<tbody>
  <tr>
    <th colspan="2">Demographic Information</th>
  </tr>
  <tr id="list_fields">
    <td>
      <span type="form" name="demographic:birth_date" showhead="default"></span>
      <span type="form" name="demographic:gender" showhead="default"></span>
    </td>
    <td>
      <span type="form" name="demographic:marital_status" showhead="default"></span>
    </td>
  </tr>
</tbody>
