_date" class="date" name="start_date" value="{% now "d/m/Y" %}"/>
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   </p>
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   <p>
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   <label for="id_act_number">{{ form.act_number.label_tag }}</label>
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   {{ form.act_number.errors }}
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   <input id="id_act_number" name="act_number" value="{{ form.act_number.value }}"/>
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   </p>
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   <p>
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    <label for="id_comment">Commentaire :</label>
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    <textarea id="id_comment" style="width: 90%;" name="comment"></textarea>
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   </p>
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 </form>
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