ikan Uploader :
Directory : /var/www/html/shardahospital.org/incident/application/views/
Upload File : |
| Current File : /var/www/html/shardahospital.org/incident/application/views/adddepartment.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') ?>
<?php
$typeArray = array('Spokesperson'=>'Spokesperson','Head of department'=>'Head of department');
?>
<div class="main-body">
<div class="headings">
<h4><?php if($_GET['id']>0) { echo 'Edit'; } else { echo 'Add'; } ?> Department</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">
<!-- BASIC FORM ELELEMNTS -->
<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">
<div class="row" style="padding-left:15px;">
<div class="col-sm-6"> <ul>
<li>
<label>Business Unit <span style="color:red;">*</span></label>
<span class="select">
<select name="school_id" required="required">
<option value=''>Select Business Unit</option>
<?php foreach($schoolArray as $row) { ?>
<option value="<?=$row['id'] ?>" <?php if($row['id']==$responseArray['school_id']) { echo 'selected'; } ?>><?=$row['school_name'] ?></option>
<?php } ?>
</select>
</span>
</li>
<li>
<label>Department Name <span style="color:red;">*</span></label>
<input type="text" name="name" required="required" class="form-control" placeholder="Department Name" value="<?=$responseArray['name']?>" >
</li>
<li>
<label>Spokesperson Person Name <span style="color:red;">*</span></label>
<input type="text" name="contact_person" required="required" placeholder="Spokesperson Person Name" class="form-control" value="<?=$responseArray['contact_person']?>" >
</li>
<li>
<label>Spokesperson Person Mobile <span style="color:red;">*</span></label>
<input type="text" name="contact_mobile" required="required" placeholder="Spokesperson Person Mobile" class="form-control" value="<?=$responseArray['contact_mobile']?>" >
</li>
<li>
<input type="submit" name="submit" value="Submit" class="btn button5" />
</li>
</ul>
</div>
<div class="col-sm-6"><ul>
<li>
<label>Department Type <span style="color:red;">*</span></label>
<span class="select">
<select name="department_type" required="required">
<option value=''>Select Department Type</option>
<option value='1' <?php if($responseArray['department_type']=='1') { echo 'selected'; } ?>>Clinical</option>
<option value='2' <?php if($responseArray['department_type']=='2') { echo 'selected'; } ?>>Non-Clinical</option>
<option value='3' <?php if($responseArray['department_type']=='3') { echo 'selected'; } ?>>Others</option>
</select>
</span>
</li>
<!-- <li>
<label> </label>
<p> </p>
</li> -->
<li>
<label>Spokesperson Person Email <span style="color:red;">*</span></label>
<input type="email" name="contact_email" required="required" class="form-control" placeholder="Spokesperson Person Email" value="<?=$responseArray['contact_email']?>" >
</li>
<li>
<label>Display in grievance type dropdown<span style="color:red;"></span></label>
<span class="select">
<select name="is_display">
<option value=''>Select</option>
<option value='1' <?php if($responseArray['is_display']=='1') { echo 'selected'; } ?>>Yes</option>
<option value='0' <?php if($responseArray['is_display']=='0') { echo 'selected'; } ?>>No</option>
</select>
</span>
</li>
<li>
<label>Status <span style="color:red;">*</span></label>
<span class="select">
<select name="status" required="required">
<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>
</select>
</span>
</li>
</ul>
</form>
</div>
</div>
</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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