
<div class="row">

    <div class="col-md-2">
        <div class="form-group form-md-line-input form-md-floating-label has-info">
            <input type="text"  name="period{$res->id}" 
                   class="form-control updateElement" 
                   data-colName="period" data-tableName="{$tableName}"    
                   data-id="{$res->id}"     value="{$res->period}" required  />
            <label for="form_control_1" class="txtc">المدة  </label>
        </div>
    </div>

    <div class="col-md-2">
        <div class="form-group form-md-line-input form-md-floating-label has-info">
            <input type="text"  name="males{$res->id}" 
                   class="form-control updateElement" 
                   data-colName="males" data-tableName="{$tableName}"    
                   data-id="{$res->id}"     value="{$res->males}" required  />
            <label for="form_control_1" class="txtc">ذكور   </label>
        </div>
    </div>

    <div class="col-md-2">
        <div class="form-group form-md-line-input form-md-floating-label has-info">
            <input type="text"  name="females{$res->id}" 
                   class="form-control updateElement" 
                   data-colName="females" data-tableName="{$tableName}"    
                   data-id="{$res->id}"     value="{$res->females}" required  />
            <label for="form_control_1" class="txtc">اناث   </label>
        </div>
    </div>

    <div class="col-md-2">
        <div class="form-group form-md-line-input form-md-floating-label has-info">
            <input type="text"  name="last_age{$res->id}" 
                   class="form-control updateElement" 
                   data-colName="last_age" data-tableName="{$tableName}"    
                   data-id="{$res->id}"     value="{$res->last_age}" required  />
            <label for="form_control_1" class="txtc">سن الأصغر   </label>
        </div>
    </div>

    <div class="col-md-1" style="margin-top: 25px;">
        <a class="btn grey-cascade btn-xs deletemsgEX"  data-tableName="{$tableName}" 
           data-id="{$res->id}" style=" float: left;" href="#" 
           data-link="instruction" data-fn="delinst">  <i class="fa fa-close"></i>
        </a>
    </div>

</div>
