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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/addpatientstory.php |
<?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>Patient Stories</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 Patient Stories</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 $data_string;} ?>
<?php echo validation_errors(); ?>
<?php echo form_open_multipart('admin/patientstory/add_story', 'class="form-vertical form-label-left" id="addmodule" enctype="multipart/form-data"'); ?>
<div class="clearfix"></div>
<!-- Hidden Field for Doctor ID if updating Doctor -->
<?php if(isset($sd['PatientStoryID'])){?>
<input type="hidden" name="id" value="<?php echo $sd['PatientStoryID'];?>">
<?php }?>
<!-- Module Name Required -->
<div class="form-group col-md-8">
<label>Title<span class="required">*</span></label>
<input type="text" class="form-control" id="title" name="title" required="required" placeholder="Enter Title" value="<?php if(isset($sd['PatientStoryTitle'])){echo $sd['PatientStoryTitle'];} ?>">
</div>
<!-- Module Display Name Required -->
<div class="form-group col-md-8">
<label>Department<span class="required">*</span></label>
<select name="department" class="form-control select2-single" require="required">
<option value=""></option>
<?php if($departments){
foreach($departments as $department){ ?>
<option value="<?php echo $department['DepartmentID'];?>" <?php if($department['DepartmentID']==$sd['PatientStoryDepartment']){ echo "selected";}?>><?php echo $department['DepartmentName'];?></option>
<?php } } ?>
</select>
</div>
<div class="form-group col-md-8">
<label>Content</label>
<textarea class="form-control ckeditor" placeholder="" name="content" id="PatientStoryContent" rows="10"><?php if(isset($sd['PatientStoryContent'])){echo $sd['PatientStoryContent'];}?></textarea>
</div>
<div class="form-group col-md-8">
<label>Condition<span class="required">*</span></label>
<select class="form-control select2-single" name="condition">
<option value="">Select Condition</option>
<?php if($conditions){
foreach($conditions as $condition){ ?>
<option value="<?php echo $condition['HealthConditionID'];?>" <?php if($condition['HealthConditionID']==$sd['PatientStoryCondition']){ echo "selected";}?>><?php echo $condition['HealthConditionTitle'];?></option>
<?php } } ?>
</select>
</div>
<div class="form-group col-md-8">
<label>Testimonial</label>
<textarea class="form-control ckeditor" placeholder="" name="testimonial" id="PatientStoryTestimonial" rows="5"><?php if(isset($sd['PatientStoryTestimonial'])){echo $sd['PatientStoryTestimonial'];}?></textarea>
</div>
<div class="form-group col-md-8">
<label>Patient Nationality<span class="required">*</span></label>
<select class="form-control select2-single" name="nationality">
<option value="">Select Nationality</option>
<?php if($nationalities){
foreach($nationalities as $nationality){ ?>
<option value="<?php echo $nationality['NationalityName'];?>" <?php if($nationality['NationalityName']==$sd['PatientStoryNationality']){ echo "selected";}?>><?php echo $nationality['NationalityName'];?></option>
<?php } } ?>
</select>
</div>
<div class="form-group col-md-8">
<label>State</label>
<input type="text" class="form-control" id="state" name="state" placeholder="state" value="<?php if(isset($sd['PatientStoryState'])){echo $sd['PatientStoryState'];} ?>">
</div>
<div class="form-group col-md-8">
<label>Date</label>
<input type="text" class="form-control" id="date" name="date" required="required" placeholder="D-M-Y" value="<?php if(isset($sd['PatientStoryDate'])){echo $sd['PatientStoryDate'];} ?>">
</div>
</div>
<div class="form-group col-md-8">
<?php $required = 'required';
if (isset($sd['PatientStoryThumbnail']) && $sd['PatientStoryThumbnail'] != null) {
$image = 'uploads/patient_stories/' . $sd['PatientStoryThumbnail'];
$required = '';
// if (!file_exists($image)) {
// $image = 'attachments/no-image.png';
// }
?>
<p>Existing Thumbnail:</p>
<div>
<a href="<?= base_url($image) ?>" class="img-responsive img-thumbnail" style="max-width:80px; margin-bottom: 5px;"><?=$sd['PatientStoryThumbnail']?></a>
</div>
<input type="hidden" name="old_thumb" value="<?= $sd['PatientStoryThumbnail'] ?>">
<?php } ?>
<label>Thumbnail<span class="required">*</span></label>
<input type="file" class="form-control" id="thumbnail" name="thumbnail" >
</div>
<div class="form-group col-md-8">
<?php $required = 'required';
if (isset($sd['PatientStoryBanner']) && $sd['PatientStoryBanner'] != null) {
$image = 'uploads/patient_stories/' . $sd['PatientStoryBanner'];
$required = '';
// if (!file_exists($image)) {
// $image = 'attachments/no-image.png';
// }
?>
<p>Existing Image:</p>
<div>
<a href="<?= base_url($image) ?>" class="img-responsive img-thumbnail" style="max-width:80px; margin-bottom: 5px;"><?=$sd['PatientStoryBanner']?></a>
</div>
<input type="hidden" name="old_image" value="<?= $sd['PatientStoryBanner'] ?>">
<?php } ?>
<label>Image<span class="required">*</span></label>
<input type="file" class="form-control" id="image" name="image" >
</div>
<div class="form-group col-md-8">
<label>Slug</label>
<input type="text" class="form-control" id="slug" name="slug" placeholder="slug" value="<?php if(isset($sd['PatientStoryPageURL'])){echo $sd['PatientStoryPageURL'];} ?>">
</div>
<div class="form-group col-md-8">
<label>Display Order</label>
<input type="text" class="form-control" id="order" name="order" placeholder="Display order" value="<?php if(isset($sd['PatientStoryPriorityOrder'])){echo $sd['PatientStoryPriorityOrder'];} ?>">
</div>
<!-- Display Status -->
<div class="form-group col-md-8">
<label>Display Status</label>
<div class="radio">
<?php if(!(isset($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");
?>
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