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Directory : /var/www/html/shardahospital.org/application/views/admin/
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| Current File : /var/www/html/shardahospital.org/application/views/admin/AddTestimonial.php |
<?php
include("includes/header.php");
include("includes/sidebar.php");
error_reporting(0);
?>
<!-- Page Content -->
<div class="right_col" role="main">
<div class="">
<!-- Page Title Bar -->
<div class="page-title">
<div class="title_left">
<h3>Testimonials</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 Testimonial</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 $data_string;} ?>
<?php echo validation_errors(); ?>
<?php echo form_open_multipart('admin/Testimonial/add_testimonial', 'class="form-vertical form-label-left" id="addTestimonial"'); ?>
<div class="clearfix"></div>
<!-- Hidden Field for Doctor ID if updating Doctor -->
<?php if(isset($TestimonialID)){?>
<input type="hidden" name="TestimonialID" value="<?php echo $TestimonialID;?>">
<?php }?>
<!-- Patient Story Title Required -->
<div class="form-group col-md-8">
<label>Title<span class="required">*</span></label>
<input type="text" class="form-control" name="TestimonialTitle" id="title" required="required" placeholder="Enter Title for Patient Story" value="<?php if(isset($TestimonialTitle)){echo $TestimonialTitle;} ?>">
</div>
<!-- Slug Required -->
<div class="form-group col-md-8">
<label>Slug<span class="required">*</span></label>
<input type="text" class="form-control" name="TestimonialPageURL" id="link" required="required" placeholder="Enter Slug" value="<?php if(isset($TestimonialPageURL)){echo $TestimonialPageURL;} ?>">
</div>
<!-- Patient Name -->
<div class="form-group col-md-8">
<label>Patient Name</label>
<input type="text" class="form-control" id="link" name="TestimonialPatientName" required="required" placeholder="Enter Patient Name" value="<?php if(isset($TestimonialPatientName)){echo $TestimonialPatientName;} ?>">
</div>
<!-- Departments Grouped into COE and Speciality using Select2 Plugin-->
<div class="form-group col-md-8">
<label>Department<span class="required">*</span></label>
<select name="TestimonialDepartment" class="form-control select2-single" require="required">
<option value="">Select Department</option>
<?php if($departments){
foreach($departments as $department){
$selected='';
if(isset($TestimonialDepartment)&&($department['DepartmentID']==$TestimonialDepartment)){
$selected="selected";
}
echo '<option value="'.$department['DepartmentID'].'" '.$selected.'>'.$department['DepartmentName'].'</option>';
}
} ?>
</select>
</div>
<!-- Patient Nationality Required -->
<div class="form-group col-md-8">
<label>Patient Nationality<span class="required">*</span></label>
<select class="form-control select2-single" name="TestimonialNationality" >
<option value="">Select Nationality</option>
<?php if($nationalities){
foreach($nationalities as $nationality){
$selected='';
if(isset($TestimonialNationality)&&($TestimonialNationality==$nationality['NationalityName'])){
$selected="selected";
}
echo '<option value="'.$nationality['NationalityName'].'" '.$selected.'>'.$nationality['NationalityName'].'</option>';
}
} ?>
</select>
</div>
<!-- Condition Required - display if Indian selected -->
<!--<div class="form-group col-md-8">
<label>Condition<span class="required">*</span></label>
<select class="form-control select2-single" name="TestimonialCondition">
<option value=""></option>
<?php //if($conditions){
//foreach($conditions as $condition){
//$selected='';
//if(isset($TestimonialCondition)&&($TestimonialCondition==$condtion['HealthConditionID'])){
//$selected="selected";
//}
//echo '<option value="'.$condition['HealthConditionID'].'" '.$selected.'>'.$state['HealthConditionID'].'</option>';
//}
//} ?>
</select>
</div>-->
<div class="form-group col-md-8">
<label>Upload Video(Emberde Code Update)<span class="required"></span></label>
<input type="text" class="form-control" id="upload_video" name="upload_video" placeholder="Enter Video Url" value="<?php echo (isset($Testimonial_video_url))?$Testimonial_video_url:''?>">
</div>
<div class="form-group col-md-8">
<label>Upload Video Thumb(Enter Embeded Code)<span class="required"></span></label>
<input type="text" class="form-control" id="thumb_video" name="thumb_video" placeholder="Enter Video Url" value="<?php echo (isset($Testimonial_video_thumb))?$Testimonial_video_thumb:''?>">
</div>
<!-- Testimonial -->
<div class="form-group col-md-8">
<label>Testimonial</label>
<textarea class="form-control" placeholder="" name="TestimonialContent" id="TestimonialContent" rows="5"><?php echo (isset($TestimonialContent))?$TestimonialContent:''?></textarea>
</div>
<!-- Date -->
<div class="form-group col-md-8">
<label>Date</label>
<div class='input-group date col-md-3' id='myDatepicker2'>
<input type='text' name="TestimonialDate" class="form-control" value="<?php if(isset($TestimonialDate)){echo $TestimonialDate;} ?>" />
<span class="input-group-addon">
<span class="glyphicon glyphicon-calendar"></span>
</span>
</div>
</div>
<!-- Patient Photo -->
<div class="form-group col-md-8">
<label>Upload Patient Photo</label>
<input name="TestimonialPatientPhoto" type="file" id="poster" />
<input name="old_testimonial_patientphoto" type="hidden" value="<?php echo $TestimonialPatientPhoto;?>" /><?php if($TestimonialPatientPhoto){ ?> <img src="<?php echo base_url();?>uploads/testimonial/testimonialpatient/<?php echo $TestimonialPatientPhoto;?>" width="60" height="50"/> <?php } else { ?> <img src="<?php echo base_url();?>images/default_img.png" width="60" height="50"/> <?php }?>
</div>
<!-- Poster Image -->
<div class="form-group col-md-8">
<label>Upload Poster Image</label>
<input name="TestimonialImage" type="file" id="poster" />
<input name="old_testimonial_posterimage" type="hidden" value="<?php echo $TestimonialImage;?>" /> <?php if($TestimonialImage){ ?> <img src="<?php echo base_url();?>uploads/testimonial/testimonialimage/<?php echo $TestimonialImage;?>" width="60" height="50"/> <?php } else { ?> <img src="<?php echo base_url();?>images/default_img.png" width="60" height="50"/> <?php }?>
</div>
<!-- Display Order -->
<div class="form-group col-md-8">
<label>Display Order </label>
<input type="text" name="TestimonialPriorityOrder" class="" id="priority-order" size="3" value="<?php echo (isset($TestimonialPriorityOrder))?$TestimonialPriorityOrder:'0' ?>">
</div>
<!-- Display Status -->
<div class="form-group col-md-8">
<label>Display Status</label>
<?php if(!(isset($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");
?>
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