<div class="modal fade" id="modal-report656" 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="drugtitle">Add New Drug 
                <!-- <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="drugaction" value="Save">
                            <input type="hidden"id="drugid" />
                        
                            <div class="col-sm-2">
                                <div class="form-group">
                                    <label class="floating-label" for="Phone">Type <span
                                            class="text-danger">*</span></label>
                                    <select class="form-control" id="DrugType" 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>
                                </div>
                            </div>

                            <div class="col-sm-4">
                                <div class="form-group">
                                    <label class="floating-label" for="Name">Drug Name <span
                                            class="text-danger">*</span></label>
                                    <input type="text" class="form-control" id="DrugName" placeholder=""
                                        required="" style="height:31px;">
                                </div>
                            </div>

                            <div class="col-sm-3">
                                <div class="form-group">
                                    <label class="floating-label" for="Name">Dose <span
                                            class="text-danger">*</span></label>
                                            <select class="form-control" id="DrugDose" 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>
                                </div>
                            </div>

                            <div class="col-sm-3">
                                <div class="form-group">
                                    <label class="floating-label" for="Name">Freq. <span
                                            class="text-danger">*</span></label>
                                            <select class="form-control" id="DrugFreq" 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>
                                </div>
                            </div>



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

                    </div>
            </div>
            </div>
            </div>
            </div><?php /**PATH /home/gssnagpu/public_html/hospsoft.in/parijathosp/resources/views/masters/incdrugmodal.blade.php ENDPATH**/ ?>