changeYear: true, dateFormat: 'yy-mm-dd', yearRange:'-65:+0', onChangeMonthYear: function(year, month, inst) { $(this).val(month + "/" + year); } }); $('#nurse').multiselect(); } ); </script> <?php $edit = 0; if (isset($_REQUEST['action']) && $_REQUEST['action'] == 'edit') { $edit = 1; $result = $obj_bed->get_single_bedallotment($_REQUEST['allotment_id']); } ?> <div class="panel-body"> <form name="patient_form" action="" method="post" class="form-horizontal" id="patient_form"> <?php $action = isset($_REQUEST['action']) ? $_REQUEST['action'] : 'insert'; ?> <input type="hidden" name="action" value="<?php echo $action; ?> "> <input type="hidden" name="allotment_id" value="<?php if (isset($_REQUEST['allotment_id'])) { echo $_REQUEST['allotment_id'];