calebasse/calebasse/dossiers/templates/dossiers/patientpctrait_new.html @ 8e0743e6
| 8e0743e6 | Mikaël Ates | {% load widget_tweaks %}
|
|
<form action="{{ request.get_full_path }}" method="post">
|
|||
{% csrf_token %}
|
|||
<p>
|
|||
<label for="id_start_date">{{ form.start_date.label_tag }}</label>
|
|||
{{ form.start_date.errors }}
|
|||
<input id="id_start_date" class="date" name="start_date" value="{% now "d/m/Y" %}"/>
|
|||
</p>
|
|||
<p>
|
|||
<label for="id_act_number">{{ form.act_number.label_tag }}</label>
|
|||
{{ form.act_number.errors }}
|
|||
<input id="id_act_number" name="act_number" value="{{ form.act_number.value }}"/>
|
|||
</p>
|
|||
<p>
|
|||
<label for="id_comment">Commentaire :</label>
|
|||
<textarea id="id_comment" style="width: 90%;" name="comment"></textarea>
|
|||
</p>
|
|||
</form>
|