<input type="hidden" id="urineInvest" value="1" />
<div class="form-group " style=" width: 100%; float: left;   border-bottom:1px solid black;  margin: 5px;padding-bottom: 5px;" id="invDiv{$invest->id}">


    <label class="col-md-11 control-label bold txtl" style="text-decoration:underline;margin-left: 4px;" >{$invest->name}
        <span style="float: left;">
            <input type="checkbox"  class="checkGroup" value="{$invest->id}" name="invCheck[]">
        </span>
    </label>

    <div class="form-group col-md-4 " style="margin-left: 30%;">
        <h4 style="font-weight: bold;background: #DDD;padding:5px; ">Physical Examination :  </h4>   
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Volume:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_volume"    id="urine_volume"   >
                <option value=""></option>
                {foreach $urine_volume as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Aspect:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_aspect"   id="urine_aspect"   >
                <option value=""></option>
                {foreach $urine_aspect as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>


    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Color:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_color"     id="urine_color"   >
                <option value=""></option>
                {foreach $urine_color as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Deposit:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_deposit"     id="urine_deposit"   >
                <option value=""></option>
                {foreach $urine_deposit as $data}
                <option value="{$data->id}" >{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>


    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Odor:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_odor"   id="urine_odor"   >
                <option value=""></option>
                {foreach $urine_odor as $data}
                <option value="{$data->id}" >{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>


    <div class="form-group col-md-4 " style="margin-left: 30%;">
        <h4 style="font-weight: bold;background: #DDD;padding:5px; ">Chemical Examination :  </h4>   
    </div>


    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Reaction:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_reaction"   id="urine_reaction"   >
                <option value=""></option>
                {foreach $urine_reaction as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>


    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Specific Gravity:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_gravity"    id="urine_gravity"   >
                <option value=""></option>
                {foreach $urine_gravity as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>


    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Protein:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_protein"    id="urine_protein"   >
                <option value=""></option>
                {foreach $urine_protein as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>



    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Bilirubin:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_bilirubin"    id="urine_bilirubin"   >
                <option value=""></option>
                {foreach $urine_bilirubin as $data}
                <option value="{$data->id}" >{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Sugar:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_sugar"    id="urine_sugar"   >
                <option value=""></option>
                {foreach $urine_sugar as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>


    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Urobilinigen:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_urobilinigen"      id="urine_urobilinigen"   >
                <option value=""></option>
                {foreach $urine_urobilinigen as $data}
                <option value="{$data->id}" >{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Acetone:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_acetone"    id="urine_acetone"   >
                <option value=""></option>
                {foreach $urine_acetone as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>


    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Leucocytes:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_leucocytes"   id="urine_leucocytes"   >
                <option value=""></option>
                {foreach $urine_leucocytes as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Nitrite:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_nitrite"     id="urine_nitrite"   >
                <option value=""></option>
                {foreach $urine_nitrite as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>


    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Blood:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_blood"    id="urine_blood"   >
                <option value=""></option>
                {foreach $urine_blood as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>



    <div class="form-group col-md-4 " style="margin-left: 30%;">
        <h4 style="font-weight: bold;background: #DDD;padding:5px; ">Microscopic Examination :  </h4>   
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Pus Cells:</label>
        <div class="col-md-2 wds23">
            <select  select-default="1"class="form-control   urine_pus"      id="urine_pus"   >
                <option value=""></option>
                {foreach $urine_pus as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
        <div class="col-md-2 wds4">
            - 
        </div>

        <div class="col-md-2 wds23">
            <select  select-default="1"class="form-control   urine_pus2" 
                     data-colName="pus2"     
                     id="urine_pus2"   >
                <option value=""></option>
                {foreach $urine_pus2 as $data}
                <option value="{$data->id}" {if $invest->urine->pus2 ==    $data->id }selected{/if}>{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Amorphous:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_amorphous"   id="urine_amorphous"   >
                <option value=""></option>
                {foreach $urine_amorphous as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>

        <div class="col-md-2" style="float: right;">
            <select  select-default="1"class="form-control   urine_amorphous2" 
                     data-colName="amorphous2"     
                     id="urine_amorphous2"   >
                <option value=""></option>
                {foreach $urine_amorphous2 as $data}
                <option value="{$data->id}" {if $invest->urine->amorphous2 ==    $data->id }selected{/if}>{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">R.B.Cs:</label>
        <div class="col-md-2 wds23">
            <select  select-default="1"class="form-control   urine_pbcs"    id="urine_pbcs"   >
                <option value=""></option>
                {foreach $urine_pbcs as $data}
                <option value="{$data->id}" >{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>

        <div class="col-md-2 wds4">
            - 
        </div>

        <div class="col-md-2 wds23">
            <select  select-default="1"class="form-control   urine_pbcs2"     id="urine_pbcs2"   >
                <option value=""></option>
                {foreach $urine_pbcs2 as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>


    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Ova:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_ova"      id="urine_ova"   >
                <option value=""></option>
                {foreach $urine_ova as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Epithelial Cells: :</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_epithelial"    id="urine_epithelial"   >
                <option value=""></option>
                {foreach $urine_epithelial as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Trophazite:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_trophazite"     id="urine_trophazite"   >
                <option value=""></option>
                {foreach $urine_trophazite as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Casts:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_casts"   id="urine_casts"   >
                <option value=""></option>
                {foreach $urine_casts as $data}
                <option value="{$data->id}" >{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Mucus:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_mucus"     id="urine_mucus"   >
                <option value=""></option>
                {foreach $urine_mucus as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;"></label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_casts2"     id="urine_casts2"   >
                <option value=""></option>
                {foreach $urine_casts2 as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Urine Artifacts:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_artifacts"   id="urine_artifacts"   >
                <option value=""></option>
                {foreach $urine_artifacts as $data}
                <option value="{$data->id}" >{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Crystal:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_crystal"    id="urine_crystal"   >
                <option value=""></option>
                {foreach $urine_crystal as $data}
                <option value="{$data->id}" >{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Fungi:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_fungi"  id="urine_fungi"   >
                <option value=""></option>
                {foreach $urine_fungi as $data}
                <option value="{$data->id}" >{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;"></label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_crystal2"   id="urine_crystal2"   >
                <option value=""></option>
                {foreach $urine_crystal2 as $data}
                <option value="{$data->id}">{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-6 " style=" float: left; ">
        <label class="col-md-4 control-label bold txtl" style=" font-size: 16px;">Bacteria:</label>
        <div class="col-md-6">
            <select  select-default="1"class="form-control   urine_bacteria"    id="urine_bacteria"   >
                <option value=""></option>
                {foreach $urine_bacteria as $data}
                <option value="{$data->id}" >{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>

        <div class="col-md-2" style="float: right;">
            <select  select-default="1"class="form-control   urine_bacteria2"   id="urine_bacteria2"   >
                <option value=""></option>
                {foreach $urine_bacteria2 as $data}
                <option value="{$data->id}" >{$data->name}</option>
                {/foreach}
                <option value="-2" class="deleteoptincompo">حذف</option>
            </select>
        </div>
    </div>

    <div class="form-group col-md-12 " style=" float: left; ">
        <label class="col-md-2 control-label bold txtl" style=" font-size: 16px;"> Comment </label>
        <div class="col-md-10">
            <textarea class="form-control  txtc" rows="2"  
                      placeholder="Enter more text" data-toggle="popover" 
                      data-trigger="hover" data-placement="bottom" data-content="">
            </textarea>
        </div>
    </div>


</div>