28 lines
1.9 KiB
HTML
28 lines
1.9 KiB
HTML
{% load bootstrap3 %}
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<form action="{% url 'sujets:update' pk=form.instance.pk %}" method="post">{% csrf_token %}
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<div class="panel-body">{% bootstrap_field form.premiere_rencontre %}</div>
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<table class="table">
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<tr><th colspan="4" class="active">État-civil</th></tr>
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<tr><th>Nom</th><td>{% bootstrap_field form.nom layout="inline" %}</td>
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<th>Prénom</th><td>{% bootstrap_field form.prenom layout="inline" %}{% bootstrap_field form.surnom layout="inline" %}</td></tr>
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<tr><th>Sexe</th><td>{% bootstrap_field form.genre layout="inline" %}</td>
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<th>Âge</th><td>{% bootstrap_field form.age layout="inline" %}</td></tr>
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<tr><th colspan="4" class="active">Problématiques</th></tr>
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<tr><th>Psychiatrique</th><td>{% bootstrap_field form.prob_psychiatrie layout="inline" %}</td>
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<th>Addiction</th><td>{% bootstrap_field form.prob_addiction layout="inline" %}</td></tr>
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<tr><th>Administratif</th><td>{% bootstrap_field form.prob_administratif layout="inline" %}</td>
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<th>Somatique</th><td>{% bootstrap_field form.prob_somatique layout="inline" %}</td></tr>
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<tr><th colspan="4" class="active">Habitation</th></tr></td></tr>
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<tr><th>Type</th><td>{% bootstrap_field form.habitation layout="inline" %}</td>
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<th>Connu du SIAO</th><td>{% bootstrap_field form.connu_siao layout="inline" %}</td></tr>
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<tr><th colspan="4" class="active">Ressources</th></tr></td></tr>
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<tr><td colspan="4">{% bootstrap_field form.ressources layout="inline" %}</td></tr>
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<tr><th colspan="4" class="active">Parcours de vie</th></tr></td></tr>
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<tr><td colspan="2">{% bootstrap_field form.parcours_de_vie layout="inline" %}</td>
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<th>Lien familial</th><td>{% bootstrap_field form.lien_familial layout="inline" %}</td></tr>
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</table>
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<div class="panel-footer text-right">
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{% bootstrap_button "Enregistrer" button_type="submit" %}
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</div>
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</form>
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