<div class="modal fade" id="modal-report-inst" tabindex="-1" role="dialog" aria-labelledby="myExtraLargeModalLabel"
    aria-hidden="true">
    <div class="modal-dialog" style="max-width: 70rem; ">
        <div class="modal-content">


            <div class="modal-header" >
                <h5 class="modal-title" style="width: 100%;" id="specinsttitle">Add New 
                <!-- <marquee width="80%" direction="left" style="padding-top: 0px;color: red;font-size: 16px;">
                Before adding the new drug please save the consultant record if filled.
</marquee> -->
                </h5>
                <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>
            <div class="modal-body">
            <form>
                        <?php echo csrf_field(); ?>
                        <div class="row">
                        <input type="hidden" id="specinstaction" value="Save">
                        <input type="hidden" id="specinstid" />
                        <input type="hidden" id="specinstcmbid" />
        
                        
                            <div class="col-sm-4">
                                <div class="form-group">
                                    <label class="floating-label" for="Name">Type <span
                                            class="text-danger">*</span></label>
                                    <select class="form-control" id="SpecInstType" style="height:35px;">
                                        <option value="PlanOfMang">Plan Of Management</option>
                                        <option value="Remark">Remark</option>
                                        <option value="SurgeryNote">Surgery Notes</option>
                                        <option value="Instruction">Instruction</option>
                                    </select>
                                   
                                </div>
                            </div>

                            <div class="col-sm-8">
                                <div class="form-group">
                                    <label class="floating-label" for="Name">Name <span
                                            class="text-danger">*</span></label>
                                    <input type="text" class="form-control" id="SpecInstName" placeholder=""
                                        required="" style="height:35px;">
                                </div>
                            </div>

                            <div class="col-sm-12">
                                <div class="form-group">
                                    <label class="floating-label" for="Name">Details <span
                                            class="text-danger">*</span></label>
                                    <textarea class="form-control" id="SpecInstDetails" placeholder=""
                                        required=""></textarea>
                                </div>
                            </div>



                            <div class="col-sm-12">
                                <button class="btn btn-primary" type="button" id="specinstbtn" onclick="saveSpecInst()">Submit</button>
                                <button class="btn btn-danger" data-dismiss="modal">close</button>
                            </div>
                        </div>
                    </form>
                    <br>
                    <div class="table-responsive" id="specinstcustresult">

                    </div>
            </div>
            </div>
            </div>
            </div><?php /**PATH D:\Projects\Sidhha_Tech\st_projects\Laravel\deshmukh_hosp\resources\views/masters/incspecinstmodal.blade.php ENDPATH**/ ?>