?>
			<div class="alert alert-danger">Record was not updated. Please try again.</div>
		<?php 
    } else {
        ?>
			<div class="alert alert-success">Record updated successfully.</div>
		<?php 
    }
}
$task = $_REQUEST['task'];
$id = $_REQUEST['id'];
if (empty($task) || empty($id)) {
    echo "You are not authorized to access this content.";
    return true;
}
$inventory = DhsHelper::getDistInventoryData($id);
?>

<fieldset class="span8 offset2">
	<legend>Edit Distributor Bill Details</legend>

	<form class="form-horizontal" method="post">
		<input type="hidden" name="inventory_id" value="<?php 
echo $inventory['inventory_id'];
?>
" />
		
		<div class="control-group">
		    <label class="control-label" for="medicine_name">Medicine Name:</label>
		    <div class="controls">
		      <input type="text" name="medicine_name" readonly="readonly" value="<?php