EVOLUTION-NINJA

Edit File: combined-spinal-view.php

<?php
    echo view('includes/header',$patient, $procs, $preo, $posto, $follo, $proccheck, $feedcheck, $ecocheck, $focus, $allcheck, $old_check, $old_check);

<br/>
<section class="combined-spinal-view">
    <div class="row">
        <div class="col-sm-10"><h3><b>Combined Spinal Epidural</b></h3></div>
        <div class="col-sm-2">
            
            <button type="button" class="btn-edit" data-toggle="modal" data-target="#edit-comb-spinal" style="margin:5px;">Edit</button>
        </div>
    </div>
    <div class="combined-spinal-cont">
        <div class="combined-spinal-table1">
            <div class="table-responsive">
                <table class="table">
                    <tbody>
                         <tr>
                            <td class="bg-pat2">Procedure Date and Time</td>
                            <td><?php echo 'Date : '.date("d-m-Y",strtotime($info['procedure_date'])).'   Time: '.$info['time']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">CNB Done by</td>
                            <td><?php echo $info['cnb2']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Supervision</td>
                            <td><?php echo $info['supervision']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Patient status During Neuraxial Block</td>
                            <td><?php echo $info['patient_status']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Patient Position</td>
                            <td><?php echo $info['patient_position']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2"><b>Asepsis</b></td>
                            <td></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Wearing cap and mask</td>
                            <td><?php echo $info['wearing_mask']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Hand washing</td>
                            <td><?php echo $info['hand_washing']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Sterile gown</td>
                            <td><?php echo $info['sterile_gown']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Sterile draping</td>
                            <td><?php echo $info['sterile_draping']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Skin Prep</td>
                            <td><?php echo $info['skin_prepartion']; ?></td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b>CSE Technique</b></h5>
            </div>
            <div class="card-body">
                <p><?php echo $info['cse_technique']; ?></p>
            </div>
        </div>
     
        <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b>Anatomical Landmark</b></h5>
            </div>
            <div class="card-body">
                <p><?php echo $info['anatomical_landmark']; ?></p>
            </div>
        </div>
        <h4 class="pt"><b>Vertebral Level</b></h4>
        <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b><?php echo $info['epidural_level_name']; ?></b></h5>
            </div>
            <div class="card-body">
                <p><?php echo $info['epidural_level']; ?></p>
            </div>
        </div>
        <h4 class="pt"><b>Ultra Sound</b></h4>
        <div class="combined-spinal-card2">
            <div class="card-header">
                <ul>
                    <li><b>Probe Cover</b></li>
                    <li><b>Image Quality</b></li>
                </ul>
            </div>
            <div class="card-body">
                <ul>
                    <li><span><?php echo $info['probe_cover']; ?></span></li>
                    <li><span><?php echo $info['image_quality']; ?></span></li>
                </ul>
            </div>
        </div>
       
        <div class="combined-spinal-card2">
            <div class="card-header">
                <ul>
                    <li><b>Needle Brand</b></li>
                    <li><b> Needle Type</b></li>
                    <li><b> Needle Size</b></li>
                </ul>
            </div>
            <div class="card-body">
                <ul><?php if($needle_other){
                        $xyz = $info['needle_brand'];
                        $xy = explode(' - ',$xyz);
                    ?>
                    <li><span>Other - <?php echo $xy[1] ; ?></span></li>
                    <?php }else{ ?>
                    <li><span><?php echo $info['needle_brand']; ?></span></li>
                    <?php }; ?>

<?php if($needle_type){
                        $x = $info['needle_type'];
                        $y = explode(' - ',$x);
                    ?>
                    <li><span>Other - <?php echo $y[1] ; ?></span></li>
                    <?php }else{ ?>
                    <li><span><?php echo $info['needle_type']; ?></span></li>
                    <?php }; ?>                                      
                   
                    <li><span><?php echo $info['needle_size']; ?></span></li>
                </ul>
            </div>
        </div>
        
        <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b>Epidural Technique</b></h5>
            </div>
            <div class="card-body">
                <p><?php echo $info['lor_saline']; ?> - <?php echo $info['lor_air']; ?> - <?php echo $info['hanging_drop']; ?> - <?php if($info['epidural_other'] != ''){ ?>Other - <?php echo $info['epidural_other']; ?> <?php } ?></p>
            </div>
        </div>
       
        <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b>Approach</b></h5>
            </div>
            <div class="card-body">
                <p><?php echo $info['approach']; ?></p>
            </div>
        </div>
       
        <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b>Number of Attempts</b></h5>
            </div>
            <div class="card-body">
                <p><?php echo $info['no_attempts']; ?></p>
            </div>
        </div>
      
        <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b>Epidural Depth(cm)</b></h5>
            </div>
            <div class="card-body">
                <p><?php echo $info['epidral_depth']; ?></p>
            </div>
        </div>

<div class="combined-spinal-card2">
            <div class="card-header">
                <ul>
                   
                    <li><b>Technique</b></li>
                </ul>
            </div>
            <div class="card-body">
                <ul>
                  
                    <li><span><?php echo $info['technique']; ?></span></li>
                </ul>
            </div>
        </div>
        
         <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b>Test Dose</b></h5>
            </div>
            <div class="card-body">
              <p><?php echo $info['test_dose']; ?></p>   
            </div>
        </div>
      
        <div class="combined-spinal-card2" style="display:none;">
            <div class="card-header">
                <ul>
                   
                    <li><b>Technique</b></li>
                    <li><b>Skin(cm)</b></li>
                </ul>
            </div>
            <div class="card-body">
                <ul>
                  
                    <li><span>Catheter</span></li>
                    <li><span>12</span></li>
                </ul>
            </div>
        </div>
       
       
        <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b>Intra Operative LA Regimen</b></h5>
            </div>
            <div class="card-body">
                <p><?php echo $info['la_regimen']; ?></p>	
            </div>
        </div>
        <h4 class="pt"><b>Total Intra Operative LA & Adjuvant Consumption</b></h4>
        <h5><b>Local Anaesthetic</b></h5>
        <div class="combined-spinal-table2">
            <div class="table-responsive">
                <table class="table">
                    <thead>
                        <tr>
                            <th>Solution</th>
                            <th>Dosage(%)</th>
                            <th>Dosage(ml)</th>
                            <th>Dosage(mg)</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr><?php 
                                $la_ropiva = $info['la_ropivacaine'];
                                $la_rop = explode(",",$la_ropiva);
                            ?>
                            <td>Ropivacaine - <?php echo $la_rop[0]; ?></td>
                            <td><?php echo $la_rop[1]; ?></td>
                            <td><?php echo $la_rop[2]; ?></td>
                            <td><?php echo $la_rop[3]; ?></td>
                        </tr>
                        <tr><?php 
                                $la_bupiva = $info['la_bupivacaine'];
                                $la_bupivaca = explode(",",$la_bupiva);
                            ?>
                            <td>Bupivacaine - <?php echo $la_bupivaca[0]; ?></td>
                            <td><?php echo $la_bupivaca[1]; ?></td>
                            <td><?php echo $la_bupivaca[2]; ?></td>
                            <td><?php echo $la_bupivaca[3]; ?></td>
                        </tr>
                        <tr><?php 
                                $la_levobupi = $info['la_levobupivacaine'];
                                $la_levobupiva = explode(",",$la_levobupi);
                            ?>
                            <td>Levobupivacaine  - <?php echo $la_levobupiva[0]; ?></td>
                            <td><?php echo $la_levobupiva[1]; ?></td>
                            <td><?php echo $la_levobupiva[2]; ?></td>
                            <td><?php echo $la_levobupiva[3]; ?></td>
                        </tr>
                        <tr><?php 
                                $la_ligno = $info['la_lignocaine'];
                                $la_lignoca = explode(",",$la_ligno);
                            ?>
                            <td>Lignocaine  - <?php echo $la_lignoca[0]; ?></td>
                            <td><?php echo $la_lignoca[1]; ?></td>
                            <td><?php echo $la_lignoca[2]; ?></td>
                            <td><?php echo $la_lignoca[3]; ?></td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <h4 class="pt"><b>Adjuvant</b></h4>
        <div class="combined-spinal-table1">
            <div class="table-responsive">
                <table class="table">
                    <tbody>
                        
                        <?php 
                            $op_name = $info['opioid_name'];
                            $op_name1 = explode(',',$op_name);
                            $op_dose = $info['opioid_dose'];
                            $op_dose1 = explode(',',$op_dose);

if($op_name1[0] != '' && $op_dose1[0] != ''){
                        ?>
                        <tr>
                            <td class="bg-pat2"  style="border:0;">Opioid</td>
                            <td style="border:0;">Yes</td>
                        </tr>
                        <?php  
                            foreach($op_name1 as $key=>$val){
                        ?>

<tr>
                            <td class="bg-pat2" style="border:0;">Opioid Name</td>
                            <td style="border:0;"><?php echo $val; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2" style="border:0;">Opioid Dose(microgram equivalent)</td>
                            <td style="border:0;"><?php echo $op_dose1[$key]; ?></td>
                        </tr>

<?php }}else{ ?>
                            <tr>
                                <td class="bg-pat2"  style="border:0;">Opioid</td>
                                <td style="border:0;">No</td>
                            </tr>
                        <?php } ?>
                       
                        <tr>
                            <td class="bg-pat2">Clonidne with Dose(mcgm)</td>
                            <td><?php echo $info['clonidina_dose']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Dexmeditomidine with Dose(mcgm)</td>
                            <td><?php echo $info['dexmeditomidine_dose']; ?></td>                            
                        </tr>
                        <tr>
                            <td class="bg-pat2">Dexamethasone with Dose(mg)</td>
                            <td><?php echo $info['dexamephasone_dose']; ?></td>                            
                        </tr>
                        <tr>
                            <td class="bg-pat2">Tramadol with Dose(mg)</td>
                            <td><?php echo $info['trmadol_dose']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Ketamine with Dose(mg)</td>
                            <td><?php echo $info['kepamine_dose']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Midazolam with Dose(mg)</td>
                            <td><?php echo $info['midazolam_dose']; ?></td>
                        </tr>
                       
                        
                        <?php
							
                            $aj_other = $info['aj_epidural_other'];
                            $aj_epidural_other = json_decode($aj_other, true);
                            if($aj_epidural_other[0]['name'] != ''){

?>
                        <tr>
                            <td class="bg-pat2">Other</td>
                            <td id="inner_field">Yes</td>
                        </tr>

<?php
                            
                            foreach($aj_epidural_other as $key=>$val){	
                           																 
						?>
                        <tr class="aj_hide_show" style="display:none;">
                            <td class="bg-pat2" style="border:0;">Adjuvant Name</td>
                            <td style="border:0;"><?php echo $val['name']; ?></td>
                        </tr>
                        <tr class="aj_hide_show" style="display:none;">
                            <td class="bg-pat2" style="border:0;">Adjuvant Dose(mg)</td>
                            <td style="border:0;"><?php echo $val['dose']; ?></td>
                        </tr>
                        <?php
                            }}else{
                        ?>
                        <tr>
                            <td class="bg-pat2">Other</td>
                            <td id="inner_field">Yes</td>
                        </tr>
                        <?php } ?>
                       
                    </tbody>
                </table>
            </div>
        </div>
        <h4 class="pt"><b>Spinal section of CSE</b></h4>
       
        <h4 class="pt"><b>Spinal Level</b></h4>
        <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b>Lumbar</b></h5>
            </div>
            <div class="card-body">
                <p><?php echo $info['spinal_level']; ?></p>
            </div>
        </div>
       
        <div class="combined-spinal-card2">
            <div class="card-header">
                <ul>
                    <li><b>Spinal Needle Brand</b></li>
                    <li><b>Spinal Needle Type</b></li>
                    <li><b>Spinal Needle Size</b></li>
                </ul>
            </div>           
            
            <div class="card-body">
                <ul> 
                    <?php if($spinal_nb){
                        $xyz = $info['spinal_needle_brand'];
                        $xy = explode(' - ',$xyz);
                    ?>
                    <li><span><?php echo $xy[1] ; ?></span></li>
                    <?php }else{ ?>
                    <li><span><?php echo $info['spinal_needle_brand']; ?></span></li>
                    <?php }; ?>

<?php if($spinal_nt){
                        $x = $info['spinal_needle_type'];
                        $y = explode(' - ',$x);
                    ?>
                    <li><span><?php echo $y[1] ; ?></span></li>
                    <?php }else{ ?>
                    <li><span><?php echo $info['spinal_needle_type']; ?></span></li>
                    <?php }; ?> 
                    <li><span><?php echo $info['spinal_needle_size']; ?></span></li>
                </ul>
            </div>
        </div>
       
        <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b>Approach</b></h5>
            </div>
            <div class="card-body">
                <p><?php echo $info['spinal_approach']; ?></p>
            </div>
        </div>
       
        <div class="combined-spinal-card2">
            <div class="card-header">
                <h5><b>Number of Attempts</b></h5>
            </div>
            <div class="card-body">
                <p><?php echo $info['spinal_no_attempts']; ?></p>
            </div>
        </div>
        <h4 class="pt"><b>Spinal local Anaesthetic</b></h4>
        <div class="combined-spinal-table2">
            <div class="table-responsive">
                <table class="table">
                    <thead>
                        <tr>
                            <th>Solution</th>
                            <th>Dosage(%)</th>
                            <th>Dosage(ml)</th>
                            <th>Dosage(mg)</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr><?php 
                                $spinal_lig = $info['spinal_lignocaine_an'];
                                $spinal_lignoca = explode(",",$spinal_lig);
                            ?>
                            <td>Lignocaine  - <?php echo $spinal_lignoca[0]; ?></td>
                            <td><?php echo $spinal_lignoca[1]; ?></td>
                            <td><?php echo $spinal_lignoca[2]; ?></td>
                            <td><?php echo $spinal_lignoca[3]; ?></td>
                        </tr>
                        <tr><?php 
                                $spinal_bupi= $info['spinal_bupivacaine_an'];
                                $spinal_bupivaca = explode(",",$spinal_bupi);
                            ?>
                            <td>Bupivacaine Plain  - <?php echo $spinal_bupivaca[0]; ?></td>
                            <td><?php echo $spinal_bupivaca[1]; ?></td>
                            <td><?php echo $spinal_bupivaca[2]; ?></td>
                            <td><?php echo $spinal_bupivaca[3]; ?></td>
                        </tr>
                        <tr><?php 
                                $spinal_ropi= $info['spinal_ropivacaine_an'];
                                $spinal_ropivaca = explode(",",$spinal_ropi);
                            ?>
                            <td>Ropivacaine  - <?php echo $spinal_ropivaca[0]; ?></td>
                            <td><?php echo $spinal_ropivaca[1]; ?></td>
                            <td><?php echo $spinal_ropivaca[2]; ?></td>
                            <td><?php echo $spinal_ropivaca[3]; ?></td>
                        </tr>
                        <tr><?php 
                                $spinal_pri= $info['spinal_prilocaine_an'];
                                $spinal_priloca = explode(",",$spinal_pri);
                            ?>
                            <td>Prilocaine  - <?php echo $spinal_priloca[0]; ?></td>
                            <td><?php echo $spinal_priloca[1]; ?></td>
                            <td><?php echo $spinal_priloca[2]; ?></td>
                            <td><?php echo $spinal_priloca[3]; ?></td>
                        </tr>
                        <tr><?php 
                                $spinal_2chlo= $info['spinal_2chloroprocaine_an'];
                                $spinal_2chlorop = explode(",",$spinal_2chlo);
                            ?>
                            <td>2-chloroprocaine  - <?php echo $spinal_2chlorop[0]; ?></td>
                            <td><?php echo $spinal_2chlorop[1]; ?></td>
                            <td><?php echo $spinal_2chlorop[2]; ?></td>
                            <td><?php echo $spinal_2chlorop[3]; ?></td>
                        </tr>
                        <tr>
                            <td>Other</td>
                            <td></td>
                            <td></td>
                            <td></td>
                        </tr>                        
                        <tr><?php 
                                $other_spi= $info['other_spinal_an'];
                                $other_spinal = explode(",",$other_spi);
                                if( $other_spinal[0] != ''){
                            ?>                     
                                <td style="border:0;"><?php echo $other_spinal[0]; ?> - <?php echo $other_spinal[1]; ?></td>
                                <td style="border:0;"><?php echo $other_spinal[2]; ?></td>
                                <td style="border:0;"><?php echo $other_spinal[3]; ?></td>
                                <td style="border:0;"><?php echo $other_spinal[4]; ?></td>
                            <?php } else{ ?>
                                <td><b>NO</b></td>
                                <td></td>
                                <td></td>
                                <td></td>
                            <?php } ?>

</tr>
                    </tbody>
                </table>
            </div>
        </div>
        <h4 class="pt"><b>Adjuvant</b></h4>
        <div class="combined-spinal-table1">
            <div class="table-responsive">
                <table class="table">
                    <tbody>
                        
                        <?php
							
                            $aj_spinal_op = $info['aj_spinal_opioid'];
                            $aj_spinal_opioid = json_decode($aj_spinal_op, true);

if($aj_spinal_opioid[0]['name'] != ''){
                        ?>
                        <tr>
                            <td class="bg-pat2"  style="border:0;">Opioid</td>
                            <td style="border:0;">Yes</td>
                        </tr>
                        <?php
                            
                            foreach($aj_spinal_opioid as $key=>$val){	
                           																 
						?>
                        <tr>
                            <td class="bg-pat2" style="border:0;">Opioid Name</td>
                            <td style="border:0;"><?php echo $val['name']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2" style="border:0;">Opioid Dose(microgram equivalent)</td>
                            <td style="border:0;"><?php echo $val['dose']; ?></td>
                        </tr>
                        <?php
                            }}else{
                        ?>
                        <tr>
                            <td class="bg-pat2"  style="border:0;">Opioid</td>
                            <td style="border:0;">No</td>
                        </tr>
                        <?php } ?>
                        <tr>
                            <td class="bg-pat2">Clonidne with Dose(mcgm)</td>
                            <td><?php echo $info['aj_spinal_clonidne']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Dexmeditomidine with Dose(mcgm)</td>
                            <td><?php echo $info['aj_spinal_dexmeditomidine']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Dexamethasone with Dose(mg)</td>
                            <td><?php echo $info['aj_spinal_dexamethasone']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Tramadol with Dose(mg)</td>
                            <td><?php echo $info['aj_spinal_tramadol']; ?></td>
                        </tr>
                         <tr>
                            <td class="bg-pat2">Ketamine with Dose(mg)</td>
                            <td><?php echo $info['kepamine_dose']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Midazolam with Dose(mg)</td>
                            <td><?php echo $info['midazolam_dose']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Adrenaline(Epinephrine)(mcmg)</td>
                            <td><?php echo $info['aj_spinal_adrenaline']; ?></td>
                        </tr>
                        
                        
                        <?php
							
                            $aj_spinal_ot = $info['aj_spinal_other'];
                            $aj_spinal_other = json_decode($aj_spinal_ot, true);
                            if($aj_spinal_other[0]['name'] != ''){
                        ?>
                        <tr>
                            <td class="bg-pat2">Other</td>
                            <td>Yes</td>
                        </tr>
                        <?php
                            
                            foreach($aj_spinal_other as $key=>$val){	
                           																 
						?>
                        <tr>
                            <td class="bg-pat2" style="border:0;">Adjuvant Name</td>
                            <td style="border:0;"><?php echo $val['name']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2" style="border:0;">Adjuvant Dose(mg)</td>
                            <td style="border:0;"><?php echo $val['dose']; ?></td>
                        </tr>
                        <?php
                            }}else{
                        ?>
                        <tr>
                            <td class="bg-pat2">Other</td>
                            <td>No</td>
                        </tr>
                        <?php } ?>
                    </tbody>
                </table>
            </div>
        </div>
        <h4 class="pt"><b>Analgesia supplementation required</b></h4>
        <div class="combined-spinal-table1">
            <div class="table-responsive">
                <table class="table">
                    <tbody>
                        <tr>
                            <td class="bg-pat2">Inhalation Analgesia</td>
                            <td><?php echo $info['in_analgesia']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">IV analgesia</td>
                            <td><?php echo $info['asr_iv_analgesia']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Opioids</td>
                            <td><?php echo $info['asr_opioids']; ?></td>
                        </tr>
                        <?php if($info['asr_opioids'] == 'Yes'){ ?>
                        <?php
							
                            $asr_opioids_nd = $info['asr_opioids_name_dose'];
                            $asr_opioids_name_dose = json_decode($asr_opioids_nd, true);
                            
                            foreach($asr_opioids_name_dose as $key=>$val){	
                           																 
						?>
                        <tr>
                            <td class="bg-pat2" style="border:0;">Opioid Name</td>
                            <td style="border:0;"><?php echo $val['name']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2" style="border:0;">Opioid Dose(microgram equivalent)</td>
                            <td style="border:0;"><?php echo $val['dose']; ?></td>
                        </tr>
                        <?php
                            }}
                        ?>
                        <tr>
                            <td class="bg-pat2">Paracetamol / Anti-Inflammatories</td>
                            <td><?php echo $info['asr_multi_modal']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Ketamine</td>
                            <td><?php echo $info['asr_ketamine']; ?></td>
                        </tr>
                        
                        <tr>
                            <td class="bg-pat2"  style="border:0;">Other IV adjuncts</td>
                            <td style="border:0;"><?php echo $info['asr_other']; ?></td>
                        </tr>

<?php
							if($info['asr_other'] == 'Yes'){
                            $asr_other_iv = $info['asr_other_iv_aj'];
                            $asr_other_iv_aj = json_decode($asr_other_iv, true);
                            
                            foreach($asr_other_iv_aj as $key=>$val){	
                           																 
						?>
                        <tr>
                            <td class="bg-pat2" style="border:0;">Adjuvant Name</td>
                            <td style="border:0;"><?php echo $val['name']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2" style="border:0;">Adjuvant Dose(mg)</td>
                            <td style="border:0;"><?php echo $val['dose']; ?></td>
                        </tr>
                        <?php
                            }}
                        ?>
                    </tbody>
                </table>
            </div>
        </div>
        <h4 class="pt"><b>Technical Complications</b></h4>
        <div class="combined-spinal-table1">
            <div class="table-responsive">
                <table class="table">
                    <tbody>
                        
                          <tr>
                            <td class="bg-pat2">Failure of Spinal component</td>
                            <td><?php echo $info['failure_spinal_compo']; ?></td>
                        </tr>                       
                        <tr>
                            <td class="bg-pat2">Equipment Related</td>
                            <td><?php echo $info['tc_equipment']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Multiple attempts</td>
                            <td><?php echo $info['tc_multiple_attempts']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">2nd Anaesthetist</td>
                            <td><?php echo $info['tc_2nd_anaesthetist']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Technique abandoned/failure to find sapce</td>
                            <td><?php echo $info['tc_failure_space']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Catheter related</td>
                            <td><?php echo $info['tc_catheter_related']; ?></td>
                        </tr>
                        <tr><?php if($t_other){ ?>
                            
                            <td class="bg-pat2">Other</td>
                         <?php }else{ ?>
                            <td class="bg-pat2">Other - <?php echo $info['tc_other_input']; ?></td>
                            <?php }; ?>
                            <td><?php echo $info['tc_other']; ?></td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <h4 class="pt"><b>Acute Complications</b></h4>
        <div class="combined-spinal-table1">
            <div class="table-responsive">
                <table class="table">
                    <tbody>
                        
                        <tr>
                            <td class="bg-pat2">Epidural re-sited</td>
                            <td><?php echo $info['ac_epidural_resited']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Local Anaesthetic systemic toxicity(LAST)</td>
                            <td><?php echo $info['ac_local_anaesthetic']; ?></td>
                        </tr>
                  
                        <tr>
                            <td class="bg-pat2">Radicular Pain (needle/catheter)</td>
                            <td><?php echo $info['ac_radicular_pain']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Paresthesia (needle/catheter)</td>
                            <td><?php echo $info['ac_paresthesia_pain']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Bloody Tap ( needle/catheter)</td>
                            <td><?php echo $info['ac_bloody_tap']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Intrathecal migration of epidural catheter</td>
                            <td><?php echo $info['ac_intrathecal_epi_catheter']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Hypotension</td>
                            <td><?php echo $info['ac_hypotension']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Nausea</td>
                            <td><?php echo $info['ac_nausea']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Vomiting</td>
                            <td><?php echo $info['ac_vomiting']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">High Block</td>
                            <td><?php echo $info['ac_high_block']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Subdural Block</td>
                            <td><?php echo $info['ac_subdural_block']; ?></td>
                        </tr>
                   
                        <tr>
                            <td class="bg-pat2">Total Spinal</td>
                            <td><?php echo $info['ac_tatal_spinal']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Respiratory Arrest</td>
                            <td><?php echo $info['ac_respiratory_arrest']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Cardiac Arrest</td>
                            <td><?php echo $info['ac_cardiac_arrest']; ?></td>
                        </tr>
                        <tr><?php if($a_complication) {?>
                            <td class="bg-pat2">Other</td>
                            <?php }else{ ?>
                            <td class="bg-pat2">Other - <?php echo $info['ac_other_input']; ?></td>
                            <?php }; ?>
                            <td><?php echo $info['ac_other']; ?></td>                            
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <h4 class="pt"><b>Success</b></h4>
        <div class="combined-spinal-table1">
            <div class="table-responsive">
                <table class="table">
                    <tbody>
                        
                        
                            <?php if(($success_status[0]) == 'Partial Success'){ ?>
                                
                                <tr>
                                    <td class="bg-pat2">Partial Success</td>
                                    <td>Yes</td>
                                </tr>
                                <tr>
                                    <td class="bg-pat2" style="border:0;">Onset</td>
                                    <td style="border:0;" ><?php echo $info['success_onset']; ?></td>
                                </tr>
                                
                            <?php }elseif(($success_status[0]) == 'Complete Success'){ ?>
                                <tr>
                                    <td class="bg-pat2">Complete Success</td>
                                    <td>Yes</td>
                                </tr>
                                <tr>
                                    <td class="bg-pat2" style="border:0;">Onset</td>
                                    <td style="border:0;" ><?php echo $info['success_onset']; ?></td>
                                </tr>
                            <?php }else{ ?>
                                <tr>
                                    <td class="bg-pat2">Failure</td>
                                    <td>Yes</td>
                                </tr>    
                            <?php }; ?>
                        
                       
                    </tbody>
                </table>
            </div>
        </div>
        <h4 class="pt"><b>Sensory Level</b></h4>
        
        <div class="body-img">
            <div class="row">
                <div class="col-sm-4">
                   
                    
                    <div class="t-1">
                        <h5><b>Cold</b></h5>
                        <div class="table-responsive">
                            <table class="table table-bordered">
                                <thead>
                                    <tr>
                                        <th></th>
                                        <th>L</th>
                                        <th>R</th>
                                    </tr>
                                </thead>
                                <tbody>
                                    <tr>
                                        <td style="width:50%;">Higher Sensory Level</td>
                                        <?php if( $info['sl_cold_l'] == '' ) { ?>
                                            <td><p>   - </p></td>
                                        <?php } else{ 
                                            $a = $info['sl_cold_l'];
                                            $xa = explode(',',$a);
                                            $high_sub = explode('-',$xa[0]);                                            
                                            ?>
                                            <td style="color:red;"><p> <?php echo $high_sub[2]; ?></p></td>                                            
                                        <?php } ?>

<?php if( $info['sl_cold_r'] == '' ) { ?>
                                            <td><p>   - </p></td>
                                        <?php } else{ 
                                            $a = $info['sl_cold_r'];
                                            $xa = explode(',',$a);
                                            $high_sub = explode('-',$xa[0]);                                            
                                            ?>
                                            <td style="color:red;"><p> <?php echo $high_sub[2]; ?></p></td>                                            
                                        <?php } ?>  
                                       
                                    </tr>
                                    <tr>
                                        <td style="width:50%;">Low Sensory Level</td>
                                        
                                        <?php if( $info['sl_cold_l'] == '' ) { ?>
                                            <td><p>   - </p></td>
                                        <?php } else{ 
                                            $a = $info['sl_cold_l'];
                                            $xa = explode(',',$a);
                                            $high_sub = explode('-',$xa[0]); 
                                            $low_sub = explode('-',$xa[2]);                                           
                                            ?>
                                            <td style="color:red;"><p> <?php echo $low_sub[2]; ?></p></td>                                            
                                        <?php } ?>

<?php if( $info['sl_cold_r'] == '' ) { ?>
                                            <td><p>   - </p></td>
                                        <?php } else{ 
                                            $a = $info['sl_cold_r'];
                                            $xa = explode(',',$a);
                                            $high_sub = explode('-',$xa[0]); 
                                            $low_sub = explode('-',$xa[2]);                                           
                                            ?>
                                            <td style="color:red;"><p> <?php echo $low_sub[2]; ?></p></td>                                            
                                        <?php } ?>  
                                    </tr>
                                </tbody>
                            </table>
                        </div>
                    </div>
                    <div class="t-1">
                        <h5><b>Touch</b></h5>
                        <div class="table-responsive">
                            <table class="table table-bordered">
                                <thead>
                                    <tr>
                                        <th></th>
                                        <th>L</th>
                                        <th>R</th>
                                    </tr>
                                </thead>
                                <tbody>
                                    <tr>
                                        <td style="width:50%;">Higher Sensory Level</td>
                                        <?php if( $info['sl_touch_l'] == '' ) { ?>
                                            <td><p>   - </p></td>
                                        <?php } else{ 
                                            $a = $info['sl_touch_l'];
                                            $xa = explode(',',$a);
                                            $high_sub = explode('-',$xa[0]);                                            
                                            ?>
                                            <td style="color:red;"><p> <?php echo $high_sub[2]; ?></p></td>                                            
                                        <?php } ?>

<?php if( $info['sl_touch_r'] == '' ) { ?>
                                            <td><p>   - </p></td>
                                        <?php } else{ 
                                            $a = $info['sl_touch_r'];
                                            $xa = explode(',',$a);
                                            $high_sub = explode('-',$xa[0]);                                            
                                            ?>
                                            <td style="color:red;"><p> <?php echo $high_sub[2]; ?></p></td>                                            
                                        <?php } ?> 
                                       
                                    </tr>
                                    <tr>
                                       
                                        <td style="width:50%;">Low Sensory Level</td>
                                      
                                        <?php if( $info['sl_touch_l'] == '' ) { ?>
                                            <td><p>   - </p></td>
                                        <?php } else{ 
                                            $a = $info['sl_touch_l'];
                                            $xa = explode(',',$a);
                                            $high_sub = explode('-',$xa[0]); 
                                            $low_sub = explode('-',$xa[2]);                                           
                                            ?>
                                            <td style="color:red;"><p> <?php echo $low_sub[2]; ?></p></td>                                            
                                        <?php } ?>

<?php if( $info['sl_touch_r'] == '' ) { ?>
                                            <td><p>   - </p></td>
                                        <?php } else{ 
                                            $a = $info['sl_touch_r'];
                                            $xa = explode(',',$a);
                                            $high_sub = explode('-',$xa[0]);  
                                            $low_sub = explode('-',$xa[2]);                                           
                                            ?>
                                            <td style="color:red;"><p> <?php echo $low_sub[2]; ?></p></td>                                            
                                        <?php } ?>  
                                    </tr>
                                </tbody>
                            </table>
                        </div>
                    </div>
                    <div class="t-1">
                        <h5><b>Pin Prick</b></h5>
                        <div class="table-responsive">
                            <table class="table table-bordered">
                                <thead>
                                    <tr>
                                        <th></th>
                                        <th>L</th>
                                        <th>R</th>
                                    </tr>
                                </thead>
                                <tbody>
                                    <tr>
                                        <td style="width:50%;">Higher Sensory Level</td>
                                        <?php if( $info['sl_pinpriek_l'] == '' ) { ?>
                                            <td><p>   - </p></td>
                                        <?php } else{ 
                                            $a = $info['sl_pinpriek_l'];
                                            $xa = explode(',',$a);
                                            $high_sub = explode('-',$xa[0]);                                            
                                            ?>
                                            <td style="color:red;"><p> <?php echo $high_sub[2]; ?></p></td>                                            
                                        <?php } ?>

<?php if( $info['sl_pinpriek_r'] == '' ) { ?>
                                            <td><p>   - </p></td>
                                        <?php } else{ 
                                            $a = $info['sl_pinpriek_r'];
                                            $xa = explode(',',$a);
                                            $high_sub = explode('-',$xa[0]);      
                                            $low_sub = explode('-',$xa[2]);                                           
                                            ?>
                                            <td style="color:red;"><p> <?php echo $low_sub[2]; ?></p></td>                                            
                                        <?php } ?>  
                                    </tr>
                                </tbody>
                            </table>
                        </div>
                    </div>
                </div>
                <div class="col-sm-4">
                    <div class="sensor-table">
                        <div class="table-responsive">
                        <table class="table table-bordered">
                            <thead>
                                <tr>
                                    <th></th>
                                    <th colspan="2">Cold</th>
                                    <th colspan="2">Touch</th>
                                    <th colspan="2">Pin Prick</th>
                                </tr>
                                <tr>
                                    <th></th>
                                    <th>L</th>
                                    <th>R</th>
                                    <th>L</th>
                                    <th>R</th>
                                    <th>L</th>
                                    <th>R</th>
                                </tr>
                            </thead>
                            <tbody>
                                <tr>
                                    <td>C2</td>
                                    <td id="cold-L-c2"></td>
                                    <td id="cold-R-c2"></td>
                                    <td id="Touch-L-c2"></td>
                                    <td id="Touch-R-c2"></td>
                                    <td id="pinprick-L-c2"></td>
                                    <td id="pinprick-R-c2"></td>
                                </tr>
                                <tr>
                                    <td>C3</td>
                                    <td id="cold-L-c3"></td>
                                    <td id="cold-R-c3"></td>
                                    <td id="Touch-L-c3"></td>
                                    <td id="Touch-R-c3"></td>
                                    <td id="pinprick-L-c3"></td>
                                    <td id="pinprick-R-c3"></td>
                                </tr>
                                <tr>
                                    <td>C4</td>
                                    <td id="cold-L-c4"></td>
                                    <td id="cold-R-c4"></td>
                                    <td id="Touch-L-c4"></td>
                                    <td id="Touch-R-c4"></td>
                                    <td id="pinprick-L-c4"></td>
                                    <td id="pinprick-R-c4"></td>
                                </tr>
                                <tr>
                                    <td>C5</td>
                                    <td id="cold-L-c5"></td>
                                    <td id="cold-R-c5"></td>
                                    <td id="Touch-L-c5"></td>
                                    <td id="Touch-R-c5"></td>
                                    <td id="pinprick-L-c5"></td>
                                    <td id="pinprick-R-c5"></td>
                                </tr>
                                <tr>
                                    <td>C6</td>
                                    <td id="cold-L-c6"></td>
                                    <td id="cold-R-c6"></td>
                                    <td id="Touch-L-c6"></td>
                                    <td id="Touch-R-c6"></td>
                                    <td id="pinprick-L-c6"></td>
                                    <td id="pinprick-R-c6"></td>
                                </tr>
                                <tr>
                                    <td>C7</td>
                                    <td id="cold-L-c7"></td>
                                    <td id="cold-R-c7"></td>
                                    <td id="Touch-L-c7"></td>
                                    <td id="Touch-R-c7"></td>
                                    <td id="pinprick-L-c7"></td>
                                    <td id="pinprick-R-c7"></td>
                                </tr>
                                <tr>
                                    <td>C8</td>
                                    <td id="cold-L-c8"></td>
                                    <td id="cold-R-c8"></td>
                                    <td id="Touch-L-c8"></td>
                                    <td id="Touch-R-c8"></td>
                                    <td id="pinprick-L-c8"></td>
                                    <td id="pinprick-R-c8"></td>
                                </tr>
                                
                                <tr>
                                    <td>T1</td>
                                    <td id="cold-L-t1"></td>
                                    <td id="cold-R-t1"></td>
                                    <td id="Touch-L-t1"></td>
                                    <td id="Touch-R-t1"></td>
                                    <td id="pinprick-L-t1"></td>
                                    <td id="pinprick-R-t1"></td>
                                </tr>
                                <tr>
                                    <td>T2</td>
                                    <td id="cold-L-t2"></td>
                                    <td id="cold-R-t2"></td>
                                    <td id="Touch-L-t2"></td>
                                    <td id="Touch-R-t2"></td>
                                    <td id="pinprick-L-t2"></td>
                                    <td id="pinprick-R-t2"></td>
                                </tr>
                                <tr>
                                    <td>T3</td>
                                    <td id="cold-L-t3"></td>
                                    <td id="cold-R-t3"></td>
                                    <td id="Touch-L-t3"></td>
                                    <td id="Touch-R-t3"></td>
                                    <td id="pinprick-L-t3"></td>
                                    <td id="pinprick-R-t3"></td>
                                </tr>
                                <tr>
                                    <td>T4</td>
                                    <td id="cold-L-t4"></td>
                                    <td id="cold-R-t4"></td>
                                    <td id="Touch-L-t4"></td>
                                    <td id="Touch-R-t4"></td>
                                    <td id="pinprick-L-t4"></td>
                                    <td id="pinprick-R-t4"></td>
                                </tr>
                                <tr>
                                    <td>T5</td>
                                    <td id="cold-L-t5"></td>
                                    <td id="cold-R-t5"></td>
                                    <td id="Touch-L-t5"></td>
                                    <td id="Touch-R-t5"></td>
                                    <td id="pinprick-L-t5"></td>
                                    <td id="pinprick-R-t5"></td>
                                </tr>
                                <tr>
                                    <td>T6</td>
                                    <td id="cold-L-t6"></td>
                                    <td id="cold-R-t6"></td>
                                    <td id="Touch-L-t6"></td>
                                    <td id="Touch-R-t6"></td>
                                    <td id="pinprick-L-t6"></td>
                                    <td id="pinprick-R-t6"></td>
                                </tr>
                                <tr>
                                    <td>T7</td>
                                    <td id="cold-L-t7"></td>
                                    <td id="cold-R-t7"></td>
                                    <td id="Touch-L-t7"></td>
                                    <td id="Touch-R-t7"></td>
                                    <td id="pinprick-L-t7"></td>
                                    <td id="pinprick-R-t7"></td>
                                </tr>
                                <tr>
                                    <td>T8</td>
                                    <td id="cold-L-t8"></td>
                                    <td id="cold-R-t8"></td>
                                    <td id="Touch-L-t8"></td>
                                    <td id="Touch-R-t8"></td>
                                    <td id="pinprick-L-t8"></td>
                                    <td id="pinprick-R-t8"></td>
                                </tr>
                                <tr>
                                    <td>T9</td>
                                    <td id="cold-L-t9"></td>											
                                    <td id="cold-R-t9"></td>
                                    <td id="Touch-L-t9"></td>
                                    <td id="Touch-R-t9"></td>
                                    <td id="pinprick-L-t9"></td>
                                    <td id="pinprick-R-t9"></td>
                                </tr>
                                <tr>
                                    <td>T10</td>
                                    <td id="cold-L-t10"></td>											
                                    <td id="cold-R-t10"></td>
                                    <td id="Touch-L-t10"></td>
                                    <td id="Touch-R-t10"></td>
                                    <td id="pinprick-L-t10"></td>
                                    <td id="pinprick-R-t10"></td>
                                </tr>
                                <tr>
                                    <td>T11</td>
                                    <td id="cold-L-t11"></td>											
                                    <td id="cold-R-t11"></td>
                                    <td id="Touch-L-t11"></td>
                                    <td id="Touch-R-t11"></td>
                                    <td id="pinprick-L-t11"></td>
                                    <td id="pinprick-R-t11"></td>
                                </tr>
                                <tr>
                                    <td>T12</td>
                                    <td id="cold-L-t12"></td>											
                                    <td id="cold-R-t12"></td>
                                    <td id="Touch-L-t12"></td>
                                    <td id="Touch-R-t12"></td>
                                    <td id="pinprick-L-t12"></td>
                                    <td id="pinprick-R-t12"></td>
                                </tr>
                                <tr>
                                    <td>L1</td>
                                    <td id="cold-L-l1"></td>											
                                    <td id="cold-R-l1"></td>
                                    <td id="Touch-L-l1"></td>
                                    <td id="Touch-R-l1"></td>
                                    <td id="pinprick-L-l1"></td>
                                    <td id="pinprick-R-l1"></td>
                                </tr>
                                <tr>
                                    <td>L2</td>
                                    <td id="cold-L-l2"></td>										
                                    <td id="cold-R-l2"></td>
                                    <td id="Touch-L-l2"></td>
                                    <td id="Touch-R-l2"></td>
                                    <td id="pinprick-L-l2"></td>
                                    <td id="pinprick-R-l2"></td>
                                </tr>
                                <tr>
                                    <td>L3</td>
                                    <td id="cold-L-l3"></td>											
                                    <td id="cold-R-l3"></td>
                                    <td id="Touch-L-l3"></td>
                                    <td id="Touch-R-l3"></td>
                                    <td id="pinprick-L-l3"></td>
                                    <td id="pinprick-R-l3"></td>
                                </tr>
                                <tr>
                                    <td>L4</td>
                                    <td id="cold-L-l4"></td>											
                                    <td id="cold-R-l4"></td>
                                    <td id="Touch-L-l4"></td>
                                    <td id="Touch-R-l4"></td>
                                    <td id="pinprick-L-l4"></td>
                                    <td id="pinprick-R-l4"></td>
                                </tr>
                                <tr>
                                    <td>L5</td>
                                    <td id="cold-L-l5"></td>											
                                    <td id="cold-R-l5"></td>
                                    <td id="Touch-L-l5"></td>
                                    <td id="Touch-R-l5"></td>
                                    <td id="pinprick-L-l5"></td>
                                    <td id="pinprick-R-l5"></td>
                                </tr>
                                    <td>S1</td>
                                    <td id="cold-L-s1"></td>											
                                    <td id="cold-R-s1"></td>
                                    <td id="Touch-L-s1"></td>
                                    <td id="Touch-R-s1"></td>
                                    <td id="pinprick-L-s1"></td>
                                    <td id="pinprick-R-s1"></td>
                                </tr>
                                <tr>
                                    <td>S2</td>
                                    <td id="cold-L-s2"></td>											
                                    <td id="cold-R-s2"></td>
                                    <td id="Touch-L-s2"></td>
                                    <td id="Touch-R-s2"></td>
                                    <td id="pinprick-L-s2"></td>
                                    <td id="pinprick-R-s2"></td>
                                </tr>
                                <tr>
                                    <td>S3</td>
                                    <td id="cold-L-s3"></td>											
                                    <td id="cold-R-s3"></td>
                                    <td id="Touch-L-s3"></td>
                                    <td id="Touch-R-s3"></td>
                                    <td id="pinprick-L-s3"></td>
                                    <td id="pinprick-R-s3"></td>
                                </tr>
                            </tbody>
                        </table>
                        </div>
                    </div>
                </div>
                <div class="col-sm-4">
                    <img src="<?php echo base_url('public/assets/images/Dermo.png'); ?>" class="img-fluid d-block mx-auto">
                </div>
            </div>
        </div>
        <h4 class="pt"><b>Motor Level (Bromage Score)</b></h4>
        <div class="combined-spinal-table1">
            <div class="table-responsive">
                <table class="table">
                    <tbody>
                        <tr>
                            <td class="bg-pat2">Selected</td>
                            <td><?php echo $info['motor_level']; ?></td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <div class="bromo-img">
            <div class="row">
                <div class="col-sm-3"></div>
                <div class="col-sm-6"><img src="<?php echo base_url('public/assets/images/Bromo.png'); ?>" class="img-fluid d-block mx-auto"></div>
                <div class="col-sm-3"></div>
            </div>
        </div>
        <div class="combined-spinal-table1">
            <div class="table-responsive">
                <table class="table">
                    <tbody>
                        <tr>
                            <td class="bg-pat2">Onset of surgical Anaesthesia</td>
                            <td><?php echo $info['onset_of_surgical']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Duration of Surgery Mins</td>
                            <td><?php echo $info['duration_surgery']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Blood Loss ml</td>
                            <td><?php echo $info['blood_loss']; ?></td>
                        </tr>
                        <tr>
                            <td class="bg-pat2">Vasopressor Use</td>
                            <td><?php echo $info['vasopressor_use']; ?></td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
    </div>
</section>

<section class="edit-combined-spinal">
        
        <div class="modal fade" id="edit-comb-spinal">
        <div class="modal-dialog modal-lg">
            <div class="modal-content">
            
            
            <div class="modal-header" id="add-header">
                <h4 class="modal-title">Edit Combined Spinal Epidural</h4>
                <button type="button" class="close" data-dismiss="modal">&times;</button>
            </div>
            
            
            <div class="modal-body">
                <form id="combined_spinal_modal">
                    <div class="add-patient" id="">
                        <div class="row">
                            <div class="col-sm-2"><label>Procedure Date and Time<span class="mandat">*</span></label></div>
                            <div class="col-sm-4">
                                <div class="form-group">                                       
                                    <div class="input-group date" id="datePicker5">
                                        <input type="text" class="form-control date_time_m" style="border-radius: 15px;" id='datetimepicker1' name="date_m" required>
                                        <span class="input-group-addon" style="margin-left: 20px;"><i class="fa fa-calendar" aria-hidden="true"></i></span>
                                    </div>
                                    <div class="input-group date" id="timePicker5">
                                        <input type="text" class="form-control time_m" style="border-radius: 15px;margin-top: 12px;" name="time_m" required>
                                        <span class="input-group-addon" style="margin-left: 20px;margin-top: 12px;"><i class="fa fa-clock-o" aria-hidden="true"></i></span>
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-6"></div>
                        </div>
                        <div class="row">
                            <div class="col-sm-2"><label>CNB done by<span class="mandat">*</span>
                             <div class="tooltip" id="tip">
                               <i class="fa fa-info-circle" aria-hidden="true"></i>
                                <div class="right">
                                    <div class="text-content">
                                        <h6>Junior Consultant < 5 years experience , Senior  Consultant > 5 years experience , Junior Trainee < 2 years experience , <br>Senior Trainee > 2 years experience.</h6>
                                        <i></i>
                                    </div>
                                </div>
                            </div>   
                            </label></div>
                            <div class="col-sm-4">
                                <select class="form-control cnb_done_by1" id="cnb_by1" name="cnb_done_by1" onchange="selectcnb()" required>
                                    <option value="" selected="selected">Select</option>
                                    <option value="Consultant">Consultant</option>
                                    <option value="Trainee">Trainee</option>
                                </select>
                                
                                <div class="" id = "consultant" style="color:red; display:none;">
                                    <select class="form-control cnb_done_by2" id="cnb_by2" style="margin: 15px 0;"  name="cnb_done_by2">       
                                    </select> 
                                </div>
                                 
                                </div>
                             
                            </div>
                            <div class="col-sm-6">
                                <small class="cnbdone" style="color:red; display:none;">select the option</small>
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-sm-2"><label>Supervision<span class="mandat">*</span></label></div>
                            <div class="col-sm-4">
                                <select class="form-control supervision" name="supervision" onchange='checksupervision()' required>
                                    <option value="">Select</option>
                                    <option value="Direct Supervision">Direct Supervision</option>
                                    <option value="Independent Supervision">Independent Supervision</option>
                                </select>
                                <small class="supervision1" style="color:red; display:none; margin-left:20px;">select the option</small>
                            </div>
                            <div class="col-sm-6"></div>
                        </div>
                  
                    <label>Patient status during Neuraxial Block<span class="mandat">*</span></label>
                    <small class="psn" style="color:red; display:none;">please choose patient status</small>

<input type="hidden" class="form-control" name="id" value="<?php echo $info['id']; ?>" >
                    <div class="row">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-6">
                            <div class="form-check">
                                <label class="form-check-label">
                                <input type="radio" class="form-check-input" id="awake_e" value="Awake" name="patient_status_e" onclick="hide()">Awake
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                <input type="radio" class="form-check-input" id="sedation_e" value="Sedation" name="patient_status_e" onclick="show()">Sedation<span class="mandat">*</span>
                                </label>
                            </div>
                            <div class="pt" id="option_e" style="display:none;">
                                <select class="form-control" id="sedation_opt_e" name="sedation_opt_e" required>
                                    <option value="">Select</option>
                                    <option>1-Mild easy to rouse</option>
                                    <option>2-Moderate,easy to rouse,unable to remain awake</option>
                                    <option>3-Difficult to rouse</option>
                                </select>
                            </div>
                            <?php if($ga  == 'Sole/Primary Anaesthetic') {?>
                            <div class="form-check" style="display:none;">
                                <label class="form-check-label">
                                <input type="radio" class="form-check-input" value="GA" name="patient_status_e" id="ga_e" onclick="hide()" >GA
                                </label>
                            </div>
                            <?php } else{ ?>
                                <div class="form-check">
                                <label class="form-check-label">
                                <input type="radio" class="form-check-input" value="GA" name="patient_status_e" id="ga_e" onclick="hide()" >GA
                                </label>
                                </div>
                            <?php } ?>
                        </div>
                        <div class="col-sm-4"></div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"><label style="font-size:13px;">Patient Position<span class="mandat">*</span></label></div>
                        <div class="col-sm-4">
                            <select class="form-control" id="patient_position_e" name="patient_position_e" onchange="checkpos()" required>
                                <option value="">Select</option>
                                <option>Lateral</option>
                                <option>Sitting</option>
                                <option>Prone</option>
                            </select>
                            <small class="pat" style="color:red; display:none;">please select patient position</small>

</div>
                        <div class="col-sm-4"></div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"><label>Asepsis<span class="mandat">*</span></label><br><small class="asep" style="color:red; display:none;">please select asepsis</small></div>
                        <div class="col-sm-10">
                            <div class="t-switch">
                                <ul>
                                    <li>
                                        <div class="togle">
                                            <label>Wearing cap and mask</label>
                                            <div class= "box_1">
                                                <input type="hidden" class="switch_1" value="No" name="wearing_mask_e">
                                                <input type="checkbox" class="switch_1" id="wearing_mask_e" value="Yes" name="wearing_mask_e" onclick="checkasep()">
                                            </div>
                                        </div>
                                    </li>
                                    <li>
                                        <div class="togle">
                                            <label>Hand washing</label>
                                            <div class= "box_1">
                                                <input type="hidden" class="switch_1" value="No" name="hand_washing_e">
                                                <input type="checkbox" class="switch_1" value="Yes" id="hand_washing_e" name="hand_washing_e" onclick="checkasep()"> 
                                            </div>
                                        </div>
                                    </li>
                                </ul>
                                <ul>
                                    <li>
                                        <div class="togle">
                                            <label>Sterile gown</label>
                                            <div class= "box_1">
                                                <input type="hidden" class="switch_1" value="No" name="sterile_gown_e">
                                                <input type="checkbox" class="switch_1" value="Yes" id="sterile_gown_e" name="sterile_gown_e" onclick="checkasep()"> 
                                            </div>
                                        </div>
                                    </li>
                                    <li>
                                        <div class="togle">
                                            <label>Sterile draping</label>
                                            <div class= "box_1">
                                                <input type="hidden" class="switch_1" value="No" name="sterile_draping_e">
                                                <input type="checkbox" class="switch_1" value="Yes" id="sterile_draping_e" name="sterile_draping_e" onclick="checkasep()">
                                            </div>
                                        </div>
                                    </li>
                                </ul>	
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-sm-2"><label>Skin Prep<span class="mandat">*</span></label></div>
                        <div class="col-sm-4">
                            <select class="form-control" id="skin_prep_e" name="skin_prep_e" onchange="checkskin()" required>
                                <option value="">Select</option>
                                <option>Alcohol</option>
                                <option>Chlorhexidine</option>
                                <option>Betadine</option>
                                <option>Combinations</option>
                                <option>Other</option>
                            </select>
                            <small class="skp" style="color:red; display:none;">please enter skin prep</small>
                            <input type="text" class="form-control mt-3" style="display:none;" id="skin_prep_other" name="skin_prep_other">                            
                        </div>
                        <div class="col-sm-6"></div>
                    </div>
                    
                    <div class="row pt">
                        <div class="col-sm-2"><span><b>CSE Technique</b><span class="mandat">*</span></span></div>
                        <div class="col-sm-5">
                            <select class="form-control" id="cse_tech_e" name="cse_tech_e" onchange="condition()" required>
                                <option value="">Select</option>
                                <option>Single Interspace Technique (Needle through Needle)</option>
                                <option>Double Interspace Technique</option>
                                <option>DPE:Dural Puncture Epidural Technique</option>
                            </select>
                        </div>
                        <div class="col-sm-5"></div>
                    </div>
                    
                    <div class="row pt">
                        <div class="col-sm-2"><label>Anatomical Landmark<span class="mandat"></span></label></div>
                        <div class="col-sm-4">
                            <select class="form-control" id="landmark_e" name="landmark_e">
                                <option value="">Select</option>
                                <option>Easily Palpable</option>
                                <option>Poorly Palpable</option>
                                <option>Non Palpable</option>
                            </select>
                        </div>
                    </div>
                    <h5 style="margin-top:12px;"><b>Vertebral Level</b></h5><br>
                    <div class="row">
                        <div class="col-sm-3" id="cse-tag"><h5 style="text-align:end;"><b>Epidural Level</b></h5></div>
                        <div class="col-sm-6"></div>
                        <div class="col-sm-3"><h5><b>Spinal Level</b></h5></div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-1"></div>
                        <div class="col-sm-3 pb-4">
                            <input type="text" class="form-control text-center epidural1" id="epidural_level_input" name="epidural_level_input" style="margin-bottom:10px;" readonly>
                            <input type="text" class="form-control text-center epidural_level_name" name="epidural_level_input_name" readonly>
                        </div>
                        <div class="col-sm-5"></div>
                        <div class="col-sm-3 pb-4">
                            <input type="text" class="form-control text-center spinal_level_input" name="spinal_level_input" style="margin-bottom:10px;" readonly>
                            <input type="text" class="form-control text-center spinal_level_input_name" name="spinal_level_input_name" readonly>
                        </div>
                    </div>
                    <h5 style="position: relative;top: 50px;"><b>Click on the appropriate <br> epidural level here</b></h5>
                    <h5 style="position: relative;top:0px;left: 670px;"><b>Click on the appropriate <br> spinal level here</b></h5>
                    <div class="row human-skeleton">
                        <div class="col-sm-12">
                            <div class="new-skeleton-img" >
                                <img src="<?php echo base_url('public/assets/images/CSE-new.png'); ?>" class="img-fluid d-block mx-auto">
                                <button type="button" class="btn epidural_level C1-23" value="C1-2,Cervical" id="cse-btn">C1-2</button>
                                <button type="button" class="btn epidural_level C2-33" value="C2-3,Cervical" id="cse-btn1">C2-3</button>
                                <button type="button" class="btn epidural_level C3-43" value="C3-4,Cervical" id="cse-btn2">C3-4</button>
                                <button type="button" class="btn epidural_level C4-53" value="C4-5,Cervical" id="cse-btn3">C4-5</button>
                                <button type="button" class="btn epidural_level C5-63" value="C5-6,Cervical" id="cse-btn4">C5-6</button>
                                <button type="button" class="btn epidural_level C6-73" value="C6-7,Cervical" id="cse-btn5">C6-7</button>
                                <button type="button" class="btn epidural_level C7-T13" value="C7-T1,Cervical" id="cse-btn6">C7-T1</button>
                                <button type="button" class="btn epidural_level T1-23" value="T1-2,Thoracic" id="cse-btn7">T1-2</button>
                                <button type="button" class="btn epidural_level T2-33" value="T2-3,Thoracic" id="cse-btn8">T2-3</button>
                                <button type="button" class="btn epidural_level T3-43" value="T3-4,Thoracic" id="cse-btn9">T3-4</button>
                                <button type="button" class="btn epidural_level T4-53" value="T4-5,Thoracic" id="cse-btn10">T4-5</button>
                                <button type="button" class="btn epidural_level T5-63" value="T5-6,Thoracic" id="cse-btn11">T5-6</button>
                                <button type="button" class="btn epidural_level T6-73" value="T6-7,Thoracic" id="cse-btn12">T6-7</button>
                                <button type="button" class="btn epidural_level T7-83" value="T7-8,Thoracic" id="cse-btn13">T7-8</button>
                                <button type="button" class="btn epidural_level T8-93" value="T8-9,Thoracic" id="cse-btn14">T8-9</button>
                                <button type="button" class="btn epidural_level T9-103" value="T9-10,Thoracic" id="cse-btn15">T9-10</button>
                                <button type="button" class="btn epidural_level T10-113" value="T10-11,Thoracic" id="cse-btn16">T10-11</button>
                                <button type="button" class="btn epidural_level T11-123" value="T11-12,Thoracic" id="cse-btn17">T11-12</button>
                                <button type="button" class="btn epidural_level T12-L13" value="T12-L1,Thoracic" id="cse-btn18">T12-L1</button>
                                <button type="button" class="btn epidural_level L1-23" value="L1-2,Lumbar" id="cse-btn19">L1-2</button>
                                <button type="button" class="btn epidural_level L2-33" value="L2-3,Lumbar" id="cse-btn20">L2-3</button>
                                <button type="button" class="btn epidural_level L3-43" value="L3-4,Lumbar" id="cse-btn21">L3-4</button>
                                <button type="button" class="btn epidural_level L4-53" value="L4-5,Lumbar" id="cse-btn22">L4-5</button>
                                <button type="button" class="btn epidural_level L5-S13" value="L5-S1,Lumbar" id="cse-btn23">L5-S1</button>
                                <button type="button" class="btn epidural_level Caudal3" value="Caudal,Caudal" id="cse-btn24">Caudal</button>
                                <div>
                                    <button type="button" class="btn spinal_level T1-22" value="T1-2,Thoracic" id="cse-btn25">T1-2</button>
                                    <button type="button" class="btn spinal_level T2-32" value="T2-3,Thoracic" id="cse-btn26">T2-3</button>
                                    <button type="button" class="btn spinal_level T3-42" value="T3-4,Thoracic" id="cse-btn27">T3-4</button>
                                    <button type="button" class="btn spinal_level T4-52" value="T4-5,Thoracic" id="cse-btn28">T4-5</button>
                                    <button type="button" class="btn spinal_level T5-62" value="T5-6,Thoracic" id="cse-btn29">T5-6</button>
                                    <button type="button" class="btn spinal_level T6-72" value="T6-7,Thoracic" id="cse-btn30">T6-7</button>
                                    <button type="button" class="btn spinal_level T7-82" value="T7-8,Thoracic" id="cse-btn31">T7-8</button>
                                    <button type="button" class="btn spinal_level T8-92" value="T8-9,Thoracic" id="cse-btn32">T8-9</button>
                                    <button type="button" class="btn spinal_level T9-102" value="T9-10,Thoracic" id="cse-btn33">T9-10</button>
                                    <button type="button" class="btn spinal_level T10-112" value="T10-11,Thoracic" id="cse-btn34">T10-11</button>
                                    <button type="button" class="btn spinal_level T11-122" value="T11-12,Thoracic" id="cse-btn35">T11-12</button>
                                    <button type="button" class="btn spinal_level T12-L12" value="T12-L1,Thoracic" id="cse-btn36">T12-L1</button>
                                    <button type="button" class="btn spinal_level L1-22" value="L1-2,Lumbar" id="cse-btn37">L1-2</button>
                                    <button type="button" class="btn spinal_level L2-32" value="L2-3,Lumbar" id="cse-btn38">L2-3</button>
                                    <button type="button" class="btn spinal_level L3-42" value="L3-4,Lumbar" id="cse-btn39">L3-4</button>
                                    <button type="button" class="btn spinal_level L4-52" value="L4-5,Lumbar" id="cse-btn40">L4-5</button>
                                    <button type="button" class="btn spinal_level L5-S12" value="L5-S1,Lumbar" id="cse-btn41">L5-S1</button>  
                                </div>
                            </div>
                            <div class="new-skeleton-img-single" style="display:none;">
                                <img src="<?php echo base_url('public/assets/images/cse-single.png'); ?>" class="img-fluid d-block mx-auto">
                                <button type="button" class="btn spinal_level_single C1-21" value="C1-2,Cervical" id="cse-single-btn">C1-2</button>
                                <button type="button" class="btn spinal_level_single C2-31" value="C2-3,Cervical" id="cse-single-btn-1">C2-3</button>
                                <button type="button" class="btn spinal_level_single C3-41" value="C3-4,Cervical" id="cse-single-btn-2">C3-4</button>
                                <button type="button" class="btn spinal_level_single C4-51" value="C4-5,Cervical" id="cse-single-btn-3">C4-5</button>
                                <button type="button" class="btn spinal_level_single C5-61" value="C5-6,Cervical" id="cse-single-btn-4">C5-6</button>
                                <button type="button" class="btn spinal_level_single C6-71" value="C6-7,Cervical" id="cse-single-btn-5">C6-7</button>
                                <button type="button" class="btn spinal_level_single C7-T11" value="C7-T1,Cervical" id="cse-single-btn-6">C7-T1</button>
                                <button type="button" class="btn spinal_level_single T1-21" value="T1-2,Thoracic" id="cse-single-btn-7">T1-2</button>
                                <button type="button" class="btn spinal_level_single T2-31" value="T2-3,Thoracic" id="cse-single-btn-8">T2-3</button>
                                <button type="button" class="btn spinal_level_single T3-41" value="T3-4,Thoracic" id="cse-single-btn-9">T3-4</button>
                                <button type="button" class="btn spinal_level_single T4-51" value="T4-5,Thoracic" id="cse-single-btn-10">T4-5</button>
                                <button type="button" class="btn spinal_level_single T5-61" value="T5-6,Thoracic" id="cse-single-btn-11">T5-6</button>
                                <button type="button" class="btn spinal_level_single T6-71" value="T6-7,Thoracic" id="cse-single-btn-12">T6-7</button>
                                <button type="button" class="btn spinal_level_single T7-81" value="T7-8,Thoracic" id="cse-single-btn-13">T7-8</button>
                                <button type="button" class="btn spinal_level_single T8-91" value="T8-9,Thoracic" id="cse-single-btn-14">T8-9</button>
                                <button type="button" class="btn spinal_level_single T9-101" value="T9-10,Thoracic" id="cse-single-btn-15">T9-10</button>
                                <button type="button" class="btn spinal_level_single T10-111" value="T10-11,Thoracic" id="cse-single-btn-16">T10-11</button>
                                <button type="button" class="btn spinal_level_single T11-121" value="T11-12,Thoracic" id="cse-single-btn-17">T11-12</button>
                                <button type="button" class="btn spinal_level_single T12-L11" value="T12-L1,Thoracic" id="cse-single-btn-18">T12-L1</button>
                                <button type="button" class="btn spinal_level_single L1-21" value="L1-2,Lumbar" id="cse-single-btn-19">L1-2</button>
                                <button type="button" class="btn spinal_level_single L2-31" value="L2-3,Lumbar" id="cse-single-btn-20">L2-3</button>
                                <button type="button" class="btn spinal_level_single L3-41" value="L3-4,Lumbar" id="cse-single-btn-21">L3-4</button>
                                <button type="button" class="btn spinal_level_single L4-51" value="L4-5,Lumbar" id="cse-single-btn-22">L4-5</button>
                                <button type="button" class="btn spinal_level_single L5-S11" value="L5-S1,Lumbar" id="cse-single-btn-23">L5-S1</button>
                                <button type="button" class="btn spinal_level_single Caudal" value="Caudal,Caudal" id="cse-single-btn-24">Caudal</button>
                            </div>	                                                          
                        </div>
                    </div>
                    
                    <h4 class="p-3"><b>Epidural Section of CSE</b></h4>
                    <label><b>Ultrasound</b></label>
                    <div class="row">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-4">
                            <div class= "box_1">
                                <input type="hidden" class="switch_1" value="No" name="epidural_ultra_sound">
                                <input type="checkbox" class="switch_1" value="Yes" id="epidural_ultra_sound" name="epidural_ultra_sound" onclick="ultra()">
                            </div>
                        </div>
                        <div class="col-sm-6"></div>
                    </div>
                    <div class="epidural_ultrasound" style="display:none;">
                        <div class="row pt">
                            <div class="col-sm-2"></div>
                            <div class="col-sm-2"><span>Probe Cover</span></div>
                            <div class="col-sm-4">
                                <select class="form-control" id="epidural_probe_cover" name="epidural_probe_cover">
                                    <option value="">Select probe cover</option>
                                    <option>Yes</option>
                                    <option>No</option>
                                </select>
                            </div>
                            <div class="col-sm-4"></div>
                        </div>
                        <div class="row pt">
                            <div class="col-sm-2"></div>
                            <div class="col-sm-2"><span>Image Quality</span></div>
                            <div class="col-sm-4">
                                <select class="form-control" id="epidural_image_quality" name="epidural_image_quality">
                                    <option value="">Select image quality</option>
                                    <option>Good</option>
                                    <option>Average</option>
                                    <option>Poor</option>
                                </select>
                            </div>
                            <div class="col-sm-4"></div>
                        </div>
                    </div>
                    <label><b>Needle Brand,Type and Size</b></label>
                    <div class="row">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-10">
                            <span>Select Needle Brand</span>
                            <div class="row">
                                <div class="col-sm-2"></div>
                                <div class="col-sm-4">
								<select class="form-control epidural_needel_brand_other" name="epidural_brand">
									<option value="">Select</option>									
									<?php
										foreach($epidural_needle_brand as $key=>$master){
									?>
										
										<option><?php echo $master['name']; ?></option>
										
									<?php
									}
									?>
									<option>Other</option>

</select>
								<input type="text" class="form-control epidural_needel_brand_other_input" name="epidural_brand_input" style="margin-top: 12px; display:none;">
							</div>
                                <div class="col-sm-6"></div>
                            </div>
                        </div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-10">
                            <span>Select Epidural Needle Type</span>
                            <div class="row pt-2">
                                <div class="col-sm-2"></div>
                                <div class="col-sm-4">
								<select class="form-control epidural_needel_type_other" name="epidural_needle_type">
									<option value="">Select</option>
									
									<?php
										foreach($epidural_needle_type as $key=>$master){
									?>
										
										<option><?php echo $master['name']; ?></option>
										
									<?php
									}
									?>
									<option>Other</option>
								</select>
								<input type="text" class="form-control epidural_needel_type_other_input" name="epidural_needle_input" style="margin-top: 12px; display:none;">
							</div>
                                <div class="col-sm-6"></div>
                            </div>
                        </div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-10">
                            <span>Select Epidural Needle Size</span>
                            <div class="row pt-2">
                                <div class="col-sm-2"></div>
                                <div class="col-sm-4">
                                    <select class="form-control epidural_needle_size" name="epidural_needle_size">
                                        <option value="">Select needle size</option>
                                        <option>16G</option>
                                        <option>17G</option>
                                        <option>18G</option>
                                        <option>19G</option>
                                        <option>20G</option>
                                        <option>21G</option>
                                        <option>22G</option>
                                        <option>23G</option>
                                        <option>24G</option>
                                    </select>
                                </div>
                                <div class="col-sm-6"></div>
                            </div>
                        </div>
                    </div>
                    <label><b>Epidural Technique</b></label>
                    <div class="row">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-6">
                            <div class="form-check">
                                <label class="form-check-label">
                                <input type="checkbox" class="form-check-input" name="lor_saline" id="lor_saline" value="LOR Saline">LOR Saline
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                <input type="checkbox" class="form-check-input" name="lor_air" id="lor_air" value="LOR Air">LOR Air
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                <input type="checkbox" class="form-check-input" name="hanging_drop" id="hanging_drop" value="Hanging Drop">Hanging Drop
                                </label>
                            </div>
                            <div class="form-check" id="proced-plus" style="display:flex;">
                                <label class="form-check-label" style="margin-right:8px;">
                                    <input type="checkbox" class="form-check-input"  id="other" onclick="oth()">Other
                                </label>                               
                                <div class="other_input" style="display:none;">
                                    <div id="proced-plus" style="display:flex;">
                                        
                                        <button type="button" class="btn add1"><i class="fa fa-plus" aria-hidden="true"></i></button>
                                        
                                    </div>
                                    <div class="other9 mt-2" id="other_input">
                                            <?php 
                                                $z = $info['epidural_other'];
                                                $w = explode(",",$z);
                                                foreach($w as $val){
                                            ?>      <div class="row1">
                                                        <div id="proced-plus" style="display:flex; margin-bottom: 10px;">
                                                            <input onkeydown="return /[a-z]/i.test(event.key)" class="form-control" name="others[]" value="<?php echo $val; ?>" >
                                                            <button type="button" class="btn remove11"><i class="fa fa-times" aria-hidden="true"></i></button>
                                                        </div>
                                                    </div>
                                            <?php
                                                } 
                                            ?>
                                        </div>
                                </div>
                                
						    </div>
                        </div>
                        <div class="col-sm-4"></div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"><label>Approach</label></div>
                        <div class="col-sm-4">
                            <select class="form-control epidural_approach" name="epidural_approach">
                                <option value="">Select</option>
                                <option>Midline</option>
                                <option>Paramedian</option>
                            </select>
                        </div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"><label>Number Of Attempts</label></div>
                        <div class="col-sm-4">
                            <select class="form-control epidural_attempts" name="epidural_attempts">
                                <option value="">Select</option>
                                <option>1</option>
                                <option>2</option>
                                <option>3</option>
                                <option>4</option>
                                <option>5</option>
                                <option>6</option>
                                <option>7</option>
                                <option>8</option>
                                <option>9</option>
                                <option>10</option>
                                <option>11</option>
                                <option>12</option>
                                <option>13</option>
                                <option>14</option>
                                <option>15</option>
                                <option>16</option>
                                <option>17</option>
                                <option>18</option>
                                <option>19</option>
                                <option>20</option>
                            </select>
                        </div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"><label>Epidural Depth(cm)</label></div>
                        <div class="col-sm-4">
                            <input type="number" class="form-control epidural_depth" name="epidural_depth">
                        </div>
                    </div>
                    <label>Technique</label>
                    <div class="row">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-8">
						<div class="form-check">
							<label class="form-check-label">
								<input type="radio" class="form-check-input" id="epidural_single" value="Single Shot" name="epidural_tech">Single Shot
							</label>							
						</div>
						<div class="form-check">
							<label class="form-check-label">
								<input type="radio" class="form-check-input catheter" onclick="catheter()" value="Catheter" name="epidural_tech" >Catheter
							</label>
						</div>
						<div class="pt catheter_fild" style="display:flex; display:none;">
							<span>Catheter mark at Skin (cm)</span>
							<input type="number" class="form-control epidural_catheter" name="epidural_catheter"  style="width:30%;">
						</div>
					</div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"><label>Test Dose</label></div>
                        <div class="col-sm-4">
                            <div class= "box_1">
                                <input type="hidden" class="switch_1" value="No" name="test_dose">
                                <input type="checkbox" class="switch_1 test_dose" value="Yes" name="test_dose">
                            </div>
                        </div>
                        <div class="col-sm-6"></div>
                    </div>
                    <div class="row pt-3">
                        <div class="col-sm-2"><label>Intra Operative LA Regimen</label></div>
                        <div class="col-sm-4">
                            <select class="form-control intra_operative_la" name="intra_operative_la">
                                <option value="">Select</option>
                                <option>Continous Infusion</option>
                                <option>Intermittent Bolus</option>
                            </select>
                        </div>
                        <div class="col-sm-6"></div>
                    </div>
                   
                    <h5 class=""><b>Total Intra Operative LA & Adjuvant Consumption</b>
                        <div class="tooltip-4">
                           <i class="fa fa-info-circle" aria-hidden="true"></i>
                            <div class="right-4">
                                <div class="text-content-4">
                                    <h6>This includes Test Dose,Initial Dose and Total Intra Operative Use</h6>
                                    <i></i>
                                </div>
                            </div>
                        </div>
                    </h5>
                    <div class="row">
					<div class="col-sm-2"></div>
					<div class="col-sm-10">
						<label>Local Anaesthetic<span class="mandat">*</span></label>
						<div class="pac-box">
							<div class="pacu-1"><p>Ropivacaine</p></div>
							<div class="pacu-1-x">
								<select class="form-control epidural_option1" name="epidural_ropiva" required>
									<option value=''>Select</option>
									<option >Without Adrenaline</option>
									<option >With Adrenaline</option>
								</select>
							</div>
							<div class="pacu-1" id="id">
								<input type="number" class="form-control epidural_persent1" name="epidural_ropiva_persent" onkeyup="persentage('alert1')" readonly required><span style="padding-top:5px;">%</span>
							</div>
							<div class="pacu-1" id="id">
								<input type="number" class="form-control epidural_ml1" name="epidural_ropiva_ml" readonly required><span style="padding-top:5px;">ml</span>
							</div>
							<div class="pacu-1" id="id">
								<input type="text" class="form-control epidural_mg1" name="epidural_ropiva_mg" readonly><span style="padding-top:5px;">mg</span>
							</div>
                            <i onclick="clean1()" class="fa fa-times" id="clear1" title="clear" aria-hidden="true" style="margin-top: 10px; color:#1974A7;cursor: pointer;"></i>
						</div>
                        <div class="pac-box" id="persentage_tage" style="padding:0; display:none;">
							<div class="pacu-1"></div>
							<div class="pacu-1-x"></div>
							<div class="pacu-1">
							<small  style="color:red;text-align:center;">should be from 0 to 4</small>
							</div>
							<div class="pacu-1"></div>
							<div class="pacu-1"></div>														
						</div>
						<div class="pac-box">
							<div class="pacu-1"><p>Bupivacaine</p></div>
							<div class="pacu-1-x">
								<select class="form-control epidural_option2" name="epidural_bupiva" required>
									<option value=''>Select</option>
									<option >Without Adrenaline</option>
									<option >With Adrenaline</option>
								</select>
							</div>
							<div class="pacu-1" id="id">
								<input type="number" class="form-control epidural_persent2" name="epidural_bupiva_persent" onkeyup="persentage('alert2')" readonly required><span style="padding-top:5px;">%</span>
							</div>
							<div class="pacu-1" id="id">
								<input type="number" class="form-control epidural_ml2" name="epidural_bupiva_ml" readonly required><span style="padding-top:5px;">ml</span>
							</div>
							<div class="pacu-1" id="id">
								<input type="text" class="form-control epidural_mg2" name="epidural_bupiva_mg" readonly><span style="padding-top:5px;">mg</span>
							</div>
                            <i onclick="clean2()" class="fa fa-times" id="clear2" title="clear" aria-hidden="true" style="margin-top: 10px;color:#1974A7;cursor: pointer;"></i>
						</div>
                        <div class="pac-box" id="persentage_tage1" style="padding:0; display:none;">
							<div class="pacu-1"></div>
							<div class="pacu-1-x"></div>
							<div class="pacu-1">
							<small  style="color:red;text-align:center;">should be from 0 to 4</small>
							</div>
							<div class="pacu-1"></div>
							<div class="pacu-1"></div>														
						</div>
						<div class="pac-box">
							<div class="pacu-1"><p>Levobupivacaine</p></div>
							<div class="pacu-1-x">
								<select class="form-control epidural_option3" name="epidural_levabup" required>
									<option value=''>Select</option>
									<option >Without Adrenaline</option>
									<option >With Adrenaline</option>
								</select>
							</div>
							<div class="pacu-1" id="id">
								<input type="number" class="form-control epidural_persent3" name="epidural_levabup_persent" onkeyup="persentage('alert3')" readonly required><span style="padding-top:5px;">%</span>
							</div>
							<div class="pacu-1" id="id">
								<input type="number" class="form-control epidural_ml3" name="epidural_levabup_ml" readonly required><span style="padding-top:5px;">ml</span>
							</div>
							<div class="pacu-1" id="id">
								<input type="text" class="form-control epidural_mg3" name="epidural_levabup_mg" readonly><span style="padding-top:5px;">mg</span>
							</div>
                            <i onclick="clean3()" class="fa fa-times" id="clear3" title="clear" aria-hidden="true" style="margin-top: 10px; color:#1974A7;cursor: pointer;"></i>
						</div>
                        <div class="pac-box" id="persentage_tage2" style="padding:0; display:none;">
							<div class="pacu-1"></div>
							<div class="pacu-1-x"></div>
							<div class="pacu-1">
							<small  style="color:red;text-align:center;">should be from 0 to 4</small>
							</div>
							<div class="pacu-1"></div>
							<div class="pacu-1"></div>														
						</div>
						<div class="pac-box">
							<div class="pacu-1"><p>Lignocaine</p></div>
                                <div class="pacu-1-x">
                                    <select class="form-control epidural_option4" name="epidural_lignoca" required>
                                        <option value=''>Select</option>
                                        <option >Without Adrenaline</option>
                                        <option >With Adrenaline</option>
                                    </select>
                                </div>
                                <div class="pacu-1" id="id">
                                    <input type="number" class="form-control epidural_persent4" name="epidural_lignoca_persent" onkeyup="persentage('alert4')" readonly required><span style="padding-top:5px;">%</span>
                                </div>
                                <div class="pacu-1" id="id">
                                    <input type="number" class="form-control epidural_ml4" name="epidural_lignoca_ml" readonly required><span style="padding-top:5px;">ml</span>
                                </div>
                                <div class="pacu-1" id="id">
                                    <input type="text" class="form-control epidural_mg4" name="epidural_lignoca_mg" readonly ><span style="padding-top:5px;">mg</span>
                                </div>
                                <i onclick="clean4()" class="fa fa-times" id="clear4" title="clear" aria-hidden="true" style="margin-top: 10px; color:#1974A7;cursor: pointer;"></i>
						    </div>
                            <div class="pac-box" id="persentage_tage3" style="padding:0; display:none;">
                                <div class="pacu-1"></div>
                                <div class="pacu-1-x"></div>
                                <div class="pacu-1">
                                <small  style="color:red;text-align:center;">should be from 0 to 4</small>
                                </div>
                                <div class="pacu-1"></div>
                                <div class="pacu-1"></div>														
						    </div>
					    </div>
				    </div>
                    <div class="row pt">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-10">
						<h5><b>Adjuvant</b></h5>
						<div class= "box_1 p-3">
							<input type="checkbox" class="switch_1 epidural_adjuvant" id = "epidural_adj" onclick="epidural_adjuvant()">
						</div>
						
						<div class="pt epidural_adjuvant_check" id="proced-plus" style="display:none;border: 1px solid lightgrey;padding: 12px;border-radius: 8px;">

<div class="form-check mt-0">
								<label class="form-check-label">
								<input type="checkbox" class="form-check-input epidural_opioid" value="Opioid"  onclick="epidural_opioid()">Opioid
								</label>
							</div>
							<div class="opioid append_fun mt-2"  style="display:none;">
								<div class="row" style="margin-left:3%;">									
									<button type="button" class="btn add2" ><i class="fa fa-plus" aria-hidden="true"></i></button>
								</div>
                                <div class="opioid">
                                    <?php 
                                        $zz = $info['opioid_name'];
                                        $ww = $info['opioid_dose'];
                                        $k = explode(",",$zz);
                                        $t = explode(",",$ww);
                                        foreach($k as $key=>$val){
                                    ?>      <div class="row11 mt-2">
                                                <div class="row" style="">
                                                    <div class="col-sm-5"><label>Opioid Name</label></div>
                                                    <div class="col-sm-7" style="display:flex;"><input type="text" class="form-control" name="epidural_opioid_name[]" value="<?php echo $val; ?>"><button type="button" class="btn remove22"><i class="fa fa-times" aria-hidden="true"></i></button></div>
                                                </div>
                                                <div class="row pt" style="">
                                                    <div class="col-sm-5"><label>Opioid Dose(microgram equivalent)</label></div>
                                                    <div class="col-sm-7"><input type="text" class="form-control" name="epidural_opioid_dose[]" value="<?php echo $t[$key]; ?>"></div>
                                                </div>
                                            </div>
                                    <?php
                                        } 
                                    ?>
                                </div>
								
							</div>	
							<div class="row pt">
							<div class="col-sm-5">
								<div class="form-check">
									<label class="form-check-label">
									<input type="checkbox" class="form-check-input" id="epidural_clonidne" value="">Clonidne with Dose(mcgm)
									</label>
								</div>
							</div>
							<div class="col-sm-7"><input type="text" class="form-control epidural_clonidne_input" name="epidural_clonidne_dose" placeholder="mcgm"  readonly></div>
							</div>
							<div class="row pt">
							<div class="col-sm-5">
								<div class="form-check">
									<label class="form-check-label">
									<input type="checkbox" class="form-check-input epidural_dexme" value="">Dexmeditomidine with Dose(mcgm)
									</label>
								</div>
							</div>
							<div class="col-sm-7"><input type="text" class="form-control epidural_dexme_input " name="epidural_dexmedito_dose" placeholder="mcgm" readonly></div>
							</div>
							<div class="row pt">
							<div class="col-sm-5">
								<div class="form-check">
									<label class="form-check-label">
									<input type="checkbox" class="form-check-input epidural_dexamethasone" value="">Dexamethasone with Dose(mg)
									</label>
								</div>
							</div>
							<div class="col-sm-7"><input type="text" class="form-control epidural_dexamethasone_input" placeholder="mg" name="epidural_dexametha_dose" readonly></div>
							</div>
							<div class="row pt">
							<div class="col-sm-5">
								<div class="form-check">
									<label class="form-check-label">
									<input type="checkbox" class="form-check-input epidural_trama" value="">Tramadol with Dose(mg)
									</label>
								</div>
							</div>
							<div class="col-sm-7"><input type="text" class="form-control epidural_trama_input" name="epidural_tramadol_dose" placeholder="mg" readonly></div>
							</div>
							<div class="row pt">
							<div class="col-sm-5">
								<div class="form-check">
									<label class="form-check-label">
									<input type="checkbox" class="form-check-input epidural_ketamine" value="">Ketamine with Dose(mg)
									</label>
								</div>
							</div>
							<div class="col-sm-7"><input type="text" class="form-control epidural_ketamine_input" name="epidural_ketamine_dose" placeholder="mg" readonly></div>
							</div>
							<div class="row pt">
							<div class="col-sm-5">
								<div class="form-check">
									<label class="form-check-label">
									<input type="checkbox" class="form-check-input epidural_midazolam" value="">Midazolam with dose(mg)
									</label>
								</div>
							</div>
							<div class="col-sm-7"><input type="text" class="form-control epidural_midazolam_input" name="epidural_midazolam_dose" placeholder="mg" readonly></div>
							</div>
							
							<div class="row">
							<div class="col-sm-8">
								<div class="form-check">
									<label class="form-check-label">
									<input type="checkbox" class="form-check-input epidural_other" value="">Other
									</label>
								</div>
								<div class="other1 epidural_other_box"  style="display:none;">
									<div class="row pt">
										
										<button id="proced-plus" type="button" class="btn add3"><i class="fa fa-plus" aria-hidden="true"></i></button>
										
									</div>
                                    <div class="other9">
                                        <?php 
                                            $zk = $info['aj_epidural_other'];
                                            $aj_epidural_other = json_decode($zk, true);                                     
                                            foreach($aj_epidural_other as $key=>$val){
                                        ?>      <div class="row21">
                                                    <div class="row pt">
                                                        <div class="col-sm-4"><label>Adjuvant Name</label></div>
                                                        <div class="col-sm-7" id="proced-plus" style="display: flex;"><input type="text" class="form-control" name="epidural_aj_name[]" value="<?php echo $val['name']; ?>"><button type="button" class="btn remove33"><i class="fa fa-times" aria-hidden="true"></i></button></div>
                                                        <div class="col-sm-1"></div>
                                                    </div>
                                                    <div class="row pt">
                                                        <div class="col-sm-4"><label>Adjuvant Dose(mg)</label></div>
                                                        <div class="col-sm-7"><input type="text" class="form-control" name="epidural_aj_dose[]" value="<?php echo $val['dose']; ?>"></div>
                                                        <div class="col-sm-1"></div>
                                                    </div>
                                                </div>
                                        <?php
                                            } 
                                        ?>
                                    </div>
									
								</div>
							    </div>
							    </div>
						    </div>
					    </div>
                    </div>

<h5 class="bt"></h5>
                   
                    <h4 class="pt" style="margin-bottom:20px;"><b>Spinal section of CSE</b></h4>
                    <label>Spinal Needle Type and Size</label>
                    <div class="row">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-10">
                            <span>Select Spinal Needle Brand</span>
                            <div class="row">
                                <div class="col-sm-2"></div>
                                <div class="col-sm-4 pt">
                                    <select class="form-control spinal_needel_brand_other" name="spinal_needel_brand">
                                        <option value="">Select</option>
                                        <?php
                                            foreach($spinal_needle_brand as $key=>$master){
                                        ?>
                                            
                                            <option><?php echo $master['name']; ?></option>
                                            
                                        <?php
                                        }
                                        ?>
                                        <option value="Other">Other</option>
                                    </select>
                                    <input type="text" class="form-control spinal_needel_brand_other_input" name="spinal_needel_brand_input" style="margin-top: 12px; display:none; ">
                                </div>
                                <div class="col-sm-6"></div>
                            </div>
                        </div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-10">
                            <span>Select  Spinal Needle Type</span>
                            <div class="row">
                                <div class="col-sm-2"></div>
                                <div class="col-sm-4 pt">
                                <select class="form-control spinal_needel_type_other" name="spinal_needel_type">
									<option value="">Select</option>
									<?php
										foreach($spinal_needle_type as $key=>$master){
									?>
										
										<option><?php echo $master['name']; ?></option>
										
									<?php
									}
									?>
									<option value="Other">Other</option>
								</select>
								<input type="text" class="form-control spinal_needel_type_other_input" name="spinal_needel_type_input" style="margin-top: 12px; display:none; ">
                                </div>
                                <div class="col-sm-6"></div>
                            </div>
                        </div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-10">
                            <span>Select  Spinal Needle Size</span>
                            <div class="row">
                                <div class="col-sm-2"></div>
                                <div class="col-sm-4 pt">
                                    <select class="form-control spinal_needle_size" name="spinal_needle_size">
                                        <option value="">Select needle size</option>
                                        <option>18G</option>
                                        <option>19G</option>
                                        <option>20G</option>
                                        <option>21G</option>
                                        <option>22G</option>
                                        <option>23G</option>
                                        <option>24G</option>
                                        <option>25G</option>
                                        <option>26G</option>
                                        <option>27G</option>
                                        <option>28G</option>
                                        <option>29G</option>
                                        <option>30G</option>
                                        <option>31G</option>
                                        <option>32G</option>
                                    </select>
                                </div>
                                <div class="col-sm-6"></div>
                            </div>
                        </div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"><label>Approach</label></div>
                        <div class="col-sm-4">
                            <select class="form-control spinal_approach" name="spinal_approach">
                                <option value="">Select</option>
                                <option>Midline</option>
                                <option>Paramedian</option>
                            </select>
                        </div>
                    </div>
                    <div class="row pt">
                        <div class="col-sm-2"><label>Number of Attempts</label></div>
                        <div class="col-sm-4">
                            <select class="form-control spinal_attempts" name="spinal_attempts">
                                <option value="">Select</option>
                                <option>1</option>
                                <option>2</option>
                                <option>3</option>
                                <option>4</option>
                                <option>5</option>
                                <option>6</option>
                                <option>7</option>
                                <option>8</option>
                                <option>9</option>
                                <option>10</option>
                                <option>11</option>
                                <option>12</option>
                                <option>13</option>
                                <option>14</option>
                                <option>15</option>
                                <option>16</option>
                                <option>17</option>
                                <option>18</option>
                                <option>19</option>
                                <option>20</option>
                            </select>
                        </div>
                        <div class="col-sm-6"></div>
                    </div>
                    <label>Spinal Local Anaesthetic<span class="mandat">*</span></label>
                    <div class="row" style="display:none;">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-4">
                            <div class= "box_1">
                            <input type="hidden" class="switch_1" value="No" name="spinal_anaesthetic">
							<input type="checkbox" class="switch_1 spinal_anaesthe" value="Yes" name="spinal_anaesthetic" >
                            </div>
                        </div>
                        <div class="col-sm-6"></div>
                    </div>
                    <div class="row">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-10">                        
                            <div class="procedure-cse spinal_anaesthe_box">
                             
                                    <div class="pac-box">
                                        <div class="pacu-1"><p>Lignocaine</p></div>
                                        <div class="pacu-1-x">
                                            <select class="form-control spinal_option1" name="spinal_lignoca_option1"  required>
                                                <option value=''>Select</option>
                                                <option>Heavy</option>
                                                <option>Iso/Hypobaric</option>
                                            </select>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_persent1" name="spinal_lignoca_persent1" onkeyup="percentage('alert1')" readonly required><span style="padding-top:5px;">%</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_ml1" name="spinal_lignoca_ml1" readonly required><span style="padding-top:5px;">ml</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="text" class="form-control spinal_mg1" name="spinal_lignoca_mg1" readonly><span style="padding-top:5px;">mg</span>
                                        </div>
                                        <i onclick="cleans1()" class="fa fa-times" id="clears1" title="clear" aria-hidden="true" style="margin-top: 10px; color:#1974A7;cursor: pointer;"></i>
                                    </div>
                                    <div class="pac-box" id="percentage_tage" style="padding:0; display:none;">
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1-x"></div>
                                        <div class="pacu-1">
                                            <small  style="color:red;text-align:center;">should be from 0 to 4</small>
                                        </div>
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1"></div>														
                                    </div>
                                    <div class="pac-box">
                                        <div class="pacu-1"><p>Bupivacaine</p></div>
                                        <div class="pacu-1-x">
                                            <select class="form-control spinal_option2" name="spinal_bupivaca_option2" required>
                                                <option value=''>Select</option>
                                                <option>Heavy</option>
                                                <option>Iso/Hypobaric</option>
                                            </select>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_persent2" name="spinal_bupivaca_persent2" onkeyup="percentage('alert2')" readonly required><span style="padding-top:5px;">%</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_ml2" name="spinal_bupivaca_ml2" readonly required><span style="padding-top:5px;">ml</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="text" class="form-control spinal_mg2" name="spinal_bupivaca_mg2" readonly><span style="padding-top:5px;">mg</span>
                                        </div>
                                        <i onclick="cleans2()" class="fa fa-times" id="clears2" title="clear" aria-hidden="true" style="margin-top: 10px; color:#1974A7;cursor: pointer;"></i>
                                    </div>
                                    <div class="pac-box" id="percentage_tage1" style="padding:0; display:none;">
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1-x"></div>
                                        <div class="pacu-1">
                                            <small  style="color:red;text-align:center;">should be from 0 to 4</small>
                                        </div>
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1"></div>														
                                    </div>
                                    <div class="pac-box">
                                        <div class="pacu-1"><p>Ropivacaine</p></div>
                                        <div class="pacu-1-x">
                                            <select class="form-control spinal_option3" name="spinal_ropivaca_option3" required>
                                                <option value=''>Select</option>
                                                <option>Heavy</option>
                                                <option>Iso/Hypobaric</option>
                                            </select>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_persent3" name="spinal_ropivaca_persent3" onkeyup="percentage('alert3')" readonly required><span style="padding-top:5px;">%</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_ml3" name="spinal_ropivaca_ml3" readonly required><span style="padding-top:5px;">ml</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="text" class="form-control spinal_mg3" name="spinal_ropivaca_mg3" readonly><span style="padding-top:5px;">mg</span>
                                        </div>
                                        <i onclick="cleans3()" class="fa fa-times" id="clears3" title="clear" aria-hidden="true" style="margin-top: 10px; color:#1974A7;cursor: pointer;"></i>
                                    </div>
                                    <div class="pac-box" id="percentage_tage2" style="padding:0; display:none;">
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1-x"></div>
                                        <div class="pacu-1">
                                            <small  style="color:red;text-align:center;">should be from 0 to 4</small>
                                        </div>
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1"></div>														
                                    </div>
                                    <div class="pac-box">
                                        <div class="pacu-1"><p>Prilocaine</p></div>
                                        <div class="pacu-1-x">
                                            <select class="form-control spinal_option4" name="spinal_priloca_option4" required>
                                                <option value=''>Select</option>
                                                <option>Heavy</option>
                                                <option>Iso/Hypobaric</option>
                                            </select>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_persent4" name="spinal_priloca_persent4" onkeyup="percentage('alert4')" readonly required><span style="padding-top:5px;">%</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_ml4" name="spinal_priloca_ml4" readonly required><span style="padding-top:5px;">ml</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="text" class="form-control spinal_mg4" name="spinal_priloca_mg4" readonly><span style="padding-top:5px;">mg</span>
                                        </div>
                                        <i onclick="cleans4()" class="fa fa-times" id="clears4" title="clear" aria-hidden="true" style="margin-top: 10px; color:#1974A7;cursor: pointer;"></i>
                                    </div>
                                    <div class="pac-box" id="percentage_tage3" style="padding:0; display:none;">
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1-x"></div>
                                        <div class="pacu-1">
                                            <small  style="color:red;text-align:center;">should be from 0 to 4</small>
                                        </div>
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1"></div>														
                                    </div>
                                    <div class="pac-box">
                                        <div class="pacu-1"><p>2-chloroprocaine</p></div>
                                        <div class="pacu-1-x">
                                            <select class="form-control spinal_option5" name="spinal_2chloropro_option5" required>
                                                <option value=''>Select</option>
                                                <option>Heavy</option>
                                                <option>Iso/Hypobaric</option>
                                            </select>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_persent5" name="spinal_2chloropro_persent5" onkeyup="percentage('alert5')" readonly required><span style="padding-top:5px;">%</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_ml5" name="spinal_2chloropro_ml5" readonly required><span style="padding-top:5px;">ml</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="text" class="form-control spinal_mg5" name="spinal_2chloropro_mg5" readonly><span style="padding-top:5px;">mg</span>
                                        </div>
                                        <i onclick="cleans5()" class="fa fa-times" id="clears5" title="clear" aria-hidden="true" style="margin-top: 10px; color:#1974A7;cursor: pointer;"></i>
                                    </div>
                                    <div class="pac-box" id="percentage_tage4" style="padding:0; display:none;">
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1-x"></div>
                                        <div class="pacu-1">
                                            <small  style="color:red;text-align:center;">should be from 0 to 4</small>
                                        </div>
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1"></div>														
                                    </div>
                                    
                                    <div class="form-check">
                                        <label class="form-check-label">
                                            <input type="hidden" class="switch_1" value="No" name="spinal_anaesth_other">
                                            <input type="checkbox" class="form-check-input spinal_anaesth_other" value="Yes" name="spinal_anaesth_other">Other
                                        </label>
                                    </div>
                                    <div class="pac-box spinal_anaesth_other_option" style="display:none;">
                                        <div class="pacu-1"><input type="text" class="form-control la" name="local_anaesthetic"></div>
                                        <div class="pacu-1-x">
                                            <select class="form-control spinal_anaesth_other_input" name="spinal_other_input6">
                                                <option value=''>Select</option>
                                                <option>Heavy</option>
                                                <option>Iso/Hypobaric</option>
                                            </select>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_persent6" name="spinal_other_persent6" onkeyup="percentage('alert6')" readonly><span style="padding-top:5px;">%</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="number" class="form-control spinal_ml6" name="spinal_other_ml6" readonly><span style="padding-top:5px;">ml</span>
                                        </div>
                                        <div class="pacu-1" id="id">
                                            <input type="text" class="form-control spinal_mg6" name="spinal_other_mg6" readonly><span style="padding-top:5px;">mg</span>
                                        </div>
                                        <i onclick="cleans6()" class="fa fa-times" id="clears6" title="clear" aria-hidden="true" style="margin-top: 10px; color:#1974A7;cursor: pointer;"></i>
                                    </div>
                                    <div class="pac-box" id="percentage_tage5" style="padding:0; display:none;">
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1-x"></div>
                                        <div class="pacu-1">
                                            <small  style="color:red;text-align:center;">should be from 0 to 4</small>
                                        </div>
                                        <div class="pacu-1"></div>
                                        <div class="pacu-1"></div>														
                                    </div>
                            </div>
                        </div>
                    </div>
                     
                    <div class="row pt">
                        <div class="col-sm-2">
                            <label>Adjuvant</label>
                        </div>
                        <div class="col-sm-2">
                            <div class= "box_1">
                                <input type="checkbox" class="switch_1 spinal_adjuvant" id="adju" onclick="adjuvant_spinal()">
                            </div>
                        </div>
                        <div class="col-sm-8"></div>
                    </div>
                    <div class="row spinal_adjuvant_box" style="display:none;" >
                        <div class="col-sm-2"></div>
                        <div class="col-sm-10">
                            <div class="pt" id="proced-plus" style="border: 1px solid lightgrey;border-radius: 8px;padding: 10px;">
                                    <div class="form-check mt-0">
                                        <label class="form-check-label">
                                        <input type="checkbox" class="form-check-input spinal_opioid_check" >Opioid
                                        </label>
                                    </div>
                                    <div class="opioid spinal_opioid mt-2" style="display:none;" >
                                        <div class="row" style="margin-left:3%;">                                           
                                            <button type="button" class="btn add4" ><i class="fa fa-plus" aria-hidden="true"></i></button>
                                        </div>
                                        <div class="opioid">
                                            <?php 
                                                $aso = $info['aj_spinal_opioid'];
                                                $ajso = json_decode($aso, true);
                                                foreach($ajso as $key=>$val){
                                            ?>      
                                                <div class="row31">
                                                    <div class="row" style="margin-left:3%;">
                                                        <div class="col-sm-5"><span>Opioid Name</span></div>
                                                        <div class="col-sm-7" style="display:flex;"><input type="text" class="form-control" name="spinal_opioid_name[]" value="<?php echo $val['name']; ?>"><button type="button" class="btn remove44"><i class="fa fa-times" aria-hidden="true"></i></button></div>
                                                    </div>
                                                    <div class="row pt" style="margin-left:3%;">
                                                        <div class="col-sm-5"><span>Opioid Dose(microgram equivalent)</span></div>
                                                        <div class="col-sm-7"><input type="text" class="form-control" name="spinal_opioid_dose[]" value="<?php echo $val['dose']; ?>"></div>
                                                    </div>
                                                </div>
                                            <?php
                                                } 
                                            ?>
                                        </div>
                                    </div>
                                    <div class="row pt">
                                        <div class="col-sm-5">
                                            <div class="form-check">
                                                <label class="form-check-label">
                                                <input type="checkbox" class="form-check-input spinal_clonidne" value="">Clonidne with Dose(mcgm)
                                                </label>
                                            </div>
                                        </div>
                                        <div class="col-sm-7"><input type="text" class="form-control spinal_clonidne_input" placeholder="mcgm" name="spinal_clonidne_dose" readonly></div>
                                    </div>
                                    <div class="row pt">
                                    <div class="col-sm-5">
                                        <div class="form-check">
                                            <label class="form-check-label">
                                            <input type="checkbox" class="form-check-input spinal_dexmedito" value="">Dexmeditomidine with Dose(mcgm)
                                            </label>
                                        </div>
                                    </div>
                                    <div class="col-sm-7"><input type="text" class="form-control spinal_dexmedito_input" name="spinal_dexmedito_dose" placeholder="mcgm" readonly></div>
                                    </div>
                                    <div class="row pt">
                                    <div class="col-sm-5">
                                        <div class="form-check">
                                            <label class="form-check-label">
                                            <input type="checkbox" class="form-check-input spinal_dexametha" value="">Dexamethasone with Dose(mg)
                                            </label>
                                        </div>
                                    </div>
                                    <div class="col-sm-7"><input type="text" class="form-control spinal_dexametha_input" name="spinal_dexametha_dose" placeholder="mg" readonly></div>
                                    </div>
                                    <div class="row pt">
                                    <div class="col-sm-5">
                                        <div class="form-check">
                                            <label class="form-check-label">
                                            <input type="checkbox" class="form-check-input spinal_tramadol" value="">Tramadol with Dose(mg)
                                            </label>
                                        </div>
                                    </div>
                                    <div class="col-sm-7"><input type="text" class="form-control spinal_tramadol_input" name="spinal_tramadol_dose" placeholder="mg" readonly></div>
                                    </div>
                                    <div class="row pt">
                                    <div class="col-sm-5">
                                        <div class="form-check">
                                            <label class="form-check-label">
                                            <input type="checkbox" class="form-check-input spinal_tramadol" value="">Ketamine with Dose(mg)
                                            </label>
                                        </div>
                                    </div>
                                    <div class="col-sm-7"><input type="text" class="form-control spinal_tramadol_input" name="spinal_tramadol_dose" placeholder="mg" readonly></div>
                                    </div>
                                    <div class="row pt">
                                    <div class="col-sm-5">
                                        <div class="form-check">
                                            <label class="form-check-label">
                                            <input type="checkbox" class="form-check-input spinal_tramadol" value="">Midazolam with Dose(mg)
                                            </label>
                                        </div>
                                    </div>
                                    <div class="col-sm-7"><input type="text" class="form-control spinal_tramadol_input" name="spinal_tramadol_dose" placeholder="mg" readonly></div>
                                    </div>
                                    <div class="row pt">
                                    <div class="col-sm-5">
                                        <div class="form-check">
                                            <label class="form-check-label">
                                            <input type="checkbox" class="form-check-input spinal_adrenaline" value="">Adrenaline(Epinephrine)(mcmg)
                                            </label>
                                        </div>
                                    </div>
                                    <div class="col-sm-7"><input type="text" class="form-control spinal_adrenaline_input" name="spinal_adrenaline_dose" placeholder="mcmg" readonly></div>
                                    </div>
                                    <div class="row">
                                    <div class="col-sm-8">
                                        <div class="form-check">
                                            <label class="form-check-label">
                                            <input type="checkbox" class="form-check-input spinal_other" value="">Other
                                            </label>
                                        </div>
                                        <div class="spinal_other_box" style="display:none;">
                                            <div class="row pt">
                                                
                                                <button type="button" class="btn add5" ><i class="fa fa-plus" aria-hidden="true"></i></button>                                                
                                            </div> 
                                            <div class="opioid">
                                            <?php 
                                                $ajso = $info['aj_spinal_other'];
                                                $ajsoth = json_decode($ajso, true);
                                                foreach($ajsoth as $key=>$val){
                                            ?>      
                                                <div class="row41 mt-2">
                                                    <div class="row" style="margin-left:3%;">
                                                        <div class="col-sm-5"><span>Adjuvant Name</span></div>
                                                        <div class="col-sm-7" style="display:flex;"><input type="text" class="form-control" name="spinal_aj_name[]" value="<?php echo $val['name']; ?>"><button type="button" class="btn remove55"><i class="fa fa-times" aria-hidden="true"></i></button></div>
                                                    </div>
                                                    <div class="row pt" style="margin-left:3%;">
                                                        <div class="col-sm-5"><span>Adjuvant Dose(mg)</span></div>
                                                        <div class="col-sm-7"><input type="text" class="form-control" name="spinal_aj_dose[]" value="<?php echo $val['dose']; ?>"></div>
                                                    </div>
                                                </div>
                                            <?php
                                                } 
                                            ?>
                                        </div>                                           
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>

<label class="pt">Analgesia supplementation required
                     <div class="tooltip-23">
                       <i class="fa fa-info-circle" aria-hidden="true"></i>
                        <div class="right-23">
                            <div class="text-content-23">
                                <h6>All options need to be unchecked <br> to make selection No.</h6>
                                <i></i>
                            </div>
                        </div>
                    </div>   
                    </label>
				    <div class="row">
					<div class="col-sm-2"></div>
					<div class="col-sm-10">
						<div class= "box_1 p-3">
							<input type="checkbox" class="switch_1 spinal_analgesia_supplement" id="ana" onclick="analgesia()">
						</div>
						<div class="analg-box spinal_analgesia_supplement_box" style="display:none;">
							<div class="form-check mt-0">
								<label class="form-check-label">
									<input type="hidden" class="switch_1" value="No" name="asr_spinal_inhalation">
									<input type="checkbox" class="form-check-input asr_spinal_inhalation" name="asr_spinal_inhalation" value="Yes">Inhalation Analgesia
								</label>
							</div>
							<div class="form-check">
								<label class="form-check-label">
									<input type="hidden" class="switch_1" value="No" name="asr_spinal_iv_analgesia">
									<input type="checkbox" class="form-check-input spinal_iv_analgesia" value="Yes" name="asr_spinal_iv_analgesia">IV Analgesia
								</label>
							</div>
							<div class="spinal_iv_analgesia_box" style="display:none;">

<div class="form-check" style="margin-left: 3%;">
									<label class="form-check-label">
										<input type="hidden" class="switch_1" value="No" name="asr_opioids_spinal">
										<input type="checkbox" class="form-check-input spinal_opioid_supplemen" value="Yes" name="asr_opioids_spinal">Opioids
									</label>
								</div>
									<div class="spinal_opioid_supplemen_box  mt-2" style="display:none;" >
										<div class="row" style="margin-left:3%;"> 
											<button type="button" class="btn add6" id="proced-plus" ><i class="fa fa-plus" aria-hidden="true"></i></button>
										</div>
                                        <div class="opioids">
                                            <?php                                                
                                                $ws = $info['asr_opioids_name_dose'];
                                                $kk = json_decode($ws, true);                                               
                                                foreach($kk as $key=>$val){
                                            ?>      <div class="row51">
                                                        <div class="row" style="margin-left: 3%;">
                                                            <div class="col-sm-5">
                                                                <span>Opioid Name</span>
                                                            </div>
                                                            <div class="col-sm-7" id="proced-plus" style="display: flex;"><input type="text" class="form-control" name="asr_opioid_name_spinal[]" value="<?php echo $val['name']; ?>"><button type="button" class="btn remove66"><i class="fa fa-times" aria-hidden="true"></i></button></div>
                                                        </div>
                                                        <div class="row pt" style="margin-left: 3%;">
                                                            <div class="col-sm-5"><span>Opioid Dose(microgram equivalent)</span></div>
                                                            <div class="col-sm-7"><input type="text" class="form-control" name="asr_opioid_dose_spinal[]" value="<?php echo $val['dose']; ?>"></div>
                                                        </div>
                                                    </div>
                                            <?php
                                                } 
                                            ?>
                                        </div>
										
									</div>
									<div class="form-check" style="margin-left: 3%;">
										<label class="form-check-label">
											<input type="hidden" class="switch_1" value="No" name="asr_multi_modal">
											<input type="checkbox" class="form-check-input spinal_multi_model" value="Yes" name="asr_multi_modal">Paracetamol / Anti-Inflammatories
										</label>
									</div>
								<div class="spinal_multi_model_box" >
									<div class="form-check" style="margin-left: 3%;">
										<label class="form-check-label">
											<input type="hidden" class="switch_1" value="No" name="asr_ketamine">
											<input type="checkbox" class="form-check-input asr_ketamine" value="Yes" name="asr_ketamine">Ketamine
										</label>
									</div>
									
									<div class="form-check" style="margin-left: 3%;">
										<label class="form-check-label">
											<input type="hidden" class="switch_1" value="No" name="asr_other_iv">
											<input type="checkbox" class="form-check-input spinal_adju" value="Yes" name="asr_other_iv">Other IV Adjuncts
										</label>
									</div>
									<div class="spinal_adju_box mt-2" style="display:none;">
                                        <?php
                                            $bg = $info['asr_other_iv_aj'];
                                            $bg1 = json_decode($bg, true);
                                            foreach($bg1 as $key=>$val){
                                        ?>
										<div class="row">
											<div class="col-sm-1"></div>
											<div class="col-sm-3"><label>Adjuvant Name</label></div>
											<div class="col-sm-4">
												<input type="text" class="form-control" name="asr_name_aj" value="<?php echo $val['name']; ?>">
											</div>
											<div class="col-sm-4"></div>
										</div>
										<div class="row pt">
											<div class="col-sm-1"></div>
											<div class="col-sm-3"><label>Adjuvant Dose(mg)</label></div>
											<div class="col-sm-4">
												<input type="text" class="form-control" name="asr_name_dose" value="<?php echo $val['dose']; ?>">
											</div>
											<div class="col-sm-4"></div>
										</div>
                                        <?php 
                                        }
                                        ?>
									</div>
								</div>
							</div>	
						</div>
					</div>
				    </div>
                    <label class="pt">Technical complications<span class="mandat"></span>
                     <div class="tooltip-23">
                       <i class="fa fa-info-circle" aria-hidden="true"></i>
                        <div class="right-23">
                            <div class="text-content-23">
                                <h6>All options need to be unchecked <br> to make selection No.</h6>
                                <i></i>
                            </div>
                        </div>
                    </div>   
                    </label>
                    <div class="row">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-10">
                            <div class= "box_1">
                                <input type="checkbox" class="switch_1 tech_complication_check" id="tech" onclick="technical()">
                            </div>
                            <div class="tech-compli tech_complication_checkbox" style="display:none;">
                                <ul style="margin-bottom:0px;padding-left: 0;">
                                    <li>
                                        <div class="form-check">
                                            <label class="form-check-label">
                                                <input type="hidden" class="switch_1" value="No" name="tc_failure_spinal_component">
                                                <input type="checkbox" class="form-check-input tc_failure_spinal_component" value="Yes" name="tc_failure_spinal_component">Failure of Spinal component
                                            </label>
                                        </div>
                                    </li>
                                 </ul>
                                <ul style="margin-bottom:0px;padding-left: 0;">
                                    <li>
                                        <div class="form-check">
                                            <label class="form-check-label">
                                                <input type="hidden" class="switch_1" value="No" name="complication_equipment">
                                                <input type="checkbox" class="form-check-input complication_equipment" value="Yes" name="complication_equipment">Equipment related
                                            </label>
                                        </div>
                                    </li>
                                 </ul>
                                 <ul style="margin-bottom:0px;padding-left: 0;">   
                                    <li>
                                        <div class="form-check">
                                            <label class="form-check-label">
                                                <input type="hidden" class="switch_1" value="No" name="complication_multi_attempts">
                                                <input type="checkbox" class="form-check-input complication_multi_attempts" value="Yes" name="complication_multi_attempts">Multiple attempts
                                            </label>
                                        </div>
                                    </li>
                                </ul>
                                <ul style="margin-bottom:0px;padding-left: 0;">
                                    <li>
                                        <div class="form-check">
                                            <label class="form-check-label">
                                                <input type="hidden" class="switch_1" value="No" name="complication_2nd_anaesthe">
                                                <input type="checkbox" class="form-check-input complication_2nd_anaesthe" value="Yes" name="complication_2nd_anaesthe">2nd Anaesthetist
                                            </label>
                                        </div>
                                    </li>
                                </ul>
                                <ul style="margin-bottom:0px;padding-left: 0;">
                                    <li>
                                        <div class="form-check">
                                            <label class="form-check-label">
                                                <input type="hidden" class="switch_1" value="No" name="complication_failure_space">
                                                <input type="checkbox" class="form-check-input complication_failure_space" value="Yes" name="complication_failure_space">Technique abandoned/failure to find space
                                            </label>
                                        </div>
                                    </li>
                                </ul>
                                <ul style="margin-bottom:0px;padding-left: 0;">
                                    <li>
                                        <div class="form-check">
                                            <label class="form-check-label">
                                                <input type="hidden" class="switch_1" value="No" name="complication_catheter">
                                                <input type="checkbox" class="form-check-input complication_catheter" value="Yes" name="complication_catheter">Catheter related
                                            </label>
                                        </div>
                                    </li>
                                </ul>
                                <ul style="margin-bottom:0px;padding-left: 0;">
                                    <li>
                                        <div class="form-check">
                                            <label class="form-check-label">
                                                <input type="hidden" class="switch_1" value="No" name="complication_other_check">
                                                <input type="checkbox" class="form-check-input spinal_technical_other" value="Yes" name="complication_other_check">Other
                                            </label>
                                        </div>
                                    </li>
                                    <li style="display:none;" class="spinal_technical_input">
                                        <input type="text" class="form-control complication_other" name="complication_other" >
                                    </li>
                                </ul>
                                <ul style="margin-bottom:0px;padding-left: 0;">
                                    
                                </ul>
                                
                            </div>
                        </div>
                    </div>
                    <label class="pt">Acute complications<span class="mandat"></span>
                     <div class="tooltip-23">
                       <i class="fa fa-info-circle" aria-hidden="true"></i>
                        <div class="right-23">
                            <div class="text-content-23">
                                <h6>All options need to be unchecked <br> to make selection No.</h6>
                                <i></i>
                            </div>
                        </div>
                    </div>   
                    </label>
                    <div class="row">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-10">
                            <div class= "box_1">
                                <input type="checkbox" class="switch_1 spinal_acute_multi_option" id="acu" onclick="acute()">
                            </div>
                            <div class="spinal_acute_multi_option_box" style="display:none;">
                                <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_epidural_resited">
                                    <input type="checkbox" class="form-check-input ac_epidural_resited" value="Yes" name="ac_epidural_resited">Epidural re-sited
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_last">
                                    <input type="checkbox" class="form-check-input ac_last" value="Yes" name="ac_last">Local Anaesthetic systemic toxicity(LAST)
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_rasicular_pain">
                                    <input type="checkbox" class="form-check-input ac_rasicular_pain" value="Yes" name="ac_rasicular_pain">Radicular Pain (needle/catheter)
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_paresthesia_pain">
                                    <input type="checkbox" class="form-check-input ac_paresthesia_pain" value="Yes" name="ac_paresthesia_pain">Paresthesia  (needle/catheter)
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_bloody_tap">
                                    <input type="checkbox" class="form-check-input ac_bloody_tap" value="Yes" name="ac_bloody_tap">Bloody Tap (needle/catheter)
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_intrathecal_epi_catheter">
                                    <input type="checkbox" class="form-check-input ac_intrathecal_epi_catheter" value="Yes" name="ac_intrathecal_epi_catheter">Intrathecal migration of epidural catheter
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_hypotension">
                                    <input type="checkbox" class="form-check-input ac_hypotension" value="Yes" name="ac_hypotension">Hypotension 
                                    <div class="tooltip-5">
                                       <i class="fa fa-info-circle" aria-hidden="true"></i>
                                        <div class="right-5">
                                            <div class="text-content-5">
                                                <h6>20% drop from baseline or SBP,90mmHg.</h6>
                                                <i></i>
                                            </div>
                                        </div>
                                    </div>
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_nausea">
                                    <input type="checkbox" class="form-check-input ac_nausea" value="Yes" name="ac_nausea">Nausea
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_vomiting">
                                    <input type="checkbox" class="form-check-input ac_vomiting" value="Yes" name="ac_vomiting">Vomiting
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_high_block">
                                    <input type="checkbox" class="form-check-input ac_high_block" value="Yse" name="ac_high_block">High Block 
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_subdural_block">
                                    <input type="checkbox" class="form-check-input ac_subdural_block" value="Yes" name="ac_subdural_block">Subdural Block
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_total_spinal">
                                    <input type="checkbox" class="form-check-input ac_total_spinal" value="Yes" name="ac_total_spinal">Total Spinal 
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_respira_arrest">
                                    <input type="checkbox" class="form-check-input ac_respira_arrest" value="Yes" name="ac_respira_arrest">Respiratory Arrest
                                </label>
                            </div>
                            <div class="form-check">
                                <label class="form-check-label">
                                    <input type="hidden" class="switch_1" value="No" name="ac_cardiac_arrest">
                                    <input type="checkbox" class="form-check-input ac_cardiac_arrest" value="Yes" name="ac_cardiac_arrest">Cardiac Arrest
                                </label>
                            </div>
                                <div class="form-check" style="display: flex;">
                                    <label class="form-check-label">
                                        <input type="hidden" class="switch_1" value="No" name="ac_other">
                                        <input type="checkbox" class="form-check-input spinal_acute_other" value="Yes" name="ac_other">Other
                                    </label>
                                    <input type="text" class="form-control spinal_acute_other_input ml-3" name="ac_other_input" style="width: 30%;display:none;">
                                </div>
                            </div>
                            
                        </div>
                    </div>
                    <label class="pt">Success<span class="mandat">*</span>
                    <div class="tooltip-6">
                       <i class="fa fa-info-circle" aria-hidden="true"></i>
                        <div class="right-6">
                            <div class="text-content-6">
                               <h6>Please consider the purpose of CNB along with the below definition. <br><br> Purpose of CNB : <br> 1. Sole/Primary anaesthetic <br> 2. Analgesic purpose only<br><br>Success is defined as successful puncture and injection of Local anaesthetics in the desired neuraxial space along with development of block characteristics of sensory and/or motor blockade.</h6>
                                <i></i>
                            </div>
                        </div>
                    </div>    
                    </label>
                    &nbsp;<small class="succes" style="color:red; display:none;">please choose success status</small></label>
                    <div class="row">
                        <div class="col-sm-2"></div>
                        <div class="col-sm-6">
						<div class="form-check">
							<label class="form-check-label">
							<input type="radio" class="form-check-input" id="com" value="Complete Success" name="success_option" onclick="complete()">Complete Success
                            <div class="tooltip-7">
                               <i class="fa fa-info-circle" aria-hidden="true"></i>
                                <div class="right-7">
                                    <div class="text-content-7">
                                        <h6><b>Complete Success:</b> <br>With the above condition being met, the purpose of CNB should be met adequately without any significant requirements of intravenous or inhalational anaesthetics, hypnotics and analgesics to perform the surgery.<br><br>Use of the above agents in minimal amounts to provide patient comfort for incidental discomfort is acceptable.<br><br>If used as analgesic purpose only, the cumulative intra-operative and postoperative opioids requirements should be nil or very minimal.</h6>
                                        <i></i>
                                    </div>
                                </div>
                            </div>
							</label>
						</div>
						<ul class="success-list pt-2">
							<li>Onset</li>
							<li><input type="text" class="form-control" name="comp1ete_success_onset" id="com1" readonly required></li>
							<li>(Mins)</li>
						</ul>
						<div class="form-check">
							<label class="form-check-label">
							<input type="radio" class="form-check-input" id="par" value="Partial Success" name="success_option" onclick="partial()">Partial Success
                            <div class="tooltip-8">
                               <i class="fa fa-info-circle" aria-hidden="true"></i>
                                <div class="right-8">
                                    <div class="text-content-8">
                                        <h6><b>Partial Succes</b>:<br> With the above block success definition being satisfied, the purpose of CNB is being met with some additional intravenous analgesics / inhalationals including but not restricted to LA infiltration , opioids , ketamine , hypnotics.<br><br>If used as analgesic purpose only, the cumulative intra-operative and postoperative pain and opioids requirements are moderate.</h6>
                                        <i></i>
                                    </div>
                                </div>
                            </div>
							</label>
						</div>
						<ul class="success-list pt-2">
							<li>Onset</li>
							<li><input type="text" class="form-control" name="partial_success_onset" id="par1" readonly required></li>
							<li>(Mins)</li>
						</ul>
						<div class="form-check">
							<label class="form-check-label">
							<input type="radio" class="form-check-input" value="Failure" name="success_option" id="fail" onclick="failure()">Failure
                            <div class="tooltip-9">
                               <i class="fa fa-info-circle" aria-hidden="true"></i>
                                <div class="right-9">
                                    <div class="text-content-9">
                                         <h6><b>Failure:</b> <br> Defined as failure to enter the required space, failure to achieve required sensory /motor block. Conversion to GA or very high opioid/ ketamine or hypnotic requirements.</h6>
                                        <i></i>
                                    </div>
                                </div>
                            </div>
							</label>
						</div>
					</div>
                        <div class="col-sm-4"></div>
                    </div>
                    <label class="pt">Sensory Level<span class="mandat">*</span></label>

<div class="row">
                        <div class="col-sm-6">
                            <div class="sensor-table">
                                <div class="table-responsive">
                                    <table class="table table-bordered">
                                        <thead>
                                            <tr>
                                                <th></th>
                                                <th colspan="2">Cold</th>
                                                <th colspan="2">Touch</th>
                                                <th colspan="2">Pin Prick</th>
                                            </tr>
                                            <tr>
                                                <th></th>
                                                <th>L</th>
                                                <th>R</th>
                                                <th>L</th>
                                                <th>R</th>
                                                <th>L</th>
                                                <th>R</th>
                                            </tr>
                                        </thead>
                                        <tbody>
                                            <tr>
                                                <td>C2</td>
                                                <td onclick="tog('m-cold-L-c2','1')" id="m-cold-L-c2"></td>
                                                <td  onclick="tog('m-cold-R-c2','1')" id="m-cold-R-c2"></td>
                                                <td  onclick="tog('m-Touch-L-c2','1')" id="m-Touch-L-c2"></td>
                                                <td  onclick="tog('m-Touch-R-c2','1')" id="m-Touch-R-c2"></td>
                                                <td  onclick="tog('m-pinprick-L-c2','1')" id="m-pinprick-L-c2"></td>
                                                <td  onclick="tog('m-pinprick-R-c2','1')" id="m-pinprick-R-c2"></td>
                                            </tr>
                                            <tr>
                                                <td>C3</td>
                                                <td onclick="tog('m-cold-L-c3','2')" id="m-cold-L-c3"></td>
                                                <td  onclick="tog('m-cold-R-c3','2')" id="m-cold-R-c3"></td>
                                                <td  onclick="tog('m-Touch-L-c3','2')" id="m-Touch-L-c3"></td>
                                                <td  onclick="tog('m-Touch-R-c3','2')" id="m-Touch-R-c3"></td>
                                                <td  onclick="tog('m-pinprick-L-c3','2')" id="m-pinprick-L-c3"></td>
                                                <td  onclick="tog('m-pinprick-R-c3','2')" id="m-pinprick-R-c3"></td>
                                            </tr>
                                            <tr>
                                                <td>C4</td>
                                                <td onclick="tog('m-cold-L-c4','3')" id="m-cold-L-c4"></td>
                                                <td  onclick="tog('m-cold-R-c4','3')" id="m-cold-R-c4"></td>
                                                <td  onclick="tog('m-Touch-L-c4','3')" id="m-Touch-L-c4"></td>
                                                <td  onclick="tog('m-Touch-R-c4','3')" id="m-Touch-R-c4"></td>
                                                <td  onclick="tog('m-pinprick-L-c4','3')" id="m-pinprick-L-c4"></td>
                                                <td  onclick="tog('m-pinprick-R-c4','3')" id="m-pinprick-R-c4"></td>
                                            </tr>
                                            <tr>
                                                <td>C5</td>
                                                <td onclick="tog('m-cold-L-c5','4')" id="m-cold-L-c5"></td>
                                                <td  onclick="tog('m-cold-R-c5','4')" id="m-cold-R-c5"></td>
                                                <td  onclick="tog('m-Touch-L-c5','4')" id="m-Touch-L-c5"></td>
                                                <td  onclick="tog('m-Touch-R-c5','4')" id="m-Touch-R-c5"></td>
                                                <td  onclick="tog('m-pinprick-L-c5','4')" id="m-pinprick-L-c5"></td>
                                                <td  onclick="tog('m-pinprick-R-c5','4')" id="m-pinprick-R-c5"></td>
                                            </tr>
                                            <tr>
                                                <td>C6</td>
                                                <td onclick="tog('m-cold-L-c6','5')" id="m-cold-L-c6"></td>
                                                <td  onclick="tog('m-cold-R-c6','5')" id="m-cold-R-c6"></td>
                                                <td  onclick="tog('m-Touch-L-c6','5')" id="m-Touch-L-c6"></td>
                                                <td  onclick="tog('m-Touch-R-c6','5')" id="m-Touch-R-c6"></td>
                                                <td  onclick="tog('m-pinprick-L-c6','5')" id="m-pinprick-L-c6"></td>
                                                <td  onclick="tog('m-pinprick-R-c6','5')" id="m-pinprick-R-c6"></td>
                                            </tr>
                                            <tr>
                                                <td>C7</td>
                                                <td onclick="tog('m-cold-L-c7','6')" id="m-cold-L-c7"></td>
                                                <td  onclick="tog('m-cold-R-c7','6')" id="m-cold-R-c7"></td>
                                                <td  onclick="tog('m-Touch-L-c7','6')" id="m-Touch-L-c7"></td>
                                                <td  onclick="tog('m-Touch-R-c7','6')" id="m-Touch-R-c7"></td>
                                                <td  onclick="tog('m-pinprick-L-c7','6')" id="m-pinprick-L-c7"></td>
                                                <td  onclick="tog('m-pinprick-R-c7','6')" id="m-pinprick-R-c7"></td>
                                            </tr>
                                            <tr>
                                                <td>C8</td>
                                                <td onclick="tog('m-cold-L-c8','7')" id="m-cold-L-c8"></td>
                                                <td  onclick="tog('m-cold-R-c8','7')" id="m-cold-R-c8"></td>
                                                <td  onclick="tog('m-Touch-L-c8','7')" id="m-Touch-L-c8"></td>
                                                <td  onclick="tog('m-Touch-R-c8','7')" id="m-Touch-R-c8"></td>
                                                <td  onclick="tog('m-pinprick-L-c8','7')" id="m-pinprick-L-c8"></td>
                                                <td  onclick="tog('m-pinprick-R-c8','7')" id="m-pinprick-R-c8"></td>
                                            </tr>
                                            
                                            <tr>
                                                <td>T1</td>
                                                <td onclick="tog('m-cold-L-t1','8')" id="m-cold-L-t1"></td>
                                                <td  onclick="tog('m-cold-R-t1','8')" id="m-cold-R-t1"></td>
                                                <td  onclick="tog('m-Touch-L-t1','8')" id="m-Touch-L-t1"></td>
                                                <td  onclick="tog('m-Touch-R-t1','8')" id="m-Touch-R-t1"></td>
                                                <td  onclick="tog('m-pinprick-L-t1','8')" id="m-pinprick-L-t1"></td>
                                                <td  onclick="tog('m-pinprick-R-t1','8')" id="m-pinprick-R-t1"></td>
                                            </tr>
                                            <tr>
                                                <td>T2</td>
                                                <td onclick="tog('m-cold-L-t2','9')" id="m-cold-L-t2"></td>
                                                <td  onclick="tog('m-cold-R-t2','9')" id="m-cold-R-t2"></td>
                                                <td  onclick="tog('m-Touch-L-t2','9')" id="m-Touch-L-t2"></td>
                                                <td  onclick="tog('m-Touch-R-t2','9')" id="m-Touch-R-t2"></td>
                                                <td  onclick="tog('m-pinprick-L-t2','9')" id="m-pinprick-L-t2"></td>
                                                <td  onclick="tog('m-pinprick-R-t2','9')" id="m-pinprick-R-t2"></td>
                                            </tr>
                                            <tr>
                                                <td>T3</td>
                                                <td onclick="tog('m-cold-L-t3','10')" id="m-cold-L-t3"></td>
                                                <td  onclick="tog('m-cold-R-t3','10')" id="m-cold-R-t3"></td>
                                                <td  onclick="tog('m-Touch-L-t3','10')" id="m-Touch-L-t3"></td>
                                                <td  onclick="tog('m-Touch-R-t3','10')" id="m-Touch-R-t3"></td>
                                                <td  onclick="tog('m-pinprick-L-t3','10')" id="m-pinprick-L-t3"></td>
                                                <td  onclick="tog('m-pinprick-R-t3','10')" id="m-pinprick-R-t3"></td>
                                            </tr>
                                            <tr>
                                                <td>T4</td>
                                                <td onclick="tog('m-cold-L-t4','11')" id="m-cold-L-t4"></td>
                                                <td  onclick="tog('m-cold-R-t4','11')" id="m-cold-R-t4"></td>
                                                <td  onclick="tog('m-Touch-L-t4','11')" id="m-Touch-L-t4"></td>
                                                <td  onclick="tog('m-Touch-R-t4','11')" id="m-Touch-R-t4"></td>
                                                <td  onclick="tog('m-pinprick-L-t4','11')" id="m-pinprick-L-t4"></td>
                                                <td  onclick="tog('m-pinprick-R-t4','11')" id="m-pinprick-R-t4"></td>
                                            </tr>
                                            <tr>
                                                <td>T5</td>
                                                <td onclick="tog('m-cold-L-t5','12')" id="m-cold-L-t5"></td>
                                                <td  onclick="tog('m-cold-R-t5','12')" id="m-cold-R-t5"></td>
                                                <td  onclick="tog('m-Touch-L-t5','12')" id="m-Touch-L-t5"></td>
                                                <td  onclick="tog('m-Touch-R-t5','12')" id="m-Touch-R-t5"></td>
                                                <td  onclick="tog('m-pinprick-L-t5','12')" id="m-pinprick-L-t5"></td>
                                                <td  onclick="tog('m-pinprick-R-t5','12')" id="m-pinprick-R-t5"></td>
                                            </tr>
                                            <tr>
                                                <td>T6</td>
                                                <td onclick="tog('m-cold-L-t6','13')" id="m-cold-L-t6"></td>
                                                <td  onclick="tog('m-cold-R-t6','13')" id="m-cold-R-t6"></td>
                                                <td  onclick="tog('m-Touch-L-t6','13')" id="m-Touch-L-t6"></td>
                                                <td  onclick="tog('m-Touch-R-t6','13')" id="m-Touch-R-t6"></td>
                                                <td  onclick="tog('m-pinprick-L-t6','13')" id="m-pinprick-L-t6"></td>
                                                <td  onclick="tog('m-pinprick-R-t6','13')" id="m-pinprick-R-t6"></td>
                                            </tr>
                                            <tr>
                                                <td>T7</td>
                                                <td onclick="tog('m-cold-L-t7','14')" id="m-cold-L-t7"></td>
                                                <td  onclick="tog('m-cold-R-t7','14')" id="m-cold-R-t7"></td>
                                                <td  onclick="tog('m-Touch-L-t7','14')" id="m-Touch-L-t7"></td>
                                                <td  onclick="tog('m-Touch-R-t7','14')" id="m-Touch-R-t7"></td>
                                                <td  onclick="tog('m-pinprick-L-t7','14')" id="m-pinprick-L-t7"></td>
                                                <td  onclick="tog('m-pinprick-R-t7','14')" id="m-pinprick-R-t7"></td>
                                            </tr>
                                            <tr>
                                                <td>T8</td>
                                                <td onclick="tog('m-cold-L-t8','15')" id="m-cold-L-t8"></td>
                                                <td  onclick="tog('m-cold-R-t8','15')" id="m-cold-R-t8"></td>
                                                <td  onclick="tog('m-Touch-L-t8','15')" id="m-Touch-L-t8"></td>
                                                <td  onclick="tog('m-Touch-R-t8','15')" id="m-Touch-R-t8"></td>
                                                <td  onclick="tog('m-pinprick-L-t8','15')" id="m-pinprick-L-t8"></td>
                                                <td  onclick="tog('m-pinprick-R-t8','15')" id="m-pinprick-R-t8"></td>
                                            </tr>
                                            <tr>
                                                <td>T9</td>
                                                <td onclick="tog('m-cold-L-t9','16')" id="m-cold-L-t9"></td>											
                                                <td  onclick="tog('m-cold-R-t9','16')" id="m-cold-R-t9"></td>
                                                <td  onclick="tog('m-Touch-L-t9','16')" id="m-Touch-L-t9"></td>
                                                <td  onclick="tog('m-Touch-R-t9','16')" id="m-Touch-R-t9"></td>
                                                <td  onclick="tog('m-pinprick-L-t9','16')" id="m-pinprick-L-t9"></td>
                                                <td  onclick="tog('m-pinprick-R-t9','16')" id="m-pinprick-R-t9"></td>
                                            </tr>
                                            <tr>
                                                <td>T10</td>
                                                <td onclick="tog('m-cold-L-t10','17')" id="m-cold-L-t10"></td>											
                                                <td  onclick="tog('m-cold-R-t10','17')" id="m-cold-R-t10"></td>
                                                <td  onclick="tog('m-Touch-L-t10','17')" id="m-Touch-L-t10"></td>
                                                <td  onclick="tog('m-Touch-R-t10','17')" id="m-Touch-R-t10"></td>
                                                <td  onclick="tog('m-pinprick-L-t10','17')" id="m-pinprick-L-t10"></td>
                                                <td  onclick="tog('m-pinprick-R-t10','17')" id="m-pinprick-R-t10"></td>
                                            </tr>
                                            <tr>
                                                <td>T11</td>
                                                <td onclick="tog('m-cold-L-t11','18')" id="m-cold-L-t11"></td>											
                                                <td  onclick="tog('m-cold-R-t11','18')" id="m-cold-R-t11"></td>
                                                <td  onclick="tog('m-Touch-L-t11','18')" id="m-Touch-L-t11"></td>
                                                <td  onclick="tog('m-Touch-R-t11','18')" id="m-Touch-R-t11"></td>
                                                <td  onclick="tog('m-pinprick-L-t11','18')" id="m-pinprick-L-t11"></td>
                                                <td  onclick="tog('m-pinprick-R-t11','18')" id="m-pinprick-R-t11"></td>
                                            </tr>
                                            <tr>
                                                <td>T12</td>
                                                <td onclick="tog('m-cold-L-t12','19')" id="m-cold-L-t12"></td>											
                                                <td  onclick="tog('m-cold-R-t12','19')" id="m-cold-R-t12"></td>
                                                <td  onclick="tog('m-Touch-L-t12','19')" id="m-Touch-L-t12"></td>
                                                <td  onclick="tog('m-Touch-R-t12','19')" id="m-Touch-R-t12"></td>
                                                <td  onclick="tog('m-pinprick-L-t12','19')" id="m-pinprick-L-t12"></td>
                                                <td  onclick="tog('m-pinprick-R-t12','19')" id="m-pinprick-R-t12"></td>
                                            </tr>
                                            <tr>
                                                <td>L1</td>
                                                <td onclick="tog('m-cold-L-l1','20')" id="m-cold-L-l1"></td>											
                                                <td  onclick="tog('m-cold-R-l1','20')" id="m-cold-R-l1"></td>
                                                <td  onclick="tog('m-Touch-L-l1','20')" id="m-Touch-L-l1"></td>
                                                <td  onclick="tog('m-Touch-R-l1','20')" id="m-Touch-R-l1"></td>
                                                <td  onclick="tog('m-pinprick-L-l1','20')" id="m-pinprick-L-l1"></td>
                                                <td  onclick="tog('m-pinprick-R-l1','20')" id="m-pinprick-R-l1"></td>
                                            </tr>
                                            <tr>
                                                <td>L2</td>
                                                <td onclick="tog('m-cold-L-l2','21')" id="m-cold-L-l2"></td>										
                                                <td  onclick="tog('m-cold-R-l2','21')" id="m-cold-R-l2"></td>
                                                <td  onclick="tog('m-Touch-L-l2','21')" id="m-Touch-L-l2"></td>
                                                <td  onclick="tog('m-Touch-R-l2','21')" id="m-Touch-R-l2"></td>
                                                <td  onclick="tog('m-pinprick-L-l2','21')" id="m-pinprick-L-l2"></td>
                                                <td  onclick="tog('m-pinprick-R-l2','21')" id="m-pinprick-R-l2"></td>
                                            </tr>
                                            <tr>
                                                <td>L3</td>
                                                <td onclick="tog('m-cold-L-l3','22')" id="m-cold-L-l3"></td>											
                                                <td  onclick="tog('m-cold-R-l3','22')" id="m-cold-R-l3"></td>
                                                <td  onclick="tog('m-Touch-L-l3','22')" id="m-Touch-L-l3"></td>
                                                <td  onclick="tog('m-Touch-R-l3','22')" id="m-Touch-R-l3"></td>
                                                <td  onclick="tog('m-pinprick-L-l3','22')" id="m-pinprick-L-l3"></td>
                                                <td  onclick="tog('m-pinprick-R-l3','22')" id="m-pinprick-R-l3"></td>
                                            </tr>
                                            <tr>
                                                <td>L4</td>
                                                <td onclick="tog('m-cold-L-l4','23')" id="m-cold-L-l4"></td>											
                                                <td  onclick="tog('m-cold-R-l4','23')" id="m-cold-R-l4"></td>
                                                <td  onclick="tog('m-Touch-L-l4','23')" id="m-Touch-L-l4"></td>
                                                <td  onclick="tog('m-Touch-R-l4','23')" id="m-Touch-R-l4"></td>
                                                <td  onclick="tog('m-pinprick-L-l4','23')" id="m-pinprick-L-l4"></td>
                                                <td  onclick="tog('m-pinprick-R-l4','23')" id="m-pinprick-R-l4"></td>
                                            </tr>
                                            <tr>
                                                <td>L5</td>
                                                <td onclick="tog('m-cold-L-l5','24')" id="m-cold-L-l5"></td>											
                                                <td  onclick="tog('m-cold-R-l5','24')" id="m-cold-R-l5"></td>
                                                <td  onclick="tog('m-Touch-L-l5','24')" id="m-Touch-L-l5"></td>
                                                <td  onclick="tog('m-Touch-R-l5','24')" id="m-Touch-R-l5"></td>
                                                <td  onclick="tog('m-pinprick-L-l5','24')" id="m-pinprick-L-l5"></td>
                                                <td  onclick="tog('m-pinprick-R-l5','24')" id="m-pinprick-R-l5"></td>
                                            </tr>
                                            <tr>
											<td>S1</td>
                                                <td class="selection" onclick="tog('m-cold-L-s1','25')" id="m-cold-L-s1"></td>											
                                                <td  onclick="tog('m-cold-R-s1','25')" id="m-cold-R-s1"></td>
                                                <td  onclick="tog('m-Touch-L-s1','25')" id="m-Touch-L-s1"></td>
                                                <td  onclick="tog('m-Touch-R-s1','25')" id="m-Touch-R-s1"></td>
                                                <td  onclick="tog('m-pinprick-L-s1','25')" id="m-pinprick-L-s1"></td>
                                                <td  onclick="tog('m-pinprick-R-s1','25')" id="m-pinprick-R-s1"></td>
                                            </tr>
                                            <tr>
                                                <td>S2</td>
                                                <td class="selection" onclick="tog('m-cold-L-s2','26')" id="m-cold-L-s2"></td>											
                                                <td  onclick="tog('m-cold-R-s2','26')" id="m-cold-R-s2"></td>
                                                <td  onclick="tog('m-Touch-L-s2','26')" id="m-Touch-L-s2"></td>
                                                <td  onclick="tog('m-Touch-R-s2','26')" id="m-Touch-R-s2"></td>
                                                <td  onclick="tog('m-pinprick-L-s2','26')" id="m-pinprick-L-s2"></td>
                                                <td  onclick="tog('m-pinprick-R-s2','26')" id="m-pinprick-R-s2"></td>
                                            </tr>
                                            <tr>
                                                <td>S3</td>
                                                <td class="selection" onclick="tog('m-cold-L-s3','27')" id="m-cold-L-s3"></td>											
                                                <td  onclick="tog('m-cold-R-s3','27')" id="m-cold-R-s3"></td>
                                                <td  onclick="tog('m-Touch-L-s3','27')" id="m-Touch-L-s3"></td>
                                                <td  onclick="tog('m-Touch-R-s3','27')" id="m-Touch-R-s3"></td>
                                                <td  onclick="tog('m-pinprick-L-s3','27')" id="m-pinprick-L-s3"></td>
                                                <td  onclick="tog('m-pinprick-R-s3','27')" id="m-pinprick-R-s3"></td>
                                            </tr>
                                        </tbody>
                                    </table>
                                </div>
                            </div>                            
                        </div>                        
                        <div class="col-sm-6">
                            <div class="sensory_box" style="display:none;">

<div class="index-color d-flex mt-3" style="margin-top:15%;">
                                    <ul>
                                        <li><div class="highest"></div></li>
                                        <li><span>Highest Sensory Level</span></li>
                                    </ul>
                                    <ul>
                                        <li><div class="lowest"></div></li>
                                        <li><span>Lowest Sensory Level</span></li>
                                    </ul>
                                </div>
                                <input type="hidden" id="numbers">						
                                <input type="hidden" id="ids">
                                <input type="hidden" id="values">
                                <button type="button" class="btn-red" onclick="refer('red')">Red</button>
                                <button type="button" class="btn-green" onclick="refer('green')">Green</button>
                            </div>
                            
                            <img src="<?php echo base_url('public/assets/images/Dermo.png'); ?>" class="img-fluid d-block mx-auto" style="margin-top:25%;">
                            <div class="sensory_box" style="display:none;margin-top:15%;">

<div class="index-color d-flex mt-3">
                                    <ul>
                                        <li><div class="highest"></div></li>
                                        <li><span>Highest Sensory Level</span></li>
                                    </ul>
                                    <ul>
                                        <li><div class="lowest"></div></li>
                                        <li><span>Lowest Sensory Level</span></li>
                                    </ul>
                                </div>
                                <input type="hidden" id="numbers">						
                                <input type="hidden" id="ids">
                                <input type="hidden" id="values">
                                <button type="button" class="btn-red" onclick="refer('red')">Red</button>
                                <button type="button" class="btn-green" onclick="refer('green')">Green</button>
                            </div>
                        </div>
                    </div>
                    <h4><b>Motor Level (Bromage Score)<span class="mandat">*</span></b></h4>
                    <div class="row">
                        <div class="col-sm-3"></div>
                        <div class="col-sm-7">
                            <select class="form-control motor_level" name="motor_level" id="motor_level"  onchange="checkmotor()" required>
                                <option value="">Select</option>
                                <option>0&nbsp;&nbsp;(Free movement of legs and feet)</option>
                                <option>1&nbsp;&nbsp;(Just able to fix knees with free movement of feet)</option>
                                <option>2&nbsp;&nbsp;(Unable to flex Knees,but with free movement of feet)</option>
                                <option>3&nbsp;&nbsp;(Unable to move legs or feet)</option>
                            </select>
						    <small class="motro" style="color:red; display:none;">please enter motor level</small>
                            <img src="<?php echo base_url('public/assets/images/Bromo.png'); ?>" class="img-fluid d-block mx-auto">
                        </div>
                        <div class="col-sm-2"></div>
                    </div>
                    <div class="duration">
                        <ul>
                            <li><label>Onset of surgical Anaesthesia</label></li>
                            <li><input type="text" class="form-control onset_of_surgical_anaesthesia" name="onset_of_surgical_anaesthesia" ></li>
                            <li><label>mins</label></li>
                        </ul>
                    </div>
                    <div class="duration">
                        <ul>
                            <li><label>Duration of Surgery</label></li>
                            <li><input type="text" class="form-control duration_of_surgery" name="duration_of_surgery" ></li>
                            <li><label>mins</label></li>
                        </ul>
                    </div>
                    <div class="duration">
                        <ul>
                            <li><label>Blood Loss</label></li>
                            <li><input type="text" class="form-control blood_loss" name="blood_loss"></li>
                            <li><label>ml</label></li>
                        </ul>
                    </div>
                    <div class="duration">
                        <ul>
                            <li><label>Vasopressor Use</label></li>
                            <li>
                                <div class= "box_1">
                                    <input type="hidden" class="switch_1" value="No" name="vasopressor_use">
                                    <input type="checkbox" class="switch_1 vasopressor_use" value="Yes" name="vasopressor_use">
                                </div>
                            </li>
                        </ul>
                    </div>
                    <div class="row">
                        <div class="col-sm-7"></div>
                        <div class="col-sm-5">
                            <button type="submit" class="btn-save update">Update</button>
                            <button type="button" class="btn-close" data-dismiss="modal">Close</button>
                        </div>
                    </div>
                </form>
            </div>
            
    
            </div>
        </div>
    </div>
</section>

function condition(){
		var condition = $('#cse_tech_e').val();
		// alert(condition);
		if(condition == 'Single Interspace Technique (Needle through Needle)'){
            // alert('1');
			$('.new-skeleton-img-single').show();
			$('.new-skeleton-img').hide();

// $('.epidural1').val('');
			// $('.epidural_level_name').val('');
			// $('.spinal_level_input').val('');
			// $('.spinal_level_input_name').val('');

$(".spinal_level_single"). click(function() {
				var spinal_single_level = $(this).val();				
				var spinal_single_level_split = spinal_single_level.split(',');	
				$(this).css("background", "red").css("color", "white").siblings().css("background", "white").css("color", "black");		
				$('.epidural1').val(spinal_single_level_split[0]);
				$('.epidural_level_name').val(spinal_single_level_split[1]);
				$('.spinal_level_input').val(spinal_single_level_split[0]);
				$('.spinal_level_input_name').val(spinal_single_level_split[1]);
			});

}else{
			$('.new-skeleton-img-single').hide();
			$('.new-skeleton-img').show();
			$('.epidural1').val('');
			$('.epidural_level_name').val('');
			$('.spinal_level_input').val('');
			$('.spinal_level_input_name').val('');

$(".epidural_level"). click(function() {
				var epidural_level = $(this).val();
				var epidural_level_split = 	epidural_level.split(',');	
				$(this).css("background", "red").css("color", "white").siblings().css("background", "white").css("color", "black");		
				$('.epidural1').val(epidural_level_split[0]);
				$('.epidural_level_name').val(epidural_level_split[1]);

});

$(".spinal_level"). click(function() {
				var spinal_level = $(this).val();	
				var spinal_level_split = spinal_level.split(',');	
				// alert(spinal_level_split[0]);
				$(this).css("background", "red").css("color", "white").siblings().css("background", "white").css("color", "black");		
				$('.spinal_level_input').val(spinal_level_split[0]);
				$('.spinal_level_input_name').val(spinal_level_split[1]);

});
		}
	}

</script>

function analgesia(){ 
        var ana = $('#ana').is(':checked');
        var asr_spinal_inhalation = $('.asr_spinal_inhalation').is(':checked');
        var spinal_iv_analgesia = $('.spinal_iv_analgesia').is(':checked');

if(!ana){
            if(asr_spinal_inhalation){ 
                toastr.error('Please Uncheck Inhalation Analgesia');
                $('#ana').attr("checked",true);
                document.getElementById("ana").checked = true;
            }
            else if(spinal_iv_analgesia){
                toastr.error('Please Uncheck IV Analgesia'); 
                $('#ana').attr("checked",true);
                document.getElementById("ana").checked = true;
            }
            else{
                $('.analgesia').hide();
                $("#analgesis").text(' NO ');
                $('.asr_spinal_inhalation').prop("checked",false);
                $('.spinal_iv_analgesia').prop("checked",false);
                $('.spinal_opioid_supplemen').prop("checked",false);
                $('.spinal_multi_model').prop("checked",false);
                $('.asr_ketamine').prop("checked",false);
                $('.spinal_adju').prop("checked",false);
                $('.op_remove').val('');
                $('.aj_remove').val('');
                // $('#asr_other_iv_dose').val('');
                $('.spinal_iv_analgesia_box').hide();
                $('.spinal_opioid_supplemen_box').hide();
                $('.spinal_adju_box').hide();
            }
        }
        else{
            $(".analgesia").show();
            $("#analgesis").text(' YES ');
        }
    }

var aaaa = '<?php echo $info['aj_epidural_other']; ?>';
    var qqq = jQuery.parseJSON(aaaa);

if(qqq[0].name !=''){        
        $('#inner_field').text('Yes');
        $('.aj_hide_show').show();
    }else{
        $('#inner_field').text('No');
        $('.aj_hide_show').hide();

}

var sl_cold_l = "<?php echo $info['sl_cold_l']; ?>";
    var sl_cold_r = "<?php echo $info['sl_cold_r']; ?>";
    var sl_touch_l = "<?php echo $info['sl_touch_l']; ?>";
    var sl_touch_r = "<?php echo $info['sl_touch_r']; ?>";
    var sl_pinpriek_l = "<?php echo $info['sl_pinpriek_l']; ?>";
    var sl_pinpriek_r = "<?php echo $info['sl_pinpriek_r']; ?>";

if(sl_cold_l != ''){
        var sl_cold_l_split = sl_cold_l.split(',');

$('#'+sl_cold_l_split[0]+'').css("background",sl_cold_l_split[1]);
        $('#'+sl_cold_l_split[2]+'').css("background",sl_cold_l_split[3]);
    }
    if(sl_cold_r != ''){        
        var sl_cold_r_split = sl_cold_r.split(',');

$('#'+sl_cold_r_split[0]+'').css("background",sl_cold_r_split[1]);
        $('#'+sl_cold_r_split[2]+'').css("background",sl_cold_r_split[3]);
    }
    if(sl_touch_l != ''){
        var sl_touch_l_split = sl_touch_l.split(',');

$('#'+sl_touch_l_split[0]+'').css("background",sl_touch_l_split[1]);
        $('#'+sl_touch_l_split[2]+'').css("background",sl_touch_l_split[3]);
    }
    if(sl_touch_r != ''){
        var sl_touch_r_split = sl_touch_r.split(',');

$('#'+sl_touch_r_split[0]+'').css("background",sl_touch_r_split[1]);
        $('#'+sl_touch_r_split[2]+'').css("background",sl_touch_r_split[3]);
    }
    if(sl_pinpriek_l != ''){
        var sl_pinpriek_l_split = sl_pinpriek_l.split(',');

$('#'+sl_pinpriek_l_split[0]+'').css("background",sl_pinpriek_l_split[1]);
        $('#'+sl_pinpriek_l_split[2]+'').css("background",sl_pinpriek_l_split[3]);
    }
    if(sl_pinpriek_r != ''){
        var sl_pinpriek_r_split = sl_pinpriek_r.split(',');

$('#'+sl_pinpriek_r_split[0]+'').css("background",sl_pinpriek_r_split[1]);
        $('#'+sl_pinpriek_r_split[2]+'').css("background",sl_pinpriek_r_split[3]);
    }

</script>


<script>
    var sl_cold_l = "<?php echo $info['sl_cold_l']; ?>";
    var sl_cold_r = "<?php echo $info['sl_cold_r']; ?>";
    var sl_touch_l = "<?php echo $info['sl_touch_l']; ?>";
    var sl_touch_r = "<?php echo $info['sl_touch_r']; ?>";
    var sl_pinpriek_l = "<?php echo $info['sl_pinpriek_l']; ?>";
    var sl_pinpriek_r = "<?php echo $info['sl_pinpriek_r']; ?>";
    var sl_cold_l_split = sl_cold_l.split(',');
    var sl_cold_r_split = sl_cold_r.split(',');
    var sl_touch_l_split = sl_touch_l.split(',');
    var sl_touch_r_split = sl_touch_r.split(',');
    var sl_pinpriek_l_split = sl_pinpriek_l.split(',');
    var sl_pinpriek_r_split = sl_pinpriek_r.split(',');
    if(sl_cold_l != ''){

$('#'+'m-'+sl_cold_l_split[0]+'').css("background",sl_cold_l_split[1]);
        $('#'+'m-'+sl_cold_l_split[2]+'').css("background",sl_cold_l_split[3]);
        
    }
    if(sl_cold_r != ''){

$('#'+'m-'+sl_cold_r_split[0]+'').css("background",sl_cold_r_split[1]);
        $('#'+'m-'+sl_cold_r_split[2]+'').css("background",sl_cold_r_split[3]);

}
    if(sl_touch_l != ''){

$('#'+'m-'+sl_touch_l_split[0]+'').css("background",sl_touch_l_split[1]);
        $('#'+'m-'+sl_touch_l_split[2]+'').css("background",sl_touch_l_split[3]);

}
    if(sl_touch_r != ''){

$('#'+'m-'+sl_touch_r_split[0]+'').css("background",sl_touch_r_split[1]);
        $('#'+'m-'+sl_touch_r_split[2]+'').css("background",sl_touch_r_split[3]);

}
    if(sl_pinpriek_l != ''){

$('#'+'m-'+sl_pinpriek_l_split[0]+'').css("background",sl_pinpriek_l_split[1]);
        $('#'+'m-'+sl_pinpriek_l_split[2]+'').css("background",sl_pinpriek_l_split[3]);       
    }
    if(sl_pinpriek_r != ''){

$('#'+'m-'+sl_pinpriek_r_split[0]+'').css("background",sl_pinpriek_r_split[1]);
        $('#'+'m-'+sl_pinpriek_r_split[2]+'').css("background",sl_pinpriek_r_split[3]);        
    } 
    final4 = [];
    final4 = ['m-'+sl_touch_r_split[0],sl_touch_r_split[1],'m-'+sl_touch_r_split[2],sl_touch_r_split[3]];
    final3 = [];
    final3 = ['m-'+sl_touch_l_split[0],sl_touch_l_split[1],'m-'+sl_touch_l_split[2],sl_touch_l_split[3]];
    final2 = [];
    final2 = ['m-'+sl_cold_r_split[0],sl_cold_r_split[1],'m-'+sl_cold_r_split[2],sl_cold_r_split[3]];
    final1 = [];
    final1 = ['m-'+sl_cold_l_split[0],sl_cold_l_split[1],'m-'+sl_cold_l_split[2],sl_cold_l_split[3]];
    final5 = [];
    final5 = ['m-'+sl_pinpriek_l_split[0],sl_pinpriek_l_split[1],'m-'+sl_pinpriek_l_split[2],sl_pinpriek_l_split[3]];
    final6 = [];
    final6 = ['m-'+sl_pinpriek_r_split[0],sl_pinpriek_r_split[1],'m-'+sl_pinpriek_r_split[2],sl_pinpriek_r_split[3]];

</script>

$('.date_time_m').val(procedure_date);
    $('.time_m').val(procedure_time);
    $('.cnb_done_by1').val(cnb1);
    if(cnb1 == 'Trainee'){
        $('#consultant').show();
        $("#cnb_by2").empty();
        var str = ""
        str += "<option>Junior Trainee</option>";
        str += "<option>Senior Trainee</option>";
           
        $("#cnb_by2").append(str);
    }
    else{
        $('#consultant').show();
        $("#cnb_by2").empty();
        var str = "" 
        str += "<option>Junior Consultant</option>";
        str += "<option>Senior Consultant</option>";
        $("#cnb_by2").append(str);
    }
    $('#cnb_by2').val(cnb2);
    $('.supervision').val(supervision);

function checkpos(){
		var pos = $('#patient_position_e').val();
		if((pos != '')){
			$('.pat').hide();
		}
	}

function checkasep(){
            var wearing = $('#wearing_mask_e').is(':checked');
            var sterile = $('#sterile_gown_e').is(':checked');
            var hand = $('#hand_washing_e').is(':checked');
            var drap = $('#sterile_draping_e').is(':checked');
		// alert(wearing);
        if(wearing == true || sterile == true || hand == true || drap == true){
            $('.asep').hide();
        }
	}
</script>
<script>

function tog(key,id,number) {
		// alert(key);
		// alert(id);
		// alert(number);
		// var valu = key;
		// var val_sc = valu.split('-');
		// $('#'+val_sc[0]).attr("disabled", true);

$('#ids').val(id);
		$('#values').val(key);		
		$('#numbers').val(number);

$('.sensory_box').show();	
		
		
	}
	// var final1 = [];
	// var final2 = [];
	// var final3 = [];
	// var final4 = [];
	// var final5 = [];
	// var final6 = [];

function refer(key1){
		// alert(key1);

$('.sensory_box').hide();
	
		var block1 = $('#values').val();
		// var block2 = block+'-'+block1;
		var number = parseInt($('#numbers').val());

// alert(final1);
	
		// var z1 = 24 - number;
		var ids1 = ['m-cold-L-c2','m-cold-L-c3','m-cold-L-c4','m-cold-L-c5','m-cold-L-c6','m-cold-L-c7','m-cold-L-c8',
		 			'm-cold-L-t1','m-cold-L-t2','m-cold-L-t3','m-cold-L-t4','m-cold-L-t5','m-cold-L-t6','m-cold-L-t7',
					 'm-cold-L-t8','m-cold-L-t9','m-cold-L-t10','m-cold-L-t11','m-cold-L-t12',
					 'm-cold-L-l1','m-cold-L-l2','m-cold-L-l3','m-cold-L-l4','m-cold-L-l5','m-cold-L-s1','m-cold-L-s2','m-cold-L-s3'];

var ids2 = ['m-cold-R-c2','m-cold-R-c3','m-cold-R-c4','m-cold-R-c5','m-cold-R-c6','m-cold-R-c7','m-cold-R-c8',
		 			'm-cold-R-t1','m-cold-R-t2','m-cold-R-t3','m-cold-R-t4','m-cold-R-t5','m-cold-R-t6','m-cold-R-t7',
					 'm-cold-R-t8','m-cold-R-t9','m-cold-R-t10','m-cold-R-t11','m-cold-R-t12',
					 'm-cold-R-l1','m-cold-R-l2','m-cold-R-l3','m-cold-R-l4','m-cold-R-l5','m-cold-R-s1','m-cold-R-s2','m-cold-R-s3'];

var ids3 = ['m-Touch-L-c2','m-Touch-L-c3','m-Touch-L-c4','m-Touch-L-c5','m-Touch-L-c6','m-Touch-L-c7','m-Touch-L-c8',
		 			'm-Touch-L-t1','m-Touch-L-t2','m-Touch-L-t3','m-Touch-L-t4','m-Touch-L-t5','m-Touch-L-t6','m-Touch-L-t7',
					 'm-Touch-L-t8','m-Touch-L-t9','m-Touch-L-t10','m-Touch-L-t11','m-Touch-L-t12',
					 'm-Touch-L-l1','m-Touch-L-l2','m-Touch-L-l3','m-Touch-L-l4','m-Touch-L-l5','m-Touch-L-s1','m-Touch-L-s2','m-Touch-L-s3'];

var ids4 = ['m-Touch-R-c2','m-Touch-R-c3','m-Touch-R-c4','m-Touch-R-c5','m-Touch-R-c6','m-Touch-R-c7','m-Touch-R-c8',
		 			'm-Touch-R-t1','m-Touch-R-t2','m-Touch-R-t3','m-Touch-R-t4','m-Touch-R-t5','m-Touch-R-t6','m-Touch-R-t7',
					 'm-Touch-R-t8','m-Touch-R-t9','m-Touch-R-t10','m-Touch-R-t11','m-Touch-R-t12',
					 'm-Touch-R-l1','m-Touch-R-l2','m-Touch-R-l3','m-Touch-R-l4','m-Touch-R-l5','m-Touch-R-s1','m-Touch-R-s2','m-Touch-R-s3'];

var ids5 = ['m-pinprick-L-c2','m-pinprick-L-c3','m-pinprick-L-c4','m-pinprick-L-c5','m-pinprick-L-c6','m-pinprick-L-c7','m-pinprick-L-c8',
		 			'm-pinprick-L-t1','m-pinprick-L-t2','m-pinprick-L-t3','m-pinprick-L-t4','m-pinprick-L-t5','m-pinprick-L-t6','m-pinprick-L-t7',
					 'm-pinprick-L-t8','m-pinprick-L-t9','m-pinprick-L-t10','m-pinprick-L-t11','m-pinprick-L-t12',
					 'm-pinprick-L-l1','m-pinprick-L-l2','m-pinprick-L-l3','m-pinprick-L-l4','m-pinprick-L-l5','m-pinprick-L-s1','m-pinprick-L-s2','m-pinprick-L-s3'];

var ids6 = ['m-pinprick-R-c2','m-pinprick-R-c3','m-pinprick-R-c4','m-pinprick-R-c5','m-pinprick-R-c6','m-pinprick-R-c7','m-pinprick-R-c8',
		 			'm-pinprick-R-t1','m-pinprick-R-t2','m-pinprick-R-t3','m-pinprick-R-t4','m-pinprick-R-t5','m-pinprick-R-t6','m-pinprick-R-t7',
					 'm-pinprick-R-t8','m-pinprick-R-t9','m-pinprick-R-t10','m-pinprick-R-t11','m-pinprick-R-t12',
					 'm-pinprick-R-l1','m-pinprick-R-l2','m-pinprick-R-l3','m-pinprick-R-l4','m-pinprick-R-l5','m-pinprick-R-s1','m-pinprick-R-s2','m-pinprick-R-s3'];

// alert(ids2.indexOf(block1));

if(ids1.includes(block1)){
			// alert(block1);

// alert('column-1');
			if(key1 == 'red'){

if(ids1.indexOf(block1) == 26){
					toastr.error('Higher sensory level Cant be so low..');
					return;
				}

final1.length = 0;
				for(var i = 0; i < 27 ; i++){
					$('#'+ids1[i]).css('background-color',"white");	
				
				}

final1.push(block1); // INDEX
				final1.push(key1); //COLOR
				var index = ids1.indexOf(block1);
				console.log(final1);
				toastr.success('Higher sensory level Is added sucessfully....');
				$('#'+block1).css('background-color',"red");

}
			else if(key1 == 'green'){

var redkey = final1[0];
				var redindex = ids1.indexOf(redkey);

var greenindex = ids1.indexOf(block1);
				if(final1.indexOf('red') == -1){

toastr.error('Select highest sensory level first');						
				}
				else if(greenindex <= redindex){
					toastr.error('Lower sensory level  Cant be above the highest sensory level');
				}
				else{

toastr.success('Lower sensory level Is added sucessfully....');

var index = final1.indexOf(key1);
					
					if(index == -1){
						final1.push(block1); // INDEX
						final1.push(key1); //COLOR
						$('#'+block1).css('background-color',"green");
					}
					else{

$('#'+final1[index-1]).css('background-color',"white");
						final1[index-1] = block1; // INDEX
						final1[index] = key1;//COLOR
						$('#'+block1).css('background-color',"green");
					}
					console.log(final1);
					
				}
				
			}

// alert(final1);

}else if(ids2.includes(block1)){

// alert('column-2');

// alert(block1);

if(key1 == 'red'){

if(ids2.indexOf(block1) == 26){
					toastr.error('Higher sensory level Cant be so low..');
					return;
				}

final2.length = 0;
				for(var i = 0; i < 27 ; i++){
					$('#'+ids2[i]).css('background-color',"white");

}

final2.push(block1); // INDEX
				final2.push(key1); //COLOR
				var index = ids2.indexOf(block1);
				console.log(final2);
				toastr.success('Higher sensory level Is added sucessfully....');
				$('#'+block1).css('background-color',"red");

}else if(key1 == 'green'){

var redkey = final2[0];
				var redindex = ids2.indexOf(redkey);

var greenindex = ids2.indexOf(block1);
				if(final2.indexOf('red') == -1){

toastr.error('Select highest sensory level first');						
				}
				else if(greenindex <= redindex){
					toastr.error('Lower sensory level  Cant be above the highest sensory level');
				}
				else{

toastr.success('Lower sensory level Is added sucessfully....');

var index = final2.indexOf(key1);
					
					if(index == -1){
						final2.push(block1); // INDEX
						final2.push(key1); //COLOR
						$('#'+block1).css('background-color',"green");
					}
					else{

$('#'+final2[index-1]).css('background-color',"white");
						final2[index-1] = block1; // INDEX
						final2[index] = key1;//COLOR
						$('#'+block1).css('background-color',"green");
					}
					console.log(final2);					
				}
			}
		}else if(ids3.includes(block1)){

// alert('column-2');

// alert(block1);

if(key1 == 'red'){

if(ids3.indexOf(block1) == 26){
					toastr.error('Higher sensory level Cant be so low..');
					return;
				}

final3.length = 0;
				for(var i = 0; i < 27 ; i++){
					$('#'+ids3[i]).css('background-color',"white");

}

final3.push(block1); // INDEX
				final3.push(key1); //COLOR
				var index = ids3.indexOf(block1);
				console.log(final3);
				toastr.success('Higher sensory level Is added sucessfully....');
				$('#'+block1).css('background-color',"red");

}else if(key1 == 'green'){

var redkey = final3[0];
				var redindex = ids3.indexOf(redkey);

var greenindex = ids3.indexOf(block1);
				if(final3.indexOf('red') == -1){

toastr.error('Select highest sensory level first');						
				}
				else if(greenindex <= redindex){
					toastr.error('Lower sensory level  Cant be above the highest sensory level');
				}
				else{

toastr.success('Lower sensory level Is added sucessfully....');

var index = final3.indexOf(key1);
					
					if(index == -1){
						final3.push(block1); // INDEX
						final3.push(key1); //COLOR
						$('#'+block1).css('background-color',"green");
					}
					else{

$('#'+final3[index-1]).css('background-color',"white");
						final3[index-1] = block1; // INDEX
						final3[index] = key1;//COLOR
						$('#'+block1).css('background-color',"green");
					}
					console.log(final3);					
				}
			}
		}else if(ids4.includes(block1)){

// alert('column-2');

// alert(block1);

if(key1 == 'red'){

if(ids4.indexOf(block1) == 26){
					toastr.error('Higher sensory level Cant be so low..');
					return;
				}

final4.length = 0;
				for(var i = 0; i < 27 ; i++){
					$('#'+ids4[i]).css('background-color',"white");

}

final4.push(block1); // INDEX
				final4.push(key1); //COLOR
				var index = ids4.indexOf(block1);
				console.log(final4);
				toastr.success('Higher sensory level Is added sucessfully....');
				$('#'+block1).css('background-color',"red");

}else if(key1 == 'green'){

var redkey = final4[0];
				var redindex = ids4.indexOf(redkey);

var greenindex = ids4.indexOf(block1);
				if(final4.indexOf('red') == -1){

toastr.error('Select highest sensory level first');						
				}
				else if(greenindex <= redindex){
					toastr.error('Lower sensory level  Cant be above the highest sensory level');
				}
				else{

toastr.success('Lower sensory level Is added sucessfully....');

var index = final4.indexOf(key1);
					
					if(index == -1){
						final4.push(block1); // INDEX
						final4.push(key1); //COLOR
						$('#'+block1).css('background-color',"green");
					}
					else{

$('#'+final4[index-1]).css('background-color',"white");
						final4[index-1] = block1; // INDEX
						final4[index] = key1;//COLOR
						$('#'+block1).css('background-color',"green");
					}
					console.log(final4);					
				}
			}
		}else if(ids5.includes(block1)){

// alert('column-2');

// alert(block1);

if(key1 == 'red'){

if(ids5.indexOf(block1) == 26){
					toastr.error('Higher sensory level Cant be so low..');
					return;
				}

final5.length = 0;
				for(var i = 0; i < 27 ; i++){
					$('#'+ids5[i]).css('background-color',"white");

}

final5.push(block1); // INDEX
				final5.push(key1); //COLOR
				var index = ids5.indexOf(block1);
				console.log(final5);
				toastr.success('Higher sensory level Is added sucessfully....');
				$('#'+block1).css('background-color',"red");

}else if(key1 == 'green'){

var redkey = final5[0];
				var redindex = ids5.indexOf(redkey);

var greenindex = ids5.indexOf(block1);
				if(final5.indexOf('red') == -1){

toastr.error('Select highest sensory level first');						
				}
				else if(greenindex <= redindex){
					toastr.error('Lower sensory level  Cant be above the highest sensory level');
				}
				else{

toastr.success('Lower sensory level Is added sucessfully....');

var index = final5.indexOf(key1);
					
					if(index == -1){
						final5.push(block1); // INDEX
						final5.push(key1); //COLOR
						$('#'+block1).css('background-color',"green");
					}
					else{

$('#'+final5[index-1]).css('background-color',"white");
						final5[index-1] = block1; // INDEX
						final5[index] = key1;//COLOR
						$('#'+block1).css('background-color',"green");
					}
					console.log(final5);					
				}
			}
		}else if(ids6.includes(block1)){

// alert('column-2');

// alert(block1);

if(key1 == 'red'){

if(ids6.indexOf(block1) == 26){
					toastr.error('Higher sensory level Cant be so low..');
					return;
				}

final6.length = 0;
				for(var i = 0; i < 27 ; i++){
					$('#'+ids6[i]).css('background-color',"white");

}

final6.push(block1); // INDEX
				final6.push(key1); //COLOR
				var index = ids6.indexOf(block1);
				console.log(final6);
				toastr.success('Higher sensory level Is added sucessfully....');
				$('#'+block1).css('background-color',"red");

}else if(key1 == 'green'){

var redkey = final6[0];
				var redindex = ids6.indexOf(redkey);

var greenindex = ids6.indexOf(block1);
				if(final6.indexOf('red') == -1){

toastr.error('Select highest sensory level first');						
				}
				else if(greenindex <= redindex){
					toastr.error('Lower sensory level  Cant be above the highest sensory level');
				}
				else{

toastr.success('Lower sensory level Is added sucessfully....');

var index = final6.indexOf(key1);
					
					if(index == -1){
						final6.push(block1); // INDEX
						final6.push(key1); //COLOR
						$('#'+block1).css('background-color',"green");
					}
					else{

$('#'+final6[index-1]).css('background-color',"white");
						final6[index-1] = block1; // INDEX
						final6[index] = key1;//COLOR
						$('#'+block1).css('background-color',"green");
					}
					console.log(final6);					
				}
			}
		}
		
	}		
	
</script>

$("input[name='patient_status_e']").change(function(){
		$('.psn').hide();
	});
    $("input[name='success_option']").change(function(){
		$('.succes').hide();
	});

function show(){
        $("#option_e").show();
    }
    function hide(){
        $("#option_e").hide();
    }

// $('#skin_prep_e').val(skin_prepartion);

var anatomical_landmark = "<?php echo $info['anatomical_landmark']; ?>";
    $('#landmark_e').val(anatomical_landmark);

var cse_technique = "<?php echo $info['cse_technique']; ?>";
    var spinal_level = "<?php echo $info['spinal_level']; ?>";
    var spinal_level_name = "<?php echo $info['spinal_level_name']; ?>";
    // alert(cse_technique);
    $('#cse_tech_e').val(cse_technique);
    if(cse_technique == 'Single Interspace Technique (Needle through Needle)'){
        // alert('work');
        $('.new-skeleton-img-single').show();
        $('.new-skeleton-img').hide();

$('.spinal_level_input').val(spinal_level);
        $('.spinal_level_input_name').val(spinal_level_name);

$('.epidural_level_name').val(spinal_level_name);
        $('#epidural_level_input').val(spinal_level);

if(spinal_level != ''){
            $('.'+spinal_level+'1').css("background", "red").css("color", "white");
        }

}else{
        $('.new-skeleton-img-single').hide();
        $('.new-skeleton-img').show();
    }

var epidural_level = "<?php echo $info['epidural_level']; ?>";    
    var epidural_level_name ="<?php echo $info['epidural_level_name']; ?>"; 
    // alert(epidural_level);
    $('#epidural_level_input').val(epidural_level);
    $('.epidural_level_name').val(epidural_level_name);

if(epidural_level != ''){
        $('.'+epidural_level+'3').css("background", "red").css("color", "white");
    }

$(".epidural_level"). click(function() {
		var epidural_level = $(this).val();	
        var epidural_split = epidural_level.split(',');
        
		$(this).css("background", "red").css("color", "white").siblings().css("background", "white").css("color", "black");		
		$('#epidural_level_input').val(epidural_split[0]);
		$('.epidural_level_name').val(epidural_split[1]);

});

var ultrasound = "<?php echo $info['ultrasound']; ?>";
    var probe = "<?php echo $info['probe_cover']; ?>";
    var image = "<?php echo $info['image_quality']; ?>";
    if(ultrasound == "Yes"){
        $('#epidural_ultra_sound').attr("checked",true);
        $('.epidural_ultrasound').show();
        $('#epidural_probe_cover').val(probe);
        $('#epidural_image_quality').val(image);
    }

$('.epidural_needel_brand_other').change(function(){

var input = $('.epidural_needel_brand_other').val();

if(input == "Other"){
            $('.epidural_needel_brand_other_input').show();		
        }else{
            $('.epidural_needel_brand_other_input').hide();					
        }		
    });
    
    var epidural_needle_brand = "<?php echo $info['needle_brand']; ?>";
    var epidural_needle_brand1 = epidural_needle_brand.split(' - ');

if(epidural_needle_brand1[0] == 'Other'){
        $('.epidural_needel_brand_other_input').show();
        $('.epidural_needel_brand_other_input').val(epidural_needle_brand1[1]);   
        $('.epidural_needel_brand_other').val(epidural_needle_brand1[0]);
    }else{
        $('.epidural_needel_brand_other').val(epidural_needle_brand);
    }
   
    $('.epidural_needel_type_other').change(function(){

var input = $('.epidural_needel_type_other').val();	
        // alert(input);

if(input == "Other"){
            $('.epidural_needel_type_other_input').show();		
        }else{
            $('.epidural_needel_type_other_input').hide();					
        }
    });
    var epidural_needle_type = "<?php echo $info['needle_type']; ?>";
    var epidural_needle_type1 = epidural_needle_type.split(' - ');

if(epidural_needle_type1[0] == 'Other'){
        $('.epidural_needel_type_other_input').show();
        $('.epidural_needel_type_other_input').val(epidural_needle_type1[1]);   
        $('.epidural_needel_type_other').val(epidural_needle_type1[0]);
    }else{
        $('.epidural_needel_type_other').val(epidural_needle_type);
    }
    var epidural_needle_size = "<?php echo $info['needle_size']; ?>";
    $('.epidural_needle_size').val(epidural_needle_size);

var epidural_lor_saline = "<?php echo $info['lor_saline']; ?>";
    // alert(epidural_lor_saline);
    var epidural_lor_air = "<?php echo $info['lor_air']; ?>";
    var epidural_hanging_drop = "<?php echo $info['hanging_drop']; ?>";

if(epidural_lor_saline == "LOR Saline"){
        $('#lor_saline').attr("checked",true);
    }
    if(epidural_lor_air == "LOR Air"){
        $('#lor_air').attr("checked",true);
    }
    if(epidural_hanging_drop == "Hanging Drop"){
        $('#hanging_drop').attr("checked",true);
    }
    function oth(){		
		var oth = $('#other').is(':checked');
		if(!oth){
			$('.other_input').hide();
		}
		else{
			$(".other_input").show();
		}
	}
    $(document).ready(function(){
        var i=1, j=1, k=1, l=1, m=1, n=1;

$(".add1").click(function(){			
			if(i<3){
				i++;
				$("#other_input").append('<div class="row mt-2"><div class="col-sm-12" id="proced-plus" style="display:flex;"><input onkeydown="return /[a-z]/i.test(event.key)" class="form-control "  name="others[]"><button type="button" class="btn remove1"><i class="fa fa-times" aria-hidden="true"></i></button></div></div>');
			}
    	});
        $(".add2").click(function(){
			if(j<3){
				j++;
				$(".append_fun").append('<div class="row1 mt-2"><div class="row" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Name</span></div><div class="col-sm-7" style="display:flex;"><input type="text" class="form-control" name="epidural_opioid_name[]" ><button type="button" class="btn remove2"><i class="fa fa-times" aria-hidden="true"></i></button></div></div><div class="row pt" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Dose(microgram equivalent)</span></div><div class="col-sm-7"><input type="text" class="form-control" name="epidural_opioid_dose[]" ></div></div></div>');
			}
		});
        $(".add3").click(function(){
			if(k<3){
				k++;
				$(".other9").append('<div class="row2"><div class="row pt"><div class="col-sm-4"><span>Adjuvant Name</span></div><div class="col-sm-7" id="proced-plus" style="display: flex;"><input type="text" class="form-control" name="epidural_aj_name[]"><button type="button" class="btn remove3"><i class="fa fa-times" aria-hidden="true"></i></button></div><div class="col-sm-1"></div></div><div class="row pt"><div class="col-sm-4"><span>Adjuvant Dose(mg)</span></div><div class="col-sm-7"><input type="text" class="form-control" name="epidural_aj_dose[]"></div><div class="col-sm-1"></div></div></div>');
			}
		});
        $(".add4").click(function(){
			if(l<3){
				l++;
				$(".spinal_opioid").append('<div class="row3 mt-2"><div class="row" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Name</span></div><div class="col-sm-7" style="display:flex;"><input type="text" class="form-control" name="spinal_opioid_name[]" ><button type="button" class="btn remove4"><i class="fa fa-times" aria-hidden="true"></i></button></div></div><div class="row pt" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Dose(microgram equivalent)</span></div><div class="col-sm-7"><input type="text" class="form-control" name="spinal_opioid_dose[]" ></div></div></div>');
			}
		});
        $(".add5").click(function(){
			if(m<3){
				m++;
				$(".spinal_other_box").append('<div class="row4"><div class="row pt"><div class="col-sm-4"><span>Adjuvant Name</span></div><div class="col-sm-7" id="proced-plus" style="display: flex;"><input type="text" class="form-control" name="spinal_aj_name[]"><button type="button" class="btn remove5"><i class="fa fa-times" aria-hidden="true"></i></button></div><div class="col-sm-1"></div></div><div class="row pt"><div class="col-sm-4"><span>Adjuvant Dose(mg)</span></div><div class="col-sm-7"><input type="text" class="form-control" name="spinal_aj_dose[]"></div><div class="col-sm-1"></div></div></div>');
			}
		});	
        $(".add6").click(function(){
			if(n<3){
				n++;
				$(".spinal_opioid_supplemen_box").append('<div class="row5 mt-2"><div class="row" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Name</span></div><div class="col-sm-7" id="proced-plus"  style="display:flex;"><input type="text" class="form-control" name="asr_opioid_name_spinal[]" ><button type="button" class="btn remove6"><i class="fa fa-times" aria-hidden="true"></i></button></div></div><div class="row pt" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Dose(microgram equivalent)</span></div><div class="col-sm-7"><input type="text" class="form-control" name="asr_opioid_dose_spinal[]" ></div></div></div>');
			}
		});
        $(document).on('click','.remove1',function(){  
			i--;
			$(this).closest('.row').remove();
		});
        $(document).on('click','.remove2',function(){
			j--;
			$(this).closest('.row1').remove();
		});
        $(document).on('click','.remove3',function(){
			k--;
			$(this).closest('.row2').remove();
		});
        $(document).on('click','.remove4',function(){
			l--;
			$(this).closest('.row3').remove();
		});
        $(document).on('click','.remove5',function(){
			m--;
			$(this).closest('.row4').remove();
		});
        $(document).on('click','.remove6',function(){
			n--;
			$(this).closest('.row5').remove();
		});
        $(document).on('click','.remove11',function(){
            $(this).closest('.row1').remove();
        });
        $(document).on('click','.remove22',function(){
            $(this).closest('.row11').remove();
        });
        $(document).on('click','.remove33',function(){
            $(this).closest('.row21').remove();
        });
        $(document).on('click','.remove44',function(){
			l--;
			$(this).closest('.row31').remove();
		});
        $(document).on('click','.remove55',function(){
			l--;
			$(this).closest('.row41').remove();
		});
        $(document).on('click','.remove66',function(){
			l--;
			$(this).closest('.row51').remove();
		});
    });

var ca = "<?php echo $info['epidural_other']; ?>";
    if(ca){
        $('#other').attr("checked",true);
        $(".other_input").show();        
    }
    
    var epidural_approach = "<?php echo $info['approach']; ?>";
    var epidural_attempts = "<?php echo $info['no_attempts']; ?>";
    var epidral_depth = "<?php echo $info['epidral_depth']; ?>";

$('.epidural_approach').val(epidural_approach);
    $('.epidural_attempts').val(epidural_attempts);
    $('.epidural_depth').val(epidral_depth);

function catheter(){		
		var catheter = $('.catheter').is(':checked');
		if(!catheter){
			$('.catheter_fild').hide();
		}
		else{
			$(".catheter_fild").show();
		}
	}

function checkmotor(){
		var mot = $('#motor_level').val();
		if((mot != '')){
			$('.motro').hide();
		}
	}

function acute(){
    var acu = $('#acu').is(':checked');
    if(!acu){

var ac_epidural_resited = $('.ac_epidural_resited').is(':checked');
        var ac_last = $('.ac_last').is(':checked');
        
        var ac_radicular_pain = $('.ac_rasicular_pain').is(':checked');
        var ac_paresthesia_pain = $('.ac_paresthesia_pain').is(':checked');

var ac_bloody_tap = $('.ac_bloody_tap').is(':checked');
        var ac_hypotension = $('.ac_hypotension').is(':checked');
        var ac_nausea = $('.ac_nausea').is(':checked');
        var ac_vomiting = $('.ac_vomiting').is(':checked');
        var ac_high_block = $('.ac_high_block').is(':checked');
        var ac_subdural_block = $('.ac_subdural_block').is(':checked');
        var ac_total_spinal = $('.ac_total_spinal').is(':checked');
        var ac_respi_arrest = $('.ac_respira_arrest').is(':checked');

var ac_cardiac_arrest = $('.ac_cardiac_arrest').is(':checked');
        var maternal_fever = $('.maternal_fever').is(':checked');
        var ac_intrathecal_epi_catheter = $('.ac_intrathecal_epi_catheter').is(':checked');
        var ot = $('.spinal_acute_other').is(':checked');
        var ac_intrathecal_epi_catheter = $('.ac_intrathecal_epi_catheter').is(':checked');

if(ac_epidural_resited){ 
                toastr.error('Please Uncheck Epidural re-sited');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_last){
                toastr.error('Please Uncheck Local Anaesthetic systemic toxicity');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_radicular_pain){
                toastr.error('Please Uncheck Radicular Pain');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_paresthesia_pain){
                toastr.error('Please Uncheck Paresthesia Pain');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_bloody_tap){
                toastr.error('Please Uncheck Bloody Tap');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_hypotension){
                toastr.error('Please Uncheck Hypotension');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_nausea){
                toastr.error('Please Uncheck Nausea');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_vomiting){
                toastr.error('Please Uncheck Vomiting');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_high_block){
                toastr.error('Please Uncheck High Block');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_subdural_block){
                toastr.error('Please Uncheck Subdural Block');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_total_spinal){
                toastr.error('Please Uncheck Total Spinal');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_respi_arrest){
                toastr.error('Please Uncheck Respiratory Arrest');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_cardiac_arrest){
                toastr.error('Please Uncheck Cardiac Arrest');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(maternal_fever){
                toastr.error('Please Uncheck Maternal Fever');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else if(ac_intrathecal_epi_catheter){
                toastr.error('Please Uncheck Intrathecal migration of epidural catheter');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            // else if(foetal_CTG){
            //     toastr.error('Please Uncheck Acute Foetal CTG Changes');
            //     $('#acu').attr("checked",true);
            //     document.getElementById("acu").checked = true;
            // }
            else if(ot){
                toastr.error('Please Uncheck Others');
                $('#acu').attr("checked",true);
                document.getElementById("acu").checked = true;
            }
            else{
                $('.acute').hide();
                $("#acutes").text(' NO ');
                $('#ac_radi_pain').prop("checked",false);
                $('#ac_parestsesia').prop("checked",false);
                $('#ac_bloody_tap').prop("checked",false);
                $('#ac_hypoten').prop("checked",false);
                $('#ac_nausea').prop("checked",false);
                $('#ac_vomit').prop("checked",false);
                $('#ac_high_block').prop("checked",false);
                $('#ac_sb_block').prop("checked",false);
                $('#ac_total_spinal').prop("checked",false);
                $('#ac_re_arrest').prop("checked",false);
                $('#ac_ca_arrest').prop("checked",false);
                $('#ac_other').prop("checked",false);
                $('#ot1').val('');
                $("#ot1").attr("readonly", true);
            }
    }
    else{
        $(".acute").show();
        $("#acutes").text(' YES ');
    }
} 
    $('#epidural_single').click(function(){
		var epidural_clonidne =$('#epidural_single').is(':checked');		
		if(!epidural_clonidne){
        	$(".catheter_fild").show();
		}
		else{
			$('.catheter_fild').hide();
		}
	});
    var epidural_tech = "<?php echo $info['technique']; ?>";
    var epidural_technique = epidural_tech.split(' - ');

// alert(epidural_tech);

if(epidural_technique[0] == ''){
        // alert('-');

if(epidural_technique[0] == "Single Shot"){
            $('#epidural_single')[0].checked = true;
            $('.catheter_fild').hide();
        }else{
            // $('.catheter')[0].checked = true;
            // $('.catheter_fild').show();
            $('.epidural_catheter').val(epidural_technique[1]);
        }

}else{

// alert('hi');

if(epidural_technique[0] == "Single Shot"){
            $('#epidural_single')[0].checked = true;
            $('.catheter_fild').hide();
        }else{
            $('.catheter')[0].checked = true;
            $('.catheter_fild').show();
            $('.epidural_catheter').val(epidural_technique[1]);
        }

}

var test_dose = "<?php echo $info['test_dose']; ?>";
    if(test_dose =="Yes"){
        $('.test_dose').attr("checked",true);
    }

var intra_operative_la = "<?php echo $info['la_regimen']; ?>"; 
    $('.intra_operative_la').val(intra_operative_la);

// -------------------------------------------------calculation for mg convertion--------------------------------
    function persentage(type){
		var limit = $('.epidural_persent1').val();
		var limit1 = $('.epidural_persent2').val();
		var limit2 = $('.epidural_persent3').val();
		var limit3 = $('.epidural_persent4').val();
		
		if(type == 'alert1'){
			if((limit >= -1 && limit <= 4) && limit != ''){			
				$('#persentage_tage').hide();
				$('.epidural_persent1').css('border-color','').css('background','');
			}else{	
				$('.epidural_persent1').val('');		
				$('#persentage_tage').show();
				toastr.error('should be from 0 to 4');
				// $('.epidural_persent1').css('border-color','red').css('background','#FFCCCB');
			}
		}else if(type == 'alert2'){
			if((limit1 >= -1 && limit1 <= 4) && limit1 != ''){			
				$('#persentage_tage1').hide();
				$('.epidural_persent2').css('border-color','').css('background','');

}else{	
				$('.epidural_persent2').val('');		
				$('#persentage_tage1').show();
				toastr.error('should be from 0 to 4');
				// $('.epidural_persent2').css('border-color','red').css('background','#FFCCCB');
			}
		}else if(type == 'alert3'){
			if((limit2 >= -1 && limit2 <= 4) && limit2 != ''){			
				$('#persentage_tage2').hide();
				$('.epidural_persent3').css('border-color','').css('background','');
			}else{
				$('.epidural_persent3').val('');			
				$('#persentage_tage2').show();
				toastr.error('should be from 0 to 4');
				// $('.epidural_persent3').css('border-color','red').css('background','#FFCCCB');
			}	
		}else if(type == 'alert4'){
			if((limit3 >= -1 && limit3 <= 4) && limit3 != ''){			
				$('#persentage_tage3').hide();
				$('.epidural_persent4').css('border-color','').css('background','');

}else{
				$('.epidural_persent4').val('');			
				$('#persentage_tage3').show();
				toastr.error('should be from 0 to 4');
				// $('.epidural_persent4').css('border-color','red').css('background','#FFCCCB');
			}	
		}	
	}
    function percentage(type){
    var limit = $('.spinal_persent1').val();
    var limit1 = $('.spinal_persent2').val();
    var limit2 = $('.spinal_persent3').val();
    var limit3 = $('.spinal_persent4').val();
    var limit4 = $('.spinal_persent5').val();
    var limit5 = $('.spinal_persent6').val();

if(type == 'alert1'){
        if((limit >= -1 && limit <= 4) && limit != ''){			
            $('#percentage_tage').hide();
            $('.spinal_persent1').css('border-color','').css('background','');
        }else{	
			$('.spinal_persent1').val('');		
            $('#percentage_tage').show();
			toastr.error('should be from 0 to 4');
            // $('.spinal_persent1').css('border-color','red').css('background','#FFCCCB');
        }
    }else if(type == 'alert2'){
        if((limit1 >= -1 && limit1 <= 4) && limit1 != ''){			
            $('#percentage_tage1').hide();
            $('.spinal_persent2').css('border-color','').css('background','');

}else{	
			$('.spinal_persent2').val('');		
            $('#percentage_tage1').show();
			toastr.error('should be from 0 to 4');
            // $('.spinal_persent2').css('border-color','red').css('background','#FFCCCB');
        }
    }else if(type == 'alert3'){
        if((limit2 >= -1 && limit2 <= 4) && limit2 != ''){			
            $('#percentage_tage2').hide();
            $('.spinal_persent3').css('border-color','').css('background','');
        }else{	
			$('.spinal_persent3').val('');		
            $('#percentage_tage2').show();
			toastr.error('should be from 0 to 4');
            // $('.spinal_persent3').css('border-color','red').css('background','#FFCCCB');
        }	
    }else if(type == 'alert4'){
        if((limit3 >= -1 && limit3 <= 4) && limit3 != ''){			
            $('#percentage_tage3').hide();
            $('.spinal_persent4').css('border-color','').css('background','');

}else{
			$('.spinal_persent4').val('');			
            $('#percentage_tage3').show();
			toastr.error('should be from 0 to 4');
            // $('.spinal_persent4').css('border-color','red').css('background','#FFCCCB');
        }	
    }else if(type == 'alert5'){
        if((limit4 >= -1 && limit4 <= 4) && limit4 != ''){			
            $('#percentage_tage4').hide();
            $('.spinal_persent5').css('border-color','').css('background','');

}else{
			$('.spinal_persent5').val('');			
            $('#percentage_tage4').show();
			toastr.error('should be from 0 to 4');
            // $('.spinal_persent5').css('border-color','red').css('background','#FFCCCB');
        }	
    }else if(type == 'alert6'){
        if((limit5 >= -1 && limit5 <= 4) && limit5 != ''){			
            $('#percentage_tage5').hide();
            $('.spinal_persent6').css('border-color','').css('background','');

}else{	
			$('.spinal_persent6').val('');		
            $('#percentage_tage5').show();
			toastr.error('should be from 0 to 4');
            // $('.spinal_persent6').css('border-color','red').css('background','#FFCCCB');
        }	
    }						
}
	$(".epidural_persent1").focusout(function(){
    var r_per = $('.epidural_persent1').val();
    var r_ml = $('.epidural_ml1').val();
    var r_mg = $('.epidural_mg1').val();
    if(r_per && r_ml){
        var bb = (r_ml)*10;
        var mg =(r_per*bb);
        $('.epidural_mg1').val(mg);
        $('#clear1').show();
        $('.epidural_persent1').attr("readonly", true);
        $('.epidural_ml1').attr("readonly", true);
        $('.epidural_mg1').attr("readonly", true);
    }
    else if(r_per && r_mg){
        var aa = r_mg/r_per;
        var r_total = aa/10;
        $('.epidural_ml1').val(r_total);
        $('#clear1').show();
        $('.epidural_persent1').attr("readonly", true);
        $('.epidural_ml1').attr("readonly", true);
        $('.epidural_mg1').attr("readonly", true);
    }
});
$(".epidural_ml1").focusout(function(){
    var r_per = $('.epidural_persent1').val();
    var r_ml = $('.epidural_ml1').val();
    var r_mg = $('.epidural_mg1').val();
    if(r_per && r_ml){
        var bb = (r_ml)*10;
        var mg =(r_per*bb);
        $('.epidural_mg1').val(mg);
        $('#clear1').show();
        $('.epidural_persent1').attr("readonly", true);
        $('.epidural_ml1').attr("readonly", true);
        $('.epidural_mg1').attr("readonly", true);
    }
    else if(r_mg && r_ml){
        var bb = (r_ml)*10;
        var percent = (r_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}
		else{
			$('.epidural_persent1').val(percent);
			$('#clear1').show();
			$('.epidural_persent1').attr("readonly", true);
			$('.epidural_ml1').attr("readonly", true);
			$('.epidural_mg1').attr("readonly", true);
		}
    }
});
$(".epidural_mg1").focusout(function(){
    var r_per = $('.epidural_persent1').val();
    var r_ml = $('.epidural_ml1').val();
    var r_mg = $('.epidural_mg1').val();
    if(r_mg && r_per){
        var aa = r_mg/r_per;
        var r_total = aa/10;
        $('.epidural_ml1').val(r_total);
        $('#clear1').show();
        $('.epidural_persent1').attr("readonly", true);
        $('.epidural_ml1').attr("readonly", true);
        $('.epidural_mg1').attr("readonly", true);
    }
    else if(r_mg && r_ml){
        var bb = (r_ml)*10;
        var percent = (r_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.epidural_persent1').val(percent);
			$('#clear1').show();
			$('.epidural_persent1').attr("readonly", true);
			$('.epidural_ml1').attr("readonly", true);
			$('.epidural_mg1').attr("readonly", true);
		}
    }
});

function adjuvant_spinal(){
        var spinal_adjuvant = $('.spinal_adjuvant').is(':checked');

if(!spinal_adjuvant){ 
            var Opioid = $('.spinal_opioid_check').is(':checked');
            var epidural_clonidne = $('.spinal_clonidne').is(':checked');
            var epidural_dexme = $('.spinal_dexmedito').is(':checked');
           
            var epidural_dexamethasone = $('.spinal_dexametha').is(':checked');

var epidural_trama = $('.spinal_tramadol').is(':checked');

var epidural_ketamine = $('#keta').is(':checked');
            var epidural_midazolam = $('#mida').is(':checked');

var epidural_adrenaline = $('.spinal_adrenaline').is(':checked');
            var epidural_other = $('.spinal_other').is(':checked');

if(Opioid){
                toastr.error('Please Uncheck Opioid..');
                $('#adju').attr("checked",true);
                document.getElementById("adju").checked = true;
            }
            else if(epidural_clonidne){
                toastr.error('Please Uncheck Clonidne with Dose..');
                $('#adju').attr("checked",true);
                document.getElementById("adju").checked = true;
            }
            else if(epidural_dexme){
                toastr.error('Please Uncheck Dexmeditomidine with Dose..');
                $('#adju').attr("checked",true);
                document.getElementById("adju").checked = true;
            }
            else if(epidural_dexamethasone){
                toastr.error('Please Uncheck Dexamethasone with Dose..');
                $('#adju').attr("checked",true);
                document.getElementById("adju").checked = true;
            }

else if(epidural_trama){
                toastr.error('Please Uncheck Tramadol with Dose');
                $('#adju').attr("checked",true);
                document.getElementById("adju").checked = true;
            }
            else if(epidural_ketamine){
                toastr.error('Please Uncheck Ketamine with Dose');
                $('#adju').attr("checked",true);
                document.getElementById("adju").checked = true;
            }
            else if(epidural_midazolam){
                toastr.error('Please Uncheck Midazolam with Dose');
                $('#adju').attr("checked",true);
                document.getElementById("adju").checked = true;
            }
            else if(epidural_adrenaline){
                toastr.error('Please Uncheck Adrenaline(Epinephrine)');
                $('#adju').attr("checked",true);
                document.getElementById("adju").checked = true; 
            }

else if(epidural_other){
                toastr.error('Please Uncheck other..');
                $('#adju').attr("checked",true);
                document.getElementById("adju").checked = true;
            }
            else{
                $('.spinal_adjuvant_box').hide();
            }
        }
        else{
            $('.spinal_adjuvant_box').show();

}
    }

function checkskin(){

var skin = $('#skin_prep_e').val();
    if((skin != '')){
        $('.skp').hide();
    }

var skin_prep_other = $('#skin_prep_e').val();

if(skin_prep_other == 'Other'){
        $('#skin_prep_other').show();
    }else{
        $('#skin_prep_other').hide();
        $('#skin_prep_other').val('');
    }
}

function technical(){
    var tech = $('#tech').is(':checked');

var tc_failure_spinal_component =  $('.tc_failure_spinal_component').is(':checked');
    var tc_equipment = $('.complication_equipment').is(':checked');
    var tc_multiple = $('.complication_multi_attempts').is(':checked');
    var tc_2_anaestsetist = $('.complication_2nd_anaesthe').is(':checked');
    var tc_abondoned = $('.complication_failure_space').is(':checked');

var complication_catheter = $('.complication_catheter').is(':checked');

var othe = $('.spinal_technical_other').is(':checked');

if(!tech){
        if(tc_failure_spinal_component){
            toastr.error('Please Uncheck Failure of spinal component');
            $('#tech').attr("checked",true);
            document.getElementById("tech").checked = true;
        }

else if(tc_equipment){
            toastr.error('Please Uncheck Equipment related, needle related');
            $('#tech').attr("checked",true);
            document.getElementById("tech").checked = true;
        }
        else if(tc_multiple){
            toastr.error('Please Uncheck Multiple attempts');
            $('#tech').attr("checked",true);
            document.getElementById("tech").checked = true;
        }
        else if(tc_2_anaestsetist){
            toastr.error('Please Uncheck 2nd Anaesthetist');
            $('#tech').attr("checked",true);
            document.getElementById("tech").checked = true;
        }
        else if(tc_abondoned){
            toastr.error('Please Uncheck Technique abandoned/failure to find space');
            $('#tech').attr("checked",true);
            document.getElementById("tech").checked = true;
        } 
        else if(tc_abondoned){
            toastr.error('Please Uncheck Technique abandoned/failure to find space');
            $('#tech').attr("checked",true);
            document.getElementById("tech").checked = true;
        }
        else if(complication_catheter){
            toastr.error('Please Uncheck complication catheter');
            $('#tech').attr("checked",true);
            document.getElementById("tech").checked = true;
        }  
        else if(othe){
            toastr.error('Please Uncheck other');
            $('#tech').attr("checked",true);
            document.getElementById("tech").checked = true;
        }
        else{
            $('.technical').hide();
            $("#teche").text(' NO ');
            $('#tc_equipment').prop("checked",false);
            $('#tc_multiple').prop("checked",false);
            $('#tc_2_anaestsetist').prop("checked",false);
            $('#tc_abondoned').prop("checked",false);
            $('#othe').prop("checked",false);
            $('#othe1').val('');
            $("#othe1").attr("readonly", true);
        }
    }
    else{ 
        $(".technical").show();
        $("#teche").text(' YES ');
    }
}
$(".epidural_mg2").focusout(function(){
    var b_per = $('.epidural_persent2').val();
    var b_ml = $('.epidural_ml2').val();
    var b_mg = $('.epidural_mg2').val();
    if(b_mg && b_per){
        var aa = b_mg/b_per;
        var b_total = aa/10;
        $('.epidural_ml2').val(b_total);
        $('#clear2').show();
        $('.epidural_persent2').attr("readonly", true);
        $('.epidural_ml2').attr("readonly", true);
        $('.epidural_mg2').attr("readonly", true);
    }
    else if(b_mg && b_ml){
        var bb = (b_ml)*10;
        var percent = (b_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.epidural_persent2').val(percent);
			$('#clear2').show();
			$('.epidural_persent2').attr("readonly", true);
			$('.epidural_ml2').attr("readonly", true);
			$('.epidural_mg2').attr("readonly", true);
		}
    }
});
function clean2(){
    $('.epidural_persent2').val('');
    $('.epidural_ml2').val('');
    $('.epidural_mg2').val('');
    $('.epidural_persent2').removeAttr("readonly");
    $('.epidural_ml2').removeAttr("readonly");
    $('.epidural_mg2').removeAttr("readonly");
    $('#clear2').hide();
}
$(".epidural_persent3").focusout(function(){
    var l_per = $('.epidural_persent3').val();
    var l_ml = $('.epidural_ml3').val();
    var l_mg = $('.epidural_mg3').val();
    if(l_per && l_ml){
        var bb = (l_ml)*10;
        var mg =(l_per*bb);
        $('.epidural_mg3').val(mg);
        $('#clear3').show();
        $('.epidural_persent3').attr("readonly", true);
        $('.epidural_ml3').attr("readonly", true);
        $('.epidural_mg3').attr("readonly", true);
    }
    else if(l_per && l_mg){
        var aa = l_mg/l_per;
        var l_total = aa/10;
        $('.epidural_ml3').val(l_total);
        $('#clear3').show();
        $('.epidural_persent3').attr("readonly", true);
        $('.epidural_ml3').attr("readonly", true);
        $('.epidural_mg3').attr("readonly", true);
    }
});
$(".epidural_ml3").focusout(function(){
    var l_per = $('.epidural_persent3').val();
    var l_ml = $('.epidural_ml3').val();
    var l_mg = $('.epidural_mg3').val();
    if(l_per && l_ml){
        var bb = (l_ml)*10;
        var mg =(l_per*bb);
        $('.epidural_mg3').val(mg);
        $('#clear3').show();
        $('.epidural_persent3').attr("readonly", true);
        $('.epidural_ml3').attr("readonly", true);
        $('.epidural_mg3').attr("readonly", true);
    }
    else if(l_mg && l_ml){
        var bb = (l_ml)*10;
        var percent = (l_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.epidural_persent3').val(percent);
			$('#clear3').show();
			$('.epidural_persent3').attr("readonly", true);
			$('.epidural_ml3').attr("readonly", true);
			$('.epidural_mg3').attr("readonly", true);
		}
    }
});
$(".epidural_mg3").focusout(function(){
    var l_per = $('.epidural_persent3').val();
    var l_ml = $('.epidural_ml3').val();
    var l_mg = $('.epidural_mg3').val();
    if(l_mg && l_per){
        var aa = l_mg/l_per;
        var l_total = aa/10;
        $('.epidural_ml3').val(l_total);
        $('#clear3').show();
        $('.epidural_persent3').attr("readonly", true);
        $('.epidural_ml3').attr("readonly", true);
        $('.epidural_mg3').attr("readonly", true);
    }
    else if(l_mg && l_ml){
        var bb = (l_ml)*10;
        var percent = (l_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.epidural_persent3').val(percent);
			$('#clear3').show();
			$('.epidural_persent3').attr("readonly", true);
			$('.epidural_ml3').attr("readonly", true);
			$('.epidural_mg3').attr("readonly", true);
		}
    }
});
function clean3(){
    $('.epidural_persent3').val('');
    $('.epidural_ml3').val('');
    $('.epidural_mg3').val('');
    $('.epidural_persent3').removeAttr("readonly");
    $('.epidural_ml3').removeAttr("readonly");
    $('.epidural_mg3').removeAttr("readonly");
    $('#clear3').hide();
}
$(".epidural_persent4").focusout(function(){
    var li_per = $('.epidural_persent4').val();
    var li_ml = $('.epidural_ml4').val();
    var li_mg = $('.epidural_mg4').val();
    if(li_per && li_ml){
        var bb = (li_ml)*10;
        var mg =(li_per*bb);
        $('.epidural_mg4').val(mg);
        $('#clear4').show();
        $('.epidural_persent4').attr("readonly", true);
        $('.epidural_ml4').attr("readonly", true);
        $('.epidural_mg4').attr("readonly", true);
    }
    else if(li_per && li_mg){
        var aa = li_mg/li_per;
        var li_total = aa/10;
        $('.epidural_ml4').val(li_total);
        $('#clear4').show();
        $('.epidural_persent4').attr("readonly", true);
        $('.epidural_ml4').attr("readonly", true);
        $('.epidural_mg4').attr("readonly", true);
    }
});
$(".epidural_ml4").focusout(function(){
    var li_per = $('.epidural_persent4').val();
    var li_ml = $('.epidural_ml4').val();
    var li_mg = $('.epidural_mg4').val();
    if(li_per && li_ml){
        var bb = (li_ml)*10;
        var mg =(li_per*bb);
        $('.epidural_mg4').val(mg);
        $('#clear4').show();
        $('.epidural_persent4').attr("readonly", true);
        $('.epidural_ml4').attr("readonly", true);
        $('.epidural_mg4').attr("readonly", true);
    }
    else if(li_mg && li_ml){
        var bb = (li_ml)*10;
        var percent = (li_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.epidural_persent4').val(percent);
			$('#clear4').show();
			$('.epidural_persent4').attr("readonly", true);
			$('.epidural_ml4').attr("readonly", true);
			$('.epidural_mg4').attr("readonly", true);
		}
    }
});
$(".epidural_mg4").focusout(function(){
    var li_per = $('.epidural_persent4').val();
    var li_ml = $('.epidural_ml4').val();
    var li_mg = $('.epidural_mg4').val();
    if(li_mg && li_per){
        var aa = li_mg/li_per;
        var li_total = aa/10;
        $('.epidural_ml4').val(li_total);
        $('#clear4').show();
        $('.epidural_persent4').attr("readonly", true);
        $('.epidural_ml4').attr("readonly", true);
        $('.epidural_mg4').attr("readonly", true);
    }
    else if(li_mg && li_ml){
        var bb = (li_ml)*10;
        var percent = (li_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.epidural_persent4').val(percent);
			$('#clear4').show();
			$('.epidural_persent4').attr("readonly", true);
			$('.epidural_ml4').attr("readonly", true);
			$('.epidural_mg4').attr("readonly", true);
		}
    }
});
function clean4(){
    $('.epidural_persent4').val('');
    $('.epidural_ml4').val('');
    $('.epidural_mg4').val('');
    $('.epidural_persent4').removeAttr("readonly");
    $('.epidural_ml4').removeAttr("readonly");
    $('.epidural_mg4').removeAttr("readonly");
    $('#clear4').hide();
}
 // ----------------------------------------------------calculation conver to mg (END)---------------------------------------

var epidural_ropi = "<?php echo $info['la_ropivacaine']; ?>";
    var epidural_ropi_split = epidural_ropi.split(',');
    $('.epidural_option1').val(epidural_ropi_split[0]);
    $('.epidural_persent1').val(epidural_ropi_split[1]);
    $('.epidural_ml1').val(epidural_ropi_split[2]);
    $('.epidural_mg1').val(epidural_ropi_split[3]);

var epidural_bupiva = "<?php echo $info['la_bupivacaine']; ?>";
    var epidural_bupiva_split = epidural_bupiva.split(',');
    $('.epidural_option2').val(epidural_bupiva_split[0]);
    $('.epidural_persent2').val(epidural_bupiva_split[1]);
    $('.epidural_ml2').val(epidural_bupiva_split[2]);
    $('.epidural_mg2').val(epidural_bupiva_split[3]);

var epidural_levobu = "<?php echo $info['la_levobupivacaine']; ?>";
    var epidural_levobu_split = epidural_levobu.split(',');
    $('.epidural_option3').val(epidural_levobu_split[0]);
    $('.epidural_persent3').val(epidural_levobu_split[1]);
    $('.epidural_ml3').val(epidural_levobu_split[2]);
    $('.epidural_mg3').val(epidural_levobu_split[3]);

var epidural_ligno = "<?php echo $info['la_lignocaine']; ?>";
    var epidural_ligno_split = epidural_ligno.split(',');
    $('.epidural_option4').val(epidural_ligno_split[0]);
    $('.epidural_persent4').val(epidural_ligno_split[1]);
    $('.epidural_ml4').val(epidural_ligno_split[2]);
    $('.epidural_mg4').val(epidural_ligno_split[3]);

function epidural_adjuvant(){
        var epidural_adjuvant = $('.epidural_adjuvant').is(':checked');
        // alert(epidural_adjuvant);

if(!epidural_adjuvant){ 
            var Opioid = $('.epidural_opioid').is(':checked');
            var epidural_clonidne = $('#epidural_clonidne').is(':checked');
            var epidural_dexme = $('.epidural_dexme').is(':checked');
           
            var epidural_dexamethasone = $('.epidural_dexamethasone').is(':checked');

var epidural_trama = $('.epidural_trama').is(':checked');

var epidural_ketamine = $('.epidural_ketamine').is(':checked');
            var epidural_midazolam = $('.epidural_midazolam').is(':checked');
            //var epidural_adrenaline = $('.epidural_adrenaline').is(':checked');
            var epidural_other = $('.epidural_other').is(':checked');

if(Opioid){
                toastr.error('Please Uncheck Opioid..');
                $('#epidural_adj').attr("checked",true);
                document.getElementById("epidural_adj").checked = true;
            }
            else if(epidural_clonidne){
                toastr.error('Please Uncheck Clonidne with Dose..');
                $('#epidural_adj').attr("checked",true);
                document.getElementById("epidural_adj").checked = true;
            }
            else if(epidural_dexme){
                toastr.error('Please Uncheck Dexmeditomidine with Dose..');
                $('#epidural_adj').attr("checked",true);
                document.getElementById("epidural_adj").checked = true;
            }
            else if(epidural_dexamethasone){
                toastr.error('Please Uncheck Dexamethasone with Dose..');
                $('#epidural_adj').attr("checked",true);
                document.getElementById("epidural_adj").checked = true;
            }

else if(epidural_trama){
                toastr.error('Please Uncheck Tramadol with Dose');
                $('#epidural_adj').attr("checked",true);
                document.getElementById("epidural_adj").checked = true;
            }
            else if(epidural_ketamine){
                toastr.error('Please Uncheck Ketamine with Dose');
                $('#epidural_adj').attr("checked",true);
                document.getElementById("epidural_adj").checked = true;
            }
            else if(epidural_midazolam){
                toastr.error('Please Uncheck Midazolam with Dose');
                $('#epidural_adj').attr("checked",true);
                document.getElementById("epidural_adj").checked = true;
            }
            // else if(epidural_adrenaline){
            //     toastr.error('Please Uncheck Adrenaline(Epinephrine)');
            //     $('#epidural_adj').attr("checked",true);
            //     document.getElementById("epidural_adj").checked = true; 
            // }

else if(epidural_other){
                toastr.error('Please Uncheck other..');
                $('#epidural_adj').attr("checked",true);
                document.getElementById("epidural_adj").checked = true;
            }
            else{
                $('.epidural_adjuvant_check').hide();
            }
        }
        else{
            $('.epidural_adjuvant_check').show();

}
    }

$('#epidural_clonidne').click(function(){
		var epidural_clonidne =$('#epidural_clonidne').is(':checked');		
		if(!epidural_clonidne){
        	$(".epidural_clonidne_input").attr("readonly", true);
		}
		else{
			$('.epidural_clonidne_input').removeAttr("readonly");
		}
	});
    $('.epidural_dexme').click(function(){
		var epidural_clonidne =$('.epidural_dexme').is(':checked');		
		if(!epidural_clonidne){
        	$(".epidural_dexme_input").attr("readonly", true);
		}
		else{
			$('.epidural_dexme_input').removeAttr("readonly");
		}
	});
	$('.epidural_dexamethasone').click(function(){
		var epidural_clonidne =$('.epidural_dexamethasone').is(':checked');		
		if(!epidural_clonidne){
        	$(".epidural_dexamethasone_input").attr("readonly", true);
		}
		else{
			$('.epidural_dexamethasone_input').removeAttr("readonly");
		}
	});
	$('.epidural_trama').click(function(){
		var epidural_clonidne =$('.epidural_trama').is(':checked');		
		if(!epidural_clonidne){
        	$(".epidural_trama_input").attr("readonly", true);
		}
		else{
			$('.epidural_trama_input').removeAttr("readonly");
		}
	});
	$('.epidural_ketamine').click(function(){
		var epidural_clonidne =$('.epidural_ketamine').is(':checked');		
		if(!epidural_clonidne){
        	$(".epidural_ketamine_input").attr("readonly", true);
		}
		else{
			$('.epidural_ketamine_input').removeAttr("readonly");
		}
	});
	$('.epidural_midazolam').click(function(){
		var epidural_clonidne =$('.epidural_midazolam').is(':checked');		
		if(!epidural_clonidne){
        	$(".epidural_midazolam_input").attr("readonly", true);
		}
		else{
			$('.epidural_midazolam_input').removeAttr("readonly");
		}
	});
	$('.epidural_adrenaline').click(function(){
		var epidural_clonidne =$('.epidural_adrenaline').is(':checked');		
		if(!epidural_clonidne){
        	$(".epidural_adrenaline_input").attr("readonly", true);
		}
		else{
			$('.epidural_adrenaline_input').removeAttr("readonly");
		}
	});
	$('.epidural_other').click(function(){
		var epidural_clonidne =$('.epidural_other').is(':checked');		
		if(!epidural_clonidne){			
        	$(".epidural_other_box").hide();
		}
		else{
			$('.epidural_other_box').show();
		}
	});

var ccc101 = "<?php echo $info['opioid_name']; ?>";
    var ccc = ccc101.split(",");
    var qqq = "<?php echo $info['clonidina_dose']; ?>";
    var vcs = "<?php echo $info['dexmeditomidine_dose']; ?>";
    var qrq = "<?php echo $info['dexamephasone_dose']; ?>";
    var mm = "<?php echo $info['tramadol_dose']; ?>";
    var mu = "<?php echo $info['kepamine_dose']; ?>";
    var qvc = "<?php echo $info['midazolam_dose']; ?>";
    var qtq110 = '<?php echo $info['aj_epidural_other']; ?>';
    var qtq = jQuery.parseJSON(qtq110);

if((ccc[0] != '')||(qqq)||(vcs)||(qrq)||(mm)||(mu)||(qvc)||qtq[0]['name'] != ''){
        $('.epidural_adjuvant').attr("checked",true);
        $('.epidural_adjuvant_check').show();
    }

</script>

var spinal_level = "<?php echo $info['spinal_level']; ?>";
    var spinal_level_name = "<?php echo $info['spinal_level_name']; ?>";
    // alert(spinal_level);
    $('.spinal_level_input').val(spinal_level);
    $('.spinal_level_input_name').val(spinal_level_name);

if(spinal_level != ''){
        $('.'+spinal_level+'2').css("background", "red").css("color", "white");
    }

$(".spinal_level"). click(function() {
		var spinal_level = $(this).val();
        var spinal_level_split = spinal_level.split(',');
        // alert(spinal_level_split[0]);       	
		$(this).css("background", "red").css("color", "white").siblings().css("background", "white").css("color", "black");		
		$('.spinal_level_input').val(spinal_level_split[0]);
		$('.spinal_level_input_name').val(spinal_level_split[1]);

});

$('.spinal_needel_brand_other').change(function(){

var input = $('.spinal_needel_brand_other').val();

if(input == "Other"){
            $('.spinal_needel_brand_other_input').show();		
        }else{
            $('.spinal_needel_brand_other_input').hide();					
        }		
    });
    $('.spinal_needel_type_other').change(function(){

var input = $('.spinal_needel_type_other').val();

if(input == "Other"){
            $('.spinal_needel_type_other_input').show();		
        }else{
            $('.spinal_needel_type_other_input').hide();					
        }		
    });

var spinal_needle_brand1 = "<?php echo $info['spinal_needle_brand']; ?>";
    // alert(spinal_needle_brand1);
    var spinal_needle_brand = spinal_needle_brand1.split(' - ');

if(spinal_needle_brand[0] == 'Other'){
        $('.spinal_needel_brand_other_input').show();
        $('.spinal_needel_brand_other_input').val(spinal_needle_brand[1]);   
        $('.spinal_needel_brand_other').val(spinal_needle_brand[0]);
    }else{
        $('.spinal_needel_brand_other').val(spinal_needle_brand1);            
    }

var spinal_needle_type1 = "<?php echo $info['spinal_needle_type']; ?>";
    var spinal_needle_type = spinal_needle_type1.split(' - ');

if(spinal_needle_type[0] == 'Other'){
        $('.spinal_needel_type_other_input').show();
        $('.spinal_needel_type_other_input').val(spinal_needle_type[1]);   
        $('.spinal_needel_type_other').val(spinal_needle_type[0]);
    }else{
        $('.spinal_needel_type_other').val(spinal_needle_type1);
    }

var sns = "<?php echo $info['spinal_needle_size']; ?>";
    $('.spinal_needle_size').val(sns);
    var sa = "<?php echo $info['spinal_approach']; ?>";
    $('.spinal_approach').val(sa);
    var sat = "<?php echo $info['spinal_no_attempts']; ?>"; 
    $('.spinal_attempts').val(sat);

// $('.spinal_anaesthe').click(function(){
	// 	var epidural_clonidne =$('.spinal_anaesthe').is(':checked');		
	// 	if(!epidural_clonidne){			
    //     	$(".spinal_anaesthe_box").hide();
	// 	}
	// 	else{
	// 		$('.spinal_anaesthe_box').show();
	// 	}
	// });
    $('.spinal_anaesth_other').click(function(){
		var epidural_clonidne =$('.spinal_anaesth_other').is(':checked');		
		if(!epidural_clonidne){			
        	$(".spinal_anaesth_other_option").hide();
		}
		else{
			$('.spinal_anaesth_other_option').show();
		}
	});

$(".spinal_persent1").focusout(function(){
    var li_per = $('.spinal_persent1').val();
    var li_ml = $('.spinal_ml1').val();
    var li_mg = $('.spinal_mg1').val();
    if(li_per && li_ml){
        var bb = (li_ml)*10;
        var mg =(li_per*bb);
        $('.spinal_mg1').val(mg);
        $('#clears1').show();
        $('.spinal_persent1').attr("readonly", true);
        $('.spinal_ml1').attr("readonly", true);
        $('.spinal_mg1').attr("readonly", true);
    }
    else if(li_per && li_mg){
        var aa = li_mg/li_per;
        var li_total = aa/10;
        $('.spinal_ml1').val(li_total);
        $('#clears1').show();
        $('.spinal_persent1').attr("readonly", true);
        $('.spinal_ml1').attr("readonly", true);
        $('.spinal_mg1').attr("readonly", true);
    }
});
$(".spinal_ml1").focusout(function(){
    var li_per = $('.spinal_persent1').val();
    var li_ml = $('.spinal_ml1').val();
    var li_mg = $('.spinal_mg1').val();
    if(li_per && li_ml){
        var bb = (li_ml)*10;
        var mg =(li_per*bb);
        $('.spinal_mg1').val(mg);
        $('#clears1').show();
        $('.spinal_persent1').attr("readonly", true);
        $('.spinal_ml1').attr("readonly", true);
        $('.spinal_mg1').attr("readonly", true);
    }
    else if(li_mg && li_ml){
        var bb = (li_ml)*10;
        var percent = (li_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent1').val(percent);
			$('#clears1').show();
			$('.spinal_persent1').attr("readonly", true);
			$('.spinal_ml1').attr("readonly", true);
			$('.spinal_mg1').attr("readonly", true);
		}
    }
});
$(".spinal_mg1").focusout(function(){
    var li_per = $('.spinal_persent1').val();
    var li_ml = $('.spinal_ml1').val();
    var li_mg = $('.spinal_mg1').val();
    if(li_mg && li_per){
        var aa = li_mg/li_per;
        var li_total = aa/10;
        $('.spinal_ml1').val(li_total);
        $('#clears1').show();
        $('.spinal_persent1').attr("readonly", true);
        $('.spinal_ml1').attr("readonly", true);
        $('.spinal_mg1').attr("readonly", true);
    }
    else if(li_mg && li_ml){
        var bb = (li_ml)*10;
        var percent = (li_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent1').val(percent);
			$('#clears1').show();
			$('.spinal_persent1').attr("readonly", true);
			$('.spinal_ml1').attr("readonly", true);
			$('.spinal_mg1').attr("readonly", true);
		}
    }
});
function cleans1(){
    $('.spinal_persent1').val('');
    $('.spinal_ml1').val('');
    $('.spinal_mg1').val('');
    $('.spinal_persent1').removeAttr("readonly");
    $('.spinal_ml1').removeAttr("readonly");
    $('.spinal_mg1').removeAttr("readonly");
    $('#clears1').hide();
}
$(".spinal_persent2").focusout(function(){
    var b_per = $('.spinal_persent2').val();
    var b_ml = $('.spinal_ml2').val();
    var b_mg = $('.spinal_mg2').val();
    if(b_per && b_ml){
        var bb = (b_ml)*10;
        var mg =(b_per*bb);
        $('.spinal_mg2').val(mg);
        $('#clears2').show();
        $('.spinal_persent2').attr("readonly", true);
        $('.spinal_ml2').attr("readonly", true);
        $('.spinal_mg2').attr("readonly", true);
    }
    else if(b_per && b_mg){
        var aa = b_mg/b_per;
        var b_total = aa/10;
        $('.spinal_ml2').val(b_total);
        $('#clears2').show();
        $('.spinal_persent2').attr("readonly", true);
        $('.spinal_ml2').attr("readonly", true);
        $('.spinal_mg2').attr("readonly", true);
    }
});
$(".spinal_ml2").focusout(function(){
    var b_per = $('.spinal_persent2').val();
    var b_ml = $('.spinal_ml2').val();
    var b_mg = $('.spinal_mg2').val();
    if(b_per && b_ml){
        var bb = (b_ml)*10;
        var mg =(b_per*bb);
        $('.spinal_mg2').val(mg);
        $('#clears2').show();
        $('.spinal_persent2').attr("readonly", true);
        $('.spinal_ml2').attr("readonly", true);
        $('.spinal_mg2').attr("readonly", true);
    }
    else if(b_mg && b_ml){
        var bb = (b_ml)*10;
        var percent = (b_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent2').val(percent);
			$('#clears2').show();
			$('.spinal_persent2').attr("readonly", true);
			$('.spinal_ml2').attr("readonly", true);
			$('.spinal_mg2').attr("readonly", true);
		}
    }
});
$(".spinal_mg2").focusout(function(){
    var b_per = $('.spinal_persent2').val();
    var b_ml = $('.spinal_ml2').val();
    var b_mg = $('.spinal_mg2').val();
    if(b_mg && b_per){
        var aa = b_mg/b_per;
        var b_total = aa/10;
        $('.spinal_ml2').val(b_total);
        $('#clears2').show();
        $('.spinal_persent2').attr("readonly", true);
        $('.spinal_ml2').attr("readonly", true);
        $('.spinal_mg2').attr("readonly", true);
    }
    else if(b_mg && b_ml){
        var bb = (b_ml)*10;
        var percent = (b_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent2').val(percent);
			$('#clears2').show();
			$('.spinal_persent2').attr("readonly", true);
			$('.spinal_ml2').attr("readonly", true);
			$('.spinal_mg2').attr("readonly", true);
		}
    }
});
function cleans2(){
    $('.spinal_persent2').val('');
    $('.spinal_ml2').val('');
    $('.spinal_mg2').val('');
    $('.spinal_persent2').removeAttr("readonly");
    $('.spinal_ml2').removeAttr("readonly");
    $('.spinal_mg2').removeAttr("readonly");
    $('#clears2').hide();
}
$(".spinal_persent3").focusout(function(){
    var r_per = $('.spinal_persent3').val();
    var r_ml = $('.spinal_ml3').val();
    var r_mg = $('.spinal_mg3').val();
    if(r_per && r_ml){
        var bb = (r_ml)*10;
        var mg =(r_per*bb);
        $('.spinal_mg3').val(mg);
        $('#clears3').show();
        $('.spinal_persent3').attr("readonly", true);
        $('.spinal_ml3').attr("readonly", true);
        $('.spinal_mg3').attr("readonly", true);
    }
    else if(r_per && r_mg){
        var aa = r_mg/r_per;
        var r_total = aa/10;
        $('.spinal_ml3').val(r_total);
        $('#clears3').show();
        $('.spinal_persent3').attr("readonly", true);
        $('.spinal_ml3').attr("readonly", true);
        $('.spinal_mg3').attr("readonly", true);
    }
});
$(".spinal_ml3").focusout(function(){
    var r_per = $('.spinal_persent3').val();
    var r_ml = $('.spinal_ml3').val();
    var r_mg = $('.spinal_mg3').val();
    if(r_per && r_ml){
        var bb = (r_ml)*10;
        var mg =(r_per*bb);
        $('.spinal_mg3').val(mg);
        $('#clears3').show();
        $('.spinal_persent3').attr("readonly", true);
        $('.spinal_ml3').attr("readonly", true);
        $('.spinal_mg3').attr("readonly", true);
    }
    else if(r_mg && r_ml){
        var bb = (r_ml)*10;
        var percent = (r_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent3').val(percent);
			$('#clears3').show();
			$('.spinal_persent3').attr("readonly", true);
			$('.spinal_ml3').attr("readonly", true);
			$('.spinal_mg3').attr("readonly", true);
		}
    }
});
$(".spinal_mg3").focusout(function(){
    var r_per = $('.spinal_persent3').val();
    var r_ml = $('.spinal_ml3').val();
    var r_mg = $('.spinal_mg3').val();
    if(r_mg && r_per){
        var aa = r_mg/r_per;
        var r_total = aa/10;
        $('.spinal_ml3').val(r_total);
        $('#clears3').show();
        $('.spinal_persent3').attr("readonly", true);
        $('.spinal_ml3').attr("readonly", true);
        $('.spinal_mg3').attr("readonly", true);
    }
    else if(r_mg && r_ml){
        var bb = (r_ml)*10;
        var percent = (r_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent3').val(percent);
			$('#clears3').show();
			$('.spinal_persent3').attr("readonly", true);
			$('.spinal_ml3').attr("readonly", true);
			$('.spinal_mg3').attr("readonly", true);
		}
    }
});
function cleans3(){
    $('.spinal_persent3').val('');
    $('.spinal_ml3').val('');
    $('.spinal_mg3').val('');
    $('.spinal_persent3').removeAttr("readonly");
    $('.spinal_ml3').removeAttr("readonly");
    $('.spinal_mg3').removeAttr("readonly");
    $('#clears3').hide();
}
$(".spinal_persent4").focusout(function(){
    var p_per = $('.spinal_persent4').val();
    var p_ml = $('.spinal_ml4').val();
    var p_mg = $('.spinal_mg4').val();
    if(p_per && p_ml){
        var bb = (p_ml)*10;
        var mg =(p_per*bb);
        $('.spinal_mg4').val(mg);
        $('#clears4').show();
        $('.spinal_persent4').attr("readonly", true);
        $('.spinal_ml4').attr("readonly", true);
        $('.spinal_mg4').attr("readonly", true);
    }
    else if(p_per && p_mg){
        var aa = p_mg/p_per;
        var p_total = aa/10;
        $('.spinal_ml4').val(p_total);
        $('#clears4').show();
        $('.spinal_persent4').attr("readonly", true);
        $('.spinal_ml4').attr("readonly", true);
        $('.spinal_mg4').attr("readonly", true);
    }
});
$(".spinal_ml4").focusout(function(){
    var p_per = $('.spinal_persent4').val();
    var p_ml = $('.spinal_ml4').val();
    var p_mg = $('.spinal_mg4').val();
    if(p_per && p_ml){
        var bb = (p_ml)*10;
        var mg =(p_per*bb);
        $('.spinal_mg4').val(mg);
        $('#clears4').show();
        $('.spinal_persent4').attr("readonly", true);
        $('.spinal_ml4').attr("readonly", true);
        $('.spinal_mg4').attr("readonly", true);
    }
    else if(p_mg && p_ml){
        var bb = (p_ml)*10;
        var percent = (p_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent4').val(percent);
			$('#clears4').show();
			$('.spinal_persent4').attr("readonly", true);
			$('.spinal_ml4').attr("readonly", true);
			$('.spinal_mg4').attr("readonly", true);
		}
    }
});
$(".spinal_mg4").focusout(function(){
    var p_per = $('.spinal_persent4').val();
    var p_ml = $('.spinal_ml4').val();
    var p_mg = $('.spinal_mg4').val();
    if(p_mg && p_per){
        var aa = p_mg/p_per;
        var p_total = aa/10;
        $('.spinal_ml4').val(p_total);
        $('#clears4').show();
        $('.spinal_persent4').attr("readonly", true);
        $('.spinal_ml4').attr("readonly", true);
        $('.spinal_mg4').attr("readonly", true);
    }
    else if(p_mg && p_ml){
        var bb = (p_ml)*10;
        var percent = (p_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent4').val(percent);
			$('#clears4').show();
			$('.spinal_persent4').attr("readonly", true);
			$('.spinal_ml4').attr("readonly", true);
			$('.spinal_mg4').attr("readonly", true);
		}
    }
});
function cleans4(){
    $('.spinal_persent4').val('');
    $('.spinal_ml4').val('');
    $('.spinal_mg4').val('');
    $('.spinal_persent4').removeAttr("readonly");
    $('.spinal_ml4').removeAttr("readonly");
    $('.spinal_mg4').removeAttr("readonly");
    $('#clears4').hide();
}
$(".spinal_persent5").focusout(function(){
    var chl_per = $('.spinal_persent5').val();
    var chl_ml = $('.spinal_ml5').val();
    var chl_mg = $('.spinal_mg5').val();
    if(chl_per && chl_ml){
        var bb = (chl_ml)*10;
        var mg =(chl_per*bb);
        $('.spinal_mg5').val(mg);
        $('#clears5').show();
        $('.spinal_persent5').attr("readonly", true);
        $('.spinal_ml5').attr("readonly", true);
        $('.spinal_mg5').attr("readonly", true);
    }
    else if(chl_per && chl_mg){
        var aa = chl_mg/chl_per;
        var cl_total = aa/10;
        $('.spinal_ml5').val(cl_total);
        $('#clears5').show();
        $('.spinal_persent5').attr("readonly", true);
        $('.spinal_ml5').attr("readonly", true);
        $('.spinal_mg5').attr("readonly", true);
    }
});
$(".spinal_ml5").focusout(function(){
    var chl_per = $('.spinal_persent5').val();
    var chl_ml = $('.spinal_ml5').val();
    var chl_mg = $('.spinal_mg5').val();
    if(chl_per && chl_ml){
        var bb = (chl_ml)*10;
        var mg =(chl_per*bb);
        $('.spinal_mg5').val(mg);
        $('#clears5').show();
        $('.spinal_persent5').attr("readonly", true);
        $('.spinal_ml5').attr("readonly", true);
        $('.spinal_mg5').attr("readonly", true);
    }
    else if(chl_mg && chl_ml){
        var bb = (chl_ml)*10;
        var percent = (chl_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent5').val(percent);
			$('#clears5').show();
			$('.spinal_persent5').attr("readonly", true);
			$('.spinal_ml5').attr("readonly", true);
			$('.spinal_mg5').attr("readonly", true);
		}
    }
});
$(".spinal_mg5").focusout(function(){
    var chl_per = $('.spinal_persent5').val();
    var chl_ml = $('.spinal_ml5').val();
    var chl_mg = $('.spinal_mg5').val();
    if(chl_mg && chl_per){
        var aa = chl_mg/chl_per;
        var cl_total = aa/10;
        $('.spinal_ml5').val(cl_total);
        $('#clears5').show();
        $('.spinal_persent5').attr("readonly", true);
        $('.spinal_ml5').attr("readonly", true);
        $('.spinal_mg5').attr("readonly", true);
    }
    else if(chl_mg && chl_ml){
        var bb = (chl_ml)*10;
        var percent = (chl_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent5').val(percent);
			$('#clears5').show();
			$('.spinal_persent5').attr("readonly", true);
			$('.spinal_ml5').attr("readonly", true);
			$('.spinal_mg5').attr("readonly", true);
		}
    }
});
function cleans5(){
    $('.spinal_persent5').val('');
    $('.spinal_ml5').val('');
    $('.spinal_mg5').val('');
    $('.spinal_persent5').removeAttr("readonly");
    $('.spinal_ml5').removeAttr("readonly");
    $('.spinal_mg5').removeAttr("readonly");
    $('#clears5').hide();
}
$(".spinal_persent6").focusout(function(){
    var ot_per = $('.spinal_persent6').val();
    var ot_ml = $('.spinal_ml6').val();
    var ot_mg = $('.spinal_mg6').val();
    if(ot_per && ot_ml){
        var bb = (ot_ml)*10;
        var mg =(ot_per*bb);
        $('.spinal_mg6').val(mg);
        $('#clears6').show();
        $('.spinal_persent6').attr("readonly", true);
        $('.spinal_ml6').attr("readonly", true);
        $('.spinal_mg6').attr("readonly", true);
    }
    else if(ot_per && ot_mg){
        var aa = ot_mg/ot_per;
        var o_total = aa/10;
        $('.spinal_ml6').val(o_total);
        $('#clears6').show();
        $('.spinal_persent6').attr("readonly", true);
        $('.spinal_ml6').attr("readonly", true);
        $('.spinal_mg6').attr("readonly", true);
    }
});
$(".spinal_ml6").focusout(function(){
    var ot_per = $('.spinal_persent6').val();
    var ot_ml = $('.spinal_ml6').val();
    var ot_mg = $('.spinal_mg6').val();
    if(ot_per && ot_ml){
        var bb = (ot_ml)*10;
        var mg =(ot_per*bb);
        $('.spinal_mg6').val(mg);
        $('#clears6').show();
        $('.spinal_persent6').attr("readonly", true);
        $('.spinal_ml6').attr("readonly", true);
        $('.spinal_mg6').attr("readonly", true);
    }
    else if(ot_mg && ot_ml){
        var bb = (ot_ml)*10;
        var percent = (ot_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent6').val(percent);
			$('#clears6').show();
			$('.spinal_persent6').attr("readonly", true);
			$('.spinal_ml6').attr("readonly", true);
			$('.spinal_mg6').attr("readonly", true);
		}
    }
});
$(".spinal_mg6").focusout(function(){
    var ot_per = $('.spinal_persent6').val();
    var ot_ml = $('.spinal_ml6').val();
    var ot_mg = $('.spinal_mg6').val();
    if(ot_mg && ot_per){
        var aa = ot_mg/ot_per;
        var o_total = aa/10;
        $('.spinal_ml6').val(o_total);
        $('#clears6').show();
        $('.spinal_persent6').attr("readonly", true);
        $('.spinal_ml6').attr("readonly", true);
        $('.spinal_mg6').attr("readonly", true);
    }
    else if(ot_mg && ot_ml){
        var bb = (ot_ml)*10;
        var percent = (ot_mg/bb);
        if(percent > 4){
			toastr.error('percentage value is greater than 4 so please enter different mg, ml values');
		}else{
			$('.spinal_persent6').val(percent);
			$('#clears6').show();
			$('.spinal_persent6').attr("readonly", true);
			$('.spinal_ml6').attr("readonly", true);
			$('.spinal_mg6').attr("readonly", true);
		}
    }
});
function cleans6(){
    $('.spinal_persent6').val('');
    $('.spinal_ml6').val('');
    $('.spinal_mg6').val('');
    $('.spinal_persent6').removeAttr("readonly");
    $('.spinal_ml6').removeAttr("readonly");
    $('.spinal_mg6').removeAttr("readonly");
    $('#clears6').hide();
}

// var spinal_anaesthetic = "<?php echo $info['spinal_anaesthetic']; ?>";    
    // if(spinal_anaesthetic == 'Yes'){
    //     $('.spinal_anaesthe').attr("checked",true);
    //     $('.spinal_anaesthe_box').show();
    // }
    var spinal_lig = '<?php echo $info['spinal_lignocaine_an']; ?>';
    var spinal_lignocaine = spinal_lig.split(',');  
    $('.spinal_option1').val(spinal_lignocaine[0]);
    $('.spinal_persent1').val(spinal_lignocaine[1]);
    $('.spinal_ml1').val(spinal_lignocaine[2]);
    $('.spinal_mg1').val(spinal_lignocaine[3]);

var spinal_bupi = '<?php echo $info['spinal_bupivacaine_an']; ?>';
    var spinal_bupivaca = spinal_bupi.split(',');  
    $('.spinal_option2').val(spinal_bupivaca[0]);
    $('.spinal_persent2').val(spinal_bupivaca[1]);
    $('.spinal_ml2').val(spinal_bupivaca[2]);
    $('.spinal_mg2').val(spinal_bupivaca[3]);

var spinal_ropi = '<?php echo $info['spinal_ropivacaine_an']; ?>';
    var spinal_ropivaca = spinal_ropi.split(',');  
    $('.spinal_option3').val(spinal_ropivaca[0]);
    $('.spinal_persent3').val(spinal_ropivaca[1]);
    $('.spinal_ml3').val(spinal_ropivaca[2]);
    $('.spinal_mg3').val(spinal_ropivaca[3]);

var spinal_pri = '<?php echo $info['spinal_prilocaine_an']; ?>';
    var spinal_priloca = spinal_pri.split(',');  
    $('.spinal_option4').val(spinal_priloca[0]);
    $('.spinal_persent4').val(spinal_priloca[1]);
    $('.spinal_ml4').val(spinal_priloca[2]);
    $('.spinal_mg4').val(spinal_priloca[3]);

var spinal_2chlor = '<?php echo $info['spinal_2chloroprocaine_an']; ?>';
    var spinal_2chloropro = spinal_2chlor.split(',');  
    $('.spinal_option5').val(spinal_2chloropro[0]);
    $('.spinal_persent5').val(spinal_2chloropro[1]);
    $('.spinal_ml5').val(spinal_2chloropro[2]);
    $('.spinal_mg5').val(spinal_2chloropro[3]);

var spinal_oth = '<?php echo $info['other_spinal_an']; ?>';
    var spinal_other_an = spinal_oth.split(',');  
    $('.la').val(spinal_other_an[0]);
    $('.spinal_anaesth_other_input').val(spinal_other_an[1]);
    $('.spinal_persent6').val(spinal_other_an[2]);
    $('.spinal_ml6').val(spinal_other_an[3]);
    $('.spinal_mg6').val(spinal_other_an[4]);

var spinal_anaesth_other = '<?php echo $info['spinal_anaesth_other']; ?>';
    if(spinal_anaesth_other == 'Yes'){
        $('.spinal_anaesth_other').attr("checked",true);
        $('.spinal_anaesth_other_option').show();
    }

$('.spinal_adjuvant').click(function(){
		var epidural_clonidne =$('.spinal_adjuvant').is(':checked');		
		if(!epidural_clonidne){
        	$(".spinal_adjuvant_box").hide();
		}
		else{
			$('.spinal_adjuvant_box').show();
		}
	});  
    
    $('.spinal_clonidne').click(function(){
		var epidural_clonidne =$('.spinal_clonidne').is(':checked');		
		if(!epidural_clonidne){
        	$(".spinal_clonidne_input").attr("readonly", true);
		}
		else{
			$('.spinal_clonidne_input').removeAttr("readonly");
		}
	});
	$('.spinal_dexmedito').click(function(){
		var epidural_clonidne =$('.spinal_dexmedito').is(':checked');		
		if(!epidural_clonidne){
        	$(".spinal_dexmedito_input").attr("readonly", true);
		}
		else{
			$('.spinal_dexmedito_input').removeAttr("readonly");
		}
	});
	$('.spinal_dexametha').click(function(){
		var epidural_clonidne =$('.spinal_dexametha').is(':checked');		
		if(!epidural_clonidne){
        	$(".spinal_dexametha_input").attr("readonly", true);
		}
		else{
			$('.spinal_dexametha_input').removeAttr("readonly");
		}
	});
	$('.spinal_tramadol').click(function(){
		var epidural_clonidne =$('.spinal_tramadol').is(':checked');		
		if(!epidural_clonidne){
        	$(".spinal_tramadol_input").attr("readonly", true);
		}
		else{
			$('.spinal_tramadol_input').removeAttr("readonly");
		}
	});
	$('.spinal_adrenaline').click(function(){
		var epidural_clonidne =$('.spinal_adrenaline').is(':checked');		
		if(!epidural_clonidne){
        	$(".spinal_adrenaline_input").attr("readonly", true);
		}
		else{
			$('.spinal_adrenaline_input').removeAttr("readonly");
		}
	});
    $('.spinal_other').click(function(){
		var epidural_clonidne =$('.spinal_other').is(':checked');		
		if(!epidural_clonidne){			
        	$(".spinal_other_box").hide();
		}
		else{
			$('.spinal_other_box').show();
		}
	});

var aiz = '<?php echo $info['complication_none'] ?>';
    if(aiz == 'Yes'){
        $('.complication_none').attr('checked',true);			
    }

var z1 = '<?php echo $info['ac_epidural_resited'] ?>';
    var z2 = '<?php echo $info['ac_local_anaesthetic'] ?>';
    var z3 = '<?php echo $info['ac_respiratory_arrest'] ?>';
    var z4 = '<?php echo $info['ac_cardiac_arrest'] ?>';
    var z5 = '<?php echo $info['ac_radicular_pain'] ?>';
    var z6 = '<?php echo $info['ac_paresthesia_pain'] ?>';
    var z7 = '<?php echo $info['ac_bloody_tap'] ?>';
    var z8 = '<?php echo $info['ac_wet_tap'] ?>';
    var z9 = '<?php echo $info['ac_hypotension'] ?>';
    var z10 = '<?php echo $info['ac_nausea'] ?>';
    var z11 = '<?php echo $info['ac_vomiting'] ?>';
    var z12 = '<?php echo $info['ac_high_block'] ?>';
    var z13 = '<?php echo $info['ac_subdural_block'] ?>';
    var z14 = '<?php echo $info['ac_moto_block'] ?>';
    var z15 = '<?php echo $info['ac_tatal_spinal'] ?>';
    var z16 = '<?php echo $info['ac_accidental_dural'] ?>';
    var z17 = '<?php echo $info['ac_other'] ?>';
    var z18 = '<?php echo $info['ac_other_input'] ?>';
    var z19 = '<?php echo $info['ac_none'] ?>';

var z200 = '<?php echo $info['ac_intrathecal_epi_catheter'] ?>';

if(z200 == 'Yes'){
        $('.ac_intrathecal_epi_catheter').attr('checked',true);			
    }

if(z19 == 'Yes'){
        $('.ac_none').attr('checked',true);			
    }

if(z1 == 'Yes'){
        $('.ac_epidural_resited').attr('checked',true);			
    }
    if(z2 == 'Yes'){
        $('.ac_last').attr('checked',true);			
    }
    if(z3 == 'Yes'){
        $('.ac_respira_arrest').attr('checked',true);			
    }
    if(z4 == 'Yes'){
        $('.ac_cardiac_arrest').attr('checked',true);			
    }
    if(z5 == 'Yes'){
        $('.ac_rasicular_pain').attr('checked',true);			
    }
    if(z6 == 'Yes'){
        $('.ac_paresthesia_pain').attr('checked',true);			
    }
    if(z7 == 'Yes'){
        $('.ac_bloody_tap').attr('checked',true);			
    }
    if(z8 == 'Yes'){
        $('.ac_wet_tap').attr('checked',true);			
    }
    if(z9 == 'Yes'){
        $('.ac_hypotension').attr('checked',true);			
    }
    if(z10 == 'Yes'){
        $('.ac_nausea').attr('checked',true);			
    }
    if(z11 == 'Yes'){
        $('.ac_vomiting').attr('checked',true);			
    }
    if(z12 == 'Yes'){
        $('.ac_high_block').attr('checked',true);			
    }
    if(z13 == 'Yes'){
        $('.ac_subdural_block').attr('checked',true);			
    }
    if(z14 == 'Yes'){
        $('.ac_motor_block').attr('checked',true);			
    }
    if(z15 == 'Yes'){
        $('.ac_total_spinal').attr('checked',true);			
    }
    if(z16 == 'Yes'){
        $('.ac_accidental').attr('checked',true);			
    }
    if(z17 == 'Yes'){
        $('.spinal_acute_other').attr('checked',true);
        $('.spinal_acute_other_input').show();	
        $('.spinal_acute_other_input').val(z18);
    }
    $('.spinal_acute_other').click(function(){
		var epidural_clonidne =$('.spinal_acute_other').is(':checked');		
		if(!epidural_clonidne){
        	$(".spinal_acute_other_input").hide();
		}
		else{
			$('.spinal_acute_other_input').show();
		}
	});

if(z1 == 'Yes' || z2 == 'Yes' || z3 == 'Yes' || z4 == 'Yes' || z5 == 'Yes' || z6 == 'Yes' || z7 == 'Yes' || z8 == 'Yes' || z9 == 'Yes' || z10 == 'Yes' || z11 == 'Yes' || z12 == 'Yes' || z13 == 'Yes' || z14 == 'Yes' || z15 == 'Yes' || z16 == 'Yes' || z17 == 'Yes'){
        
        $('.spinal_acute_multi_option').attr('checked',true);
        $('.spinal_acute_multi_option_box').show();
    }

var qe = '<?php echo $info['motor_level']; ?>';
    $('.motor_level').val(qe);
    var qt = '<?php echo $info['duration_surgery']; ?>';
    $('.duration_of_surgery').val(qt);
    var q101 = '<?php echo $info['onset_of_surgical']; ?>';
    $('.onset_of_surgical_anaesthesia').val(q101);
    var qo = '<?php echo $info['blood_loss']; ?>';
    $('.blood_loss').val(qo);
    var qp = '<?php echo $info['vasopressor_use']; ?>';
    if(qp == 'Yes'){
        $('.vasopressor_use').attr('checked',true);			
    }

</script>

if(final3[1] == 'red' || final3[3] == 'green'|| final4[1] == 'red' ||final4[3] == 'green'){ 
            if(final3[1] != 'red' || final3[3] != 'green') {
                i = 1;
            } 
            if(final4[1] != 'red' || final4[3] != 'green'){
                
                i = 1;
            }
        }

if(final5[1] == 'red' || final5[3] == 'green'|| final6[1] == 'red' ||
            final6[3] == 'green'){ 
            if(final5[1] != 'red' || final5[3] != 'green') {
                i = 1;
            } 
            if(final6[1] != 'red' || final6[3] != 'green'){
                
                i = 1;
            }
        }
        if(final1 == '' && final2 == '' && final3 == '' && final4 == '' && final5 == '' && final6 == ''){
            i = 1;
        }
        if(i == 1){
            toastr.error('Sensory Levels are incomplete.. Please enter Highest and lowest level...');
        }else{

$('#datePicker5').datetimepicker({
    useCurrent: false,
    format: "DD/MM/YYYY",
    minDate:0
    });

var firstOpen = true;
    var time;

$('#timePicker5').datetimepicker({useCurrent: false,format: "hh:mm A"}).on('dp.show', function() {
    if(firstOpen) {
        time = moment().startOf('day');
        firstOpen = false;
    } else {
        time = "01:00 PM"
    }
    
    $(this).data('DateTimePicker').date(time);
    });
</script>

<?php
    echo view('includes/footer');

?>
<style type="text/css">
	input::-webkit-outer-spin-button,
	input::-webkit-inner-spin-button {
  -webkit-appearance: none;
  margin: 0;
	}
</style>