<?php
session_start();
$DisplayForm=True;
include('dbconnection.php');
$sql ="select * from medicine_stok where medicine_id='$_GET[drfrid]'";
$qsql = mysqli_query($con,$sql);
while($qsql2=mysqli_fetch_array($qsql))
{
  echo"
 <B> $qsql2[DRUGS_name] $qsql2[Dose] MG $qsql2[Category] </B><br>
 <input type='hidden' name='DRUGS_name' value='$qsql2[DRUGS_name]'>
 <span>	
Composition: $qsql2[Contain]</span><br>
    <input type='hidden' name='Dose' value='$qsql2[Dose]'>
      <input type='hidden' name='Category' value='$qsql2[Category]'>
      <input type='hidden'  name='Composition' value='$qsql2[Contain]'>
      
      
      <div class='form-group'>
         	<label>Route :   &nbsp; &nbsp; &nbsp; &nbsp;   </label>
				<select  name='Route' id='Route' name='Route'>
    <option value='' disabled selected>Route &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;  &nbsp; &nbsp;  &nbsp;  &nbsp;&nbsp; </option>
    <option value='Orally'>Orally</option>
    <option value='IV/IM'>IV/IM</option>
    <option value='Sublingually/ Buccally'>Sublingually/ Buccally</option>
    <option value='Vaginally'>Vaginally</option>
    <option value='Ocular/ Otic'> Ocular/ Otic </option>
    <option value='Nasally'>Nasally</option>
    <option value='Inhalation/Nebulization'>Inhalation/Nebulization</option>
    <option value='cutaneously/systemic'>cutaneously/systemic</option>
    <option value='transdermally'>transdermally</option>
	</select>
         
         </div>
         
            <div class='form-group'>
         <label>Frequency:</label>
				<select name='Frequency'>
    <option value='' disabled selected>Frequency</option>
    <option value='OD (Once Daily)'>OD (Once Daily)</option>
    <option value='BID/b.i.d. (twice a day)'>BID/b.i.d. (twice a day)</option>
    <option value='TID/t.id. (three times a day)'>TID/t.id. (three times a day)</option>
    <option value='QID/q.i.d. (four times a day)'>QID/q.i.d. (four times a day)</option>
    <option value='QHS (every bedtime)'> QHS (every bedtime) </option>
    <option value='Q4h (every 4 hours)'>Q4h (every 4 hours)</option>
    <option value='Q4-6h (every 4 to 6 hours)'>Q4-6h (every 4 to 6 hours)</option>
    <option value='QWK (every week)'>QWK (every week)</option>
	</select>
	</div>
	
	  <div class='form-group'>
         <label>Duration:   &nbsp; &nbsp;</label>
         <input type='number' name='duration'>
         </div>
   
    ";
}
?>