                 <div class="row form-row medicine-cont">
                  
                          <div class="col-12 col-md-10 col-lg-11">
                              <div class="row form-row">
									
										
                            <div class="col-12 col-md-6 col-lg-3">
                              <div class="form-group">
                                  <label>Medicine Name</label>
                                  <input type="text" class="form-control" name="medicine_name" id="medici