<?php
/* Smarty version 3.1.30, created on 2018-02-12 10:45:04
  from "/home/users/spine/public_html/decydownik/ajax/proces/removealt.tpl" */

/* @var Smarty_Internal_Template $_smarty_tpl */
if ($_smarty_tpl->_decodeProperties($_smarty_tpl, array (
  'version' => '3.1.30',
  'unifunc' => 'content_5a816220b7fec1_57206162',
  'has_nocache_code' => false,
  'file_dependency' => 
  array (
    '3bf3d5fce722949f0aafba6107e7e0d9772f5d0f' => 
    array (
      0 => '/home/users/spine/public_html/decydownik/ajax/proces/removealt.tpl',
      1 => 1518139947,
      2 => 'file',
    ),
  ),
  'includes' => 
  array (
  ),
),false)) {
function content_5a816220b7fec1_57206162 (Smarty_Internal_Template $_smarty_tpl) {
?>
<div class="DynamicForms">
        <div class="col-md-8 col-md-offset-2">
            <div class="DecsisionFrame">
                <form action="javascript:;">
                    <input type="hidden" name="mode" value="proces" />
                    <input type="hidden" name="function" value="removealt" />
                    <input type="hidden" name="method" value="confirm" />
                    <input type="hidden" name="id" value="<?php echo $_smarty_tpl->tpl_vars['id']->value;?>
" />
                    <div class="p10">
                        <div class="p10">
                            <div class="form-group">
                                <label>Hasło terapeuty</label>
                                <input type="password" name="password" class="form-control" />
                            </div>
                            <div class="p10 tac">
                                <a href="javascript:;" class="btn btn-primary DynamicFormSubmit">Usuń</a>
                            </div>
                        </div>
                    </div>
                </form>
            </div>
        </div>
</div><?php }
}
