            <?php  foreach($content as $value){?>
			   <div class="row">
				<!--SELECT INPUT-->
				<div class="col-lg-6 ms-auto mb-3">
				  <label for="Category">Clinic</label>
				  <select class="form-control" id="clinicId" name="clinicId" required >
					<option value="">Select Clinic</option> 
					<?php foreach(@$getClinic as $sup){?> <option value="
							<?php echo $sup->id; ?>" <?php if($sup->id == $value->clinicId){ echo "selected"; }else{ echo "";}?>> <?php echo $sup->clinicName; ?> </option> <?php } ?>
				  </select>
				</div>
				<!--SELECT INPUT END -->
				<!--CHECKBOX INPUT-->
				<div class="col-sm-6">	
					<input type="checkbox" id="check_consentform" name="check_consentform" value="1"  style="float:left;margin-right:5px;" <?php if($value->check_consentform==1){ echo "checked";}?>>  <h5 style="float:left;">Generate Consent Form</h5>
				</div>
				<!--CHECKBOX INPUT END -->
				<!--RADIO INPUT-->
				<div class="col-sm-6">
					<b>History of the following:</b>
					<input type="radio" class="form-control1" name="dentalselectAll" value="Yes" <?php if($value->dentalselectAll=="Yes"){ echo "checked";}?>>
					<b>Yes</b>
					<input type="radio" class="form-control1" name="dentalselectAll" value="No" <?php if($value->dentalselectAll=="No"){ echo "checked";}?>>
					<b>No</b>
				</div>
				<!--RADIO INPUT END -->
				<div class="col-sm-6 mb-3">
					<label>First Name <span style="color:#ff0000;">*</span></label>
						<input type="text" name="firstname" id="firstname" value="<?php echo $value->firstname;?>" class="form-control" required />											
						<input type="hidden" name="id" id="id" class="form-control" value="<?php echo $value->id;?>" />											
				</div>
				<div class="col-sm-6 mb-3">
					<label>Last Name <span style="color:#ff0000;">*</span></label>
						<input type="text" name="lastname" id="lastname" value="<?php echo $value->lastname;?>"  class="form-control" required />											
				</div>
				<div class="col-sm-6 mb-3">
					<label>Phone <span style="color:#ff0000;">*</span></label>
						<input type="text" name="phone" id="phone" value="<?php echo $value->phone;?>"  maxlength="10" class="form-control"required />											
				</div>
				<div class="col-sm-6 mb-3">
					<label>Email <span style="color:#ff0000;">*</span></label>
						<input type="text" name="email" id="email"  value="<?php echo $value->email;?>" class="form-control" required />											
				</div>
				<div class="col-sm-6 mb-3">
					<label for="Image">Upload Profile Image<span style="color:#ff0000;"></span></label>	
					<span class="badge text-bg-success">File Size : Less than 500KB | File Type : JPG,PNG,GIF</span>
					<span class="errors badge text-bg-danger"></span>
					<input type="file" class="form-control bg-light border-0" id="image" name="image" accept="image/png, image/gif, image/jpeg"/>
				</div>
				<!--<div class="col-sm-6 mb-3">
					<div id="preview" style="margin-top:10px;"></div>
					<div id="preview1" style="margin-top:10px;"><img src="<?php echo base_url()?>profileimage/<?php echo $value->image; ?>" width="200" height="auto"></div>
					<input type="hidden" name="oldImage" id="oldImage" class="form-control" value="<?php echo $value->image; ?>" />											
				</div>-->
				<div class="clearfix"></div>
			</div>
			<?php } ?>
