ikan Uploader :
Directory : /var/www/html/shardahospital.org/shardalms/student-panel/views_old/user/
Upload File : |
| Current File : /var/www/html/shardahospital.org/shardalms/student-panel/views_old/user/profile.html |
<!-- -->
<div class="container-fluid">
<div class="row">
<div class="col-md-12">
<div class="application my-profile">
<div class="my-profile-form tab-content">
<form id="proPicForm">
<div class="heading">
<div class="row">
<div class="col-md-12 col-xs-7 text-center">
<h4>My Profile</h4>
</div>
<div class="col-md-12 col-xs-5 text-center">
<div class="">
<div class="profile-img">
<img ng-src="{{CR.dtl.profilePicUrl}}" id="proPicImg" class="img-responsive image">
</div>
<div class="overlay_new">
<div class="file btn btn-primary new">
Update Image
<input type="file" id="proPicFile" name="profile_pic" onchange="angular.element(this).scope().uploadProfilePic()" />
</div>
</div>
</div>
</div>
</div>
</div>
</form>
<form class="" id="profileform" autocomplete="off" spellcheck="false">
<div class="form-group width48">
<span class="input input--yoshiko">
<label>Name</label>
<input type="text" class="input__field input__field--yoshiko" name="name" ng-model="CR.dtl.name" placeholder="Enter Your Name">
</span>
</div>
<div class="form-group width48 mrn-rgt">
<span class="input input--yoshiko">
<label>Email ID</label>
<input type="text" class="input__field input__field--yoshiko" disabled ng-model="CR.dtl.email" placeholder="Enter Your Email ID">
</span>
</div>
<div class="form-group width48">
<span class="input input--yoshiko">
<label>Mobile</label>
<input type="text" class="input__field input__field--yoshiko" disabled ng-model="CR.dtl.mob" maxlength="10" placeholder="Enter Your Mobile No.">
</span>
</div>
<div class="form-group width48 mrn-rgt">
<span class="input input--yoshiko">
<label>Alternate Mobile</label>
<input type="text" class="input__field input__field--yoshiko" name="mob2" ng-model="CR.dtl.mob2" maxlength="10" placeholder="Alternet Mobile No.">
</span>
</div>
<div class="clearfix"></div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Address</label>
<input class="input__field input__field--yoshiko" type="text" name="address" ng-model="CR.dtl.address" placeholder="Permanent Address">
</span>
</div>
<div class="clearfix"></div>
<div class="form-group width48">
<span class="input input--yoshiko">
<label>State</label>
<select class="arrow input__field input__field--yoshiko" name="state_id" ng-model="CR.dtl.state_id" ng-change="CR.getCities(CR.dtl.state_id)">
<option value="">Select State</option>
<option value="{{r.id}}" ng-repeat="r in CR.states">{{r.title}}</option>
</select>
</span>
</div>
<div class="form-group width48 mrn-rgt">
<span class="input input--yoshiko">
<label>City</label>
<select class="arrow input__field input__field--yoshiko" id="citydd" name="city_id" ng-model="CR.dtl.city_id" ng-change="CR.cityChangeEvent(CR.dtl.city_id)">
<option value="">Select Other City</option>
<option value="{{r.id}}" ng-repeat="r in CR.cities" pincode="{{r.pincode}}">{{r.title}}</option>
<option value="-1">Other</option>
</select>
</span>
</div>
<div class="form-group width48">
<span class="input input--yoshiko">
<label>Other City</label>
<input type="text" class="input__field input__field--yoshiko" name="city" ng-model="CR.dtl.city" ng-disabled="CR.dtl.city_id!='-1'" placeholder="Other City">
</span>
</div>
<div class="form-group width48 mrn-rgt">
<span class="input input--yoshiko">
<label>Pincode</label>
<input type="text" class="input__field input__field--yoshiko" name="pincode" ng-model="CR.dtl.pincode" maxlength="6" placeholder="Pincode">
</span>
</div>
<div class="form-group width48">
<span class="input input--yoshiko">
<label>Identity Proof</label>
<select class="arrow input__field input__field--yoshiko" name="identity_proof" ng-model="CR.dtl.identity_proof">
<option value="">Select Address Identity Proof</option>
<option value="PAN Card">PAN Card</option>
<option value="Aadhar">Aadhar Card</option>
<option value="Voter ID Card">Voter ID Card</option>
<option value="Driving Licence">Driving Licence</option>
<option value="Passport">Passport</option>
</select>
</span>
</div>
<div class="form-group width48 mrn-rgt">
<span class="input input--yoshiko">
<label>Identity Number</label>
<input type="text" class="input__field input__field--yoshiko" name="identity_proof_no" ng-model="CR.dtl.identity_proof_no" maxlength="20" placeholder="Identity Number (If Any)">
</span>
</div>
<div class="clearfix"></div>
<!-- <div class="form-group">
<label>Upload the photo (JPG, GIF and PNG Format)</label>
<input id="fileUpload" name="FileUpload" multiple="" type="file">
</div> -->
<p class="text-center">
<button class="button" ng-click="CR.updateProfile()">Save</button>
</p>
</form>
</div>
</div>
</div>
</div>
</div>
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