
<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-1">
            <div class="form-group form-md-line-input form-md-floating-label has-info">
                <input type="text" class="form-control updateElement" placeholder="Menarche" name="menarche" data-colName="menarche"  data-id="{$phmenstrual_obj->id}" data-tableName="phmenstrual" />
                <!--<label for="menarche1">Menarche</label>-->
            </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" placeholder="Duration"  name="duration" data-colName="duration" data-id="{$phmenstrual_obj->id}" data-tableName="phmenstrual" />
                <!--<label for="duration1">Duration</label>-->
            </div>
        </div>
        <div class="col-md-1">
            <div class="form-group form-md-line-input form-md-floating-label has-info">
                <input type="text" class="form-control updateElement" placeholder="Length"  name="length" data-colName="length"  data-id="{$phmenstrual_obj->id}" data-tableName="phmenstrual" />
                <!--                <label for="length1">Length</label>-->
            </div>
        </div>

        <div class="col-md-2">
            <div class="form-group">
                <!--<label class="control-label col-md-2 ls2">Regularity</label>-->
                <select class="form-control updateElement phregularity allupdateselect" data-val="" id="phregularity{$itr}" data-itr="{$itr}" select-tableName="phregularity"  name="phregularity" data-colName="phregularity"  data-id="{$phmenstrual_obj->id}"  data-tableName="phmenstrual" >
                    <option value="">choose</option>
                    {foreach  $allphregualrity as $myallphregualrity}
                    <option value="{$myallphregualrity->id}">{$myallphregualrity->name} </option>
                    {/foreach}
                    <option value="-2" class="deleteoptincompo">Delete</option>
                </select>
            </div>
        </div>



        <div class="col-md-3">
            <div class="form-group">
                <!--<label class="control-label col-md-2 ls2">Amount</label>-->

                <select class="form-control  updateElement phamount allupdateselect" data-val="" id="phamount{$itr}" data-itr="{$itr}" select-tableName="phamount" name="phamount" data-colName="phamount"  data-id="{$phmenstrual_obj->id}" data-tableName="phmenstrual" >
                    <option value="">choose</option>
                    {foreach  $allphamount as $myallphamount}
                    <option value="{$myallphamount->id}">{$myallphamount->name} </option>
                    {/foreach}
                    <option value="-2" class="deleteoptincompo">Delete</option>
                </select>

            </div>
        </div>

        <div class="col-md-3 wds23">
            <div class="form-group">
                <!--<label class="control-label col-md-2 ls2">Dysmenorrhoea</label>-->

                <select class="form-control  updateElement phdysmenorrhoea allupdateselect" data-val="" id="phdysmenorrhoea{$itr}" data-itr="{$itr}"   name="phdysmenorrhoea" select-tableName="phdysmenorrhoea" data-colName="phdysmenorrhoea"  data-id="{$phmenstrual_obj->id}" data-tableName="phmenstrual" >
                    <option value="">choose</option>
                    {foreach  $allphdysmenorrhoea as $myallphdysmenorrhoea}
                    <option value="{$myallphdysmenorrhoea->id}">{$myallphdysmenorrhoea->name} </option>
                    {/foreach}
                    <option value="-2" class="deleteoptincompo">Delete</option>
                </select>

            </div>
        </div>




        <div class="col-md-1 wds10">
            <div class="form-group form-md-line-input form-md-floating-label has-info">
                <input type="text" class="form-control updateElement datepicker" placeholder="LMP"  name="phlMP" data-colName="phlMP"  data-id="{$phmenstrual_obj->id}" data-tableName="phmenstrual" value="{$phmenstrual_obj->phlMP}"/>
                <!--<label for="lMP1">LMP</label>-->
                <button type="button" class="btn btn-xs red fright deleteElement delbtnsml" data-id="{$phmenstrual_obj->id}" data-tableName="phmenstrual"><i class="fa fa-close"></i></button>
            </div>
        </div>




    </div>
</div>