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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>Empanelments</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 Empanelments</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 $data_string;} ?> <?php echo validation_errors(); ?> <?php echo form_open_multipart('admin/empanelments/add_empanelments', 'class="form-vertical form-label-left" id="addmodule" enctype="multipart/form-data"'); ?> <div class="clearfix"></div> <!-- Hidden Field for Doctor ID if updating Doctor --> <?php if(isset($sd['id'])){?> <input type="hidden" name="id" value="<?php echo $sd['id'];?>"> <?php }?> <!-- Module Name Required --> <!-- Module Display Name Required --> <div class="form-group col-md-8"> <label>Event<span class="required">*</span></label> <select id="empanelment_type_id" name="empanelment_type_id"> <option value="">Select Empanelment_Type</option> <?php foreach($empanelment_type as $val){?> <option value="<?php echo $val['id']?>" <?php if($sd['empanelment_type_id']== $val['id']){echo 'selected';}?>> <?php echo $val['title'];?> </option> <?php } ?> </select> </div> <div class="form-group col-md-8"> <label>Title<span class="required">*</span></label> <input type="text" class="form-control" id="title" name="title" required="required" placeholder="Enter Title" value="<?php if(isset($sd['title'])){echo $sd['title'];} ?>"> </div> <!-- Module Display Name Required --> <div class="form-group col-md-8"> <label>Description<span class="required">*</span></label> <input type="text" class="form-control" id="description" name="description" required="required" placeholder="Enter Answer" value="<?php if(isset($sd['description'])){echo $sd['description'];} ?>"> </div> <!-- <div class="form-group col-md-8"> <?php $required = 'required'; if (isset($sd['image']) && $sd['image'] != null) { $image = 'uploads/eventgallery/' . $sd['image']; $required = ''; // if (!file_exists($image)) { // $image = 'attachments/no-image.png'; // } ?> <p>Existing Award Image:</p> <div> <a href="<?= base_url($image) ?>" class="img-responsive img-thumbnail" style="max-width:80px; margin-bottom: 5px;"><?=$sd['image']?></a> </div> <input type="hidden" name="old_image" value="<?= $sd['image'] ?>"> <?php } ?> <label>image<span class="required">*</span></label> <input type="file" class="form-control" id="image" name="image" <?=$required?> > </div>--> <!-- Display Status --> <div class="form-group col-md-8"> <label>Display Status</label> <div class="radio"> <?php if(!(isset($sd['status']))){$sd['status']="1";} ?> <label> <input type="radio" class="flat" name="status" value="1" <?php if((isset($sd['status']))&&($sd['status']=="1")){echo 'checked';} ?>> Active </label> <label> <input type="radio" class="flat" name="status" value="0" <?php if((isset($sd['status']))&&($sd['status']=="0")){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> </form> </div> </div> <!-- End of Panel Content --> </div> </div> </div> <!-- End of Content Section --> </div> </div> <!-- End of Page Content --> <?php include("includes/footer.php"); ?>