{capture name="display"}
    <table align="center"  width="100%"  border="0" cellspacing="0" cellpadding="2"  class="formCad">
        <input name="id" id="id" type="hidden" value="{$id}">
        <tr>
            <td  colspan="2" align="center" height="30"><img src="imgSite/icone_departamento.png" width="20" height="20"><span class="formHed">Regionais</span></td>
        </tr>
        <tr>
            <th style="background-color:#F90">Nome:</th>
            <td><input type="text" id="nome" name="nome" size="30" value="{$nome}"></td>
        </tr>
        <tr>
            <th></th>
            <td><input type="submit" id="concluir" name="concluir" value="Gravar">
                <input type="submit" id="fechar" name="fechar" value="Fechar" onClick="window.close();"></td>
        </tr>
    </table>
{/capture}