django-admin-confirm-briq/admin_confirm/templates/admin/change_data.html

{% if changed_data %}
    <div class="changed-data">
    <p><b>Confirm Values:</b></p>
    <table>
        <tr><th>Field</th><th>Current Value</th><th>New Value</th></tr>
        {% for field, values in changed_data.items %}
            <tr><td>{{ field }}</td><td>{{ values.0 }}</td><td>{{ values.1 }}</td></tr>
        {% endfor %}
    </table>
    </div>
{% endif %}