
<div>
    {if $ProgramesettingData->displaydoctorname eq 1}
    <div class="row ltr" >
        <div class="col-md-1">
            <div class="form-group form-md-line-input form-md-floating-label has-info">
                <label class="control-label col-md-2 ">{$username}</label>
            </div>
        </div>
    </div>
    {/if}
    <div class="row ltr" >
        <div class="col-md-4">
            <div class="form-group">
                <!--<label class="control-label col-md-2 ls2">Operation</label>-->
                <select  class="form-control  surgicaloperation updateElement allupdateselect" data-val="" id="surgicaloperation{$itr}" data-itr="{$itr}"  name="surgicaloperation" data-colName="surgicaloperation" select-tableName="phpastsurgicaloperation" data-id="{$phpastsurgical_obj->id}" data-tableName="phpastsurgical" >
                    <option value="">choose</option>
                    {foreach  $allphpastsurgicaloperation as $myallphpastsurgicaloperation}
                    <option value="{$myallphpastsurgicaloperation->id}" >{$myallphpastsurgicaloperation->name} </option>
                    {/foreach}
                    <option value="-2" class="deleteoptincompo" >Delete</option>
                </select>
            </div>
        </div>

        <div class="col-md-1">
            <div class="form-group form-md-line-input form-md-floating-label has-info">
                <input type="text" class="form-control updateElement"  name="phsurgicalyear" data-colName="phsurgicalyear" placeholder="Year" data-colName = "phsurgicalyear" data-id="{$phpastsurgical_obj->id}" data-tableName="phpastsurgical" />
                <!--<label for="Year">Year</label>-->
            </div>
        </div>


        <div class="col-md-2">
            <div class="form-group form-md-line-input form-md-floating-label has-info">
                <input type="text" class="form-control updateElement"  name="phsurgicalsurgeon" data-colName="phsurgicalsurgeon" placeholder="Surgeon" data-colName = "phsurgicalsurgeon" data-id="{$phpastsurgical_obj->id}" data-tableName="phpastsurgical" />
                <!--<label for="surgeon">Surgeon</label>-->
            </div>
        </div>

        <div class="col-md-4">
            <div class="form-group form-md-line-input form-md-floating-label has-info">
                <div class="form-group form-md-line-input form-md-floating-label has-info">
                    <input type="text" class="amrpop form-control updateElement" name="surgicalnote" data-colName="surgicalnote" placeholder="Note" data-id="{$phpastsurgical_obj->id}" data-tableName="phpastsurgical"/>
                </div>
            </div>
        </div>


        <div class="col-md-1" style="padding-left: 3%;" >
            <div class="form-group form-md-line-input form-md-floating-label has-info">
                <input type="checkbox"   id="for_husband" value="1" class="updateElementCheck" 
                       data-id="{$phpastsurgical_obj->id}" data-tableName="phpastsurgical"  
                       data-colName="for_husband"   
                       {if $phpastsurgical_obj->for_husband  == 1 } checked {/if}>
                <button type="button" class="btn btn-xs red fright deleteElement delbtnsml" 
                        data-id="{$phpastsurgical_obj->id}" data-tableName="phpastsurgical">
                    <i class="fa fa-close"></i></button>
            </div>
        </div>

    </div>
</div>