{$pagetitle}

{BEGIN top_block}

{$pagetitlelabel mother_facility add}

{END top_block} {BEGIN above-grid_block}

{BEGIN message_block}

{BEGIN message_back_button} {END message_back_button} {BEGIN view_page_button} {END view_page_button} {BEGIN edit_page_button} {END edit_page_button}

{END message_block}

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

{BEGIN facility_code_fieldblock}

{BEGIN facility_code_label} {$facility_code_forward_control} {$label mother_facility facility_code } {END facility_code_label}

{$facility_code_editcontrol}

{END facility_code_fieldblock} {BEGIN facility_name_fieldblock}

{BEGIN facility_name_label} {$facility_name_forward_control} {$label mother_facility facility_name } {END facility_name_label}

{$facility_name_editcontrol}

{END facility_name_fieldblock} {BEGIN facility_type_fieldblock}

{BEGIN facility_type_label} {$facility_type_forward_control} {$label mother_facility facility_type } {END facility_type_label}

{$facility_type_editcontrol}

{END facility_type_fieldblock} {BEGIN region_fieldblock}

{BEGIN region_label} {$region_forward_control} {$label mother_facility region } {END region_label}

{$region_editcontrol}

{END region_fieldblock} {BEGIN province_fieldblock}

{BEGIN province_label} {$province_forward_control} {$label mother_facility province } {END province_label}

{$province_editcontrol}

{END province_fieldblock} {BEGIN city_municipality_fieldblock}

{BEGIN city_municipality_label} {$city_municipality_forward_control} {$label mother_facility city_municipality } {END city_municipality_label}

{$city_municipality_editcontrol}

{END city_municipality_fieldblock} {BEGIN address_fieldblock}

{BEGIN address_label} {$address_forward_control} {$label mother_facility address } {END address_label}

{$address_editcontrol}

{END address_fieldblock}

{BEGIN contact_person_fieldblock}

{BEGIN contact_person_label} {$contact_person_forward_control} {$label mother_facility contact_person } {END contact_person_label}

{$contact_person_editcontrol}

{END contact_person_fieldblock} {BEGIN contact_number_fieldblock}

{BEGIN contact_number_label} {$contact_number_forward_control} {$label mother_facility contact_number } {END contact_number_label}

{$contact_number_editcontrol}

{END contact_number_fieldblock} {BEGIN email_fieldblock}

{BEGIN email_label} {$email_forward_control} {$label mother_facility email } {END email_label}

{$email_editcontrol}

{END email_fieldblock} {BEGIN status_fieldblock}

{BEGIN status_label} {$status_forward_control} {$label mother_facility status } {END status_label}

{$status_editcontrol}

{END status_fieldblock}

{END grid_block} {BEGIN below-grid_block}

{mlang_message SAVE} {BEGIN reset_button} {mlang_message RESET} {END reset_button} {BEGIN back_button} {mlang_message BACK_TO_LIST} {END back_button} {BEGIN cancel_button} {mlang_message CANCEL} {END cancel_button}

{END below-grid_block}