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Command :
ikan Uploader :
Directory :  /var/www/html/shardahospital.org/incident/application/views/
Upload File :
current_dir [ Writeable ] document_root [ Writeable ]

 
Current File : /var/www/html/shardahospital.org/incident/application/views/addmodule.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 Module</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($errormsg) { ?>
					<div class="alert alert-danger alert-dismissable">
					<button type="button" class="close" data-dismiss="alert" aria-hidden="true">&times;</button>
					<b>Oh snap!</b> </b> <?php echo htmlentities($errormsg);?></div>
					<?php } ?>
                      <form class="form-horizontal style-form" method="post" name="editgrievance">
							<ul>
								<li>
									<label>Module Name</label>
									<input type="text" name="module_name" required="required" class="form-control" value="<?=$responseArray['module_name']?>" >
								</li>
								
								<li>
									<label>Display Name</label>
									<input type="text" name="display_name" required="required" class="form-control" value="<?=$responseArray['display_name']?>" >
								</li>
								
								
								<li>
									<label>Display Icon</label>
									<input type="text" name="display_icon" required="required" class="form-control" value="<?=htmlentities($responseArray['display_icon'])?>" >
								</li>
								
								<li>
									<label>Display Order</label>
									<input type="text" name="display_order" required="required" class="form-control" value="<?=$responseArray['display_order']?>" >
								</li>
								<li>
									 <label>Custom Form</label>
									 <span class="select">
										 <select name="custom_form" required="required">
											 <span>
												 <option  value=''>Select </option>
												 <option  value='1' <?php if($responseArray['custom_form']=='1') { echo 'selected'; } ?>>Yes</option>
												 <option  value='0' <?php if($responseArray['custom_form']=='0') { echo 'selected'; } ?>>No</option>
											 </span>
										 </select>
									 </span>
								</li>
								<li>
									 <label>Is Display Configsetup</label>
									 <span class="select">
										 <select name="display_configsetup" required="required">
											 <span>
												 <option  value=''>Select </option>
												 <option  value='1' <?php if($responseArray['display_configsetup']=='1') { echo 'selected'; } ?>>Yes</option>
												 <option  value='0' <?php if($responseArray['display_configsetup']=='0') { echo 'selected'; } ?>>No</option>
											 </span>
										 </select>
									  </span>
								</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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