<fieldset>
    <legend>Treatment</legend>
    <div class="table-responsive" style="overflow-x:auto;">
        <table id="report-table" class="table table-bordered table-striped mb-0">
            <thead>
                <tr>
                    <th colspan="7" align="left" valign="top">

                        <input class="form-control" type="text" list="Treatments" name="Treatment" id="Treatment"
                            value="" onchange="getRecords(this.value)">
                        <datalist id="Treatments">
                        <?php $__currentLoopData = $treatments; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $treatmentdata): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
                        <option value="<?php echo e($treatmentdata->Treatment); ?>">
                        <?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
                       
                        </datalist>
                    </th>
                </tr>
                <tr>
                    <th width="20" align="center" valign="top">&nbsp;&nbsp;&nbsp;#&nbsp;&nbsp;&nbsp;</th>
                    <th width="50"> Type </th>
                    <th width="150"> Name </th>
                    <th width="50">Dose</th>
                    <th width="50">Freq.</th>
                    <th width="70">Duration</th>
                    <!-- <th width="30">Upto Date</th> -->
                    <th width="50">Eye </th>
                    <!-- <th width="50"> </th> -->
                </tr>
            </thead>
            <tbody id="showTreatments">
                <tr>
                    <td align="center" valign="top"><input class="form-check-input" type="checkbox" value="1"
                            id="TreatChk1" name="TreatChk1" style="height:31px;">
                    </td>
                    <td>
                        <select class="form-control"  name="TreatType1" id="TreatType1" style="height:31px;">

                            <option value="" selected>...</option>
                            <?php
        foreach($json_data['JsonData']['TreatType'] as $result) {?>
    <option value="<?php echo $result['Values']; ?>" >
    <?php echo e($result['Values']); ?></option>
    <?php } ?>
                        </select>
                       
                    </td>
                    <td>
                        <input class="form-control" type="text" name="TreatName1" list="Treat_Name1" id="TreatName1"
                            value="" style="height:31px;">
                        <datalist id="Treat_Name1">
                        
                        <?php $__currentLoopData = $drugList; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $drugdata): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
                        <option value="<?php echo e($drugdata->Name); ?>">
                        <?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
                       
                        </datalist>
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDose1" id="TreatDose1" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatDose'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                        
                    </td>
                    <td>
                    <select class="form-control"  name="TreatFreq1" id="TreatFreq1" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatFreq'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                      
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDur1" id="TreatDur1" style="height:31px;" onchange="getTreatDate(1,this.value)">

<option value="" selected>...</option>
<?php $__currentLoopData = $durationList; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $result): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
<option value="<?php echo e($result->Duration); ?>" >
<?php echo e($result->Duration); ?></option>
<?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
</select>
                       
                    </td>
                    <!-- <td><input class="form-control" type="date" name="TreatDate1" id="TreatDate1"
                            value="" style="height:31px;"></td> -->
                    <td>
                    <select class="form-control"  name="TreatEye1" id="TreatEye1" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatEye'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                       
                    </td>
                    <!-- <td></td> -->
                    <!-- <td><input type="checkbox" value="1" id="Tapchk1" name="Tapchk1" onclick="checkTap(<?php echo e(1); ?>)">&nbsp;<label for="Tapchk1">Tap</label></td> -->
                </tr>

                <tr>
                    <td align="center" valign="top"><input class="form-check-input" type="checkbox" value="1"
                            id="TreatChk2" name="TreatChk2" style="height:31px;">
                    </td>
                    <td>
                        <select class="form-control"  name="TreatType2" id="TreatType2" style="height:31px;">

                            <option value="" selected>...</option>
                            <?php
        foreach($json_data['JsonData']['TreatType'] as $result) {?>
    <option value="<?php echo $result['Values']; ?>" >
    <?php echo e($result['Values']); ?></option>
    <?php } ?>
                        </select>
                      
                    </td>
                    <td>
                        <input class="form-control" type="text" name="TreatName2" list="Treat_Name1" id="TreatName2"
                            value="" style="height:31px;">
                     
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDose2" id="TreatDose2" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatDose'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    
                    </td>
                    <td>
                    <select class="form-control"  name="TreatFreq2" id="TreatFreq2" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatFreq'] as $result) {?>
<option value="<?php echo $result['Values']; ?>">
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                      
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDur2" id="TreatDur2" style="height:31px;" 
                    onchange="getTreatDate(2,this.value)">

<option value="" selected>...</option>
<?php $__currentLoopData = $durationList; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $result): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
<option value="<?php echo e($result->Duration); ?>" >
<?php echo e($result->Duration); ?></option>
<?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
</select>
</td>
                    <!-- <td><input class="form-control" type="date" name="TreatDate2" id="TreatDate2"
                            value="" style="height:31px;"></td>-->
                    <td> 
                    <select class="form-control"  name="TreatEye2" id="TreatEye2" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatEye'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    </td>
                    <!-- <td><input type="checkbox" value="1" id="Tapchk2" name="Tapchk2" onclick="checkTap(<?php echo e(1); ?>,<?php echo e(2); ?>)">&nbsp;<label for="Tapchk2">Tap</label></td> -->
                </tr>

                <tr>
                    <td align="center" valign="top"><input class="form-check-input" type="checkbox" value="1"
                            id="TreatChk3" name="TreatChk3" style="height:31px;">
                    </td>
                    <td>
                        <select class="form-control"  name="TreatType3" id="TreatType3" style="height:31px;">

                            <option value="" selected>...</option>
                            <?php
        foreach($json_data['JsonData']['TreatType'] as $result) {?>
    <option value="<?php echo $result['Values']; ?>" >
    <?php echo e($result['Values']); ?></option>
    <?php } ?>
                        </select>
                      
                    </td>
                    <td>
                        <input class="form-control" type="text" name="TreatName3" list="Treat_Name1" id="TreatName3"
                            value="" style="height:31px;">
                     
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDose3" id="TreatDose3" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatDose'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    
                    </td>
                    <td>
                    <select class="form-control"  name="TreatFreq3" id="TreatFreq3" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatFreq'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                      
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDur3" id="TreatDur3" style="height:31px;" 
                    onchange="getTreatDate(3,this.value)">

<option value="" selected>...</option>
<?php $__currentLoopData = $durationList; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $result): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
<option value="<?php echo e($result->Duration); ?>" >
<?php echo e($result->Duration); ?></option>
<?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
</select>
                      
                    </td>
                    <!-- <td><input class="form-control" type="date" name="TreatDate3" id="TreatDate3"
                            value="" style="height:31px;"></td>-->
                    <td> 
                    <select class="form-control"  name="TreatEye3" id="TreatEye3" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatEye'] as $result) {?>
<option value="<?php echo $result['Values']; ?>">
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    </td>
                    <!-- <td><input type="checkbox" value="1" id="Tapchk3" name="Tapchk3" onclick="checkTap(<?php echo e(2); ?>,<?php echo e(3); ?>)">&nbsp;<label for="Tapchk3">Tap</label></td> -->
                </tr>

               
                <tr>
                    <td align="center" valign="top"><input class="form-check-input" type="checkbox" value="1"
                            id="TreatChk4" name="TreatChk4" style="height:31px;">
                    </td>
                    <td>
                        <select class="form-control"  name="TreatType4" id="TreatType4" style="height:31px;">

                            <option value="" selected>...</option>
                            <?php
        foreach($json_data['JsonData']['TreatType'] as $result) {?>
    <option value="<?php echo $result['Values']; ?>" >
    <?php echo e($result['Values']); ?></option>
    <?php } ?>
                        </select>
                      
                    </td>
                    <td>
                        <input class="form-control" type="text" name="TreatName4" list="Treat_Name1" id="TreatName4"
                            value="" style="height:31px;">
                     
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDose4" id="TreatDose4" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatDose'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    
                    </td>
                    <td>
                    <select class="form-control"  name="TreatFreq4" id="TreatFreq4" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatFreq'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                      
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDur4" id="TreatDur4" style="height:31px;" 
                    onchange="getTreatDate(4,this.value)">

<option value="" selected>...</option>
<?php $__currentLoopData = $durationList; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $result): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
<option value="<?php echo e($result->Duration); ?>" >
<?php echo e($result->Duration); ?></option>
<?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
</select>
                      
                    </td>
                    <!-- <td><input class="form-control" type="date" name="TreatDate4" id="TreatDate4"
                            value="" style="height:31px;"></td>-->
                    <td> 
                    <select class="form-control"  name="TreatEye4" id="TreatEye4" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatEye'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    </td>
                    <!-- <td><input type="checkbox" value="1" id="Tapchk4" name="Tapchk4" onclick="checkTap(<?php echo e(3); ?>,<?php echo e(4); ?>)">&nbsp;<label for="Tapchk4">Tap</label></td> -->
                </tr>

                <tr>
                    <td align="center" valign="top"><input class="form-check-input" type="checkbox" value="1"
                            id="TreatChk5" name="TreatChk5" style="height:31px;">
                    </td>
                    <td>
                        <select class="form-control"  name="TreatType5" id="TreatType5" style="height:31px;">

                            <option value="" selected>...</option>
                            <?php
        foreach($json_data['JsonData']['TreatType'] as $result) {?>
    <option value="<?php echo $result['Values']; ?>" >
    <?php echo e($result['Values']); ?></option>
    <?php } ?>
                        </select>
                      
                    </td>
                    <td>
                        <input class="form-control" type="text" name="TreatName5" list="Treat_Name1" id="TreatName5"
                            value="" style="height:31px;">
                     
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDose5" id="TreatDose5" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatDose'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    
                    </td>
                    <td>
                    <select class="form-control"  name="TreatFreq5" id="TreatFreq5" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatFreq'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                      
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDur5" id="TreatDur5" style="height:31px;" 
                    onchange="getTreatDate(5,this.value)">

<option value="" selected>...</option>
<?php $__currentLoopData = $durationList; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $result): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
<option value="<?php echo e($result->Duration); ?>" >
<?php echo e($result->Duration); ?></option>
<?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
</select>
                      
                    </td>
                    <!-- <td><input class="form-control" type="date" name="TreatDate5" id="TreatDate5"
                            value="" style="height:31px;"></td>-->
                    <td> 
                    <select class="form-control"  name="TreatEye5" id="TreatEye5" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatEye'] as $result) {?>
<option value="<?php echo $result['Values']; ?>">
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    </td>
                    <!-- <td><input type="checkbox" value="1" id="Tapchk5" name="Tapchk5" onclick="checkTap(<?php echo e(4); ?>,<?php echo e(5); ?>)">&nbsp;<label for="Tapchk5">Tap</label></td> -->
                </tr>

                <tr>
                    <td align="center" valign="top"><input class="form-check-input" type="checkbox" value="1"
                            id="TreatChk6" name="TreatChk6" style="height:31px;">
                    </td>
                    <td>
                        <select class="form-control"  name="TreatType6" id="TreatType6" style="height:31px;">

                            <option value="" selected>...</option>
                            <?php
        foreach($json_data['JsonData']['TreatType'] as $result) {?>
    <option value="<?php echo $result['Values']; ?>" >
    <?php echo e($result['Values']); ?></option>
    <?php } ?>
                        </select>
                      
                    </td>
                    <td>
                        <input class="form-control" type="text" name="TreatName6" list="Treat_Name1" id="TreatName6"
                            value="" style="height:31px;">
                     
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDose6" id="TreatDose6" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatDose'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    
                    </td>
                    <td>
                    <select class="form-control"  name="TreatFreq6" id="TreatFreq6" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatFreq'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                      
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDur6" id="TreatDur6" style="height:31px;" 
                    onchange="getTreatDate(6,this.value)">

<option value="" selected>...</option>
<?php $__currentLoopData = $durationList; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $result): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
<option value="<?php echo e($result->Duration); ?>" >
<?php echo e($result->Duration); ?></option>
<?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
</select>
                      
                    </td>
                    <!-- <td><input class="form-control" type="date" name="TreatDate6" id="TreatDate6"
                            value="" style="height:31px;"></td> -->
                    <td>
                    <select class="form-control"  name="TreatEye6" id="TreatEye6" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatEye'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    </td>
                    <!-- <td><input type="checkbox" value="1" id="Tapchk6" name="Tapchk6" onclick="checkTap(<?php echo e(5); ?>,<?php echo e(6); ?>)">&nbsp;<label for="Tapchk6">Tap</label></td> -->
                </tr>

                <tr>
                    <td align="center" valign="top"><input class="form-check-input" type="checkbox" value="1"
                            id="TreatChk7" name="TreatChk7" style="height:31px;">
                    </td>
                    <td>
                        <select class="form-control"  name="TreatType7" id="TreatType7" style="height:31px;">

                            <option value="" selected>...</option>
                            <?php
        foreach($json_data['JsonData']['TreatType'] as $result) {?>
    <option value="<?php echo $result['Values']; ?>" >
    <?php echo e($result['Values']); ?></option>
    <?php } ?>
                        </select>
                      
                    </td>
                    <td>
                        <input class="form-control" type="text" name="TreatName7" list="Treat_Name1" id="TreatName7"
                            value="" style="height:31px;">
                     
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDose7" id="TreatDose7" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatDose'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    
                    </td>
                    
                    <td>
                    <select class="form-control"  name="TreatFreq7" id="TreatFreq7" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatFreq'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                      
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDur7" id="TreatDur7" style="height:31px;" 
                    onchange="getTreatDate(7,this.value)">

<option value="" selected>...</option>
<?php $__currentLoopData = $durationList; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $result): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
<option value="<?php echo e($result->Duration); ?>" >
<?php echo e($result->Duration); ?></option>
<?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
</select>
                      
                    </td>
                    <!-- <td><input class="form-control" type="date" name="TreatDate7" id="TreatDate7"
                            value="" style="height:31px;"></td> -->
                    <td>
                    <select class="form-control"  name="TreatEye7" id="TreatEye7" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatEye'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    </td>
                    <!-- <td><input type="checkbox" value="1" id="Tapchk7" name="Tapchk7" onclick="checkTap(<?php echo e(6); ?>,<?php echo e(7); ?>)">&nbsp;<label for="Tapchk7">Tap</label></td> -->
                </tr>

                <tr>
                    <td align="center" valign="top"><input class="form-check-input" type="checkbox" value="1"
                            id="TreatChk8" name="TreatChk8" style="height:31px;">
                    </td>
                    <td>
                        <select class="form-control"  name="TreatType8" id="TreatType8" style="height:31px;">

                            <option value="" selected>...</option>
                            <?php
        foreach($json_data['JsonData']['TreatType'] as $result) {?>
    <option value="<?php echo $result['Values']; ?>" >
    <?php echo e($result['Values']); ?></option>
    <?php } ?>
                        </select>
                      
                    </td>
                    <td>
                        <input class="form-control" type="text" name="TreatName8" list="Treat_Name1" id="TreatName8"
                            value="" style="height:31px;">
                     
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDose8" id="TreatDose8" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatDose'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    
                    </td>
                    <td>
                    <select class="form-control"  name="TreatFreq8" id="TreatFreq8" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatFreq'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                      
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDur8" id="TreatDur8" style="height:31px;" 
                    onchange="getTreatDate(8,this.value)">

<option value="" selected>...</option>
<?php $__currentLoopData = $durationList; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $result): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
<option value="<?php echo e($result->Duration); ?>" >
<?php echo e($result->Duration); ?></option>
<?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
</select>
                      
                    </td>
                    <!-- <td><input class="form-control" type="date" name="TreatDate8" id="TreatDate8"
                            value="" style="height:31px;"></td>-->
                    <td> 
                    <select class="form-control"  name="TreatEye8" id="TreatEye8" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatEye'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    </td>
                    <!-- <td><input type="checkbox" value="1" id="Tapchk8" name="Tapchk8"  onclick="checkTap(<?php echo e(7); ?>,<?php echo e(8); ?>)">&nbsp;<label for="Tapchk8">Tap</label></td> -->
                </tr>

                <tr>
                    <td align="center" valign="top"><input class="form-check-input" type="checkbox" value="1"
                            id="TreatChk9" name="TreatChk9" style="height:31px;">
                    </td>
                    <td>
                        <select class="form-control"  name="TreatType9" id="TreatType9" style="height:31px;">

                            <option value="" selected>...</option>
                            <?php
        foreach($json_data['JsonData']['TreatType'] as $result) {?>
    <option value="<?php echo $result['Values']; ?>" >
    <?php echo e($result['Values']); ?></option>
    <?php } ?>
                        </select>
                      
                    </td>
                    <td>
                        <input class="form-control" type="text" name="TreatName9" list="Treat_Name1" id="TreatName9"
                            value="" style="height:31px;">
                     
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDose9" id="TreatDose9" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatDose'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    
                    </td>
                    <td>
                    <select class="form-control"  name="TreatFreq9" id="TreatFreq9" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatFreq'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                      
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDur9" id="TreatDur9" style="height:31px;" 
                    onchange="getTreatDate(9,this.value)">

<option value="" selected>...</option>
<?php $__currentLoopData = $durationList; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $result): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
<option value="<?php echo e($result->Duration); ?>" >
<?php echo e($result->Duration); ?></option>
<?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
</select>
                      
                    </td>
                    <!-- <td><input class="form-control" type="date" name="TreatDate9" id="TreatDate9"
                            value="" style="height:31px;"></td>-->
                    <td> 
                    <select class="form-control"  name="TreatEye9" id="TreatEye9" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatEye'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    </td>
                    <!-- <td><input type="checkbox" value="1" id="Tapchk9" name="Tapchk9" onclick="checkTap(<?php echo e(8); ?>,<?php echo e(9); ?>)">&nbsp;<label for="Tapchk9">Tap</label></td> -->
                </tr>

                <tr>
                    <td align="center" valign="top"><input class="form-check-input" type="checkbox" value="1"
                            id="TreatChk10" name="TreatChk10" style="height:31px;">
                    </td>
                    <td>
                        <select class="form-control"  name="TreatType10" id="TreatType10" style="height:31px;">

                            <option value="" selected>...</option>
                            <?php
        foreach($json_data['JsonData']['TreatType'] as $result) {?>
    <option value="<?php echo $result['Values']; ?>" >
    <?php echo e($result['Values']); ?></option>
    <?php } ?>
                        </select>
                      
                    </td>
                    <td>
                        <input class="form-control" type="text" name="TreatName10" list="Treat_Name1" id="TreatName10"
                            value="" style="height:31px;">
                     
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDose10" id="TreatDose10" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatDose'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    
                    </td>
                    <td>
                    <select class="form-control"  name="TreatFreq10" id="TreatFreq10" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatFreq'] as $result) {?>
<option value="<?php echo $result['Values']; ?>" >
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                      
                    </td>
                    <td>
                    <select class="form-control"  name="TreatDur10" id="TreatDur10" style="height:31px;" 
                    onchange="getTreatDate(10,this.value)">

<option value="" selected>...</option>
<?php $__currentLoopData = $durationList; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $result): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
<option value="<?php echo e($result->Duration); ?>" >
<?php echo e($result->Duration); ?></option>
<?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
</select>
                      
                    </td>
                    <!-- <td><input class="form-control" type="date" name="TreatDate10" id="TreatDate10"
                            value="" style="height:31px;"></td>-->
                    <td> 
                    <select class="form-control"  name="TreatEye10" id="TreatEye10" style="height:31px;">

<option value="" selected>...</option>
<?php
foreach($json_data['JsonData']['TreatEye'] as $result) {?>
<option value="<?php echo $result['Values']; ?>">
<?php echo e($result['Values']); ?></option>
<?php } ?>
</select>
                    </td>
                    <!-- <td><input type="checkbox" value="1" id="Tapchk10" name="Tapchk10" onclick="checkTap(<?php echo e(9); ?>,<?php echo e(10); ?>)">&nbsp;<label for="Tapchk10">Tap</label></td> -->
                </tr>

               
            </tbody>
        </table>
    </div>
</fieldset><?php /**PATH /home/gssnagpu/public_html/hospsoft.in/deshmukh_hosp/resources/views/ipd/inctreatments.blade.php ENDPATH**/ ?>