ผมใส่ข้อมูลใน textbox และต้องเลือก checkbox ด้านหลังด้วย ข้อมูลจึงจะเข้าฐานข้อมูลได้ ผมใส่ค่า textbox 1 และ 2 แล้วกด save ไ

<form id="form1" name="form1" method="post" action="checkboxsave.php">

  <?php
for ($l = 1; $l <= 5; $l++) {
$pals = '';

	mysql_connect("localhost","root","123456") or die(mysql_error());
	mysql_select_db("test");
 $r = mysql_query("SELECT value,value1,name_med FROM data WHERE id='$l'");
 $name_txt_box=array("0", "aa", "bb", "cc","dd","ee"); 
 $name_chk_box=array("0", "1", "2", "3","4","5"); 
while($row = mysql_fetch_assoc($r))
{
   $pals .= '<input type="text" name="3" id="'.$name_txt_box[$l].'" /><input type="checkbox" name="'.$name_chk_box[$l].'" value="'.$row['value1'].'">'.$row['name_med']."  ".$row['value1']."/".$row['value'].'<br />';


}

if($pal == '')
    echo '';
else 
echo '<form name="get_pal" action="checkboxs.php" method="POST">';
echo $pals;


}

echo '<input type="submit" name="post" value="save">';
?>
</form>

<?php
$host="localhost"; // Host name 
$username="root"; // Mysql username 
$password="123456"; // Mysql password 
$db_name="mydatabase"; // Database name 
$tbl_name="drug"; // Table name 

// Connect to server and select database.
mysql_connect("$host", "$username", "$password")or die("cannot connect"); 
mysql_select_db("$db_name")or die("cannot select DB");
for ($l = 1; $l <= 5; $l++) {
// Get values from form 
$save=$_POST['.$name_txt_box[$l].'];


// Insert data into mysql 
$sql="INSERT INTO $tbl_name(id)VALUES('$save')";
$result=mysql_query($sql);
}
// if successfully insert data into database, displays message "Successful". 
if($result){
echo "Successful";
echo "<BR>";
echo "<a href='checkboxs.php'>Back to main page</a>";
}

else {
echo "ERROR";
}
?> 

<?php 
// close connection 
mysql_close();
?>