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<?php
include("includes/header.php");
include("includes/sidebar.php");
?>
<!-- Page Content -->
<div class="right_col" role="main">
<div class="">
<!-- Page Title Bar -->
<div class="page-title">
<div class="title_left">
<h3>Doctors</h3>
</div>
<div class="title_right">
<div class="col-md-5 col-sm-5 col-xs-12 form-group pull-right top_search">
<div class="input-group">
<input type="text" class="form-control" placeholder="Search for...">
<span class="input-group-btn">
<button class="btn btn-default" type="button">Go!</button>
</span>
</div>
</div>
</div>
</div>
<!-- End of Page Title Bar -->
<div class="clearfix"></div>
<!-- Content Section -->
<div class="row">
<div class="col-md-12 col-sm-12 col-xs-12">
<div class="x_panel">
<!-- Panel Title -->
<div class="x_title">
<h2><?php echo "Add Doctor";?></h2>
<ul class="nav navbar-right panel_toolbox">
<li><a class="collapse-link"><i class="fa fa-chevron-up"></i></a>
</li>
</ul>
<div class="clearfix"></div>
</div>
<!-- End of Panel Title -->
<!-- Panel Content -->
<div class="x_content">
<div class="left-margin">
<?php if(isset($data_string)){ echo $data_string;} ?>
<?php echo validation_errors(); ?>
<?php echo form_open_multipart('admin/Doctor/add_doctor', 'class="form-vertical form-label-left" id="addDoctor"'); ?>
<!-- <form class="form-vertical form-label-left"> -->
<div class="clearfix"></div>
<!-- Hidden Field for Doctor ID if updating Doctor -->
<?php if(isset($DoctorID)){?>
<input type="hidden" name="DoctorID" value="<?php echo $DoctorID;?>">
<?php }?>
<!-- Title Required -->
<div class="form-group col-md-8">
<label>Title<span class="required">*</span></label>
<select class="form-control select2-single" required="required" name="DoctorTitle">
<option value="Dr.">Dr.</option>
<option value="Prof.">Prof.</option>
<option value="Mr.">Mr.</option>
<option value="Ms.">Ms.</option>
<option value="Mrs.">Mrs.</option>
</select>
</div>
<!-- Full Name Required -->
<div class="form-group col-md-8">
<label>Name<span class="required">*</span></label>
<input type="text" class="form-control" id="name" name="DoctorName" required="required" placeholder="Enter Full Name" value="<?php if(isset($DoctorName)){echo $DoctorName;} ?>" >
</div>
<!-- Slug Required -->
<div class="form-group col-md-8">
<label>Slug</label>
<input type="text" class="form-control" id="link" name="DoctorPageURL" required="required" placeholder="Enter Slug" value="<?php if(isset($DoctorPageURL)){echo $DoctorPageURL;} ?>">
</div>
<!-- Designation Required -->
<div class="form-group col-md-8">
<label>Designation<span class="required">*</span></label>
<select class="form-control select2-single" required="required" name="DoctorDesignation">
<option value="">Select Designation</option>
<?php if($designations){
foreach($designations as $designation){
$selected='';
if(isset($DoctorDesignation)&&($DoctorDesignation==$designation['DesignationID'])){
$selected="selected";
}
echo '<option value="'.$designation['DesignationID'].'" '.$selected.'>'.$designation['DesignationTitle'].'</option>';
}
} ?>
</select>
</div>
<!-- Departments Grouped into COE and Speciality using Select2 Plugin-->
<div class="form-group col-md-8">
<label>Department<span class="required">*</span></label>
<select name="department[]" class="form-control select2-multiple" multiple="multiple" required="required">
<option value="">Select Department</option>
<?php if($departments){
foreach($departments as $department){
$selected='';
if(isset($DoctorDepartment)&&(in_array($department['DepartmentID'],$DoctorDepartment))){
$selected="selected";
}
echo '<option value="'.$department['DepartmentID'].'" '.$selected.'>'.$department['DepartmentName'].'</option>';
}
} ?>
</select>
</div>
<!-- Gender -->
<div class="form-group col-md-8">
<label>Gender</label>
<div class="radio">
<label>
<input type="radio" class="flat" name="DoctorGender" value="M" <?php if((isset($DoctorGender))&&($DoctorGender=="M")){echo 'checked';} ?>> Male
</label>
<label>
<input type="radio" class="flat" name="DoctorGender" value="F" <?php if((isset($DoctorGender))&&($DoctorGender=="F")){echo 'checked';} ?>> Female
</label>
</div>
</div>
<!-- Nationality Required -->
<div class="form-group col-md-8">
<label>Nationality</label>
<select class="form-control select2-single" name="DoctorNationality">
<option value="">Select Nationality</option>
<?php if($nationalities){
foreach($nationalities as $nationality){
$selected='';
if(isset($DoctorNationality)&&($DoctorNationality==$nationality['NationalityName'])){
$selected="selected";
}
echo '<option value="'.$nationality['NationalityName'].'" '.$selected.'>'.$nationality['NationalityName'].'</option>';
}
} ?>
</select>
</div>
<!-- Language Required -->
<div class="form-group col-md-8">
<label>Languages Spoken</label>
<select name="language[]" class="form-control select2-multiple" multiple="multiple">
<option value="">Select Language</option>
<?php if($languages){
foreach($languages as $language){
$selected='';
if(isset($DoctorLanguage)&&(in_array($language['LanguageName'],$DoctorLanguage))){
$selected="selected";
}
echo '<option value="'.$language['LanguageName'].'" '.$selected.'>'.$language['LanguageName'].'</option>';
}
} ?>
</select>
</div>
<!-- Content -->
<div class="form-group col-md-12">
<label>Brief Profile/About</label>
<textarea class="form-control" placeholder="" name="DoctorBriefProfile" id="DoctorBriefProfile" rows="10"><?php echo (isset($DoctorBriefProfile))?$DoctorBriefProfile:''?></textarea>
</div>
<script>
// Replace the <textarea id="editor1"> with a CKEditor
// instance, using default configuration.
CKEDITOR.replace( 'DoctorBriefProfile' );
</script>
<!-- Education Qualification -->
<div class="form-group col-md-12">
<label>Education Qualification</label>
<textarea class="form-control" placeholder="" name="DoctorQualification" id="DoctorQualification" rows="10"><?php echo (isset($DoctorQualification))?$DoctorQualification:''?></textarea>
</div>
<script>
// Replace the <textarea id="editor1"> with a CKEditor
// instance, using default configuration.
CKEDITOR.replace( 'DoctorQualification' );
</script>
<!-- Work Experience -->
<div class="form-group col-md-12">
<label>Work Experience</label>
<textarea class="form-control" placeholder="" name="DoctorWorkExperience" id="DoctorWorkExperience" rows="10"><?php echo (isset($DoctorWorkExperience))?$DoctorWorkExperience:''?></textarea>
</div>
<script>
// Replace the <textarea id="editor1"> with a CKEditor
// instance, using default configuration.
CKEDITOR.replace( 'DoctorWorkExperience' );
</script>
<!-- Specialization -->
<div class="form-group col-md-12">
<label>Specialization</label>
<textarea class="form-control" placeholder="" name="DoctorSpecialization" id="DoctorSpecialization" rows="10"><?php echo (isset($DoctorSpecialization))?$DoctorSpecialization:''?></textarea>
</div>
<script>
// Replace the <textarea id="editor1"> with a CKEditor
// instance, using default configuration.
CKEDITOR.replace( 'DoctorSpecialization' );
</script>
<!-- Clinical Interest -->
<div class="form-group col-md-12">
<label>Clinical Interest</label>
<textarea class="form-control" placeholder="" name="DoctorClinicalInterest" id="DoctorClinicalInterest" rows="10"><?php echo (isset($DoctorClinicalInterest))?$DoctorClinicalInterest:''?></textarea>
</div>
<script>
// Replace the <textarea id="editor1"> with a CKEditor
// instance, using default configuration.
CKEDITOR.replace( 'DoctorClinicalInterest' );
</script>
<!-- Memberships -->
<div class="form-group col-md-12">
<label>Memberships</label>
<textarea class="form-control" placeholder="" name="DoctorMemberships" id="DoctorMemberships" rows="10"><?php echo (isset($DoctorMemberships))?$DoctorMemberships:''?></textarea>
</div>
<script>
// Replace the <textarea id="editor1"> with a CKEditor
// instance, using default configuration.
CKEDITOR.replace( 'DoctorMemberships' );
</script>
<!-- Awards & Recognitions -->
<div class="form-group col-md-12">
<label>Awards & Recognitions</label>
<textarea class="form-control" placeholder="" name="DoctorAcheivements" id="DoctorAcheivements" rows="10"><?php echo (isset($DoctorAcheivements))?$DoctorAcheivements:''?></textarea>
</div>
<script>
// Replace the <textarea id="editor1"> with a CKEditor
// instance, using default configuration.
CKEDITOR.replace( 'DoctorAcheivements' );
</script>
<!-- Research & Publications -->
<div class="form-group col-md-12">
<label>Research & Publications</label>
<textarea class="form-control" placeholder="" name="DoctorResearchPublication" id="DoctorResearchPublication" rows="10"><?php echo (isset($DoctorResearchPublication))?$DoctorResearchPublication:''?></textarea>
</div>
<script>
// Replace the <textarea id="editor1"> with a CKEditor
// instance, using default configuration.
CKEDITOR.replace( 'DoctorResearchPublication' );
</script>
<!-- Profile Picture -->
<div class="form-group col-md-8">
<label>Upload Profile Picture</label>
<input name="profile_pic" type="file" id="profile-picture" />
<?php if((isset($DoctorProfilePic))&&($DoctorProfilePic)){ ?>
<img src="<?php echo base_url();?>uploads/doctor/<?php echo $DoctorProfilePic; ?>" style="height:60px;" />
<a href="<?php echo base_url();?>uploads/doctor/<?php echo $DoctorProfilePic; ?>"><?php echo $DoctorProfilePic; ?></a>
<?php } ?>
</div>
<!-- Resume -->
<div class="form-group col-md-8">
<label>Upload Resume</label>
<input name="resume" type="file" id="thumbnail" />
<?php if((isset($DoctorResume))&&($DoctorResume)){ ?>
<a href="<?php echo base_url();?>uploads/doctor/<?php echo $DoctorResume; ?>"><?php echo $DoctorResume; ?></a>
<?php } ?>
</div>
<!-- Display Order -->
<div class="form-group col-md-8">
<label>Display Order </label>
<input type="text" class="" id="priority-order" name="DoctorPriorityOrder" size="3" value="<?php echo (isset($DoctorPriorityOrder))?$DoctorPriorityOrder:'0' ?>">
</div>
<!-- Display Status -->
<div class="form-group col-md-8">
<label>Leadership Status</label>
<?php if(!(isset($leadership_status))){$leadership_status="0";} ?>
<div class="radio">
<label>
<input type="radio" class="flat" name="leadership_status" value="1" <?php if((isset($leadership_status))&&($leadership_status=="1")){echo 'checked';} ?>> Yes
</label>
<label>
<input type="radio" class="flat" name="leadership_status" value="0" <?php if((isset($leadership_status))&&($leadership_status=="0")){echo 'checked';} ?>> No
</label>
</div>
</div>
<!-- Display Status -->
<div class="form-group col-md-8">
<label>Display Status</label>
<?php if(!(isset($Status))){$Status="A";} ?>
<div class="radio">
<label>
<input type="radio" class="flat" name="Status" value="A" <?php if((isset($Status))&&($Status=="A")){echo 'checked';} ?>> Active
</label>
<label>
<input type="radio" class="flat" name="Status" value="I" <?php if((isset($Status))&&($Status=="I")){echo 'checked';} ?>> Inactive
</label>
</div>
</div>
<div class="clearfix"></div>
<!-- Buttons -->
<div class="form-group col-md-12">
<button type="submit" class="btn btn-success btn-md">Submit</button>
<button class="btn btn-primary btn-md" type="button">Cancel</button>
<button class="btn btn-primary btn-md" type="reset">Reset</button>
</div>
<?php echo form_close(); ?>
</div>
</div>
<!-- End of Panel Content -->
</div>
</div>
</div>
<!-- End of Content Section -->
</div>
</div>
<!-- End of Page Content -->
<?php
include("includes/footer.php");
?>
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