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<div class="container"> <div class="row"> <div class="col col-lg-12"> <div class="login-header"> </div> </div> </div> </div> <div class="container"> <div class="row"> <div class=" col-lg-3"></div> <div class="col-lg-6"> <form action="<?=base_url('booking/validatecorporatebooking')?>" method="POST" enctype="multipart/form-data"> <div class="login-rectangle"> <?php $urlArray = explode('/',$_SERVER['HTTP_REFERER']); if(in_array('order',$urlArray)) { $url = base_url('order/details/'.base64_encode($userData['id'])); } else { $url = base_url('companydashboard'); }?> <a href="<?=$url?>" class="backtodash"><i class="fa fa-arrow-left" aria-hidden="true"></i> Back </a> <div class="login-logo"> <img src="<?=base_url('assests/imgs')?>/logo_new.png"> </div> <?php if($msg) { ?> <span style="color:red;"><?=$msg?></span> <?php } ?> <?php if ($this->session->flashdata('error')) { ?> <p style="color:red; font-size:18px;"><?php echo $this->session->flashdata('error'); ?></p> <?php } //print_r($userData); die; ?> <div class="user-detail"> <h4>Confirm Your Details</h4> <ul> <li><strong>Company Name</strong> <?=$userData['company_name']?></li> <li><strong>Phone</strong> <?=$userData['contact_number']?></li> <li><strong>Address</strong> <?=$userData['address']?></li> </ul> </div> <div class="user-detail"> <span>Select Your Vaccine </span> <select name="test_name" id="test_name" required> <option value="">Select Vaccine .... </option> <?php foreach($testArray as $row) { ?> <option value="<?=$row['id']?>" <?php if($bookingData['test_id']==$row['id']) { echo 'selected'; } ?>><?php echo $row['title'].' - <strong>Rs. '.$row['price'].' (Per Does)</strong>'; ?></option> <?php } ?> </select> </div> <div class="user-detail"> <span>Total Employee for Vaccination</span> <input type="number" name="total_employee" autocomplete=OFF value="<?php echo count($totalEmployee);?>" class="form-control" id="total_employee" readonly /> </div> <div class="user-detail"> <span>Select Date </span> <input type="date" name="slot_date" autocomplete=OFF value="<?php if($bookingData['slot_date']>0) { echo date('Y-m-d', $bookingData['slot_date']); } ?>" class="form-control" id="slot_date" value="YYYY/MM/DD" /> </div> <div class="user-detail"> <span>Select Slot </span> <select name="test_slot" id="test_slot" required> <option value="">Select Slot .... </option> <?php foreach($slotArray as $row) { ?> <option value="<?=$row['id']?>" <?php if($bookingData['slot_id']==$row['id']) { echo 'selected'; } ?>><?php echo $row['title']; ?></option> <?php } ?> </select> </div> <input type="hidden" name="uid" id="uid" value="<?=$userData['id']?>" /> <input type="hidden" name="bid" id="bid" value="<?=$bookingData['id']?>" /> <div class="user-detail" style="padding:0 20px;"> <?php if(count($totalEmployee)>0) {?> <button type="submit">Proceed</button> <?php } else { ?> <button type="button" disabled>Proceed</button> <?php } ?> </div><br /><br /> <div class="login-pin"></div> </div> </form> </div> <div class="col col-lg-3"></div> </div> </div> <script> $(function() { $('#test_name').change(function(){ var test_id = $(this).val(); $.ajax({ url:'<?= base_url('booking/getpricedetails') ?>', method: 'post', data: {test_id: test_id}, dataType: 'json', success: function(response){ // Add options $('#selected_test').html(''); $('#selected_test').html(response); return false; } }); }); }); </script>