{AJAXCONTENT}
<input type="hidden" name="admid" value="{ADMID}">
<input type="hidden" name="patname"  value="{PATNAME}">
<table valign="top" cellspacing="2" cellpadding="5" width="600px" height="500px" border="0"  style="-moz-border-radius:10px;-webkit-border-radius:10px;border-radius:10px;border:0px double silver;font-family:arial;font-size:13px">
	<tr>
		<td  valign="top" align="center" colspan="3"><font size="4"><B>Medication / Dosage</B></font></td>
	</tr>

	<tr>
		<td valign="top">		
			<table valign="top" align="center" cellspacing="0" cellpadding="7" width="100%" border="0" style="border-collapse:collapse;border:1px solid Silver">	
				<tr bgcolor="#E0ECF4">
					<td align="center" style="width:20%"> Drug Name </td>

					<td align="center" style="width:25%"> Dosage </td>

					<td align="center" style="width:13%"> From Date </td>

					<td align="center" style="width:12%"> To Date </td>

					<td align="center" style="width:30%"> Description </td>

				<tr>
				
				<tr>
					<td align="left"> <input type="text" class="textx" name="drugname" value="{DRUGNAME}" style="width:100px"></td>

					<td align="left"> <input type="text" class="textx" name="dosage" value="{DOSAGE}" style="width:100px"></td>

					<td align="left"> <input type="text" class="textx" name="fromdt" value="{FROMDT}" style="width:100px" id="datepicker1"></td>

					<td align="left"> <input type="text" class="textx" name="todt" value="{TODT}" style="width:100px" id="datepicker2"></td>

					<td align="left"> <textarea type="text" class="textx" name="description" value="{DESCRIPTION}" style="width:150px" rows="1">{DESCRIPTION}</textarea></td>
				<tr>

				<tr>
					<td align="left" colspan="2"> Incharge: &nbsp;<input type="text" class="textx" name="incharge" value="{INCHARGE}" style="width:100px"> </td>

					<td align="left" colspan="3"> <input class="sleft" type="submit" name="submit" value="Submit" onclick="return formCheck(theform);"> </td>
				<tr>
			</table>	
		</td>
	 </tr>
	

	 <!-- IF dbvalues1 <> "" -->
	 <tr>
		<td valign="top">	<div style="height:200px;overflow-y:auto;">	
			<table align="center" cellspacing="0" cellpadding="7" width="100%" border="0" style="border-collapse:collapse;border:1px solid Silver">	
				<tr bgcolor="#E0ECF4">
					<td align="left"> Drug Name </td>

					<td align="left"> Dosage </td>

					<td align="left"> Description </td>

					<td align="left"> From Date </td>

					<td align="left"> To Date </td>

					<td align="left"> Incharge </td>
				<tr>

				<!-- BEGIN dbvalues1 -->
				
				<tr>
					<td align="left">{DRUGNAME}</td>
					<td align="left">{DOSAGE}</td>
					<td align="left"> {DESCRIPTION}</td>
					<td align="left"> {FROMDT}</td>
					<td align="left"> {TODT}</td>
					<td align="left">{INCHARGE}</td>
				<tr>
				<!-- END dbvalues1 -->
			</table>	</div>
		</td>
	 </tr>

	 <!-- ENDIF -->
</table>

	
<script language="JavaScript">
    	
	function formCheck(theform) {
					
			updatemed();
			return false;
		}

		
	$(function() {
		$('#datepicker1').datepicker({ dateFormat: 'dd-mm-yy',
			changeMonth: true,
			changeYear: true
		});
	});

	$(function() {
		$('#datepicker2').datepicker({ dateFormat: 'dd-mm-yy',
			changeMonth: true,
			changeYear: true
		});
	});

	</script>