<div class="row">

    <div class="col-md-2">
        <div class="form-group form-md-line-input form-md-floating-label has-info">
            <input class="form-control  datepicker  childdateofbirth updateElement"
                   data-id="{$notify->id}" type="text"    data-colName="notify_date"  
                   name="notify_date{$notify->id}"
                   data-tableName="patients_notify"      value="{$notify->notify_date}" />
            <label for="form_control_1" class="txtc"> </label>
            <span class="input-group-addon go2r">تاريخ  </span>
        </div>
    </div>

    <div class="col-md-6">
        <div class="form-group form-md-line-input form-md-floating-label has-info">
            <input type="text"  readonly class="form-control "   value="{$notify->userName}"   />
            <label for="form_control_1" class="txtc">المستخدم  </label>
        </div>
    </div>

    <div class="col-md-1" style="margin-top: 25px;">
        <a class="btn grey-cascade btn-xs deletemsgEX"  
           data-tableName="patients_notify" 
           data-id="{$notify->id}" style=" float: left;" href="#" 
           data-link="instruction" data-fn="delinst">  <i class="fa fa-close"></i>
        </a>
    </div>

</div>