</div>
</form>
</div>
</div>
<div class="clearfix"></div>
</div>
</div>
<div class="clearfix"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="clearfix"></div>

<div class="bootbox modal fade bootbox-alert in" tabindex="-1" role="dialog" aria-hidden="false"  id="edit_model">
    <div class="modal-dialog">
        <div class="modal-content">
            <div class="modal-header">
                <button type="button" class="close" data-dismiss="modal" aria-hidden="true"></button>
                <h4 class="modal-title"> Edit </h4>
            </div>
            <div class="modal-body">
                <div class="portlet-body form">
                    <form action="" id="" method="post" class="form-horizontal  emptyform" >
                        <div class="form-body all" >
                            <!------===========================================------->
                            <div class="form-group">
                                <label class="col-md-1 control-label"> </label>
                                <div class="col-md-10">
                                    <div id="alldatadiv" class="" > </div>
                                </div>
                                <label class="col-md-1 control-label"> </label>
                            </div>

                            <!------===========================================------->

                            <!------===========================================------->
                            <div class="modal-footer">

                                <button type="button" id="amountcloseinput"   class="btn default" data-dismiss="modal">Close</button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
            <!-- /.modal-content -->
        </div>
    </div>
</div>



<div id="forPrint"></div>
<input type="hidden" id="controllName" value="{$controllname}">
<input type="hidden" id="patientId" value="{$patientId}"/>
<input type="hidden" id="phscrt" value="1"/>
<script>


    $(".amrpop,input[type='text']:not(.datepicker):not(.notPop),textarea:not(.notPop)").hover(function () {
        var pop_value = $(this).val();
        $(this).attr({
            "data-toggle": "popover",
            "data-trigger": "hover",
            "data-placement": "bottom",
            "data-content": pop_value
        });
        $(this).popover("show");
    });

</script>