ikan Uploader :
Directory : /var/www/html/shardahospital.org/incident/application/views/
Upload File : |
| Current File : /var/www/html/shardahospital.org/incident/application/views/addcategory.php |
<div class="wrapper d-flex align-items-stretch">
<?php include('_parts/admin_sidebar.php') ?>
<div id="content">
<?php include('_parts/admin_internal_header.php') ?>
<div class="main-body">
<div class="headings">
<h4> Add/Edit Category Type</h4>
<button name="Submit2" type="button" class="button3" value="Back" onClick="javascript:history.go(-1)"><i class="fa fa-angle-left" aria-hidden="true"></i>
Back</button>
</div>
<div class="white-box">
<div class="form1">
<div class="form-panel">
<?php if($errormsg) { ?>
<div class="alert alert-danger alert-dismissable">
<button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>
<b>Oh snap!</b> </b> <?php echo htmlentities($errormsg);?></div>
<?php } ?>
<form class="form-horizontal style-form" method="post" name="editgrievance">
<ul>
<li>
<label>Name</label>
<input type="text" name="categoryName" required="required" class="form-control" value="<?=$responseArray['categoryName']?>" >
</li>
<li>
<label>Description</label>
<input type="text" name="categoryDescription" required="required" class="form-control" value="<?=$responseArray['categoryDescription']?>">
</li>
<li>
<label>Status</label>
<span class="select">
<select name="status" required="required">
<span>
<option value=''>Select Status</option>
<option value='1' <?php if($responseArray['status']=='1') { echo 'selected'; } ?>>Active</option>
<option value='0' <?php if($responseArray['status']=='0') { echo 'selected'; } ?>>In Active</option>
</span>
</select>
</span>
</li>
<li>
<input type="submit" name="submit" value="Submit" class="btn button5" />
</li>
</ul>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
<script src="<?=base_url('assets/js/popper.js'); ?>"></script>
<script src="<?=base_url('assets/js/main.js'); ?>"></script>
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