<script>
function validate(){

save_medicine();
}
</script>



<style>
#modal-add-medicine{
	overflow-y:scroll;
}
</style>

<div class="modal fade" id="model-checkup-parameter" role="dialog" aria-hidden="true">
	<form role="form" id="checkup_parameter_form" name="checkup_parameter_form" action="#" method="post">
		<div class="modal-dialog">
			<div class="modal-content">
				 <div class="widget-header">
					<h5 class="widget-title"> Checkup Parameter Form</h5>
						<div class="widget-toolbar">
							<div class="widget-menu">
							<a href="#" class="close"   data-action="close" data-dismiss="modal">
								<i class="ace-icon fa fa-times"></i>
							</a>
							
						</div>
					</div>
				</div>
				<div class="modal-body">
				        <div class="row">
						        <div class="form-group col-sm-12">
							     <label for="firm_code">Checkup Parameter Name</label>
						         <input type="text" class="form-control" name="checkup_parameter_name"
									id="checkup_parameter_name"  autofocus="autofocus"  value="" placeholder="Enter CheckUp Parameter Name" required/>
						       </div>
					       
						</div>
						<div class="row">
						        <div class="form-group col-sm-12">
							     <label for="firm_code">Select Section Name</label>
								 <select name="checkup_section_id" id="checkup_section_id"  class="form-control" >
									 <?php  echo generateOption('checkup_form_section','section_name','section_id','','');
									 ?>
								 </select>
<!-- 
						         <input type="text" class="form-control" name="checkup_section_name"
									id="checkup_section_name"  autofocus="autofocus"  value="" placeholder="Enter CheckUp Section Name" required/>
						        -->
								</div>
					       
						</div>
						<div class="row">
						        <div class="form-group col-sm-6">
							     <label for="firm_code">Starting Range</label>
						         <input type="number" class="form-control" name="checkup_starting_range"
									id="checkup_starting_range"  autofocus="autofocus"  value="" placeholder="Enter Starting Range" required/>
						       </div>
							   <div class="form-group col-sm-6">
							     <label for="firm_code">Ending Range</label>
						         <input type="number" class="form-control" name="checkup_ending_range"
									id="checkup_ending_range"  autofocus="autofocus"  value="" placeholder="Enter Ending Range" required/>
						       </div>
					       
						</div>
						<div class="row">
						        <div class="form-group col-sm-6">
							     <label for="firm_code">Less Risk</label>
						        <select multiple="" style="" class="chosen-select form-control" id="checkup_less_risk" name="checkup_less_risk[]" data-placeholder="" >
			                    <?php  echo generateOption('health_risk','health_risk_name','health_risk_id','',''); ?>
			                  </select>
						       </div>
							   <div class="form-group col-sm-6">
							     <label for="firm_code">More Risk</label>
						       <select multiple="" style="" class="chosen-select form-control" id="checkup_more_risk" name="checkup_more_risk[]" data-placeholder="" >
			                    <?php  echo generateOption('health_risk','health_risk_name','health_risk_id','',''); ?>
			                  </select>
						       </div>
					       
						</div>
						<div class="row">
			            <div class="col-sm-6">
			                <label class="control-label" for="health_advice_name">Less Advice</label>
			              <select multiple="" style="" class="chosen-select form-control" id="checkup_less_advice" name="checkup_less_advice[]" data-placeholder="" >
			               <?php  echo generateOption('health_advice','health_advice_name','health_advice_id','',''); ?>
			                  </select>
			            </div>
						<div class="col-sm-6">
			                <label class="control-label" for="health_advice_name">More Advice</label>
			              <select multiple="" style="" class="chosen-select form-control" id="checkup_more_advice" name="checkup_more_advice[]" data-placeholder="" >
			               <?php  echo generateOption('health_advice','health_advice_name','health_advice_id','',''); ?>
			                  </select>
			            </div>
			
		           </div>
						
						
				</div>
				<div class="widget-toolbox padding-8 clearfix" >
					<button type="button" class="btn btn-info btn-sm save_button" onclick="save_checkup_parameter();"><i class="ace-icon fa fa-floppy-o bigger-110"></i>Save	</button>
					<button type="button" class="btn btn-danger  btn-sm" data-dismiss="modal"><i class="ace-icon fa fa-times bigger-110"></i>Cancel</button>					
				</div>
					
			</div>
		</div>
	</form>
</div>