=== modified file 'dhis-2/dhis-web/dhis-web-maintenance/dhis-web-maintenance-patient/src/main/webapp/dhis-web-maintenance-patient/addProgramForm.vm'
--- dhis-2/dhis-web/dhis-web-maintenance/dhis-web-maintenance-patient/src/main/webapp/dhis-web-maintenance-patient/addProgramForm.vm	2013-10-10 03:11:32 +0000
+++ dhis-2/dhis-web/dhis-web-maintenance/dhis-web-maintenance-patient/src/main/webapp/dhis-web-maintenance-patient/addProgramForm.vm	2013-10-16 07:40:22 +0000
@@ -192,13 +192,13 @@
 		
 		<tr name='nonAnonymous'>
 			<td><label>$i18n.getString( "date_of_incident_description" ) <em title="$i18n.getString( "required" )" class="required">*</em></label></td>
-			<td><input style="width: 330px;" type="text" id="dateOfIncidentDescription" name="dateOfIncidentDescription" class="{validate:{required:true,minlength:2}}"></td>
+			<td><input style="width: 330px;" type="text" id="dateOfIncidentDescription" name="dateOfIncidentDescription" class="{validate:{required:true,minlength:2}}" value="Incident Date"></td>
 			<td></td>
 		</tr>
 		
 		<tr name='nonAnonymous'>
 			<td><label>$i18n.getString( "date_of_enrollment_description" ) <em title="$i18n.getString( "required" )" class="required">*</em></label></td>
-			<td><input style="width: 330px;" type="text" id="dateOfEnrollmentDescription" name="dateOfEnrollmentDescription" class="{validate:{required:true,minlength:4}}"></td>
+			<td><input style="width: 330px;" type="text" id="dateOfEnrollmentDescription" name="dateOfEnrollmentDescription" class="{validate:{required:true,minlength:4}}" value="Enrollment Date"></td>
 			<td></td>
 		</tr>