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<?php include("includes/header.php"); include("includes/sidebar.php"); ?> <!-- Page Content --> <div class="right_col" role="main"> <div class=""> <!-- Page Title Bar --> <div class="page-title"> <div class="title_left"> <h3>Medical Packages</h3> </div> <div class="title_right"> <div class="col-md-5 col-sm-5 col-xs-12 form-group pull-right top_search"> <div class="input-group"> <input type="text" class="form-control" placeholder="Search for..."> <span class="input-group-btn"> <button class="btn btn-default" type="button">Go!</button> </span> </div> </div> </div> </div> <!-- End of Page Title Bar --> <div class="clearfix"></div> <!-- Content Section --> <div class="row"> <div class="col-md-12 col-sm-12 col-xs-12"> <div class="x_panel"> <!-- Panel Title --> <div class="x_title"> <h2>Add Medical Package</h2> <ul class="nav navbar-right panel_toolbox"> <li><a class="collapse-link"><i class="fa fa-chevron-up"></i></a> </li> </ul> <div class="clearfix"></div> </div> <!-- End of Panel Title --> <!-- Panel Content --> <div class="x_content"> <div class="left-margin"> <?php if(isset($data_string)){ echo $data_string;} ?> <?php echo validation_errors(); ?> <?php echo form_open_multipart('admin/MedicalPackage/add_medical_package', 'class="form-vertical form-label-left" id="addMedicalPackage"'); ?> <div class="clearfix"></div> <!-- Hidden Field for Doctor ID if updating Doctor --> <?php if(isset($MedicalPackageID)){?> <input type="hidden" name="MedicalPackageID" value="<?php echo $MedicalPackageID;?>"> <?php }?> <!-- Patient Story Title Required --> <div class="form-group col-md-8"> <label>Title<span class="required">*</span></label> <input type="text" class="form-control" name="MedicalPackageTitle" id="title" required="required" placeholder="Enter Title for Medical Package" value="<?php if(isset($MedicalPackageTitle)){echo $MedicalPackageTitle;} ?>"> </div> <!-- Slug Required --> <div class="form-group col-md-8"> <label>Slug<span class="required">*</span></label> <input type="text" class="form-control" name="MedicalPackagePageURL" id="link" required="required" placeholder="Enter Slug" value="<?php if(isset($MedicalPackagePageURL)){echo $MedicalPackagePageURL;} ?>"> </div> <!-- Price --> <div class="form-group col-md-8"> <label>Price<span class="required">*</span></label> <input type="text" class="form-control" id="link" name="MedicalPackagePrice" required="required" placeholder="Enter Price" value="<?php if(isset($MedicalPackagePrice)){echo $MedicalPackagePrice;} ?>"> </div> <!-- Description --> <div class="form-group col-md-12"> <label>Description</label> <textarea class="form-control" placeholder="" name="MedicalPackageDescription" id="MedicalPackageDescription" rows="10"><?php echo (isset($MedicalPackageDescription))?$MedicalPackageDescription:''?></textarea> </div> <script> // Replace the <textarea id="editor1"> with a CKEditor // instance, using default configuration. CKEDITOR.replace( 'MedicalPackageDescription' ); </script> <!-- Excerpt --> <div class="form-group col-md-12"> <label>Excerpt</label> <textarea class="form-control" placeholder="" name="MedicalPackageExcerpt" id="MedicalPackageExcerpt" rows="4" max-length="200"><?php echo (isset($MedicalPackageExcerpt))?$MedicalPackageExcerpt:''?></textarea> </div> <!-- Poster Image --> <div class="form-group col-md-8"> <label>Upload Poster Image</label> <input name="poster" type="file" id="poster" /> <?php if((isset($MedicalPackageBanner))&&($MedicalPackageBanner)){ ?> <img src="<?php echo base_url();?>uploads/medical_packages/<?php echo $MedicalPackageBanner; ?>" style="height:60px;" /> <a href="<?php echo base_url();?>uploads/medical_packages/<?php echo $MedicalPackageBanner; ?>"><?php echo $MedicalPackageBanner; ?></a> <?php } ?> </div> <!-- Display Order --> <div class="form-group col-md-8"> <label>Display Order </label> <input type="text" name="MedicalPackagePriorityOrder" class="" id="priority-order" size="3" value="<?php echo (isset($MedicalPackagePriorityOrder))?$MedicalPackagePriorityOrder:'0' ?>"> </div> <!-- Display Status --> <div class="form-group col-md-8"> <label>Display Status</label> <?php if(!(isset($Status))){$Status="A";} ?> <div class="radio"> <label> <input type="radio" class="flat" name="Status" value="A" <?php if((isset($Status))&&($Status=="A")){echo 'checked';} ?>> Active </label> <label> <input type="radio" class="flat" name="Status" value="I" <?php if((isset($Status))&&($Status=="I")){echo 'checked';} ?>> Inactive </label> </div> </div> <div class="clearfix"></div> <!-- Buttons --> <div class="form-group col-md-12"> <button type="submit" class="btn btn-success btn-md">Submit</button> <button class="btn btn-primary btn-md" type="button">Cancel</button> <button class="btn btn-primary btn-md" type="reset">Reset</button> </div> <?php echo form_close(); ?> </div> </div> <!-- End of Panel Content --> </div> </div> </div> <!-- End of Content Section --> </div> </div> <!-- End of Page Content --> <?php include("includes/footer.php"); ?>