<?php /* Smarty version Smarty-3.1.11, created on 2024-11-06 05:01:04
         compiled from "../views/obgy/examination/add.html" */ ?>
<?php /*%%SmartyHeaderCode:789866435672b6890719a08-73298839%%*/if(!defined('SMARTY_DIR')) exit('no direct access allowed');
$_valid = $_smarty_tpl->decodeProperties(array (
  'file_dependency' => 
  array (
    '5bb11be184f1b13f2db436eea09942950d21a4d0' => 
    array (
      0 => '../views/obgy/examination/add.html',
      1 => 1624530650,
      2 => 'file',
    ),
  ),
  'nocache_hash' => '789866435672b6890719a08-73298839',
  'function' => 
  array (
  ),
  'variables' => 
  array (
    'patientId' => 0,
    'allexminationcount' => 0,
    'ProgramesettingData' => 0,
    'allexmination' => 0,
    'myallexmination' => 0,
    'i' => 0,
    'examinationhead' => 0,
    'data' => 0,
    'examinationchest' => 0,
    'examinationabdomen' => 0,
    'examinationpelvis' => 0,
    'examinationextremitis' => 0,
  ),
  'has_nocache_code' => false,
  'version' => 'Smarty-3.1.11',
  'unifunc' => 'content_672b68908ad3b6_72437595',
),false); /*/%%SmartyHeaderCode%%*/?>
<?php if ($_valid && !is_callable('content_672b68908ad3b6_72437595')) {function content_672b68908ad3b6_72437595($_smarty_tpl) {?><!-- BEGIN CONTENT -->
<div class="page-content-wrapper">
    <div class="page-content clinick">
        <div class="row">
            <div class="col-md-12">
                <div class="portlet box blue">
                    <div class="portlet-title" style="height: 5px">
                        <div class="caption">
                            <i class="fa fa-edit"></i> Examination
                        </div>
                    </div>
                    <div class="portlet-body" >
                        <!-- END PAGE HEADER-->
                        <!-- BEGIN PAGE CONTENT-->
                        <div class="row all">

                            <div class="portlet-title tbox">
                                <div class="caption font-green-haze col-md-6">
                                    <span class="caption-subject bold uppercase"> Examination </span>
                                </div>
                                <div class="actions col-md-6">
                                    <button type="button" class="btn btn-xs blue fright" id="btn_exmination"> Add</button>
                                </div>
                            </div>

                            <input type="hidden" id="patientId" value="<?php echo $_smarty_tpl->tpl_vars['patientId']->value;?>
"/>
                            <input type="hidden" id="controllName" value="examination"/>
                            <input type="hidden" id="examscrt" value="122"/>
                            <input type="hidden" id="exam_itr" value="<?php echo $_smarty_tpl->tpl_vars['allexminationcount']->value;?>
" />

                            <?php if ($_smarty_tpl->tpl_vars['ProgramesettingData']->value->head!=1){?>
                            <input type="hidden" id="headSelect" value="1"/>
                            <?php }?>
                            <?php if ($_smarty_tpl->tpl_vars['ProgramesettingData']->value->chest!=1){?>
                            <input type="hidden" id="chestSelect" value="1"/>
                            <?php }?>
                            <?php if ($_smarty_tpl->tpl_vars['ProgramesettingData']->value->abdomen!=1){?>
                            <input type="hidden" id="abdomenSelect" value="1"/>
                            <?php }?>
                            <?php if ($_smarty_tpl->tpl_vars['ProgramesettingData']->value->pelvis!=1){?>
                            <input type="hidden" id="pelvisSelect" value="1"/>
                            <?php }?>
                            <?php if ($_smarty_tpl->tpl_vars['ProgramesettingData']->value->extremitis!=1){?>
                            <input type="hidden" id="extremitisSelect" value="1"/>
                            <?php }?>
                            <div id="div_exmination">
                                <?php $_smarty_tpl->tpl_vars['i'] = new Smarty_variable(1, null, 0);?>
                                <?php  $_smarty_tpl->tpl_vars['myallexmination'] = new Smarty_Variable; $_smarty_tpl->tpl_vars['myallexmination']->_loop = false;
 $_from = $_smarty_tpl->tpl_vars['allexmination']->value; if (!is_array($_from) && !is_object($_from)) { settype($_from, 'array');}
foreach ($_from as $_smarty_tpl->tpl_vars['myallexmination']->key => $_smarty_tpl->tpl_vars['myallexmination']->value){
$_smarty_tpl->tpl_vars['myallexmination']->_loop = true;
?>
                                <div>
                                    <div class="row clinick ltr" >

                                        <div class="col-md-1">
                                            <div class="">
                                                <label class="control-label col-md-2 "><?php if ($_smarty_tpl->tpl_vars['ProgramesettingData']->value->displaydoctorname==1){?><?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->username;?>
<?php }?></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row clinick ltr" >
                                        <div class="col-md-1 wds9">
                                            <div class="form-group form-md-line-input form-md-floating-label has-info">
                                                <input type="text" class="form-control updateElement datepicker" name="examinationdate" data-colName="examinationdate"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->examinationdate;?>
"/>
                                                <!--<label for="date">Date</label>-->
                                            </div>
                                        </div>


                                        <div class="col-md-2 anamez wds12">


                                            <div class="input-group">
                                                <span class="input-group-addon" style="padding: 6px 6px;">
                                                    WT.
                                                </span>
                                                <input type="text" class="form-control updateElement txtc calcbm positivefloat" name="weight" data-colName="weight"  id="weight<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->weight;?>
"/>

                                                <span class="input-group-addon" style="padding: 6px 6px;">
                                                    KG
                                                </span>
                                            </div>

                                        </div>



                                        <div class="col-md-2 anamez wds12">
                                            <div class="input-group">
                                                <span class="input-group-addon" style="padding: 6px 6px;">HT.</span>
                                                <input type="text" class="form-control updateElement txtc calcbm positivefloat" name="height" data-colName="height" id="height<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->height;?>
"/>
                                                <label for="form_control_1"></label>
                                                <span class="input-group-addon" style="padding: 6px 6px;">M</span>
                                            </div>
                                        </div>




                                        <div class="col-md-2 anamez wds15">
                                            <div class="input-group">
                                                <span class="input-group-addon" style="padding: 6px 6px;">BMI</span>
                                                <input type="text" class="form-control updateElement txtc positiveNo" name="bmi"  data-colName="bmi"  id="bmi<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
"   data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->bmi;?>
" readonly=""/>
                                                <label for="form_control_1"></label>
                                                <span class="input-group-addon" style="padding: 6px 6px;">Kg/ m²</span>

                                            </div>
                                        </div>




                                        <div class="col-md-2 anamez wds25">
                                            <div class="input-group">
                                                <span class="input-group-addon" style="padding: 6px 6px;">BP1</span>
                                                <input type="text" class="form-control updateElement bp_mask txtc" name="bP" data-colName="bP"   data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->bP;?>
"/>
                                                <label for="form_control_1"></label>
                                                <span class="input-group-addon" style="padding: 6px 6px;">BP2</span>
                                                <input type="text" class="form-control updateElement bp_mask txtc" name="bp2" data-colName="bp2"   data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->bp2;?>
"/>
                                                <label for="form_control_1"></label>
                                                <span class="input-group-addon" style="padding: 6px 6px;">mmHg</span>


                                            </div>
                                        </div>



                                        <div class="col-md-2 anamez wds14">
                                            <div class="input-group">
                                                <span class="input-group-addon" style="padding: 6px 6px;">Pulse</span>
                                                <input type="text" class="form-control updateElement txtc" name="pulse" data-colName="pulse"   data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->pulse;?>
"/>
                                                <label for="form_control_1"></label>
                                                <span class="input-group-addon" style="padding: 6px 6px;">/min</span>


                                            </div>
                                        </div>

                                        <div class="col-md-2 anamez wds13">
                                            <div class="input-group">
                                                <span class="input-group-addon" style="padding: 6px 6px;">RGB </span>
                                                <input type="text" class="form-control updateElement txtc" name="rgb" data-colName="rgb" data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->rgb;?>
"/>
                                                <label for="form_control_1"></label>
                                                <span class="input-group-addon" style="padding: 6px 6px;">mg/dl</span>
                                            </div>
                                        </div>



                                        <div class="col-md-12">
                                            <div class="col-md-2 wds20">
                                                <div class="form-group form-md-line-input form-md-floating-label has-info">
                                                    <?php if ($_smarty_tpl->tpl_vars['ProgramesettingData']->value->head==1){?>
                                                    <input type="text" class="form-control updateElement"  name="headandneck" data-colName="headandneck"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->headandneck;?>
" data-toggle="popover" data-trigger="hover" data-placement="bottom" data-content="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->headandneck;?>
"/>
                                                    <?php }else{ ?>

                                                    <select class="form-control  updateElement  headandneck  allupdateselect" id="examinationhead<?php echo $_smarty_tpl->tpl_vars['i']->value;?>
" data-itr="<?php echo $_smarty_tpl->tpl_vars['i']->value;?>
" data-val="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->headandneck;?>
"  name="headandneck" data-colName="headandneck" select-tableName="examinationhead"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" >
                                                        <option value="">choose</option>
                                                        <?php  $_smarty_tpl->tpl_vars['data'] = new Smarty_Variable; $_smarty_tpl->tpl_vars['data']->_loop = false;
 $_from = $_smarty_tpl->tpl_vars['examinationhead']->value; if (!is_array($_from) && !is_object($_from)) { settype($_from, 'array');}
foreach ($_from as $_smarty_tpl->tpl_vars['data']->key => $_smarty_tpl->tpl_vars['data']->value){
$_smarty_tpl->tpl_vars['data']->_loop = true;
?>
                                                        <option value="<?php echo $_smarty_tpl->tpl_vars['data']->value->id;?>
" <?php ob_start();?><?php echo $_smarty_tpl->tpl_vars['data']->value->id;?>
<?php $_tmp1=ob_get_clean();?><?php ob_start();?><?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->headandneck;?>
<?php $_tmp2=ob_get_clean();?><?php if ($_tmp1==$_tmp2){?> selected <?php }?>><?php echo $_smarty_tpl->tpl_vars['data']->value->name;?>
 </option>
                                                        <?php } ?>

                                                        <option value="-2" class="deleteoptincompo">Delete</option>
                                                    </select>
                                                    <?php }?>
                                                    <label for="headandneck">Head and neck:</label>
                                                </div>
                                            </div>
                                            <div class="col-md-2 wds20">
                                                <div class="form-group form-md-line-input form-md-floating-label has-info">
                                                    <?php if ($_smarty_tpl->tpl_vars['ProgramesettingData']->value->chest==1){?>
                                                    <input type="text" class="form-control updateElement  "  name="chestandheart" data-colName="chestandheart"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->chestandheart;?>
"  data-toggle="popover" data-trigger="hover" data-placement="bottom" data-content="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->chestandheart;?>
"/>
                                                    <?php }else{ ?>

                                                    <select class="form-control  updateElement  allupdateselect chestandheart" id="examinationchest<?php echo $_smarty_tpl->tpl_vars['i']->value;?>
" data-itr="<?php echo $_smarty_tpl->tpl_vars['i']->value;?>
" data-val="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->chestandheart;?>
"  name="chestandheart" data-colName="chestandheart" select-tableName="examinationchest"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" >
                                                        <option value="">choose</option>
                                                        <?php  $_smarty_tpl->tpl_vars['data'] = new Smarty_Variable; $_smarty_tpl->tpl_vars['data']->_loop = false;
 $_from = $_smarty_tpl->tpl_vars['examinationchest']->value; if (!is_array($_from) && !is_object($_from)) { settype($_from, 'array');}
foreach ($_from as $_smarty_tpl->tpl_vars['data']->key => $_smarty_tpl->tpl_vars['data']->value){
$_smarty_tpl->tpl_vars['data']->_loop = true;
?>
                                                        <option value="<?php echo $_smarty_tpl->tpl_vars['data']->value->id;?>
" <?php ob_start();?><?php echo $_smarty_tpl->tpl_vars['data']->value->id;?>
<?php $_tmp3=ob_get_clean();?><?php ob_start();?><?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->chestandheart;?>
<?php $_tmp4=ob_get_clean();?><?php if ($_tmp3==$_tmp4){?> selected <?php }?>><?php echo $_smarty_tpl->tpl_vars['data']->value->name;?>
 </option>
                                                        <?php } ?>

                                                        <option value="-2" class="deleteoptincompo">Delete</option>
                                                    </select>
                                                    <?php }?>
                                                    <label for="chestandheart">Chest and heart:</label>
                                                </div>
                                            </div>
                                            <div class="col-md-2 wds20">
                                                <div class="form-group form-md-line-input form-md-floating-label has-info">
                                                    <?php if ($_smarty_tpl->tpl_vars['ProgramesettingData']->value->abdomen==1){?>
                                                    <input type="text" class="form-control updateElement "  name="abdomen" data-colName="abdomen"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->abdomen;?>
"  data-toggle="popover" data-trigger="hover" data-placement="bottom" data-content="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->abdomen;?>
"/>
                                                    <?php }else{ ?>

                                                    <select class="form-control  updateElement  allupdateselect abdomen" id="examinationabdomen<?php echo $_smarty_tpl->tpl_vars['i']->value;?>
" data-itr="<?php echo $_smarty_tpl->tpl_vars['i']->value;?>
" data-val="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->abdomen;?>
"  name="abdomen" data-colName="abdomen" select-tableName="examinationabdomen"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" >
                                                        <option value="">choose</option>
                                                        <?php  $_smarty_tpl->tpl_vars['data'] = new Smarty_Variable; $_smarty_tpl->tpl_vars['data']->_loop = false;
 $_from = $_smarty_tpl->tpl_vars['examinationabdomen']->value; if (!is_array($_from) && !is_object($_from)) { settype($_from, 'array');}
foreach ($_from as $_smarty_tpl->tpl_vars['data']->key => $_smarty_tpl->tpl_vars['data']->value){
$_smarty_tpl->tpl_vars['data']->_loop = true;
?>
                                                        <option value="<?php echo $_smarty_tpl->tpl_vars['data']->value->id;?>
" <?php ob_start();?><?php echo $_smarty_tpl->tpl_vars['data']->value->id;?>
<?php $_tmp5=ob_get_clean();?><?php ob_start();?><?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->abdomen;?>
<?php $_tmp6=ob_get_clean();?><?php if ($_tmp5==$_tmp6){?> selected <?php }?>><?php echo $_smarty_tpl->tpl_vars['data']->value->name;?>
 </option>
                                                        <?php } ?>

                                                        <option value="-2" class="deleteoptincompo">Delete</option>
                                                    </select>
                                                    <?php }?>
                                                    <label for="Abdomen">Abdomen</label>
                                                </div>
                                            </div>

                                            <div class="col-md-2 wds20">
                                                <div class="form-group form-md-line-input form-md-floating-label has-info">
                                                    <?php if ($_smarty_tpl->tpl_vars['ProgramesettingData']->value->pelvis==1){?>
                                                    <input type="text" class="form-control updateElement "  name="pelvis" data-colName="pelvis"   data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->pelvis;?>
"  data-toggle="popover" data-trigger="hover" data-placement="bottom" data-content="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->pelvis;?>
"/>
                                                    <?php }else{ ?>

                                                    <select class="form-control  updateElement  allupdateselect pelvis" id="examinationpelvis<?php echo $_smarty_tpl->tpl_vars['i']->value;?>
" data-itr="<?php echo $_smarty_tpl->tpl_vars['i']->value;?>
" data-val="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->pelvis;?>
"  name="pelvis" data-colName="pelvis" select-tableName="examinationpelvis"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" >
                                                        <option value="">choose</option>
                                                        <?php  $_smarty_tpl->tpl_vars['data'] = new Smarty_Variable; $_smarty_tpl->tpl_vars['data']->_loop = false;
 $_from = $_smarty_tpl->tpl_vars['examinationpelvis']->value; if (!is_array($_from) && !is_object($_from)) { settype($_from, 'array');}
foreach ($_from as $_smarty_tpl->tpl_vars['data']->key => $_smarty_tpl->tpl_vars['data']->value){
$_smarty_tpl->tpl_vars['data']->_loop = true;
?>
                                                        <option value="<?php echo $_smarty_tpl->tpl_vars['data']->value->id;?>
" <?php ob_start();?><?php echo $_smarty_tpl->tpl_vars['data']->value->id;?>
<?php $_tmp7=ob_get_clean();?><?php ob_start();?><?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->pelvis;?>
<?php $_tmp8=ob_get_clean();?><?php if ($_tmp7==$_tmp8){?> selected <?php }?>><?php echo $_smarty_tpl->tpl_vars['data']->value->name;?>
 </option>
                                                        <?php } ?>

                                                        <option value="-2" class="deleteoptincompo">Delete</option>
                                                    </select>
                                                    <?php }?>
                                                    <label for="examinationpelvis<?php echo $_smarty_tpl->tpl_vars['i']->value;?>
">Neck us</label>
                                                </div>
                                            </div>


                                            <div class="col-md-2 wds20">
                                                <div class="form-group form-md-line-input form-md-floating-label has-info">
                                                    <?php if ($_smarty_tpl->tpl_vars['ProgramesettingData']->value->extremitis==1){?>
                                                    <input type="text" class="form-control updateElement "  name="extremitis" data-colName="extremitis"   data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" value="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->extremitis;?>
"  data-toggle="popover" data-trigger="hover" data-placement="bottom" data-content="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->extremitis;?>
" />
                                                    <?php }else{ ?>

                                                    <select class="form-control  updateElement  allupdateselect extremitis" id="examinationextremitis<?php echo $_smarty_tpl->tpl_vars['i']->value;?>
" data-itr="<?php echo $_smarty_tpl->tpl_vars['i']->value;?>
" data-val="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->extremitis;?>
"  name="extremitis" data-colName="extremitis" select-tableName="examinationextremitis"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination" >
                                                        <option value="">choose</option>
                                                        <?php  $_smarty_tpl->tpl_vars['data'] = new Smarty_Variable; $_smarty_tpl->tpl_vars['data']->_loop = false;
 $_from = $_smarty_tpl->tpl_vars['examinationextremitis']->value; if (!is_array($_from) && !is_object($_from)) { settype($_from, 'array');}
foreach ($_from as $_smarty_tpl->tpl_vars['data']->key => $_smarty_tpl->tpl_vars['data']->value){
$_smarty_tpl->tpl_vars['data']->_loop = true;
?>
                                                        <option value="<?php echo $_smarty_tpl->tpl_vars['data']->value->id;?>
" <?php ob_start();?><?php echo $_smarty_tpl->tpl_vars['data']->value->id;?>
<?php $_tmp9=ob_get_clean();?><?php ob_start();?><?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->extremitis;?>
<?php $_tmp10=ob_get_clean();?><?php if ($_tmp9==$_tmp10){?> selected <?php }?>><?php echo $_smarty_tpl->tpl_vars['data']->value->name;?>
 </option>
                                                        <?php } ?>

                                                        <option value="-2" class="deleteoptincompo">Delete</option>
                                                    </select>
                                                    <?php }?>
                                                    <label for="Extremitis">Extremities</label>
                                                </div>
                                            </div>



                                            <button type="button" class="btn btn-xs red fright deleteExamination axedelete"  data-id="<?php echo $_smarty_tpl->tpl_vars['myallexmination']->value->id;?>
" data-tableName="examination"><i class="fa fa-close"></i></button>

                                        </div>


                                    </div>
                                </div>
                                <?php $_smarty_tpl->_capture_stack[0][] = array('default', 'i', null); ob_start(); ?><?php echo $_smarty_tpl->tpl_vars['i']->value+1;?>
<?php list($_capture_buffer, $_capture_assign, $_capture_append) = array_pop($_smarty_tpl->_capture_stack[0]);
if (!empty($_capture_buffer)) {
 if (isset($_capture_assign)) $_smarty_tpl->assign($_capture_assign, ob_get_contents());
 if (isset( $_capture_append)) $_smarty_tpl->append( $_capture_append, ob_get_contents());
 Smarty::$_smarty_vars['capture'][$_capture_buffer]=ob_get_clean();
} else $_smarty_tpl->capture_error();?>
                                <?php } ?>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
<!-- END PAGE CONTENT-->

<!-- END CONTENT -->


<div class="bootbox modal fade bootbox-alert in" tabindex="-1" role="dialog" aria-hidden="false"  id="edit_model">
    <div class="modal-dialog">
        <div class="modal-content">
            <div class="modal-header">
                <button type="button" class="close" data-dismiss="modal" aria-hidden="true"></button>
                <h4 class="modal-title"> Edit </h4>
            </div>
            <div class="modal-body">
                <div class="portlet-body form">
                    <form action="" id="" method="post" class="form-horizontal  emptyform" >
                        <div class="form-body all" >
                            <!------===========================================------->
                            <div class="form-group">
                                <label class="col-md-1 control-label"> </label>
                                <div class="col-md-10">
                                    <div id="alldatadiv" class="" > </div>
                                </div>
                                <label class="col-md-1 control-label"> </label>
                            </div>

                            <!------===========================================------->

                            <!------===========================================------->
                            <div class="modal-footer">

                                <button type="button" id="amountcloseinput"   class="btn default" data-dismiss="modal">Close</button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
            <!-- /.modal-content -->
        </div>
    </div>
</div><?php }} ?>