<!-- BEGIN header -->
<form method="POST" action="{action_url}">
<table border="0" align="center">
   <tr bgcolor="{th_bg}">
    <td colspan="4"><font color="{th_text}">&nbsp;<b>{title}</b></font></td>
   </tr>
<!-- END header -->
<!-- BEGIN body -->
   <tr bgcolor="{row_on}">
    <td>{lang_Name}:</td>
    <td colspan="3">{value_name}&nbsp;</td>
   </tr>

   <tr bgcolor="{row_off}">
    <td>{lang_Alpha_acids}:</td>
    <td colspan="3">{value_avg_alpha}&nbsp;</td>
   </tr>

   <tr bgcolor="{row_on}">
    <td>{lang_Average_iols}:</td>
    <td colspan="3">{value_avg_iols}&nbsp;</td>
   </tr>

   <tr bgcolor="{row_off}">
    <td>{lang_Description}:</td>
    <td colspan="3">{value_description}&nbsp;</td>
   </tr>
<!-- END body -->

<!-- BEGIN footer -->
  <tr bgcolor="{th_bg}">
    <td colspan="4">
&nbsp;
    </td>
  </tr>
  <tr>
    <td colspan="4" align="center">
{hidden_vars}
      <input type="submit" name="edit" value="{lang_edit}">
      <input type="submit" name="cancel" value="{lang_cancel}">
    </td>
  </tr>
</table>
</form>
<!-- END footer -->
