
<div class="page-content-wrapper">
    <div class="page-content all">
        <div class="row">
            <div class="col-md-12">
                <!-- BEGIN EXAMPLE TABLE PORTLET-->

                <div class="portlet box blue">
                    <div class="portlet-title">
                        <div class="caption fright">
                            <i class="fa fa-cogs fright" style="margin-left: 5px;"></i>روشتة أمراض مزمنة 
                        </div>
                        <div class="actions fleft">  </div>
                    </div>
                    <div class="portlet-body">

                        <div class="row rtl">
                            <!--div class="col-md-2 wds9">
                                <div class="form-group">
                                    <label class="control-label ls2">تاريخ من </label>
                                    <input type="text" class="form-control datepicker"  style=" border: 1px solid #000000;"
                                           readonly="readonly"  id="dateFrom"   value="{$today}"/>
                                </div>
                            </div>

                            <div class="col-md-2 wds9">
                                <div class="form-group">
                                    <label class="control-label ls2">تاريخ إلى </label>
                                    <input type="text" class="form-control datepicker"  style=" border: 1px solid #000000;"
                                           readonly="readonly"  id="dateTo"   value="{$today}"/>
                                </div>
                            </div -->

                            <div class="col-md-2">
                                <div class="form-group">
                                    <label class="control-label ls2">رقم الحالة  </label>
                                    <input type="text"  id="statusNoRemote"
                                           class="form-control  txtc searchPatRemote positiveNo "  data-alert="no"  >
                                </div>
                            </div>

                            <div class="col-md-5">
                                <div class="form-group">
                                    <label class="control-label ls2">إسم  الحالة  </label>
                                    <input type="hidden" class="form-control"    id="patientIdRemote" >
                                </div>
                            </div>




                            <div class="col-md-1">
                                <a class="btn btn-primary btn-sm"   id="searchChronicBtn"
                                   style="    margin-top: 21px;"  >
                                    <i class="fa fa-search"></i> بحث  </a>
                            </div>

                        </div>


                        <div class="portlet-body form" id="financialDiv"> </div>
                        <div id="printDiv"></div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>




<div id="talks-loading" style="z-index: 3000;position: absolute;top: 7%;right: 2%;left: 6%;display:none; height: 65%; background-color: rgba(0, 0, 0,0.27); padding-top: 10%;" align="center">
    <img src="{$hosturl}/../upload/loading.gif">
</div>



<div id="detailsDiv"></div>
