{$pagetitle}

{BEGIN top_block}

{$pagetitlelabel base edit}

{END top_block} {BEGIN above-grid_block}

{$message}

{BEGIN back_button} {END back_button} {BEGIN view_page_button} {END view_page_button}

{END above-grid_block} {BEGIN grid_block} {BEGIN cellblock_grid_c3} {END cellblock_grid_c3}

{BEGIN grama_niladhari_division_fieldblock}

{BEGIN grama_niladhari_division_label}{$label base grama_niladhari_division }{END grama_niladhari_division_label}

{$grama_niladhari_division_editcontrol}

{END grama_niladhari_division_fieldblock} {BEGIN house_number_fieldblock}

{BEGIN house_number_label}{$label base house_number }{END house_number_label}

{$house_number_editcontrol}

{END house_number_fieldblock} {BEGIN name_fieldblock}

{BEGIN name_label}{$label base name }{END name_label}

{$name_editcontrol}

{END name_fieldblock} {BEGIN brith_day_fieldblock}

{BEGIN brith_day_label}{$label base brith_day }{END brith_day_label}

{$brith_day_editcontrol}

{END brith_day_fieldblock} {BEGIN sex_fieldblock}

{BEGIN sex_label}{$label base sex }{END sex_label}

{$sex_editcontrol}

{END sex_fieldblock} {BEGIN nic_fieldblock}

{BEGIN nic_label}{$label base nic }{END nic_label}

{$nic_editcontrol}

{END nic_fieldblock} {BEGIN household_status_fieldblock}

{BEGIN household_status_label}{$label base household_status }{END household_status_label}

{$household_status_editcontrol}

{END household_status_fieldblock} {BEGIN age_fieldblock}

{BEGIN age_label}{$label base age }{END age_label}

{$age_editcontrol}

{END age_fieldblock} {BEGIN notes_fieldblock}

{BEGIN notes_label}{$label base notes }{END notes_label}

{$notes_editcontrol}

{END notes_fieldblock} {BEGIN father_nic_fieldblock}

{BEGIN father_nic_label}{$label base father_nic }{END father_nic_label}

{$father_nic_editcontrol}

{END father_nic_fieldblock} {BEGIN spouse_nic_fieldblock}

{BEGIN spouse_nic_label}{$label base spouse_nic }{END spouse_nic_label}

{$spouse_nic_editcontrol}

{END spouse_nic_fieldblock} {BEGIN at_by_fieldblock}

{BEGIN at_by_label}{$label base at_by }{END at_by_label}

{$at_by_editcontrol}

{END at_by_fieldblock} {BEGIN phone_number_fieldblock}

{BEGIN phone_number_label}{$label base phone_number }{END phone_number_label}

{$phone_number_editcontrol}

{END phone_number_fieldblock} {BEGIN image_fieldblock}

{BEGIN image_label}{$label base image }{END image_label}

{$image_editcontrol}

{END image_fieldblock} {BEGIN latitude_fieldblock}

{BEGIN latitude_label}{$label base latitude }{END latitude_label}

{$latitude_editcontrol}

{END latitude_fieldblock} {BEGIN longitude_fieldblock}

{BEGIN longitude_label}{$label base longitude }{END longitude_label}

{$longitude_editcontrol}

{END longitude_fieldblock} {BEGIN map_fieldblock}

{BEGIN map_label}{$label base map }{END map_label}

{$map_editcontrol}

{END map_fieldblock} {BEGIN order_no_fieldblock}

{BEGIN order_no_label}{$label base order_no }{END order_no_label}

{$order_no_editcontrol}

{END order_no_fieldblock}

{END grid_block} {BEGIN below-grid_block}

{BEGIN save_edit} Save {END save_edit} {BEGIN back_button} Back to list {END back_button} {BEGIN close_button} Cancel {END close_button}

{END below-grid_block}