From 2c5d6311d29055a2f8d2a8db6ae73c70c62f8942 Mon Sep 17 00:00:00 2001
From: zeeshan <zeeshan@stratawiz.com>
Date: Thu, 5 Nov 2026 18:28:02 +0530
Subject: [PATCH] Arise (3 Months in Clinic input)

---
 ...3873536-4dbb58cb-76ad-4e4e-b395-5ff6ff6203e9.blade.php | 8 ++++----
 1 file changed, 4 insertions(+), 4 deletions(-)

diff --git a/resources/views/form/rapport-arise/1793873536-4dbb58cb-76ad-4e4e-b395-5ff6ff6203e9.blade.php b/resources/views/form/rapport-arise/1793873536-4dbb58cb-76ad-4e4e-b395-5ff6ff6203e9.blade.php
index a1c0e14e..74169fd9 100644
--- a/resources/views/form/rapport-arise/1793873536-4dbb58cb-76ad-4e4e-b395-5ff6ff6203e9.blade.php
+++ b/resources/views/form/rapport-arise/1793873536-4dbb58cb-76ad-4e4e-b395-5ff6ff6203e9.blade.php
@@ -333,23 +333,23 @@
 
         $('#field-eptus_extended_oct').on('change',function(){
             
-            $('#report-form').append('<input type="hidden" class="dynamic-hidden" name="eptus_extended_oct" value="1">');
+            $('#report-form').append('<input type="hidden"  name="eptus_extended_oct" value="1">');
         })
 
         $('#field-eptus_extended_nov').on('change',function(){
              
-            $('#report-form').append('<input type="hidden" class="dynamic-hidden" name="field-eptus_extended_nov" value="1">');
+            $('#report-form').append('<input type="hidden"  name="eptus_extended_nov" value="1">');
         })
 
 
         $('#field-sitazit_dm_sept').on('change',function(){
              
-            $('#report-form').append('<input type="hidden" class="dynamic-hidden" name="sitazit_dm_sept" value="1">');
+            $('#report-form').append('<input type="hidden"  name="sitazit_dm_sept" value="1">');
         })
 
         $('#field-sitazit_d_dm_oct').on('change',function(){
             
-            $('#report-form').append('<input type="hidden" class="dynamic-hidden" name="sitazit_d_dm_oct" value="1">');
+            $('#report-form').append('<input type="hidden"  name="sitazit_d_dm_oct" value="1">');
         })
 
         $('#field-sitazit_d_dm_gimmick_nov').on('change',function(){