<link href="/bootstrap/css/bootstrap.min.css" rel="stylesheet" type="text/css">
<script src="/bootstrap/js/bootstrap.min.js"></script>
<div class="row">
<div class="drop_down_container col-lg-4">
<label for="b">Search worksheet:</label>
<?php
echo MyHTML::text('worksheet', '', array('class' => 'form-control input-sm input_md', 'id' => 'b', 'autocomplete' => 'off'));
?>
<div class='live_drpdwn' id="worksheet_dropdown" style='display:none'></div>
</div>
<div class="drop_down_container col-lg-4">
<label for="s">Search sample:</label>
<?php
echo MyHTML::text('sample', '', array('class' => 'form-control input-sm input_md', 'id' => 's', 'autocomplete' => 'off'));
?>
<div class='live_drpdwn'id="sample_dropdown" style='display:none'></div>
</div>
<div class="form-inline col-lg-4" >
<label>Rejected Samples</label><br>
<input type="text" id="date_rejected" class="form-control input-sm pick_date">
<button id="rjct_such" class="btn btn-primary btn-sm">Search</button>
</div>
</div>
<script type="text/javascript">
/
<?php
echo MyHTML::text('smpl[lrNumericID]', $smpl_arr['lrNumericID'], array('class' => 'ty_input'));
?>
<br>
</td>
</tr>
<tr>
<td width="50%" class='info-sect'>
<b>Last Viral Load Date</b>:<span class='input-sect'><?php
echo MyHTML::text('smpl[repeatVLTestLastVLDate]', getFormattedDateLessDay($smpl_arr['repeatVLTestLastVLDate']), array('class' => 'sm_input date-picker'));
?>
</span><br>
<b>Value</b>: <span class='input-sect'><?php
echo MyHTML::text('smpl[repeatVLTestValue]', $smpl_arr['repeatVLTestValue'], array('class' => 'sm_input'));
?>
</span> <br>
</td>
<td width="50%" class='info-sect'>
<b>Captured by</b>: <span class='input-sect'><?php
echo $smpl_arr['createdby'];
?>
<br>
<b>On</b>: <span class='input-sect'><?php
echo getFormattedDateLessDay($smpl_arr['created']);
?>
<br>
</td>
</tr>
