{$pagetitle}

{BEGIN top_block}

{$pagetitlelabel insurance add}

{END top_block} {BEGIN above-grid_block}

{BEGIN message_block}

{BEGIN back_button} {END 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 name_fieldblock}

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

{$name_editcontrol}

{END name_fieldblock} {BEGIN price_fieldblock}

{BEGIN price_label}{$label insurance price }{END price_label}

{$price_editcontrol}

{END price_fieldblock} {BEGIN status_fieldblock}

{BEGIN status_label}{$label insurance status }{END status_label}

{$status_editcontrol}

{END status_fieldblock}

{END grid_block} {BEGIN below-grid_block}

Save Reset {BEGIN back_button} Back to list {END back_button} {BEGIN cancel_button} Cancel {END cancel_button}

{END below-grid_block}