<div class="modal displayBlock" id="blockedClinicForm">
    <div class="modal-dialog modal-lg">
        <div class="modal-content">
            <div class="modal-header">
                <h4 class="modal-title">{{i18n 'adminsetting.addRemoveClinicHeader'}}</h4>
            </div>
            <div class="container modal-body">
                <div class="col-xs-10 col-lg-9">
                    {{i18n 'adminsetting.addRemoveClinicInstruction'}}
                </div>
                <br/>
                <form id="clexception-form" class="form-horizontal group-settings paddingtop-10" action="">
                    <div class="form-group paddingtop-10">
                        <label class="col-xs-2 control-label">
                            {{i18n 'adminsetting.clinicexcepttab'}}
                        </label>
                        <div class="col-xs-8 col-lg-7">
                            <div class="scrollClinicArea">
                                <div class="container-fluid">
                                    <div class="row-fluid">
                                        <div class="col-lg-6">
                                            {{#each leftsideclinics}}
                                            <div class="form-group">
                                                <div class="col-xs-8 text-one-line">
                                                    {{Description}}
                                                </div>
                                                <div class="col-xs-4">
                                                    <input name="toggle-blockclinic" type="checkbox" class="toggle-input" data-onstyle="primary" data-size="small" data-clinicid="{{Id}}">
                                                </div>
                                            </div>
                                            {{/each}}
                                        </div>
                                        <div class="col-lg-6">
                                            {{#each rightsideclinics}}
                                            <div class="form-group">
                                                <div class="col-xs-8  text-one-line">
                                                    {{Description}}
                                                </div>
                                                <div class="col-xs-4">
                                                    <input name="toggle-blockclinic" type="checkbox" class="toggle-input" data-onstyle="primary" data-size="small" data-clinicid="{{Id}}">
                                                </div>
                                            </div>
                                            {{/each}}
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="clear-both"></div>
                        <div class="col-xs-7 col-lg-6">
                            <span class="help-block float-right hidden control-label"></span>
                        </div>
                    </div>
                    <div class="clear-both"></div>

                </form>
            </div>
            <div class="modal-footer">
                <button type="button" class="btn btn-default excpCancel-btn" data-dismiss="modal">{{i18n 'FirstAccess.cancel'}}</button>
                <button type="button" class="btn btn-primary excpSave-btn" data-dismiss="modal">{{i18n 'FirstAccess.done'}}</button>
            </div>
        </div>
    </div>
</div>